99212 — Office Outpatient Visit / Office Visit Level 2 Est 10 Mins 99212 / Office Visit Level 2 Est 99212 / Office Or Other Outpatient Visit For The Evaluation And Mana
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OFFICE OUTPATIENT VISIT / Office Visit Level 2 Est 10 Mins 99212 / Office Visit Level 2 Est 99212 / Office or other outpatient visit for the evaluation and mana (OTHER 99212) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99212?code_type=OTHER
MLA (9th ed.)
“OFFICE OUTPATIENT VISIT / Office Visit Level 2 Est 10 Mins 99212 / Office Visit Level 2 Est 99212 / Office or other outpatient visit for the evaluation and mana (OTHER 99212) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99212?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“OFFICE OUTPATIENT VISIT / Office Visit Level 2 Est 10 Mins 99212 / Office Visit Level 2 Est 99212 / Office or other outpatient visit for the evaluation and mana (OTHER 99212) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99212?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $41–$193 (25th–75th percentile) across 101 hospitals · 318 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99212 — 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 |
|---|---|---|---|---|---|---|---|
| FAITH REGIONAL HEALTH SERVICES Outpatient | United Healthcare | Commercial | — | $270.00 | $169.02 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Ppo | $9.09 | $341.00 | $238.70 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Hmo | $9.09 | $341.00 | $238.70 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Hmo | $9.09 | $341.00 | $238.70 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Ppo | $9.09 | $341.00 | $238.70 | 2026-05-22 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $10.53 | $27.00 | $18.90 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $10.53 | $27.00 | $18.90 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $10.53 | $27.00 | $18.90 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $10.53 | $27.00 | $18.90 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $10.80 | $27.00 | $18.90 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $10.80 | $27.00 | $18.90 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $10.80 | $27.00 | $18.90 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $10.80 | $27.00 | $18.90 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $10.80 | $27.00 | $18.90 | 2026-07-30 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence | Commercial | — | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence | Commercial | — | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $11.34 | $27.00 | $18.90 | 2026-07-30 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicaid | $11.47 | $72.00 | $72.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $11.47 | $72.00 | $72.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $11.47 | $72.00 | $72.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $11.47 | $72.00 | $72.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $11.47 | $72.00 | $72.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $11.47 | $72.00 | $72.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicaid | $11.47 | $72.00 | $72.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $11.47 | $72.00 | $72.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $11.47 | $72.00 | $72.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $11.47 | $72.00 | $72.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Behavioral Health- Ny Govt Programs | $11.47 | $72.00 | $72.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $11.47 | $72.00 | $72.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Behavioral Health- Ny Govt Programs | $11.47 | $72.00 | $72.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $11.47 | $72.00 | $72.00 | 2026-05-13 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $11.61 | $27.00 | $18.90 | 2026-07-30 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Bcbs - Mn|All Plans | — | $12.02 | $34.00 | $17.00 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Health Partners|All Plans | — | $12.58 | $34.00 | $17.00 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Medica|All Plans | — | $12.58 | $34.00 | $17.00 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Ucare|All Plans | — | $12.58 | $34.00 | $17.00 | 2026-07-31 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Health Alliance Medicare Advantage | Medicare | $12.80 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Health Alliance Medicare Advantage | Medicare | $12.80 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $13.65 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $13.65 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $13.65 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $13.65 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $14.00 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $14.00 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $14.00 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $14.00 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $14.00 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Hma Ihs Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Premera Medicare Advantage | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicaid | Medicaid | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Kaiser Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina | Commercial | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Aetna Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Humana Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Humana Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Healthcomp Ihs | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Va | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Healthcomp Ihs | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Kaiser Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Hma Ihs Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Signal Health Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicaid | Medicaid | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicaid | Medicaid | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicaid | Medicaid | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Va | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Premera Medicare Advantage | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Signal Health Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Aetna Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Molina | Commercial | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Medicare | Medicare | $14.22 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence Medicare | Medicare | $14.37 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Tricare | Medicare | $14.37 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Regence Medicare | Medicare | $14.37 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Tricare | Medicare | $14.37 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicare | Medicare | $14.65 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $14.65 | $58.00 | $33.06 | 2026-05-23 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Chpw Medicare | Medicare | $14.65 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| ASTRIA SUNNYSIDE HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $14.65 | $58.00 | $33.06 | 2026-05-14 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $14.70 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Healthspring_Medicaid_100102702 | — | $14.79 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Medicaid_100105515 | — | $14.79 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Cmmty_Hlth_100106701 | — | $14.79 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Superior_Behavioral_Health_Medicaid_170004602 | — | $14.79 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Unicare_Medicaid_100105403 | — | $14.79 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_100100305 | — | $14.79 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Unicare_Medicaid_100105403 | — | $14.79 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_Perinate_100100308 | — | $14.79 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Superior_Behavioral_Health_Medicaid_170004602 | — | $14.79 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Medicaid_100105515 | — | $14.79 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_100100307 | — | $14.79 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_Kids_100100310 | — | $14.79 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Cmmty_Hlth_100106701 | — | $14.79 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Healthspring_Medicaid_100102702 | — | $14.79 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_100100305 | — | $14.79 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_Perinate_100100308 | — | $14.79 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_100100307 | — | $14.79 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_Kids_100100310 | — | $14.79 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $15.05 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL | Molina Healthchoice Negotiated Rate | — | $15.50 | $155.00 | $155.00 | 2026-07-16 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL | Bcbs Health Choice Negotiated Rate | — | $15.50 | $155.00 | $155.00 | 2026-07-16 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL | Meridian Negotiated Rate | — | $15.50 | $155.00 | $155.00 | 2026-07-16 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Star_100106706 | — | $16.27 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_100106708 | — | $16.27 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_Perinatal_100106707 | — | $16.27 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Starplus_100106705 | — | $16.27 | $79.00 | $47.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Star_100106706 | — | $16.27 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_Perinatal_100106707 | — | $16.27 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_100106708 | — | $16.27 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Starplus_100106705 | — | $16.27 | $79.00 | $47.40 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Ohio | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Preferred Network | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Choice | Ppo | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Choice | Ppo | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bureau For Children With Medical Handicaps | Mcd | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Better Health | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Choice | Ppo | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Multiplan (Phcs) | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Choice | Ppo | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Beech Street | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group | Ppo/Health Reach | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Traditional | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group | Ppo/Health Reach | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohiohealthy | Premier | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Better Health | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Preferred Network | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Preferred Network | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bureau For Children With Medical Handicaps | Mcd | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bureau For Children With Medical Handicaps | Mcd | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan | Medicare Dual | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan | Medicare Dual | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group | Ppo/Health Reach | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan | Medicare Dual | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Multiplan (Phcs) | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Ppo | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Ppo | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Multiplan (Phcs) | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual Insurance | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan/Ohio | Medicaid Managed Care | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan/Ohio | Medicaid Managed Care | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual Insurance | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Traditional | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan | Medicare Dual | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Traditional | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Ppo | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Traditional | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual Insurance | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Accessible Health Alliance/Oh Health Choice | Comm | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Hmo.Hic | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Better Health | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Accessible Health Alliance/Oh Health Choice | Comm | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual Insurance | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Multiplan (Phcs) | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Better Health | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Accessible Health Alliance/Oh Health Choice | Comm | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Beech Street | Commercial | — | $187.00 | $121.55 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Managed Medicaid | — | $187.00 | $121.55 | 2026-05-24 | 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.