97802 — Medical Nutrition Indiv In
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MEDICAL NUTRITION INDIV IN (CPT 97802) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97802?code_type=CPT
MLA (9th ed.)
“MEDICAL NUTRITION INDIV IN (CPT 97802) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97802?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“MEDICAL NUTRITION INDIV IN (CPT 97802) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97802?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $33–$84 (25th–75th percentile) across 2,661 hospitals · 9,563 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 97802 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$33
$52 typical
$84
The middle 50% of negotiated facility rates for this procedure, measured across 2,661 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $52 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $26 × 1.22 commercial. | $32 |
| Likely subtotal | $85 |
Surgical episode (typical)
~$85
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$3,869
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| IBERIA MEDICAL CENTER Outpatient | PPO Plus LLC | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Multiplan Inc. for American Family | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Healthy Blue Community Care of LA MCD | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Louisiana Healthcare Connections MCD Rep | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Gilsbar Inc | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Wellcare Health Plan Inc MCR Adv | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Aetna | Medicaid Replacement | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | PHCS GEHA Govt Employee Health Assc | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | First Health | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | WebTPA | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Medicare A LA JH | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | UHC Community Plan LA MCD Rep | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Humana Healthy Horizons MCD Rep | Medicaid Replacement | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Verity National Group | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Peoples Health Network DOS lt 01012024 | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Humana | Medicare Advantage | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | VAPCCC3 All Regions 1-6 DOS GT 1/30/19 | Federal | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of LA | Medicare Advantage | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Vantage Health/Primewell MCR Adv AR MS only | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Tricare East Region DOS lt 01012025 | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Blue Advantage of LA | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Primewell Vantage Health Plan | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.17 | $40.00 | $30.00 | 2026-03-26 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Aetna | Default | $0.63 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Meritain | Default | $0.63 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Cigna | Default | $0.69 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Great West Healthcare | Default | $0.69 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Cigna PPO | Default | $0.69 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | APWU Health Plan | Default | $0.69 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $0.69 | $68.00 | $44.20 | 2026-03-14 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | CIGNA Healthspring MCR Adv | Default | $0.69 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.82 | $78.75 | $78.75 | 2026-04-24 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.85 | $152.69 | $91.61 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.85 | $152.69 | $91.61 | 2025-08-11 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.91 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.91 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.91 | — | — | 2026-03-18 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.96 | $48.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.96 | $48.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.96 | $48.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.96 | $48.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.96 | $48.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.96 | $48.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.96 | $48.00 | — | 2026-03-31 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Medicare B LA JH | Default | $0.98 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $0.98 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.99 | $49.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.99 | $49.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.99 | $49.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.99 | $49.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.99 | $49.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.99 | $49.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.99 | $49.50 | — | 2026-03-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $190.00 | $155.80 | 2025-11-26 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | UHC Definity Services | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Golden Rule Insurance Company | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $190.00 | $155.80 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $190.00 | $155.80 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $190.00 | $155.80 | 2025-11-26 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of LA | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $190.00 | $155.80 | 2025-11-26 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | GEHA Multiplan Network | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,253.27 | $814.63 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $190.00 | $155.80 | 2025-11-26 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | United Healthcare | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| PRESENTATION MEDICAL CENTER Outpatient | NextBlue | Medicare Advantage | $1.00 | $2.00 | $2.00 | 2026-05-27 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $190.00 | $155.80 | 2025-11-26 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | UMR United Medical Resources | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | $190.00 | $155.80 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1,253.27 | $814.63 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $190.00 | $155.80 | 2025-11-26 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.04 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.04 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $1.04 | — | — | 2026-03-18 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $1.09 | $128.00 | $47.36 | 2026-03-31 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.13 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.13 | — | — | 2026-03-18 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $1.38 | $53.00 | $21.20 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $1.38 | $53.00 | $21.20 | 2026-05-22 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $190.00 | $155.80 | 2025-11-26 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Banner University Family Care | Arizona Health Care Cost Containment System (AHCCCS) | $1.86 | $13.00 | $3.64 | 2026-04-30 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Arizona Complete | Arizona Health Care Cost Containment System (AHCCCS) | $1.86 | $13.00 | $3.64 | 2026-04-30 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | United Healthcare Community Care | Arizona Health Care Cost Containment System (AHCCCS) | $1.86 | $13.00 | $3.64 | 2026-04-30 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $1.92 | $104.00 | $104.00 | 2026-02-13 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $1.95 | $41.58 | $41.58 | 2026-03-01 | MRF ↗ |
| PRESENTATION MEDICAL CENTER Outpatient | HealthPartners | Commercial | $2.00 | $2.00 | $2.00 | 2026-05-27 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | BCBS | MGMCRHMO | $2.00 | $41.58 | $41.58 | 2026-03-01 | MRF ↗ |
| PRESENTATION MEDICAL CENTER Outpatient | Sanford Health Plan | Commercial | $2.00 | $2.00 | $2.00 | 2026-05-27 | MRF ↗ |
| PRESENTATION MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Commercial | $2.00 | $2.00 | $2.00 | 2026-05-27 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.07 | — | — | 2026-03-18 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $2.12 | $45.21 | $45.21 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | BCBS | MGMCRHMO | $2.17 | $45.21 | $45.21 | 2026-03-01 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid - 95 Percent | $2.20 | $102.28 | $40.00 | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid - 95 Percent | $2.28 | $102.28 | $40.00 | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Driscoll Health Plan Medicaid | Driscoll Health Plan Medicaid Star Kids | $2.32 | $102.28 | $40.00 | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | United Healthcare Managed Care | UHC Medicaid Kids | $2.32 | $102.28 | $40.00 | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $2.32 | $102.28 | $40.00 | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | Superior Health Plan Medicaid Kids | $2.32 | $102.28 | $40.00 | 2024-12-19 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $2.33 | $49.60 | $49.60 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | BCBS | MGMCRHMO | $2.38 | $49.60 | $49.60 | 2026-03-01 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Driscoll Health Plan Medicaid | Driscoll Health Plan Medicaid Star Kids | $2.40 | $102.28 | $40.00 | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $2.40 | $102.28 | $40.00 | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | United Healthcare Managed Care | UHC Medicaid Kids | $2.40 | $102.28 | $40.00 | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | Superior Health Plan Medicaid Kids | $2.40 | $102.28 | $40.00 | 2024-12-19 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.41 | $37.00 | $24.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.41 | $37.00 | $24.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.41 | $37.00 | $24.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2.41 | $37.00 | $24.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.41 | $37.00 | $24.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.41 | $37.00 | $24.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2.41 | $37.00 | $24.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.41 | $37.00 | $24.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.41 | $37.00 | $24.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.41 | $37.00 | $24.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.41 | $37.00 | $24.05 | 2026-03-12 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STAR | $2.42 | $48.31 | $48.31 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARKids | $2.42 | $48.31 | $48.31 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARPLUS | $2.42 | $48.31 | $48.31 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHIP | $2.42 | $48.31 | $48.31 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHPFC | $2.42 | $48.31 | $48.31 | 2026-03-01 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $2.44 | $51.00 | $40.00 | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $2.44 | $51.00 | $40.00 | 2024-12-19 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Arkansas Total Care | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Humana | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Qualchoice | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Multi Plan | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Mercy Health | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Vantage | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Cigna | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Ambetter | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Corvel | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Va | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Vantage | Hmo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Ppo Plus | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Great West Life & Annuity | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Humana | Hmo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Midwest Medical | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Integrated Health Plan | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Municipal Health | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | First Health Network | Ppo | — | $6.20 | $2.48 | 2026-05-06 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $2.57 | $51.00 | $40.00 | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $2.57 | $51.00 | $40.00 | 2024-12-19 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO | Blue Cross Blue Shield of IL | $2.59 | $4.00 | $4.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity | Other Commercial | $2.59 | $4.00 | $4.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined | Blue Cross Blue Shield of IL | $2.59 | $4.00 | $4.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | HEALTH ALLIANCE - Commercial-HMO | Other Commercial | $2.60 | $4.00 | $4.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | HEALTH ALLIANCE - Commercial-PPO | Other Commercial | $2.60 | $4.00 | $4.00 | 2026-03-10 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $2.67 | $38.17 | $38.17 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STARKids | $2.67 | $38.17 | $38.17 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $2.67 | $38.17 | $38.17 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $2.67 | $38.17 | $38.17 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $2.67 | $38.17 | $38.17 | 2026-03-01 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | AETNA - Commercial-Indemnity | Other Commercial | $2.68 | $4.00 | $4.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | $2.68 | $4.00 | $4.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | AETNA - Commercial-POS | Aetna | $2.68 | $4.00 | $4.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | AETNA - Commercial-HMO | Aetna | $2.68 | $4.00 | $4.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | AETNA - Commercial-Mut Defined | Other Commercial | $2.68 | $4.00 | $4.00 | 2026-03-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.73 | $42.00 | $27.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.73 | $42.00 | $27.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.73 | $42.00 | $27.30 | 2026-03-12 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $2.77 | $58.94 | $58.94 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.86 | $44.00 | $28.60 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.86 | $44.00 | $28.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.86 | $44.00 | $28.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.86 | $44.00 | $28.60 | 2026-03-12 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Aetna | MCR | $2.87 | $41.58 | $41.58 | 2026-03-01 | MRF ↗ |
| OKLAHOMA HEART HOSPITAL SOUTH, LLC Both | HEALTHCARE HIGHWAYS | HEALTHCARE HIGHWAYS | $2.92 | $11.67 | $4.08 | 2026-03-27 | MRF ↗ |
| OKLAHOMA HEART HOSPITAL, LLC Both | HEALTHCARE HIGHWAYS | HEALTHCARE HIGHWAYS | $2.92 | $11.67 | $4.08 | 2026-03-27 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $2.94 | $42.06 | $42.06 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $2.94 | $42.06 | $42.06 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $2.94 | $42.06 | $42.06 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $2.94 | $42.06 | $42.06 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $2.94 | $42.06 | $42.06 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $2.99 | $41.58 | $41.58 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $2.99 | $41.58 | $41.58 | 2026-03-01 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Employee Benefit Logistics | Medicare - Employee Benefit Logistics | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Tricare | Tricare | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Humana | Medicare - Humana | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Molina | Medicare - Molina | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - United | Medicare - United | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | MI Amish Medical Board | MI Amish Medical Board | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Fidelis | Medicare - Fidelis | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Priority Health | Medicare - Priority Health | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | HUMANA HMO/PPO | Medicare Advantage | $3.00 | $4.00 | $4.00 | 2026-03-10 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Aetna | MCR | $3.12 | $45.21 | $45.21 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.19 | $49.00 | $31.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.19 | $49.00 | $31.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.19 | $49.00 | $31.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.19 | $49.00 | $31.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.19 | $49.00 | $31.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.19 | $49.00 | $31.85 | 2026-03-12 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO | Other Commercial | $3.20 | $4.00 | $4.00 | 2026-03-10 | 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.