99205 — Pr Visit Office Outpatient New High Level
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Visit Office Outpatient New High Level (CPT 99205) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99205?code_type=CPT
MLA (9th ed.)
“PR Visit Office Outpatient New High Level (CPT 99205) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99205?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Visit Office Outpatient New High Level (CPT 99205) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99205?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $167–$504 (25th–75th percentile) across 2,411 hospitals · 8,235 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99205 — 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
$167
$269 typical
$504
The middle 50% of negotiated facility rates for this procedure, measured across 2,411 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. | $269 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $160 × 1.22 commercial. | $196 |
| Likely subtotal | $465 |
Surgical episode (typical)
~$465
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)
~$4,250
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 |
|---|---|---|---|---|---|---|---|
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | None | — | — | $1,444.00 | $144.40 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $1,037.19 | $674.17 | 2025-11-26 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $362.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $362.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $362.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $362.00 | — | 2025-05-02 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $1,444.00 | $144.40 | 2026-04-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $1,444.00 | $144.40 | 2026-06-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Interplan | Interplan | $0.11 | $778.00 | $583.50 | 2026-04-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | UHC | MEDICAID | $0.48 | $3.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIDELIS | MEDICAID | $0.49 | $3.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | WELLPOINT | MEDICAID | $0.50 | $3.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH MCD/CHIP | $0.50 | $3.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON NJ HEALTH | HORIZON NJ HEALTH | $0.51 | $3.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE PRIME | $0.54 | $3.00 | — | 2025-11-10 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.55 | $553.00 | $165.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.55 | $553.00 | $165.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.55 | $553.58 | $166.07 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.55 | $553.58 | $166.07 | 2026-04-01 | 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 ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | GOLDEN MEDICARE | $0.66 | $3.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE MCR | $0.69 | $3.00 | — | 2025-11-10 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.69 | $689.00 | $206.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.69 | $689.00 | $206.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.72 | $718.00 | $215.40 | 2026-04-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER | $0.75 | $3.00 | — | 2025-11-10 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.75 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.75 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.75 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE | $0.78 | $3.00 | — | 2025-11-10 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.82 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $0.98 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Medicare B LA JH | Default | $0.98 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.98 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.98 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| LIFEWAYS HOSPITAL Outpatient | Blue Cross Of Idaho | — | — | $325.00 | $195.00 | 2026-03-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.00 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.00 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | ALL SAVERS | ALL SAVERS | $1.00 | $318.00 | — | 2025-06-09 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | WebTPA | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | GOLDEN RULE | GOLDEN RULE | $1.00 | $318.00 | — | 2025-06-09 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | United Healthcare | 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 | First Health | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $2,445.17 | $1,589.36 | 2025-11-26 | 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 | UMR United Medical Resources | 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 ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.00 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,445.17 | $1,589.36 | 2025-11-26 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UHC ONE | UHC ONE | $1.00 | $318.00 | — | 2025-06-09 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Multiplan Inc. for American Family | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $1.00 | $318.00 | — | 2025-06-09 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | PHCS GEHA Govt Employee Health Assc | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of LA | 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 ↗ |
| IBERIA MEDICAL CENTER Outpatient | Gilsbar Inc | Default | $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 | Humana Healthy Horizons MCD Rep | Medicaid Replacement | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Aetna | Medicaid Replacement | $1.00 | $1.00 | $0.60 | 2025-07-16 | 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 ↗ |
| 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 | Golden Rule Insurance Company | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UMR | UMR | $1.00 | $318.00 | — | 2025-06-09 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.02 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.06 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.10 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $1.26 | $1,263.00 | $378.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.26 | $1,263.00 | $378.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $1.26 | $1,263.00 | $378.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.26 | $1,263.00 | $378.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.26 | $1,263.00 | $378.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $1.26 | $1,263.00 | $378.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $1.26 | $1,263.00 | $378.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $1.26 | $1,263.00 | $378.90 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $1.26 | $1,263.00 | $378.90 | 2026-04-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.39 | $770.00 | — | 2024-12-31 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | CIGNA | HMO/POS | $1.50 | $3.00 | — | 2025-11-10 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.59 | $416.00 | $312.00 | 2025-03-07 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross HMO | $1.64 | $1,640.00 | $492.00 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.83 | $494.00 | $469.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.83 | $494.00 | $469.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.83 | $494.00 | $469.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.88 | $494.00 | $469.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.93 | $494.00 | $469.30 | 2026-02-20 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | MAGNACARE | MAGNACARE | $1.95 | $3.00 | — | 2025-11-10 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.