99222 — Pr Hospital IP/Obs Care Initial Moderate Level Per Day
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Hospital IP/Obs Care Initial Moderate Level per Day (CPT 99222) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99222?code_type=CPT
MLA (9th ed.)
“PR Hospital IP/Obs Care Initial Moderate Level per Day (CPT 99222) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99222?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Hospital IP/Obs Care Initial Moderate Level per Day (CPT 99222) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99222?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $120–$357 (25th–75th percentile) across 1,928 hospitals · 4,839 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99222 — 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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$120
$185 typical
$357
The middle 50% of negotiated facility rates for this procedure, measured across 1,928 hospitals. The physician 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. | $185 |
| Physician fee Estimate national typical Medicare $117 × 1.22 commercial. | $143 |
| Likely subtotal | $328 |
Complete-episode estimate (typical)
~$328
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $120–$357.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician 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 |
|---|---|---|---|---|---|---|---|
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $459.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $459.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $459.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $459.00 | — | 2025-05-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.06 | $267.00 | $200.25 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.06 | $267.00 | $200.25 | 2025-03-07 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CHOICE CARE MCR ADV | CHOICE CARE MCR ADV | $1.16 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM HEALTHY IN MCR | ANTHEM HEALTHY IN MCR | $1.16 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | SIHO MCR ADV | SIHO MCR ADV | $1.16 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $1.16 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM MCR ADV | ANTHEM MCR ADV | $1.16 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CARESOURCE MCR ADV | CARESOURCE MCR ADV | $1.22 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | AETNA MCR ADVANTAGE | AETNA MCR ADVANTAGE | $1.36 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CARESOURCE JUST4ME-ALL OTHER PLANS | CARESOURCE JUST4ME-ALL OTHER PLANS | $1.97 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM HMO | ANTHEM HMO | $2.34 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM PPO | ANTHEM PPO | $2.52 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM TRAD-ALL OTHER PLANS | ANTHEM TRAD-ALL OTHER PLANS | $2.62 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $2.75 | $139.59 | $97.71 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $2.75 | $139.59 | $97.71 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $2.75 | $139.59 | $97.71 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $2.75 | $139.59 | $97.71 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $2.75 | $139.59 | $97.71 | 2025-01-01 | MRF ↗ |
| HAYWOOD COUNTY COMMUNITY HOSPITAL Inpatient | HUMANAINC. | MEDICAREADVANTAGEPPO | $3.02 | $369.51 | $147.80 | 2025-03-31 | MRF ↗ |
| HENDERSON COUNTY COMMUNITY HOSPITAL Inpatient | HUMANAINC. | MEDICAREADVANTAGEPPO | $3.02 | $369.51 | $147.80 | 2025-06-30 | MRF ↗ |
| HOUSTON COUNTY COMMUNITY HOSPITAL Inpatient | HUMANAINC. | MEDICAREADVANTAGEPPO | $3.02 | $369.51 | $147.80 | 2025-03-31 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $3.04 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $3.08 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | SAGAMORE HEALTH-ALL PLANS | SAGAMORE HEALTH-ALL PLANS | $3.20 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | ENCIRCLE-ALL PLANS | ENCIRCLE-ALL PLANS | $3.40 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Community Health Choice | Community Health Choice Chip | $3.47 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $3.52 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | HEALTHSOURCE INDIANA-ALL PLANS | HEALTHSOURCE INDIANA-ALL PLANS | $3.60 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $3.62 | $431.00 | $280.15 | 2026-05-07 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Community Health Choice | Community Health Choice Chip | $3.64 | $63.27 | $63.27 | 2026-07-15 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CHOICECARE COMMERCIAL-ALL OTHER PLANS | CHOICECARE COMMERCIAL-ALL OTHER PLANS | $3.72 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | THCG/ENCORE-ALL PLANS | THCG/ENCORE-ALL PLANS | $3.76 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | SIHO-ALL OTHER PLANS | SIHO-ALL OTHER PLANS | $3.88 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.89 | $317.00 | $60.23 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.89 | $195.00 | $37.05 | 2026-01-25 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $3.89 | $397.00 | $397.00 | 2026-07-09 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $3.90 | — | — | 2026-07-15 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | ANTHEM MEDICAID | ANTHEM MEDICAID | $4.00 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CARESOURCE MEDICAID | CARESOURCE MEDICAID | $4.00 | $4.00 | $3.00 | 2026-03-18 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $4.29 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $4.29 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $4.37 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $4.37 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $4.61 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $4.61 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.61 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $4.61 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.61 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.61 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.61 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.61 | — | — | 2026-04-01 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Amerigroup | Wellpoint Amerigroup Star Uhrip | $4.77 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Texas Childrens Health Plan | Texas Childrens Health Plan | $4.77 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Texas Childrens Health Plan | Texas Childrens Health Plan Star Uhrip | $4.77 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Community Health Choice Uhrip | Community Health Choice Star Uhrip | $4.77 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Medicaid Tx | Medicaid Tx | $4.77 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Harbor Hospice | Harbor Hospice | $4.77 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $4.89 | $203.00 | — | 2026-08-17 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | BCBS - NE | Medicare|All Plans | $5.00 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | United | Medicare|All Plans | $5.00 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | Aetna | Medicare | $5.00 | $25.00 | $15.00 | 2026-07-19 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | Aetna | Commercial | $5.00 | $25.00 | $15.00 | 2026-07-19 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Humana | Medicare|All Plans | $5.00 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| MCGEHEE HOSPITAL Both | Arkansas Total Care | Medicaid Replacement | $5.00 | $330.00 | $221.10 | 2026-04-09 | MRF ↗ |
| MCGEHEE HOSPITAL Both | Medicaid Arkansas | Default | $5.00 | $330.00 | $221.10 | 2026-04-09 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Great Plains | Medicare|All Plans | $5.00 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | PACE | Medicare|All Plans | $5.00 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2025-09-30 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | United | Medicare|All Plans | $5.00 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | BCBS - NE | Medicare|All Plans | $5.00 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| BAXTER HEALTH FULTON COUNTY HOSPITAL Inpatient | Medicaid Arkansas | Default | $5.00 | $354.75 | $248.33 | 2026-07-15 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Medica | Medicare|All Plans | $5.00 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | BCBS - NE | Medicare|All Plans | $5.00 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Medica | Medicare|All Plans | $5.00 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Humana | Medicare|All Plans | $5.00 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $5.00 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | United | Medicare|All Plans | $5.00 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $5.00 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $5.00 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | BCBS - NE | Medicare|All Plans | $5.00 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Medica | Medicare|All Plans | $5.00 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | PACE | Medicare|All Plans | $5.00 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Great Plains | Medicare|All Plans | $5.00 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | PACE | Medicare|All Plans | $5.00 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | United | Medicare|All Plans | $5.00 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Humana | Medicare|All Plans | $5.00 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Medica | Medicare|All Plans | $5.00 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $5.00 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Humana | Medicare|All Plans | $5.00 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $5.00 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $5.00 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $5.00 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $5.00 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $5.00 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $5.00 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $5.00 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $5.00 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | PACE | Medicare|All Plans | $5.00 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $5.00 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Medicaid Tx | Medicaid Tx | $5.01 | $63.27 | $63.27 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Amerigroup | Wellpoint Amerigroup Star Uhrip | $5.01 | $63.27 | $63.27 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | United Healthcare | United Healthcare Star Uhrip | $5.01 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Texas Childrens Health Plan | Texas Childrens Health Plan | $5.01 | $63.27 | $63.27 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Texas Childrens Health Plan | Texas Childrens Health Plan Star Uhrip | $5.01 | $63.27 | $63.27 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Molina Healthcare | Molina Medicaid | $5.01 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Harbor Hospice | Harbor Hospice | $5.01 | $63.27 | $63.27 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Molina Medicaid Uhrip | Molina Healthcare Star Uhrip | $5.01 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Texas Childrens Health Plan | Texas Childrens Health Plan Star Kids | $5.01 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Community Health Choice Uhrip | Community Health Choice Star Uhrip | $5.01 | $63.27 | $63.27 | 2026-07-15 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Centene | Medicare|All Plans | $5.10 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Centene | Medicare|All Plans | $5.10 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Todays Options | Medicare|All Plans | $5.10 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $5.10 | $20.00 | $9.60 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $5.10 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $5.10 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Centene | Medicare|All Plans | $5.10 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Centene | Medicare|All Plans | $5.10 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $5.10 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Todays Options | Medicare|All Plans | $5.10 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $5.10 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $5.10 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | WC [90001] | CHA HB MASSACHUSETTS WORKERS COMP | $5.12 | $10.00 | $10.00 | 2026-03-20 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | United Healthcare | United Healthcare Medicaid Star/Chips | $5.21 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Amerigroup | Medicare|All Plans | $5.25 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Great Plains | Medicare|All Plans | $5.25 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $5.25 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Great Plains | Medicare|All Plans | $5.25 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $5.25 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicare|All Plans | $5.25 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $5.25 | $20.00 | $9.60 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $5.25 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $5.25 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicare|All Plans | $5.25 | $20.00 | $17.00 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $5.25 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $5.25 | $20.00 | $9.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $5.25 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $5.25 | $20.00 | $9.60 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $5.25 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $5.25 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $5.25 | $20.00 | $9.80 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Amerigroup | Medicare|All Plans | $5.25 | $20.00 | $16.80 | 2026-02-28 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Molina Healthcare | Molina Medicaid | $5.26 | $63.27 | $63.27 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Texas Childrens Health Plan | Texas Childrens Health Plan Star Kids | $5.26 | $63.27 | $63.27 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | United Healthcare | United Healthcare Star Uhrip | $5.26 | $63.27 | $63.27 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Molina Medicaid Uhrip | Molina Healthcare Star Uhrip | $5.26 | $63.27 | $63.27 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $5.38 | $203.00 | — | 2026-08-17 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Medicaid | Traditional | — | $651.27 | $390.76 | 2026-03-23 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | United Healthcare | United Healthcare Medicaid Star/Chips | $5.47 | $63.27 | $63.27 | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Beacon Health | Beacon Health | $5.49 | $60.25 | $60.25 | 2026-07-15 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Both | CARECENTRIX [1011001] | CARECENTRIX [101100101] | $5.60 | $14.00 | $6.30 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Both | GENERIC COMMERCIAL/INDEMNITY [1017001] | PROGRAM [101700103] | $5.60 | $14.00 | $6.30 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS Both | CARECENTRIX [1011001] | CARECENTRIX [101100101] | $5.60 | $14.00 | $6.30 | 2026-03-23 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS Both | GENERIC COMMERCIAL/INDEMNITY [1017001] | PROGRAM [101700103] | $5.60 | $14.00 | $6.30 | 2026-03-23 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Outpatient | Beacon Health | Beacon Health | $5.76 | $63.27 | $63.27 | 2026-07-15 | 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.