99204 — Office Outpatient New / Office Visit Level 4 New 99204 / Office Or Other Outpatient Visit For The Evaluation And Mana / Office Or Other Outpatient Visit For The Evaluation And Management Of A New Pati
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OFFICE OUTPATIENT NEW / Office Visit Level 4 New 99204 / Office or other outpatient visit for the evaluation and mana / Office or other outpatient visit for the evaluation and management of a new pati (OTHER 99204) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99204?code_type=OTHER
MLA (9th ed.)
“OFFICE OUTPATIENT NEW / Office Visit Level 4 New 99204 / Office or other outpatient visit for the evaluation and mana / Office or other outpatient visit for the evaluation and management of a new pati (OTHER 99204) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99204?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“OFFICE OUTPATIENT NEW / Office Visit Level 4 New 99204 / Office or other outpatient visit for the evaluation and mana / Office or other outpatient visit for the evaluation and management of a new pati (OTHER 99204) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99204?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $118–$334 (25th–75th percentile) across 81 hospitals · 298 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99204 — 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 |
|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL Outpatient | Molina | Managed Medicaid | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Traditional | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group | Ppo/Health Reach | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Medicaid | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan | Medicare Dual | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Health Exchange | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Ohio | Managed Medicaid | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohiohealthy | Premier | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Multiplan (Phcs) | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Beech Street | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Paramount Advantage/Anthem | Medicare Advantage | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Managed Medicaid | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan/Ohio | Medicaid Managed Care | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bureau For Children With Medical Handicaps | Mcd | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual Insurance | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio State University Health Plan | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Medicare Advantage | — | $303.00 | $196.95 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Three Rivers Provider Network (Trpn) | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Hmo.Hic | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Managed Medicaid | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Emerald Health Network | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Better Health | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Choice | Ppo | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Preferred Network | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Ppo | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Marysville City Schools | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group (Aka Ohio Healthy) | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Accessible Health Alliance/Oh Health Choice | Comm | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Commercial | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Managed Medicaid | — | $300.00 | $195.00 | 2026-05-24 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Blue Cross | All Plans | $20.50 | $20.50 | $18.45 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Regence Blue Cross Valuecare Ppo - Inpatient/Outpatient | — | $25.98 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | United Healthcare - Inpatient | — | $26.35 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Umr United Healthcare Choice Network - Inpatient | — | $26.35 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Healthscope Benefits - Uhc - Inpatient | — | $26.35 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Umr United Healthcare Options Ppo - Inpatient | — | $26.35 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Uhc Medica Choice Plus - Inpatient | — | $26.35 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Uhc All Savers - Inpatient | — | $26.35 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Sierra Health And Life - Uhc - Inpatient | — | $26.35 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Ushealth Group Freedom Life Uhc - Inpatient | — | $26.35 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Student Resources - Uhc - Inpatient | — | $26.35 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Surest - Uhc Choice Plus - Inpatient | — | $26.35 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Golden Rule - Uhc One - Inpatient | — | $26.35 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Medicaid Az Blue Cross Blue Shield Ahcccs - Inpatient/Outpatient | — | $27.75 | $75.00 | $56.25 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Chip Molina Healthy Kids - Inpatient/Outpatient | — | $30.43 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Hmo - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Ppo - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Oap - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Aetna Global Benefits Standard Network - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Aetna Standard Network - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna - Apwu Oap - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna - Apwu Ppo - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Great West Cigna - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Humana One Ppo - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cbsa Aetna Standard Network - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Utah Connect - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Humana - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Localplus - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Aetna Signature Administrators Standard Network - Inpatient/Outpatient | — | $31.54 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Independence Blue Cross - Comcast - Inpatient/Outpatient | — | $33.03 | $37.11 | $27.83 | 2026-07-31 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $280.00 | $84.00 | 2026-05-08 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $39.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $39.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $39.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $39.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $40.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $40.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $40.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Behavioral_Health_Ppo_100101206 | — | $40.00 | $382.00 | $229.20 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $40.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $40.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Behavioral_Health_Ppo_100101206 | — | $40.00 | $382.00 | $229.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $42.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $43.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Blue Cross | All Plans | $43.00 | $43.00 | $38.70 | 2026-05-09 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Ppoposepo_100100302 | — | $43.71 | $382.00 | $229.20 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Hmo_100100301 | — | $43.71 | $382.00 | $229.20 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Hmo_100100301 | — | $43.71 | $382.00 | $229.20 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Ppoposepo_100100302 | — | $43.71 | $382.00 | $229.20 | 2026-07-30 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Mercy Managed Care | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Blue Cross | All Plans | $44.00 | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Vantos Health System | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | American Lifecare | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Aetna | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Empower | Medicaid | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Phcs | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Care Source | Medicaid | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Arkansas Total Care | Medicaid | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Three Rivers Provider Network | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | White River Health System | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Health Partners Pho | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | First Community Bank Corp Benefit | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ppo Plus (Stratose) | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna Accn Network | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Healthscope Benefits | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ambetter, Qualchoice And Novasys Health | All Plan | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | American Ppo Inc. | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | United Healthcare | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Vantage Health | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Municipal Health Benefit Fund | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | First Health | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Multiplan | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Zelis | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Sharp | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Summitt | Medicaid | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Usa Managed Care | All Plans | — | $44.00 | $39.60 | 2026-05-09 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Bcbs - Mn|All Plans | — | $44.90 | $127.00 | $63.50 | 2026-07-31 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Utah Connect - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna - Apwu Oap - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | United Healthcare - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Surest - Uhc Choice Plus - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Signature Administrators Standard Network - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth St. Luke'S Ppo - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Share Network - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Great West Cigna - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Ppo - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Chip Molina Healthy Kids - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Oap - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Healthscope Benefits - Uhc - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Care Network - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Student Resources - Uhc - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Sierra Health And Life - Uhc - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Umr United Healthcare Options Ppo - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Chip - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Med Network Federal Employee - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Med Network - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Umr United Healthcare Choice Network - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Localplus - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Value Network Individual - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Uhc All Savers - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cbsa Aetna Standard Network - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Global Benefits Standard Network - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Value Network - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Golden Rule - Uhc One - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna - Apwu Ppo - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Humana One Ppo - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Ushealth Group Freedom Life Uhc - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Meritain Health - Aetna Ut Connected Care Ntwk - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Uhc Medica Choice Plus - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Med Network Individual - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Humana - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Molina Marketplace - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Standard Network - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Hmo - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Utah Connected Care Network - Inpatient | — | $45.89 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Health Alliance Medicare Advantage | Medicare | $46.13 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Health Alliance Medicare Advantage | Medicare | $46.13 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Health Partners|All Plans | — | $46.99 | $127.00 | $63.50 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Ucare|All Plans | — | $46.99 | $127.00 | $63.50 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Medica|All Plans | — | $46.99 | $127.00 | $63.50 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $47.00 | $581.00 | $203.35 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $47.00 | $581.00 | $203.35 | 2026-07-31 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $47.00 | $581.00 | $203.35 | 2026-08-01 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Group Administrators - Inpatient | — | $47.19 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Shield Idaho - Ut Services - Inpatient | — | $47.19 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Preferred Blue Option - Inpatient | — | $47.19 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Valuecare Ppo - Inpatient | — | $47.19 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Out Of State Ppo - Inpatient | — | $47.19 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Traditional - Inpatient | — | $47.19 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Federal - Inpatient | — | $47.19 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Out Of State - Inpatient | — | $47.19 | $64.64 | $48.48 | 2026-07-17 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Commercial|Bcbs - Tx|Premier | — | $51.00 | $581.00 | $203.35 | 2026-08-01 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Commercial|Bcbs - Tx|Premier | — | $51.00 | $581.00 | $203.35 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Commercial|Bcbs - Tx|Premier | — | $51.00 | $581.00 | $203.35 | 2026-07-31 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Humana Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina | Commercial | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Aetna Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Hma Ihs Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Healthcomp Ihs | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Va | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Healthcomp Ihs | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Signal Health Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Kaiser Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Aetna Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicaid | Medicaid | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Hma Ihs Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Va | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicaid | Medicaid | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicaid | Medicaid | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Premera Medicare Advantage | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina | Commercial | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Humana Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Premera Medicare Advantage | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicaid | Medicaid | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Kaiser Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Signal Health Medicare | Medicare | $51.26 | $209.00 | $119.13 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Tricare | Medicare | $51.77 | $209.00 | $119.13 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence Medicare | Medicare | $51.77 | $209.00 | $119.13 | 2026-05-23 | 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.