97168 — Ot Re-eval Est Plan Care
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ot re-eval est plan care (OTHER 97168) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97168?code_type=OTHER
MLA (9th ed.)
“Ot re-eval est plan care (OTHER 97168) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97168?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Ot re-eval est plan care (OTHER 97168) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97168?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $67–$159 (25th–75th percentile) across 332 hospitals · 1,017 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 97168 — 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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $1.91 | — | — | 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 | — | $176.05 | $149.64 | 2026-05-23 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Champus | All Plans | $10.14 | $464.97 | $237.13 | 2025-01-10 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $11.11 | $180.00 | $126.00 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $11.11 | $180.00 | $126.00 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $11.11 | $180.00 | $126.00 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $11.11 | $180.00 | $126.00 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $224.85 | $224.85 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $224.85 | — | 2026-05-09 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | United Mco | All Plans | $15.04 | $79.17 | $51.46 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Wellcare Mco | All Plans | $15.04 | $79.17 | $51.46 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Aetna Better Health Mco | All Plans | $15.04 | $79.17 | $51.46 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Passport Molina Mco | All Plans | $15.04 | $79.17 | $51.46 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $224.85 | $224.85 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $224.85 | $224.85 | 2026-05-22 | 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 ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Humana Mco | All Plans | $21.38 | $79.17 | $51.46 | 2026-05-08 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Uhc Ma | All | — | $107.12 | $26.78 | 2026-05-14 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Uhc Ma | All | — | $107.12 | $26.78 | 2026-05-21 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Bcbs And Health Advantage Ma | All | — | $107.12 | $26.78 | 2026-05-21 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA Outpatient | Bcbs And Health Advantage Ma | All | — | $107.12 | $26.78 | 2026-05-14 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Highmark-Bc Central | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross (100% Pom) | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Med Adv (102% Pom) | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Cigna | Cigna Medicare Advantage | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare Medicare Advantage | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Veterans Affairs | Veterans Affairs | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Medicare | Medicare Advantage Plan (100% Pom) | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Tricare | Tricare | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Upmc | Upmc Medicare Advantage | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Ambetter | Ambetter | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Cigna | Cigna Medicare Advantage | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Tricare | Tricare | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Med Adv | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Traditional | $25.00 | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Traditional | $25.00 | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Highmark-Bc Central | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare Medicare Advantage | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Upmc | Upmc | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Ambetter | Ambetter | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross Med Adv (102% Pom) | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross Med Adv (102% Pom) | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Upmc | Upmc Medicare Advantage | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Veterans Affairs | Veterans Affairs | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Medicare | Medicare Advantage Plan (100% Pom) | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Med Adv | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross (100% Pom) | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Upmc | Upmc | — | $403.00 | $403.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Med Adv (102% Pom) | — | $403.00 | $403.00 | 2026-05-23 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Ghi | Commercial Ppo/Hmo | $27.00 | $167.00 | $167.00 | 2026-05-17 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Champus | All Plans | $27.18 | $464.97 | $167.39 | 2026-01-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Aetna Health | Commercial | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $28.29 | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $28.29 | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $272.00 | $176.80 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Aetna Health | Commercial | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $264.00 | $171.60 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Estimated_Amount |North_Dakota|Medicaid | — | $28.76 | $224.85 | $224.85 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Buckeye Community Health Plan | Mgd Mcaid | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana Sc | Managed Medicaid | $31.14 | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Medcost | Commercial | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Independence Blue Cross | Commercial | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Sentara Health Administration | Commercial | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Molina Healthcare Of Ny | Managed Medicaid | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Wellcare Of Ga | Managed Medicaid | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Peach State Health | Managed Medicaid | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Health Smart | Preferred Care | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Wellcare Of North Carolina | Manage Medicaid | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Alliance Coal Health Plan | Commercial | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Meridian Health Of Mi | Managed Medicaid | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Humana | Tricare | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Multiplan | Commercial | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Wellcare Of Nc | Managed Medicaid | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Prime Health Services | Commercial | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Prime Health Services | Commercial | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Amerihealth Caritas Of Nc | Managed Medicaid | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Capital District Health Plan | Managed Medicaid | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Health Smart | Preferred Care | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana | Tricare | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Capital District Health Plan | Commercial | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Arkansas Total Care | Managed Medicaid | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Providence Health Plan | Managed Medicaid | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Managed Health Services | Mgd. Medicaid | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Absolute Total Care | Managed Medicaid | $31.14 | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Wellcare Of New York | Managed Medicaid | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Select Health Of Sc | Managed Medicaid | $31.14 | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Molina Healthcare Of Sc | Managed Medicaid | $31.14 | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Select Health Of Sc | Medicaid | $31.14 | $290.00 | $116.00 | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Peach State Health Plan | Managed Medicaid | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Atc | Medicaid Advantage | $31.14 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | First Choice | Medicaid Advantage | $31.14 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Sc | Medicaid | $31.14 | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Stratose | Commercial | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Soonercare | Managed Medicaid | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Carolina Complete Health | Managed Medicaid | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Prisma Health Upstate Network | Commercial | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Choice Medicaid Advantage | $31.14 | — | — | 2026-05-06 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Wellcare | Medicaid | $31.14 | $290.00 | $116.00 | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Humana Sc | Managed Medicaid | $31.14 | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Select Health | Medicaid Advantage | $31.14 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Aetna National | Commercial | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Molina | Medicaid Advantage | $31.14 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Ambetter | Medicaid Advantage | $31.14 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Coal Health Plan | Commercial | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerihealth Caritas Nc | Managed Medicaid | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerigroup Georgia | Managed Medicaid | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Sentara Health Administration | Commercial | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | United Healthcare Community Plan Nc | Medicaid | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Health Tailored Plan | Medicaid | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna National | Commercial | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Absolute Total Care | Managed Medicaid | $31.14 | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Multiplan | Commercial | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Providence Health Plan | Managed Medicaid | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Caresource Of Ga | Managed Medicaid | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Stratose | Commercial | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Sc | Hix | — | $300.60 | $300.60 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Carolina Complete Health | Managed Medicai | — | $332.20 | $332.20 | 2026-05-23 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Molina | Medicaid | $31.14 | $290.00 | $116.00 | 2026-05-06 | MRF ↗ |
| John Heinz Institute of Rehabilitation Outpatient | National Association Of Letter Carriers Health | Commercial Insurance | — | $223.00 | — | 2026-05-13 | MRF ↗ |
| John Heinz Institute of Rehabilitation Outpatient | National Association Of Letter Carriers Health | Commercial Insurance | — | $223.00 | — | 2026-05-21 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Selecthealth | Medicare | $32.10 | $135.00 | $94.50 | 2026-05-06 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | [United Healthcare | — | — | $135.00 | $94.50 | 2026-05-06 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Cms | Medicare | $32.10 | $135.00 | $94.50 | 2026-05-06 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Aetna | Golden Medicare Golden Choice | $32.10 | $135.00 | $94.50 | 2026-05-06 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Kaiser | Medicare Advantage | $32.10 | $135.00 | $94.50 | 2026-05-06 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Denver Health | — | $32.10 | $135.00 | $94.50 | 2026-05-06 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Wellcare | Medicare Advantage | $32.10 | $135.00 | $94.50 | 2026-05-06 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Humana | Medicaid Replacement | — | $137.00 | $61.65 | 2026-05-22 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | United Healthcare | Medicaid Replacement | — | $137.00 | $61.65 | 2026-05-22 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Humana | Medicaid Replacement | — | $137.00 | $61.65 | 2026-05-17 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | United Healthcare | Medicaid Replacement | — | $137.00 | $61.65 | 2026-05-17 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Medicare A Fl Jn | Default | $32.22 | $137.00 | $61.65 | 2026-05-17 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Medicare A Fl Jn | Default | $32.22 | $137.00 | $61.65 | 2026-05-22 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $32.88 | $137.00 | $61.65 | 2026-05-22 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $32.88 | $137.00 | $61.65 | 2026-05-17 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Bcbs Of Va | Managed Medicare 100% | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Bcbs Of Va | Anthem Blue Cross Ppo | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Tricare | Tricare | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Humana | Humana Medicare | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Cigna | Managed Medicare 100% | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Uhc | Uhc | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Secure Horizons | Managed Medicare 100% | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Cigna | Cigna | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Gateway | Gateway | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Medcost | Medcost | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Aetna | Aetna | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Uhc | Uhc Managed Medicare | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Todays Options | Managed Medicare 100% | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Optima Health Plan | Sentara (Optima) | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Clear Springs | Clear Springs (Mcr) | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Bcbs Of Va | Anthem Hix | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Optima Health Plan | Optima | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Vaughan-Bassett Furniture Co. | Vaughan-Bassett | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Managed Medicare 100% | Managed Medicare 100% | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Bcbs Of Va | Anthem Blue Cross Hmo | — | $346.58 | $138.63 | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Both | Anthem Blue Cross Blue Shield | Ppoonly | $33.00 | $1,658.00 | $663.20 | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Both | Anthem Blue Cross Blue Shield | Ppoonly | $33.00 | $1,800.00 | $720.00 | 2026-05-23 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $33.11 | $464.97 | $167.39 | 2026-01-01 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Triwest | All Payors | — | $515.00 | $200.85 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Mdx | All Commercial Plans | — | $515.00 | $201.00 | 2026-05-08 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Ohana | Quest | — | $515.00 | $200.85 | 2026-05-08 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Devoted | Medadvantage | — | $515.00 | $200.85 | 2026-05-08 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Alohacare | Medadvantage | — | $515.00 | $200.85 | 2026-05-08 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Alohacare | Quest | — | $515.00 | $200.85 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Mdx | Medadvantage | — | $515.00 | $201.00 | 2026-05-08 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Mdx | Medadvantage | — | $515.00 | $200.85 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Triwest | All Payors | — | $515.00 | $201.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Alohacare | Quest | — | $515.00 | $201.00 | 2026-05-08 | 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.