97166 — Evaluation For Occupational Therapy; Typically 45 Minutes
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 45 MINUTES (OTHER 97166) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97166?code_type=OTHER
MLA (9th ed.)
“EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 45 MINUTES (OTHER 97166) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97166?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 45 MINUTES (OTHER 97166) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97166?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $99–$230 (25th–75th percentile) across 349 hospitals · 1,079 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 97166 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| YALE-NEW HAVEN HOSPITAL Outpatient | Champus | All Plans | $1.15 | $712.14 | $420.16 | 2025-01-10 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $2.83 | — | — | 2026-05-27 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Unitedhealthcare Insurance Company (Contracting On Behalf Of Itself, Unitedhealthcare Of Alabama, Inc. And United'S Affiliates) | Commercial All Payer | — | $265.42 | $225.61 | 2026-05-23 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $363.45 | $363.45 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $363.45 | — | 2026-05-09 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Champus | All Plans | $15.53 | $712.14 | $363.19 | 2025-01-10 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $363.45 | $363.45 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $363.45 | $363.45 | 2026-05-14 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna Health Management, Llc | Medicare Advantage Hmo/Ppo/Pos | — | $265.42 | $225.61 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna Health Management, Llc | Aetna Commercial - Complete Rate Data (Hmo/Ppo/Pos) | — | $265.42 | $225.61 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Mutual Of Omaha Companies Claims Department | Standard | — | $265.42 | $225.61 | 2026-05-23 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | — | — | — | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | — | — | — | 2026-05-27 | MRF ↗ |
| MONTGOMERY GENERAL HOSPITAL Outpatient | Medicare | General | — | $81.89 | $61.41 | 2026-05-13 | MRF ↗ |
| MONTGOMERY GENERAL HOSPITAL Outpatient | Medicare | General | — | $81.89 | $61.41 | 2026-05-23 | MRF ↗ |
| RIDGECREST REGIONAL HOSPITAL Both | Medicare | 0700 | — | $430.00 | $227.90 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Meridian Health Of Il | Managed Medicaid | — | $362.20 | $362.20 | 2026-05-17 | MRF ↗ |
| OPTIM MEDICAL CENTER - TATTNALL Outpatient | Caresource | Medicaid | — | $208.95 | $208.95 | 2026-05-08 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Anthem Empire - Healthplus Essential 1/2/200 | 250 | — | $275.00 | $275.00 | 2026-05-17 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Blue Cross And Blue Shield Of Alabama | Blue Advantage (Medicare Advantage) | — | $265.42 | $225.61 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Blue Cross And Blue Shield Of Alabama | Commercial Ppo | — | $265.42 | $225.61 | 2026-05-23 | MRF ↗ |
| OPTIM MEDICAL CENTER - TATTNALL Outpatient | Centene Peach State | Managed Medicaid | — | $208.95 | $208.95 | 2026-05-08 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Ghi | Commercial Ppo/Hmo | $35.00 | $275.00 | $275.00 | 2026-05-17 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Humana Ma | All | — | $194.48 | $48.62 | 2026-05-14 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Humana Ma | All | — | $194.48 | $48.62 | 2026-05-21 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Devoted Health, Inc. | Medicare Advantage | — | $265.42 | $225.61 | 2026-05-23 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $230.00 | $69.00 | 2026-05-08 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Aetna Dow | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Cofinity Ppom | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Automated Benefits | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Mclaren Health Hmo Ip | Hmo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Mclaren Health Healthy Michigan Planmclaren Health Medicaid Hmomclaren Health Mi Child | Hmo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Connectcare Nw | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Health Alliance Plan Medicare | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Platform Health Insurance | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Php Ip | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Asr Hap Ppo | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Blue Cross Blue Shield Completecaresource Michigan Medicaidmeridian Health Healthy Michigan Planmeridian Health Medicaid Hmomeridian Health Mi Childmeridian Health Plan | Hmo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Connectcare Mmh | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Humana Choice Ppo Medicare Advantagehumana Medicare Advantage | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Cigna | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Aetna All Other | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Priority Health Ppo | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Aetna Medicare Advantage Blue Care Network Medicare Advantage Blue Shield Medicare Advantage Champ Va Highmark Advantage Mclaren Medicare Advantage Meridian Medicare Advantage Pace Plus Blue Medicare Advantage Priority Health Medicare Advantage Priority Health Medicare Advantage Hmo United Health Medicare Advantage Va Choice Triwest Veterans Choice | Hmo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Multiplan | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Php Op | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | United | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Priority Health Hmo | Hmo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Employee Benefit Logistics | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Mclaren Health Hmo Op | Hmo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | First Health Ccn | Ppo | — | $260.00 | $156.00 | 2026-05-06 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $39.02 | $363.45 | $363.45 | 2026-05-08 | MRF ↗ |
| TANNER MEDICAL CENTER-EAST ALABAMA Both | Estimated_Amount |Viva_Health|Medicare | — | $39.60 | $120.00 | $72.00 | 2026-05-06 | MRF ↗ |
| TANNER MEDICAL CENTER-EAST ALABAMA Both | Estimated_Amount |Veterans_Affairs|Ccn_Uhc | — | $39.60 | $120.00 | $72.00 | 2026-05-06 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Medicare | $39.79 | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Commercial | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Devoted Health | Medicare | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Commercial | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicare | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Medicare | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Commercial | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Blue Choice Of Sc | Medicaid | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicaid | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Select Health | Medicaid | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Medicaid | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Medicaid | — | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Uhc Ma | All | — | $194.48 | $48.62 | 2026-05-14 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Uhc Ma | All | — | $194.48 | $48.62 | 2026-05-21 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Wellmark Insurance | Hmo | — | $205.00 | $198.85 | 2026-05-22 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Wellmark Insurance | Ppo | — | $205.00 | $198.85 | 2026-05-18 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Wellmark Insurance | Hmo | — | $205.00 | $198.85 | 2026-05-18 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Wellmark Insurance | Ppo | — | $205.00 | $198.85 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $467.00 | $303.55 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $467.00 | $303.55 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Aetna Health | Commercial | — | $467.00 | $303.55 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $467.00 | $303.55 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $467.00 | $303.55 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $41.48 | $467.00 | $303.55 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $41.48 | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $467.00 | $303.55 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Aetna Health | Commercial | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $467.00 | $303.55 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $467.00 | $303.55 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $467.00 | $303.55 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $467.00 | $303.55 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $481.00 | $312.65 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $467.00 | $303.55 | 2026-05-22 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Champus | All Plans | $41.64 | $712.14 | $256.37 | 2026-01-01 | MRF ↗ |
| Wayne Hospital Both | Whc Medicare | 1035910 1 | — | $332.00 | $249.00 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $42.30 | $363.45 | $363.45 | 2026-05-22 | MRF ↗ |
| Wayne Hospital Both | Whc Medicare | 1035910 1 | — | $332.00 | $249.00 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage | — | $42.30 | $363.45 | $363.45 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $42.30 | $363.45 | $363.45 | 2026-05-14 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | United Healthcare | Medicare | $43.76 | $132.62 | $92.83 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $363.45 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $363.45 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $363.45 | $363.45 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $363.45 | $363.45 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Estimated_Amount |North_Dakota|Medicaid | — | $46.49 | $363.45 | $363.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Great West | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Encore | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Sagamore | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Wellcare Mco | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Beech Street | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Uhc Options Ppo | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Ccn 1Source | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | United Mco | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Uhc Plan 2 | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Aetna Better Health Mco | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Humana Mco | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Uhc Plan 1 | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Comm Care | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Multiplan-Phcs | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Coventry 1St Health | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Anthem | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Anthem Pathways Hpn | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Oh Network | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Centercare Aetna | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Centercare | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Plan Vista | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Passport Molina Mco | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Centercare Cigna | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Anthem Pathways Hmo | All Plans | — | $227.50 | $147.88 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete|Negotiated_Percentage | — | $47.20 | $363.45 | $363.45 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $363.45 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $363.45 | $363.45 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete|Negotiated_Percentage | — | $47.20 | $363.45 | $363.45 | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Outpatient | Centene Managed Health Services | Mgd. Medicaid | — | $391.30 | $391.30 | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Outpatient | Centene Managed Health Services | Mgd. Medicaid | — | $391.30 | $391.30 | 2026-05-22 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Select Health | Medicaid Advantage | $48.18 | — | — | 2026-05-06 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Select Health Of Sc | Medicaid | $48.18 | $322.00 | $128.80 | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Wellcare Of Nc | Managed Medicaid | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Molina | Medicaid Advantage | $48.18 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Soonercare | Managed Medicaid | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Carolina Complete Health | Managed Medicaid | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Peach State Health Plan | Managed Medicaid | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Humana Sc | Managed Medicaid | $48.18 | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Prisma Health Upstate Network | Commercial | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Caresource Of Ga | Managed Medicaid | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Absolute Total Care | Managed Medicaid | $48.18 | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | United Healthcare Community Plan Nc | Medicaid | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Sentara Health Administration | Commercial | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Ambetter | Medicaid Advantage | $48.18 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Stratose | Commercial | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerigroup Georgia | Managed Medicaid | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna National | Commercial | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Managed Health Services | Mgd. Medicaid | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana Sc | Managed Medicaid | $48.18 | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Carolina Complete Health | Managed Medicai | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana Sc | Managed Medicaid | $48.18 | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Health Tailored Plan | Medicaid | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Coal Health Plan | Commercial | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Managed Health Services | Mgd. Medicaid | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Peach State Health | Managed Medicaid | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Peach State Health | Managed Medicaid | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Buckeye Community Health Plan | Mgd Mcaid | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Providence Health Plan | Managed Medicaid | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Select Health Of Sc | Managed Medicaid | $48.18 | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Stratose | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Molina Healthcare Of Sc | Managed Medicaid | $48.18 | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Prime Health Services | Commercial | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Aetna National | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Medcost | Commercial | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Humana | Tricare | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Wellcare Of Ga | Managed Medicaid | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Sentara Health Administration | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Multiplan | Commercial | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Sc | Medicaid | $48.18 | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Health Smart | Preferred Care | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Sc | Hix | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Stratose | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Aetna National | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $366.40 | $366.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Providence Health Plan | Managed Medicaid | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Providence Health Plan | Managed Medicaid | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Alliance Coal Health Plan | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Health Smart | Preferred Care | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Prime Health Services | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Prime Health Services | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Alliance Coal Health Plan | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana | Tricare | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Multiplan | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana | Tricare | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Independence Blue Cross | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Multiplan | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Carolina Complete Health | Managed Medicai | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Health Smart | Preferred Care | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Sentara Health Administration | Commercial | — | $405.00 | $405.00 | 2026-05-23 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.