97601 — O/p Decub Care 97601 15 Mn
Cite this view
HANK Price Transparency. (n.d.). O/P DECUB CARE 97601 15 MN (HCPCS 97601) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97601?code_type=HCPCS
“O/P DECUB CARE 97601 15 MN (HCPCS 97601) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97601?code_type=HCPCS. Accessed .
“O/P DECUB CARE 97601 15 MN (HCPCS 97601) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97601?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $42–$179 (25th–75th percentile) across 39 hospitals · 120 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 97601 — 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 |
|---|---|---|---|---|---|---|---|
| SURGICAL INSTITUTE OF READING BothFacility | BHP | All Commercial | $18.13 | $49.00 | — | 2026-04-08 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | BHP | All Commercial | $18.13 | $49.00 | — | 2026-04-08 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Metra Comp | Wc | $22.34 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Metra Comp | Wc | $22.34 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Metra Comp | Wc | $22.34 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Metra Comp | Wc | $22.34 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Metra Comp | Wc | $22.34 | $55.00 | — | 2026-07-15 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Theramatrix | Commercial | $25.00 | — | — | 2026-04-17 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Integrated Health | Wc | $25.78 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Integrated Health | Wc | $25.78 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Integrated Health | Wc | $25.78 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Medin-Crease Health Plan | — | $25.78 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Medin-Crease Health Plan | — | $25.78 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Medin-Crease Health Plan | — | $25.78 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Integrated Health | Wc | $25.78 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Medin-Crease Health Plan | — | $25.78 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Integrated Health | Wc | $25.78 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Medin-Crease Health Plan | — | $25.78 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Humana | Hmo | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Positive | Hc Ma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Positive | Hc Ma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Humana | Ppo | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Humana | Ppo | $27.50 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Coventry | Hp Ma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Humana | Hc | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Coventry | Hp Ma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Coventry | Hp Hmo | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Humana | Hc | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Rockport | — | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Rockport | — | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Humana | Hmo | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Positive | Hc Ma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Rockport | — | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Humana | Hc | $27.50 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Humana | Ma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Rockport | — | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Humana | Hmo | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Coventry | Hp Ma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Coventry | Hp Hmo | $27.50 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Coventry | Hp Hmo | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Humana | Ma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Humana | Hc | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Coventry | Hp Hmo | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Humana | Ppo | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Humana | Hmo | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Humana | Hmo | $27.50 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Humana | Ma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Humana | Mma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Conventry | Hp Ma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Positive | Hc Ma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Humana | Ppo | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Rockport | — | $27.50 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Coventry | Hp Hmo | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Humana | Ma | $27.50 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Conventry | Hp Ma | $27.50 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Humana | Ma | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Humana | Hc | $27.50 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Positive | Hc Ma | $27.50 | $55.00 | — | 2026-08-01 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $28.38 | $113.50 | — | 2026-01-01 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Medin-Crease Health Plan | Wc | $29.21 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Medin-Crease Health Plan | Wc | $29.21 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Medin-Crease Health Plan | Wc | $29.21 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Medin-Crease Health Plan | Wc | $29.21 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Medin-Crease Health Plan | Wc | $29.21 | $55.00 | — | 2026-08-01 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | DEVON | All Plans | $29.40 | $49.00 | — | 2026-04-08 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | DEVON | All Plans | $29.40 | $49.00 | — | 2026-04-08 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $30.65 | — | — | 2026-01-25 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Rockport | Wc | $30.93 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Rockport | Wc | $30.93 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Rockport | Wc | $30.93 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Rockport | Wc | $30.93 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Rockport | Wc | $30.93 | $55.00 | — | 2026-07-15 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | FIRST HEALTH | All Plans | $33.32 | $49.00 | — | 2026-04-08 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | AETNA | Signature Administrators | $33.32 | $49.00 | — | 2026-04-08 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | AETNA | Signature Administrators | $33.32 | $49.00 | — | 2026-04-08 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | FIRST HEALTH | All Plans | $33.32 | $49.00 | — | 2026-04-08 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | TRICARE | All Plans | $34.30 | $49.00 | — | 2026-04-08 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | TRICARE | All Plans | $34.30 | $49.00 | — | 2026-04-08 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Uhc | Hmo Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Wellcare | Fl Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Preferred Care Partners | Hp Ma | $34.37 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Wellcare | Fl Ma | $34.37 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Preferred Care Partners | Wellmed | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Dimension Health | Ma | $34.37 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Dimension Health | Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Uhc | Ma Cmg | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Dimension Health | Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Preferred Care Partners | Pso Hp | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Concordia | Care Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Prime Health Care Partners | Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Uhc | Ppo | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Preferred Care Partners | Hp Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Preferred Care Partners | Pso Hp | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Prime Health Care Partners | Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Preferred Care Partners | Pso Hp | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Prime Health Care Partners | Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Preferred Care Partners | Pso Hp | $34.37 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Preferred Care Partners | Hp Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Uhc | Hmo Ma | $34.37 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Wellcare | Fl Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Concordia | Care Ma | $34.37 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Uhc | Ppo | $34.37 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Dimension Health | Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Uhc | Hmo | $34.37 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Uhc | Hmo Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Preferred Care Partners | Wellmed | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Prime Health Care Partners | Ma | $34.37 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Uhc | Hmo | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Preferred Care Partners | Hp Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Uhc | Ppo | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Preferred Care Partners | Wellmed | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Uhc | Ppo | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Prime Health Care Partners | Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Preferred Care Partners | Wellmed | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Preferred Care Partners | Hp Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Uhc | Hmo | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Concordia | Care Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Concordia | Care Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Uhc | Hmo Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Wellcare | Fl Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Uhc | Ppo | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Preferred Care Partners | Wellmed | $34.37 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Concordia | Care Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Uhc | Hmo | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Uhc | Hmo Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Uhc | Ma Cmg | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Dimension Health | Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Uhc | Ma Cmg | $34.37 | $55.00 | — | 2026-08-01 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Uhc | Ma Cmg | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Uhc | Ma Cmg | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Catherine's Rehabilitation Hospital Both | Uhc | Hmo | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Wellcare | Fl Ma | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| St Anthony's Rehabilitation Hospital Both | Preferred Care Partners | Pso Hp | $34.37 | $55.00 | — | 2026-07-15 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | All Commercial Plans | $37.36 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Essential Other Commercial Plan | $37.36 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $37.36 | — | — | 2026-04-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $37.90 | — | — | 2026-03-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $37.90 | — | — | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $37.90 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $37.90 | — | — | 2026-07-18 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $37.90 | — | — | 2026-09-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $37.90 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $37.90 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $37.90 | — | — | 2026-07-18 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $37.90 | — | — | 2024-10-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | AETNA | National Advantage | $40.67 | $49.00 | — | 2026-04-08 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | AETNA | National Advantage | $40.67 | $49.00 | — | 2026-04-08 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Peach State Medicaid | HMO | $42.38 | $272.72 | — | 2026-03-24 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Peach State Medicaid | HMO | $42.38 | $272.72 | — | 2026-05-14 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | UHC_COMMUNITY_PLAN | UNITED HEALTHCARE MEDICAID | $44.73 | $198.00 | $158.40 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | MEDICAID_TEXAS | MEDICAID TEXAS | $44.73 | $198.00 | $158.40 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | MEDICAID_FIRST-CARE | MEDICAID FIRST CARE | $44.73 | $198.00 | $158.40 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | MEDICAID_SUPERIOR | MEDICAID SUPERIOR | $44.73 | $198.00 | $158.40 | 2025-01-21 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | United Healthcare | Commercial | $45.40 | $113.50 | — | 2026-01-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Access Other Commercial Plan | $47.76 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $47.76 | — | — | 2026-04-01 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Amerigroup Medicaid | PPO | $48.46 | $272.72 | — | 2026-03-24 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | Amerigroup Medicaid | PPO | $48.46 | $272.72 | — | 2026-05-14 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $48.72 | $87.00 | $65.25 | 2026-05-08 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $49.28 | $88.00 | $66.00 | 2026-05-08 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | — | — | — | $264.78 | $158.87 | 2026-04-01 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $49.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $49.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $49.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $49.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $49.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $49.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $49.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $49.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $49.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $49.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $49.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $49.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $50.48 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $50.48 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $50.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $50.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $50.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $50.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $50.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $50.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $50.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $50.98 | $147.00 | $72.92 | 2026-02-28 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | CHOICE CARE - ALL PLANS | CHOICE CARE - ALL PLANS | $52.20 | $87.00 | $65.25 | 2026-05-08 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $52.20 | $87.00 | $65.25 | 2026-05-08 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | AETNA MCR | AETNA MCR | $52.20 | $87.00 | $65.25 | 2026-05-08 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $52.20 | $87.00 | $65.25 | 2026-05-08 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $52.72 | — | — | 2026-04-01 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | CHOICE CARE - ALL PLANS | CHOICE CARE - ALL PLANS | $52.80 | $88.00 | $66.00 | 2026-05-08 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | AETNA MCR | AETNA MCR | $52.80 | $88.00 | $66.00 | 2026-05-08 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $52.80 | $88.00 | $66.00 | 2026-05-08 | MRF ↗ |
| WIREGRASS MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $52.80 | $88.00 | $66.00 | 2026-05-08 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $53.35 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | 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.