99215 — Pr Visit Office Outpatient Established High Level
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Visit Office Outpatient Established High Level (CPT 99215) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99215?code_type=CPT
MLA (9th ed.)
“PR Visit Office Outpatient Established High Level (CPT 99215) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99215?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Visit Office Outpatient Established High Level (CPT 99215) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99215?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $141–$446 (25th–75th percentile) across 2,509 hospitals · 8,844 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99215 — 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
$141
$238 typical
$446
The middle 50% of negotiated facility rates for this procedure, measured across 2,509 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. | $238 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $126 × 1.22 commercial. | $153 |
| Likely subtotal | $391 |
Surgical episode (typical)
~$391
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)
~$4,176
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 | — | — | $1,152.00 | $115.20 | 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 | Managed Medicaid_Aliessa and QHP | — | $331.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $331.00 | — | 2025-05-02 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $1,152.00 | $115.20 | 2026-04-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $1,152.00 | $115.20 | 2026-06-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $331.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $331.00 | — | 2025-05-02 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | UHC | MEDICAID | $0.32 | $2.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIDELIS | MEDICAID | $0.33 | $2.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON NJ HEALTH | HORIZON NJ HEALTH | $0.34 | $2.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH MCD/CHIP | $0.34 | $2.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | WELLPOINT | MEDICAID | $0.34 | $2.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE PRIME | $0.36 | $2.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | GOLDEN MEDICARE | $0.44 | $2.00 | — | 2025-11-10 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | CHARITY/MAP | SELF PAY OP | $0.45 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | CHARITY/MAP | SELF PAY IP | $0.45 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE MCR | $0.46 | $2.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER | $0.50 | $2.00 | — | 2025-11-10 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $521.97 | $156.59 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $521.97 | $156.59 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $521.97 | $156.59 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.52 | $521.97 | $156.59 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $521.97 | $156.59 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.52 | $521.97 | $156.59 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.52 | $521.97 | $156.59 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.52 | $521.97 | $156.59 | 2026-04-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE | $0.52 | $2.00 | — | 2025-11-10 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.52 | $521.97 | $156.59 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.54 | $544.33 | $163.30 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.57 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.57 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.61 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Meritain | Default | $0.63 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Aetna | Default | $0.63 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.68 | $677.00 | $203.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.68 | $677.00 | $203.10 | 2026-04-01 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | AETNA IP | $0.70 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | MERITAIN OP | $0.70 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | AETNA OP | $0.70 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PPO/MANGED CARE | PHCS IP | $0.70 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PPO/MANGED CARE | PHCS OP | $0.70 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.71 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.73 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.73 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | ACUITY GROUP IP | $0.75 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.75 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.75 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PPO/MANGED CARE | WEB TPA OP | $0.75 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PPO/MANGED CARE | WEB TPA IP | $0.75 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | ACUITY GROUP OP | $0.75 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.75 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | AETNA IP | $0.77 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | MERITAIN OP | $0.77 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | AETNA OP | $0.77 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PPO/MANGED CARE | PHCS OP | $0.77 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PPO/MANGED CARE | PHCS IP | $0.77 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.83 | $153.00 | $145.35 | 2026-02-20 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | AETNA OP | $0.84 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | AETNA IP | $0.84 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PPO/MANGED CARE | PHCS OP | $0.84 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | MERITAIN OP | $0.84 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PPO/MANGED CARE | PHCS IP | $0.84 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | CIGNA OP | $0.95 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | CIGNA IP | $0.95 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | AMERICAN POSTAL WORKERS | DEACTIVATE CIGNA GWH | $0.95 | $1.50 | $0.45 | 2026-02-02 | 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 ↗ |
| IBERIA MEDICAL CENTER Outpatient | GEHA Multiplan Network | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $7,127.02 | $4,632.56 | 2025-11-26 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | UHC Definity Services | 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 ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | ACAA | ACAA | $1.00 | $128.00 | — | 2026-03-24 | 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 | UMR United Medical Resources | 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 | — | $7,127.02 | $4,632.56 | 2025-11-26 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | WebTPA | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | 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 | Aetna | Medicaid Replacement | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | CIGNA | HMO/POS | $1.00 | $2.00 | — | 2025-11-10 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | GOLDEN RULE | GOLDEN RULE | $1.00 | $222.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | ALL SAVERS | ALL SAVERS | $1.00 | $222.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UMR | UMR | $1.00 | $222.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $1.00 | $222.00 | — | 2025-06-09 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Gilsbar Inc | 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 | Peoples Health Network DOS lt 01012024 | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UHC ONE | UHC ONE | $1.00 | $222.00 | — | 2025-06-09 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | First Health | 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 | PPO Plus LLC | 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 | 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 | Golden Rule Insurance Company | 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 ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | FIRST HEALTH IP | $1.12 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | FIRST HEALTH OP | $1.12 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | MULTIPLAN IP | $1.12 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | MULTIPLAN OP | $1.12 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.15 | $1,146.00 | $343.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $1.15 | $1,146.00 | $343.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross HMO | $1.15 | $1,146.00 | $343.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $1.15 | $1,146.00 | $343.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $1.15 | $1,146.00 | $343.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.15 | $1,146.00 | $343.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $1.15 | $1,146.00 | $343.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.15 | $1,146.00 | $343.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS [10001] | Blue Cross PPO | $1.15 | $1,146.00 | $343.80 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.19 | $322.00 | $305.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.19 | $322.00 | $305.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.19 | $322.00 | $305.90 | 2026-02-20 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | GILSBAR OP | $1.20 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | PP0/MANGED CARE | GILSBAR IP | $1.20 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.22 | $322.00 | $305.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.26 | $322.00 | $305.90 | 2026-02-20 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.28 | $532.00 | $399.00 | 2025-03-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.29 | $322.00 | $305.90 | 2026-02-20 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | MAGNACARE | MAGNACARE | $1.30 | $2.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | MULTIPLAN | MULTIPLAN | $1.30 | $2.00 | — | 2025-11-10 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | WORK COMP | WC LWCC IP | $1.35 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | WORK COMP | WC LWCC OP | $1.35 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | WORK COMP | WC RISK MANAGEMENT OP | $1.35 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | WORK COMP | DEACTIVATE LIBERTY MUTUAL | $1.35 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | WORK COMP | WORK COMP IP | $1.35 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | WORK COMP | WORK COMP OP | $1.35 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | WORK COMP | WC RISK MANAGEMENT IP | $1.35 | $1.50 | $0.45 | 2026-02-02 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | MAGNACARE | WORKERS COMP | $1.40 | $2.00 | — | 2025-11-10 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | BLUE CROSS [10001] | Blue Cross HMO | $1.49 | $1,489.00 | $446.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $1.49 | $1,489.00 | $446.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.49 | $1,489.00 | $446.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $1.49 | $1,489.00 | $446.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $1.49 | $1,489.00 | $446.70 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $1.49 | $1,489.00 | $446.70 | 2026-04-01 | 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.