99100 — Anes Pt Exteme Age<1 Yr&>70
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ANES PT EXTEME AGE<1 YR&>70 (CPT 99100) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99100?code_type=CPT
MLA (9th ed.)
“ANES PT EXTEME AGE<1 YR&>70 (CPT 99100) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99100?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ANES PT EXTEME AGE<1 YR&>70 (CPT 99100) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99100?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $55–$200 (25th–75th percentile) across 524 hospitals · 1,432 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99100 — 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 Coffee Group | — | — | — | 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 | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $151.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $90.00 | $31.23 | 2025-09-09 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $151.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $151.00 | — | 2025-05-02 | 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 | HS Technology | All Plans | — | — | — | 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 | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $90.00 | $31.23 | 2025-09-09 | 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 | HMO | — | — | — | 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 | Cigna of LA | All Plans | — | — | — | 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 | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $90.00 | $31.23 | 2025-09-09 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $151.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | 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 | 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 | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 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 | Aetna | 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 | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Health Network | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Prime Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Allegiance | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Coventry | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Choice Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Interwest Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Humana | Medicare | — | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Coventry Aetna | Medicare | $1.04 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Coventry Aetna | Medicare Ppo | $1.04 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Coventry Aetna | Medicare Hmo | $1.04 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Molina | Medicare | $1.09 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Humana | Medicare | $1.10 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Quartz | Commercial | $1.60 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Quartz | Commercial | $1.60 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Oscar | Medicaid | $2.00 | $2.00 | $1.60 | 2026-05-08 | MRF ↗ |
| GUTTENBERG MUNICIPAL HOSPITAL Outpatient | Iowa Total Care | Medicaid | $2.00 | $2.00 | $1.60 | 2026-05-13 | MRF ↗ |
| MCPHERSON HOSPITAL Outpatient | SUNFLOWER MCAID - ALL PLANS | SUNFLOWER MCAID - ALL PLANS | $5.00 | $57.00 | $42.18 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | SUNFLOWER MCAID OP ONLY - ALL PLANS | SUNFLOWER MCAID OP ONLY - ALL PLANS | $5.00 | $55.00 | $55.00 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | UHC MCAID OP ONLY | UHC MCAID OP ONLY | $5.00 | $55.00 | $55.00 | 2026-05-04 | MRF ↗ |
| MCPHERSON HOSPITAL Outpatient | UHC MCAID | UHC MCAID | $5.00 | $57.00 | $42.18 | 2026-05-04 | MRF ↗ |
| MCPHERSON HOSPITAL Outpatient | HEALTH BLUE MCAID - ALL OTHER PLANS | HEALTH BLUE MCAID - ALL OTHER PLANS | $5.10 | $57.00 | $42.18 | 2026-05-04 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Upmc | All Commercial Plans | $5.31 | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $5.87 | — | — | 2026-04-14 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $6.42 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $6.42 | — | — | 2025-12-27 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $7.65 | — | — | 2026-04-14 | MRF ↗ |
| SWEETWATER HOSPITAL ASSOCIATION Both | None | — | — | $87.15 | $29.63 | 2026-04-22 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | Commercial | $8.37 | $210.00 | $126.00 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | Commercial | $8.37 | $210.00 | $126.00 | 2026-03-06 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | MPCN-ALL PLANS | MPCN-ALL PLANS | $9.40 | $20.00 | $10.00 | 2026-04-15 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $9.80 | $28.00 | $19.60 | 2026-01-22 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716,UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601,UNITED HEALTHCARE ESSENTIAL 3-4 171602,UNITED HEALTHCARE ESSENTIAL 1-2 515812, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $10.00 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL (W/ MEDICAID 171602, UNITED HEALTHCARE ESSENTIAL (NO MEDICAID 515812, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $10.00 | — | — | 2026-01-01 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | HEALTHY BLUE MCAID - ALL PLANS | HEALTHY BLUE MCAID - ALL PLANS | $11.52 | $126.00 | $75.60 | 2026-01-24 | MRF ↗ |
| OCH REGIONAL MEDICAL CENTER Outpatient | AMBETTER | AMBETTER INSURANCE EXCHANGE | $11.73 | $39.80 | $25.47 | 2026-03-30 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | CENTENE MCAID | CENTENE MCAID | $11.97 | $126.00 | $75.60 | 2026-01-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $12.03 | $100.22 | $60.13 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $12.38 | $100.22 | $60.13 | 2026-02-21 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | UHC MCAID | UHC MCAID | $12.42 | $126.00 | $75.60 | 2026-01-24 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | ANTHEM MCAID | ANTHEM MCAID | $12.42 | $126.00 | $75.60 | 2026-01-24 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $13.03 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $13.03 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $13.03 | — | — | 2026-04-14 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | TriWest | Community Care Network | $13.03 | $100.22 | $60.13 | 2026-02-21 | MRF ↗ |
| Children's Medical Center Dallas OutpatientFacility | Oklahoma Medicaid | Managed Medicaid | $13.44 | — | — | 2026-01-27 | MRF ↗ |
| CHILDRENS MEDICAL CENTER PLANO OutpatientFacility | Humana Health Horizons of Oklahoma | Managed Medicaid | $13.44 | — | — | 2026-01-27 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Centene | Medicaid | $13.44 | $90.00 | $45.00 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Aetna | Medicaid | $13.44 | $90.00 | $45.00 | 2026-01-01 | MRF ↗ |
| MCCURTAIN MEMORIAL HOSPITAL Both | Humana | Medicaid | $13.44 | $90.00 | $45.00 | 2026-01-01 | MRF ↗ |
| CHILDRENS MEDICAL CENTER PLANO OutpatientFacility | Oklahoma Medicaid | Managed Medicaid | $13.44 | — | — | 2026-01-27 | MRF ↗ |
| Children's Medical Center Dallas OutpatientFacility | Aetna Better Health of Oklahoma | Managed Medicaid | $13.44 | — | — | 2026-01-27 | MRF ↗ |
| Children's Medical Center Dallas OutpatientFacility | Humana Health Horizons of Oklahoma | Managed Medicaid | $13.44 | — | — | 2026-01-27 | MRF ↗ |
| Children's Medical Center Dallas OutpatientFacility | Oklahoma Complete Health | Managed Medicaid | $13.44 | — | — | 2026-01-27 | MRF ↗ |
| CHILDRENS MEDICAL CENTER PLANO OutpatientFacility | Aetna Better Health of Oklahoma | Managed Medicaid | $13.44 | — | — | 2026-01-27 | MRF ↗ |
| CHILDRENS MEDICAL CENTER PLANO OutpatientFacility | Oklahoma Complete Health | Managed Medicaid | $13.44 | — | — | 2026-01-27 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $13.60 | $20.00 | $10.00 | 2026-04-15 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | CORVEL | Worker's Compensation | $13.65 | $100.22 | $60.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Prime Health Services | Worker's Compensation | $13.65 | $100.22 | $60.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | ProCare Advantage | Medicare Advantage | $13.68 | $100.22 | $60.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | American Health Plan | Medicare Advantage | $13.68 | $100.22 | $60.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $13.68 | $100.22 | $60.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | HealthSpring | Medicare Advantage | $13.68 | $100.22 | $60.13 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Superior Health Plan | Medicare HMO/Medicare PPO | $13.68 | $100.22 | $60.13 | 2026-02-21 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | HUMANA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | COVENTRY | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | UHC AMERICHOICE | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | FLORIDA MEDICAID | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | MOLINA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | HEALTH ALLIANCE MCR ADV | HEALTH ALLIANCE MCR ADV | $14.00 | $28.00 | $19.60 | 2026-01-22 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | WEST VOLUSIA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | HCRA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Centene | Medicaid | $14.00 | — | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Centene | Medicaid | $14.00 | — | — | 2025-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | MOLINA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Community Care Plan | Healthy Kids | $14.00 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | UHC AMERICHOICE | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | HUMANA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | HCRA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | SIMPLY HEALTHCARE HEALTHY KIDS | ALL PRODUCTS | $14.00 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | FLORIDA MEDICAID | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | COVENTRY | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | WEST VOLUSIA | MANAGED MEDICAID | $14.00 | — | — | 2025-07-23 | MRF ↗ |
| MCPHERSON HOSPITAL Outpatient | AMBETTER EXCH - ALL PLANS | AMBETTER EXCH - ALL PLANS | $14.25 | $57.00 | $42.18 | 2026-05-04 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Sunshine State Health Plan | Medicaid | $14.42 | — | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Sunshine State Health Plan | Medicaid | $14.42 | — | — | 2025-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Sunshine | Child Welfare Program | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | MEDICAID | $14.56 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Nassaua County Sheriff's Office | Managed Medicaid | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Daniel Memorial | Managed Medicaid | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Humana | Managed Medicaid | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Daniel Memorial | Managed Medicaid | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Daniel Memorial | Managed Medicaid | $14.67 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $14.68 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Healthy Kids | $14.68 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $14.68 | — | — | 2025-08-01 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | Simply Healthcare | MANAGED MEDICAID | $14.68 | — | — | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Simply Healthcare | MANAGED MEDICAID | $14.68 | — | — | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Humana | MANAGED MEDICAID | $14.68 | — | — | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | Humana | MANAGED MEDICAID | $14.68 | — | — | 2026-03-31 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | UNITED | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Florida Community Care | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Freedom Health Inc. | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Simply | Medicaid/Clear Health Alliance | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply | Medicaid/Clear Health Alliance | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Freedom Health Inc. | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Florida Community Care | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | SUNSHINE STATE HEALTH PLAN | MANAGED MEDICAID | $14.70 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Florida Community Care | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | SIMPLY HEALTHCARE PLANS | MANAGED MEDICAID | $14.70 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Freedom Health Inc. | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | INDEPENDENT LIVING SYSTEMS | MANAGED MEDICAID | $14.70 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Freedom Health Inc. | MEDICAID | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply | Medicaid/Clear Health Alliance | $14.70 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | HUMANA | MEDICAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | SUNSHINE HEALTH | CAID HMO | $14.70 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | AETNA BETTER HEALTH | MANAGED MEDICAID | $14.70 | — | — | 2025-07-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | SUNSHINE HEALTH | CAID HMO | $14.70 | — | — | 2025-12-23 | 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.