99203 — Pr Visit Office Outpatient New Low Level
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Visit Office Outpatient New Low Level (CPT 99203) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99203?code_type=CPT
MLA (9th ed.)
“PR Visit Office Outpatient New Low Level (CPT 99203) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99203?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Visit Office Outpatient New Low Level (CPT 99203) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99203?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $97–$295 (25th–75th percentile) across 2,444 hospitals · 8,367 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99203 — 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
$97
$160 typical
$295
The middle 50% of negotiated facility rates for this procedure, measured across 2,444 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. | $160 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $71 × 1.22 commercial. | $87 |
| Likely subtotal | $247 |
Surgical episode (typical)
~$247
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)
~$4,032
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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $1,037.19 | $674.17 | 2025-11-26 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $859.00 | $85.90 | 2026-06-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $859.00 | $85.90 | 2026-04-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | None | — | — | $859.00 | $85.90 | 2026-04-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $265.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $265.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $265.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $265.00 | — | 2025-05-02 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $249.00 | $24.90 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $249.00 | $24.90 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $249.00 | $24.90 | 2026-05-06 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.39 | $106.00 | $100.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.39 | $106.00 | $100.70 | 2026-02-20 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $0.40 | $403.23 | $120.97 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.51 | $106.00 | $100.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.51 | $106.00 | $100.70 | 2026-02-20 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.52 | $106.00 | $100.70 | 2026-02-20 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.52 | $106.00 | $100.70 | 2026-02-20 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.52 | $106.00 | $100.70 | 2026-02-20 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.52 | $106.00 | $100.70 | 2026-02-20 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $523.00 | $156.90 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.57 | $106.00 | $100.70 | 2026-02-20 | 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 ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.69 | $215.00 | $161.25 | 2025-03-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.95 | $257.00 | $244.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.95 | $257.00 | $244.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.95 | $257.00 | $244.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.98 | $257.00 | $244.15 | 2026-02-20 | 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 ↗ |
| IBERIA MEDICAL CENTER Outpatient | Healthy Blue Community Care of LA MCD | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | United Healthcare | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Gilsbar Inc | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | GOLDEN RULE | GOLDEN RULE | $1.00 | $174.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $1.00 | $174.00 | — | 2025-06-09 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | First Health | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UMR | UMR | $1.00 | $174.00 | — | 2025-06-09 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | UHC Community Plan LA MCD Rep | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Multiplan Inc. for American Family | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | PPO Plus LLC | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | WebTPA | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | PHCS GEHA Govt Employee Health Assc | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UHC ONE | UHC ONE | $1.00 | $174.00 | — | 2025-06-09 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $587.89 | $382.13 | 2025-11-26 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Peoples Health Network DOS lt 01012024 | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Verity National Group | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $587.89 | $382.13 | 2025-11-26 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Aetna | Medicaid Replacement | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | UMR United Medical Resources | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Humana Healthy Horizons MCD Rep | Medicaid Replacement | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | GEHA Multiplan Network | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | 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 ↗ |
| IBERIA MEDICAL CENTER Outpatient | Louisiana Healthcare Connections MCD Rep | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | ALL SAVERS | ALL SAVERS | $1.00 | $174.00 | — | 2025-06-09 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of LA | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.03 | $257.00 | $244.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.26 | $257.00 | $244.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.26 | $257.00 | $244.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.28 | $257.00 | $244.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.29 | $268.00 | $254.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.29 | $268.00 | $254.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.31 | $268.00 | $254.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.31 | $268.00 | $254.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.34 | $257.00 | $244.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.37 | $268.00 | $254.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.39 | $257.00 | $244.15 | 2026-02-20 | MRF ↗ |
| ROSELAND COMMUNITY HOSPITAL Outpatient | BCBS HMO | BCBS HMO | $1.50 | $3.00 | — | 2026-04-16 | MRF ↗ |
| ROSELAND COMMUNITY HOSPITAL Outpatient | BCBS PPO - ALL OTHER PLANS | BCBS PPO - ALL OTHER PLANS | $1.50 | $3.00 | — | 2026-04-16 | MRF ↗ |
| OKEENE MUNICIPAL HOSPITAL Outpatient | PREF COMMUNITY CHOICE PPO-ALL PLANS | PREF COMMUNITY CHOICE PPO-ALL PLANS | $1.50 | $10.00 | $8.00 | 2026-03-18 | MRF ↗ |
| OKEENE MUNICIPAL HOSPITAL Outpatient | PREF COMMUNITY CHOICE PPO-ALL PLANS | PREF COMMUNITY CHOICE PPO-ALL PLANS | $1.50 | $10.00 | $8.00 | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.56 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.56 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.56 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.56 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.75 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.75 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.84 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.84 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.98 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.98 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.14 | $123.00 | $23.37 | 2026-01-25 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $2.14 | $135.00 | $135.00 | 2026-03-09 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | UHC MCR ADV | UHC MCR ADV | $2.14 | $450.00 | $225.00 | 2026-03-23 | MRF ↗ |
| ROSELAND COMMUNITY HOSPITAL Outpatient | CHOICECARE - ALL PLANS | CHOICECARE - ALL PLANS | $2.25 | $3.00 | — | 2026-04-16 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $2.38 | $233.00 | $151.45 | 2026-03-14 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.48 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.48 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | AETNA COVENTRY - ALL OTHER PLANS | AETNA COVENTRY - ALL OTHER PLANS | $2.57 | $68.00 | — | 2026-03-02 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.65 | $286.00 | $114.40 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.65 | $286.00 | $114.40 | 2026-05-22 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.92 | $280.30 | $280.30 | 2026-04-24 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.27 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.27 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $3.28 | $153.00 | $56.61 | 2026-03-31 | MRF ↗ |
| ROSELAND COMMUNITY HOSPITAL Outpatient | HUMANA - ALL PLANS | HUMANA - ALL PLANS | $3.30 | $3.00 | — | 2026-04-16 | MRF ↗ |
| OHIO COUNTY HOSPITAL BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $3.37 | $261.00 | $130.50 | 2026-01-12 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.59 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.59 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.66 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.66 | $176.59 | $105.95 | 2025-08-11 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Humana | Medicare Advantage | — | — | — | 2026-03-21 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | BCBS | MGMCD | $3.90 | $20.62 | $20.62 | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | BHMGMCD | $3.95 | $20.62 | $20.62 | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | WellCare | MGMCD | $4.01 | $20.62 | $20.62 | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | AmeriHealth | MGMCD | $4.05 | $20.62 | $20.62 | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Partners Health Management | MGMCD | $4.09 | $20.62 | $20.62 | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Vaya Health | MedicaidTailoredPlan | $4.09 | $20.62 | $20.62 | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Vaya Health | MedicaidDirect | $4.09 | $20.62 | $20.62 | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Apex Health | MCR | $4.12 | $20.62 | $20.62 | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | BCBS | MCR | $4.12 | $20.62 | $20.62 | 2026-03-01 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $4.28 | $150.00 | $150.00 | 2026-02-13 | MRF ↗ |
| CENTRAL VALLEY MEDICAL CENTER - CAH OutpatientFacility | Blue Cross | PPO | — | — | — | 2026-03-30 | MRF ↗ |
| CENTRAL VALLEY MEDICAL CENTER - CAH OutpatientFacility | Blue Cross | HMO | — | — | — | 2026-03-30 | MRF ↗ |
| CENTRAL VALLEY MEDICAL CENTER - CAH OutpatientFacility | PEHP | Summit | — | — | — | 2026-03-30 | MRF ↗ |
| CENTRAL VALLEY MEDICAL CENTER - CAH OutpatientFacility | PEHP | Preferred | — | — | — | 2026-03-30 | MRF ↗ |
| CENTRAL VALLEY MEDICAL CENTER - CAH OutpatientFacility | PEHP | Advantage | — | — | — | 2026-03-30 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $4.75 | $237.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $4.75 | $237.50 | — | 2026-03-31 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $4.75 | $95.00 | $95.00 | 2026-03-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $4.75 | $237.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $4.75 | $237.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $4.75 | $237.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $4.75 | $237.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $4.75 | $237.50 | — | 2026-03-31 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $4.75 | $95.00 | $95.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $4.75 | $95.00 | $95.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $4.75 | $95.00 | $95.00 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $5.00 | $112.00 | $72.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $5.00 | $112.00 | $72.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $5.00 | $112.00 | $72.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $5.00 | $112.00 | $72.80 | 2026-03-13 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Outpatient | Summit Administration Services, Inc | Default | $5.00 | $230.13 | $184.10 | 2026-03-31 | 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.