99058 — Office Emergency Care
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OFFICE EMERGENCY CARE (CPT 99058) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99058?code_type=CPT
MLA (9th ed.)
“OFFICE EMERGENCY CARE (CPT 99058) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99058?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“OFFICE EMERGENCY CARE (CPT 99058) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99058?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $28–$76 (25th–75th percentile) across 675 hospitals · 1,188 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99058 — 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 |
|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | HEALTHSMART | HEALTHSMART PREFERRED CARE WC | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | HEALTH NET | PRAXIS HEALTH NETWORK WC | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | CORVEL | CORVEL HEALTHCARE CORP WC | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | HEALTH NET | GALAXY HEALTH NETWORK WC | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | AMERICAS CHOICE | AMERICAS CHOICE PROVIDER NETWORK WC | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| ST VINCENT HOSPITAL OutpatientFacility | CORVEL | CORVEL HEALTHCARE CORP WC | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| ST VINCENT HOSPITAL OutpatientFacility | AMERICAS CHOICE | AMERICAS CHOICE PROVIDER NETWORK WC | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| ST VINCENT HOSPITAL OutpatientFacility | HEALTH NET | PRAXIS HEALTH NETWORK WC | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| ST VINCENT HOSPITAL OutpatientFacility | HEALTH NET | GALAXY HEALTH NETWORK WC | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| ST VINCENT HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART PREFERRED CARE WC | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $3.50 | — | — | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MYBLUE HEALTH | $3.50 | — | — | 2026-04-15 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $3.71 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $3.71 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $3.71 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $3.71 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $3.71 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $3.71 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $3.71 | — | — | 2026-04-01 | MRF ↗ |
| ISLAND HOSPITAL BothFacility | Kaiser | Commercial | $3.92 | $49.00 | $49.00 | 2026-05-04 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $3.99 | — | — | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $4.15 | — | — | 2026-04-15 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BAV | $4.41 | — | — | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BAV | $4.41 | — | — | 2026-04-14 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $4.44 | — | — | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | $4.62 | — | — | 2026-04-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | Medciare Advantage (MMG) | $5.54 | — | — | 2025-10-24 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | WC | — | — | — | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MLTSS | $6.00 | — | — | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | MCD | $6.00 | — | — | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MMCP | $6.00 | — | — | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MMCP | $6.08 | — | — | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MLTSS | $6.08 | — | — | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Molina | MCD | $6.08 | — | — | 2026-03-01 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Wellpoint | All Plans | $6.08 | — | — | 2026-03-27 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | MMCP | $6.08 | — | — | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | MLTSS | $6.08 | — | — | 2026-03-01 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Magellan | Managed Medicaid | $6.08 | — | — | 2026-03-27 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | WC | — | — | — | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | MCD | $6.08 | — | — | 2026-03-01 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $6.25 | $25.00 | $15.00 | 2026-02-20 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $6.25 | $25.00 | $15.00 | 2026-02-20 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL OutpatientFacility | Humana | ChoiceCare | $6.50 | $25.00 | $15.00 | 2026-02-20 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL OutpatientFacility | Humana | ChoiceCare | $6.50 | $25.00 | $15.00 | 2026-02-20 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $6.61 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $6.61 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $6.81 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $6.81 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $6.81 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $6.81 | — | — | 2026-07-31 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL InpatientFacility | Zelis | Worker's Compensation | $6.83 | $25.00 | $15.00 | 2026-02-20 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL InpatientFacility | Zelis | Worker's Compensation | $6.83 | $25.00 | $15.00 | 2026-02-20 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $6.93 | — | — | 2026-03-01 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL INDEMNITY HOUSTON | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL INDEMNITY HOUSTON | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $6.93 | — | — | 2026-03-01 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Fidelis Care | NJ Family Care | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Qualcare Inc | WC | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Amerihealth | Regional Preferred | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Amerihealth | Local Value | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | PIP | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Qualcare Inc | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Nexus | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | First Health | Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Oxford Metro | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $6.98 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Oxford Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Qualcare Inc | HMO/POS | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-04 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Outpatient | El Paso Health Plans | Medicaid | $7.20 | $40.00 | $8.00 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $7.50 | $75.00 | $48.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Kaiser National | Transplant (All Contracted Plans) | — | $75.00 | $48.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Life Trac National | Transplant (All Contracted Plans) | — | $75.00 | $48.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Anthem Centers for Medical Excellence | Transplant (All Contracted Plans) | — | $75.00 | $48.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Government (All Contracted Plans) | — | $75.00 | $48.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Blue Cross Blue Shield Association BDCT | Transplant (All Contracted Plans) | — | $75.00 | $48.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Commercial (All Contracted Plans) | — | $75.00 | $48.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Humana National | Transplant (All Contracted Plans) | — | $75.00 | $48.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Medicaid (All Contracted Plans) | — | $75.00 | $48.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Commercial (All Contracted Plans) | — | $75.00 | $48.75 | 2026-04-17 | MRF ↗ |
| ARBOR HEALTH MORTON HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $8.00 | $30.00 | $18.60 | 2026-05-18 | MRF ↗ |
| DEKALB COMMUNITY HOSPITAL Both | AETNA | 3162_RHTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of Surprise OutpatientFacility | Aetna | PPO/HMO/EPO | $8.00 | — | — | 2025-09-11 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $8.00 | — | — | 2025-06-28 | MRF ↗ |
| DEKALB COMMUNITY HOSPITAL Both | AETNA | 3161_RPTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| ARBOR HEALTH MORTON HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $8.00 | $29.00 | $17.98 | 2026-02-01 | MRF ↗ |
| Ascension Saint Thomas Hickman Both | AETNA | 3162_RHTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Both | AETNA | 3161_RPTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Both | AETNA | 3162_RHTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Coordinated Care | Apple Health | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Aetna | All | $8.00 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Amerigroup | All | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | CHIP | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | Healthy Options | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Molina | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Premera | All | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | Basic | — | — | — | 2026-03-30 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $8.00 | — | — | 2026-04-01 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Coordinated Care | All | — | — | — | 2026-03-30 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Aetna | All | $8.00 | — | — | 2026-03-30 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Cigna | All | — | — | — | 2026-03-30 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Wellcare | All | — | — | — | 2026-03-30 | MRF ↗ |
| Ascension Saint Thomas Hospital Midtown Both | AETNA VHAN | 1203_BHTN AETNA VHAN 20241001 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Both | AETNA | 3162_RHTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Both | AETNA | 3161_RPTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Saint Thomas Hospital Midtown Both | AETNA WHOLE HEALTH | 1204_BHTN AETNA WHOLE HEALTH 20241001 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Asuris | All | — | — | — | 2026-03-30 | MRF ↗ |
| Ascension Saint Thomas Hospital Midtown Both | AETNA | 1308_BHTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | AETNA | 3161_RPTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Saint Thomas Hickman Both | AETNA | 3162_RHTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Dept of Labor and Industry - Washington State | All | — | — | — | 2026-03-30 | MRF ↗ |
| SAINT THOMAS RIVER PARK HOSPITAL Both | AETNA | 3162_RHTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RIVER PARK HOSPITAL Both | AETNA | 3161_RPTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | AETNA | 3162_RHTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | Medicare Advantage | — | — | — | 2026-03-30 | MRF ↗ |
| Ascension Saint Thomas Hickman Both | AETNA | 3161_RPTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Saint Thomas Hickman Both | AETNA | 3161_RPTN AETNA 20250701 | $8.00 | — | — | 2026-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | BENEMAX [100276] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | EYEMED [100290] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | IBEW LOCAL 103 [100272] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | LOWELL COMM HEALTH CENTER [950009] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | GROUP AND PENSION ADMINISTRATORS [100043] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | NATIONAL ELEVATOR IND HLTH BENEFITS [100273] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | MUTUAL OF OMAHA [100074] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | NOVA HEALTHCARE ADMINISTRATORS [100270] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | PALM MANOR [950005] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | NORTHWOOD REHABILITATION & HEALTH [950004] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | SENIOR WHOLE HEALTH MEDICAID REPLACEMENT [350023] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | SENIOR WHOLE HEALTH MEDICARE REPLACEMENT [450111] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | PLYMOUTH COUNTY [500019] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | NORFOLK COUNTY [500013] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | GEHA [100039] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | ALLIED NATIONAL GLOBAL CARE [100107] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | AMERIHEALTH CARITAS NH [350007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | ALLIED BENEFIT SYSTEMS [100015] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | AVMED HEALTH PLAN [100247] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | CARE ONE [950007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | ASSURANT [100020] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $8.05 | $23.00 | $16.10 | 2026-04-01 | 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.