97530 — Therapy Procedure Using Functional Activities
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES (OTHER 97530) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97530?code_type=OTHER
MLA (9th ed.)
“THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES (OTHER 97530) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97530?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES (OTHER 97530) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97530?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $35–$109 (25th–75th percentile) across 384 hospitals · 1,158 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 97530 — 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 |
|---|---|---|---|---|---|---|---|
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Peach State Health Plan | Managed Medicaid | — | $165.70 | $165.70 | 2026-05-08 | MRF ↗ |
| OPTIM MEDICAL CENTER - TATTNALL Outpatient | Aetna | Commercial | — | $289.30 | $289.30 | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $1.13 | — | — | 2026-05-27 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna Health Management, Llc | Aetna Commercial - Complete Rate Data (Hmo/Ppo/Pos) | — | $122.60 | $104.21 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna Health Management, Llc | Medicare Advantage Hmo/Ppo/Pos | — | $122.60 | $104.21 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Meridian Health Of Il | Managed Medicaid | — | $158.30 | $158.30 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Meridian Health Of Il | Managed Medicaid | — | $158.30 | $158.30 | 2026-05-17 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | United Healthcare | Oxford | $2.35 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Blue Cross | Medicaid | $2.35 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Cdphp | Medicaid | $2.37 | — | — | 2026-05-08 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Metroplus | Health Plan Medicaid/Hic/Snp/Chp/Mltc | — | $90.00 | $90.00 | 2026-05-17 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Fidelis | Ny Exchange Medicaid | $2.37 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Cdphp | Medicaid | $2.37 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | Medicaid | $2.37 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | Medicaid | $2.37 | — | — | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Fidelis | Medicaid | $2.37 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Uhc | Medicaid | $2.37 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Blue Cross | Medicaid | $2.37 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Medicaid | $2.37 | — | — | 2026-05-14 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Empire | Healthplus Medicaid/Chp/Mltc | — | $90.00 | $90.00 | 2026-05-17 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Mvp | Medicaid | $2.37 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Medicaid | $2.37 | — | — | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Cdphp | Medicaid | $2.37 | — | — | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Mvp | Medicaid | $2.37 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Fidelis | Medicaid | $2.37 | — | — | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Mvp | Medicaid | $2.37 | — | — | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Fidelis | Medicaid | $2.37 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | United Healthcare | Medicaid | $2.44 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Shield | Medicaid | $2.44 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Shield | Medicaid | $2.44 | — | — | 2026-05-23 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $2.49 | — | — | 2026-05-08 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Community Plan | $2.61 | $97.00 | $97.00 | 2026-05-17 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Blue Cross | Essential Plan | $2.85 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Cdphp | Medicaid Essential Plans 1 & 2 | $3.04 | — | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Outpatient | Cigna | Commercial | — | $256.00 | $51.20 | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Fidelis | Essential | $4.15 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | United Healthcare | Oxford | $4.15 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Mvp | Essential Plan Qhp | $4.15 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Cdphp | Essential Plan Aliessa | $4.15 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Fidelis | Essential Plan Aliessa | $4.15 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Cdphp | Essential Plan Qhp | $4.15 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Fidelis | Essential Plan | $4.15 | — | — | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Blue Cross | Essential (1,2) | $4.15 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Mvp | Essential Plan Aliessa | $4.15 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Fidelis | Essential Plan Qhp | $4.15 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Blue Cross | Medicaid | $4.39 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Medicaid | $4.39 | — | — | 2026-05-23 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Blue Cross | Medicaid | $4.39 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Medicaid | $4.39 | — | — | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna Better Health Of Il | Managed Medicaid | — | $158.30 | $158.30 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna Better Health Of Il | Managed Medicaid | — | $158.30 | $158.30 | 2026-05-17 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Metroplus | Health Plan Medicaid/Hic/Snp/Chp/Mltc | — | $194.00 | $194.00 | 2026-05-17 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Essential Plan Qhp | $4.75 | — | — | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Mvp | Essential | $4.75 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Medicaid | $4.75 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Essential Plan Qhp | $4.75 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Essential Plan Aliessa | $4.75 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Medicaid | $4.75 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Essential Plan Aliessa | $4.75 | — | — | 2026-05-14 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Mutual Of Omaha Companies Claims Department | Standard | — | $122.60 | $104.21 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Essential Plan Aliessa | $4.98 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Essential Plan Qhp | $4.98 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Essential Plan Qhp | $4.98 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Essential Plan Aliessa | $4.98 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $4.99 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $4.99 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $4.99 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $4.99 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $5.14 | — | — | 2026-05-08 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Blue Cross And Blue Shield Of Alabama | Commercial Ppo | — | $122.60 | $104.21 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Blue Cross And Blue Shield Of Alabama | Blue Advantage (Medicare Advantage) | — | $122.60 | $104.21 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $5.29 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $5.29 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $5.29 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | Essential Plans 1-4 | $5.34 | — | — | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Cdphp | Essential Plan | $5.34 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Essential Plan Non Aliessa | $5.34 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Essential Plan Non Aliessa | $5.34 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | Essential Plans 1-4 | $5.34 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $5.39 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $5.44 | — | — | 2026-05-08 | MRF ↗ |
| AVERA CREIGHTON HOSPITAL Outpatient | Wellmark Insurance | Hmo | — | $142.00 | $137.74 | 2026-05-09 | MRF ↗ |
| AVERA CREIGHTON HOSPITAL Inpatient | Wellmark Insurance | Hmo | — | $150.00 | $145.50 | 2026-05-09 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Champus | All Plans | $8.33 | $381.90 | $194.77 | 2025-01-10 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC Outpatient | Denver Health | Medicaid | — | $273.00 | $273.00 | 2026-05-23 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $8.76 | $185.00 | $42.55 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $8.76 | $185.00 | $42.55 | 2026-05-27 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | $8.79 | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Ppoplus | Medicare Advantage | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Humana | Health Benefit Plan Medicare Advantage | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Ppo | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Hmo | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Peoples Health Network | Medicare Advantage | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Pos | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Vantage Health Plan | Commercial | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Traditional | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Humana | Commercial | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Aetna Better Health | Medicare | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Humana | Health Benefit Medicaid | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Vantage Health Plan | Medicare Advantage | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Usa Managed Care | Commercial | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Gilsbar Alliance | Ppo | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Humana | Managed Medicaid | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Private Healthcare Systems (Phcs) | Commercial | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Humana | Medicare Advantage | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Dignity Health Plan | Medicare Advantage | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | La Healthcare Connections | Medicare Advantage | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Hmo Medicare Advantage | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Verity Healthnet | Commercial | — | $97.36 | $58.42 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $8.94 | $185.00 | $42.55 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $8.94 | $185.00 | $42.55 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $9.02 | $185.00 | $42.55 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $9.02 | $185.00 | $42.55 | 2026-05-27 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $10.50 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Commercial | — | $176.00 | $98.56 | 2026-05-23 | MRF ↗ |
| TRINITY HOSPITAL Both | Partnership Health Plan Of California Mcd Rep | Default | $11.14 | $103.00 | $51.50 | 2026-05-13 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Independence Blue Cross | Commercial | — | $192.50 | $192.50 | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | United Mco | All Plans | $11.62 | $61.14 | $39.74 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Wellcare Mco | All Plans | $11.62 | $61.14 | $39.74 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Passport Molina Mco | All Plans | $11.62 | $61.14 | $39.74 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Aetna Better Health Mco | All Plans | $11.62 | $61.14 | $39.74 | 2026-05-08 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Commercial | — | $176.00 | $98.56 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Independence Blue Cross | Commercial | — | $192.50 | $192.50 | 2026-05-23 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Molina | Medicaid | $12.03 | $374.00 | $150.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Molina | Medicaid | $12.03 | $374.00 | $150.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Molina | Medicaid | $12.03 | $333.00 | $133.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Molina | Medicaid | $12.03 | $374.00 | $150.00 | 2026-05-13 | MRF ↗ |
| AVERA CREIGHTON HOSPITAL Outpatient | Wellmark Insurance | Hmo | — | $150.00 | $145.50 | 2026-05-09 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | First Choice | Medicaid Advantage | $12.33 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Choice Medicaid Advantage | $12.33 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Select Health | Medicaid Advantage | $12.33 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Wellcare Of New York | Managed Medicaid | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Wellcare | Medicaid | $12.33 | $254.00 | $101.60 | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Capital District Health Plan | Managed Medicaid | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Meridian Health Of Mi | Managed Medicaid | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Amerihealth Caritas Of Nc | Managed Medicaid | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Capital District Health Plan | Commercial | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Ambetter | Medicaid Advantage | $12.33 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Arkansas Total Care | Managed Medicaid | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Wellcare Of North Carolina | Manage Medicaid | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Select Health Of Sc | Medicaid | $12.33 | $254.00 | $101.60 | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Peach State Health | Managed Medicaid | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Buckeye Community Health Plan | Mgd Mcaid | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Molina | Medicaid | $12.33 | $254.00 | $101.60 | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana Sc | Managed Medicaid | $12.33 | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Atc | Medicaid Advantage | $12.33 | — | — | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Carolina Complete Health | Managed Medicai | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Managed Health Services | Mgd. Medicaid | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Sentara Health Administration | Commercial | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Alliance Coal Health Plan | Commercial | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Stratose | Commercial | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Providence Health Plan | Managed Medicaid | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Health Smart | Preferred Care | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Molina Healthcare Of Ny | Managed Medicaid | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Prime Health Services | Commercial | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana | Tricare | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Multiplan | Commercial | — | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Absolute Total Care | Managed Medicaid | $12.33 | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Molina | Medicaid Advantage | $12.33 | — | — | 2026-05-06 | MRF ↗ |
| OZARK HEALTH Both | Medicare A Ar Jh | Default | $12.35 | $42.00 | $21.84 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Humana | Medicare Advantage | $12.35 | $42.00 | $21.84 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Blue Cross Blue Shield Of Ar | Medicare Advantage | $12.35 | $42.00 | $21.84 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | United Healthcare | Medicare Advantage | $12.60 | $42.00 | $21.84 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Va Community Care Network Vaccn Region 1-3 Optum | Default | $12.60 | $42.00 | $21.84 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $12.72 | $42.00 | $21.84 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Allwell Mcr Adv | Default | $12.72 | $42.00 | $21.84 | 2026-05-09 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $158.85 | $111.20 | 2026-05-23 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $476.55 | $333.59 | 2026-05-23 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $123.00 | $123.00 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $222.05 | $222.05 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $123.00 | $123.00 | 2026-05-08 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $12.82 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $12.82 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Kids Medicaid | $12.82 | $95.00 | $22.95 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Kids | $12.82 | $92.00 | $22.83 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Kids | $12.82 | $92.00 | $22.83 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Kids Medicaid | $12.82 | $95.00 | $22.95 | 2026-05-23 | MRF ↗ |
| OZARK HEALTH Both | Aetna Medicare Advantage | Default | $12.85 | $42.00 | $21.84 | 2026-05-09 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Anthem Empire - Healthplus Essential 1/2/200 | 250 | — | $194.00 | $194.00 | 2026-05-17 | MRF ↗ |
| OZARK HEALTH Both | Superior Health Plan Mcr Adv | Default | $12.97 | $42.00 | $21.84 | 2026-05-09 | MRF ↗ |
| BARNES-KASSON COUNTY HOSPITAL Both | Geisinger Health Plan | Default | — | $160.38 | $112.27 | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Aetna Better Health Of Pa | Managed Medicaid | $13.00 | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Pa Health And Wellness | Mgd. Medicaid | $13.00 | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Keystone Mercy Health Plans | Managed Medicaid | $13.00 | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Health Partners Of Philadelphia | Mgd. Medicaid | $13.00 | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Amerihealth Mercy Health Plans | Managed Medicaid | $13.00 | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Geisinger Health Plan | Commercial | $13.00 | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Upmc Health Plan | Managed Medicaid | $13.00 | $577.50 | $577.50 | 2026-05-23 | MRF ↗ |
| BARNES-KASSON COUNTY HOSPITAL Both | Geisinger Health Plan | Default | — | $160.38 | $112.27 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $222.05 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $123.00 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $123.00 | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Aetna | Commercial | — | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Mcd Advantage | $14.10 | — | — | 2026-05-09 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $14.30 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $14.30 | — | — | 2026-05-13 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Cms | Medicare | $14.31 | $83.00 | $58.10 | 2026-05-06 | 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.