99231 — Sbsq Hospital Care/day 15 Minutes / Sbsq Hospital Care/Day 15 Minutes 99231 / Subsequent Hospital Care, Per Day, For The Evaluation And Management Of A Patient, Which Requires At Least 2 Of These 3 Ke
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SBSQ HOSPITAL CARE/DAY 15 MINUTES / Sbsq Hospital Care/Day 15 Minutes 99231 / Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 ke (OTHER 99231) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99231?code_type=OTHER
MLA (9th ed.)
“SBSQ HOSPITAL CARE/DAY 15 MINUTES / Sbsq Hospital Care/Day 15 Minutes 99231 / Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 ke (OTHER 99231) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99231?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“SBSQ HOSPITAL CARE/DAY 15 MINUTES / Sbsq Hospital Care/Day 15 Minutes 99231 / Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 ke (OTHER 99231) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99231?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $46–$78 (25th–75th percentile) across 49 hospitals · 141 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99231 — 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 |
|---|---|---|---|---|---|---|---|
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $14.72 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $14.72 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $14.72 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $14.72 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $14.72 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $14.72 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Essential Plans 1 -4 | $14.72 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $14.72 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Behavioral Health- Ny Govt Programs | $14.72 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $14.72 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Behavioral Health- Ny Govt Programs | $14.72 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $14.72 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Essential Plans 1 -4 | $14.72 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $14.72 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $14.72 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $14.72 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $14.72 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $14.72 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcn Medicare Advantage Op | — | $14.84 | $53.00 | $13.25 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Humana Medicare Advantage Op | — | $14.84 | $53.00 | $13.25 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $14.84 | $53.00 | $13.25 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Php Medicare Advantage Op | — | $14.84 | $53.00 | $13.25 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $14.84 | $53.00 | $13.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $14.84 | $53.00 | $13.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $14.84 | $53.00 | $13.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $14.84 | $53.00 | $13.25 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Medicare Advantage Op | — | $14.84 | $53.00 | $13.25 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $14.84 | $53.00 | $13.25 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicare Op | — | $14.84 | $53.00 | $13.25 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $14.84 | $53.00 | $13.25 | 2026-07-30 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1028 Advantage Aetna | — | $15.19 | $65.00 | — | 2026-08-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 750 Tricare | — | $16.66 | $65.00 | — | 2026-08-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1028 Advantage Aetna | — | $17.53 | $75.00 | — | 2026-08-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 750 Tricare | — | $19.22 | $75.00 | — | 2026-08-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1022 Advantage Humana | — | $19.32 | $65.00 | — | 2026-08-01 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $19.87 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $19.87 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Humana Medicare Advantage Op | — | $20.14 | $53.00 | $13.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Php Medicare Advantage Op | — | $20.14 | $53.00 | $13.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Blue Cross Medicare Plus Blue Op | — | $20.14 | $53.00 | $13.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcn Medicare Advantage Op | — | $20.14 | $53.00 | $13.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Medicare Op | — | $20.14 | $53.00 | $13.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Medicare Advantage Op | — | $20.14 | $53.00 | $13.25 | 2026-07-31 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1023 Advantage United Healthcare | — | $21.40 | $65.00 | — | 2026-08-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1022 Advantage Humana | — | $22.29 | $75.00 | — | 2026-08-01 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Excellus | Govt Programs/ Special Products | $23.89 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Excellus | Govt Programs/ Special Products | $23.89 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1023 Advantage United Healthcare | — | $24.70 | $75.00 | — | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcbs Op | — | $26.83 | $53.00 | $13.25 | 2026-08-01 | MRF ↗ |
| Prairie View Inc | Cigna Rate | — | $27.00 | $86.00 | $84.00 | 2026-08-01 | MRF ↗ |
| Prairie View Inc | Cigna Rate | — | $27.00 | $84.00 | $79.80 | 2026-07-18 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $28.04 | $122.00 | $79.30 | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $28.28 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $28.28 | — | — | 2026-05-24 | MRF ↗ |
| MIDDLE TN MENTAL HEALTH INSTITUTE | Medicare Daily Rate Paid | — | $28.87 | $37.32 | — | 2026-07-19 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcbs Op | — | $29.23 | $53.00 | $13.25 | 2026-07-30 | MRF ↗ |
| MEMPHIS MENTAL HEALTH INSTITUTE | Medicare Daily Rate Paid | — | $29.26 | $37.32 | — | 2026-07-19 | MRF ↗ |
| WESTERN MENTAL HEALTH INSTITUTE | Medicare Daily Rate Paid | — | $29.83 | $43.47 | — | 2026-07-19 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $29.87 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $29.87 | — | — | 2026-05-24 | MRF ↗ |
| MOCCASIN BEND MENTAL HEALTH INSTITUTE | Medicare Daily Rate Paid | — | $29.94 | $37.42 | — | 2026-07-19 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Aetna Health Inc. Ppo/Pos | All Plans | $29.95 | $55.00 | $18.70 | 2026-05-27 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $30.02 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $30.02 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $30.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $30.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $30.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $30.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $30.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $30.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $30.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $30.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $30.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $30.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $30.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $30.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $30.30 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $30.30 | — | — | 2026-05-14 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $30.42 | $78.00 | $54.60 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $30.42 | $78.00 | $54.60 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $30.42 | $78.00 | $54.60 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $30.42 | $78.00 | $54.60 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $31.10 | $71.00 | $35.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $31.12 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $31.12 | — | — | 2026-05-24 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $31.20 | $78.00 | $54.60 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $31.20 | $78.00 | $54.60 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $31.20 | $78.00 | $54.60 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $31.20 | $78.00 | $54.60 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $31.20 | $78.00 | $54.60 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $31.31 | $71.00 | $35.50 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $31.31 | $71.00 | $35.50 | 2026-05-13 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 300 Blue Cross | — | $32.31 | $65.00 | — | 2026-08-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $32.36 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $32.36 | — | — | 2026-05-24 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Health Op | — | $32.53 | $53.00 | $13.25 | 2026-07-30 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Cigna | — | $32.63 | $100.00 | — | 2026-07-15 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $32.76 | $78.00 | $54.60 | 2026-07-30 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Bluecare | — | $33.12 | $100.00 | — | 2026-07-15 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Inpatient | Cigna | Ppo | $33.37 | $120.00 | $84.00 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Inpatient | Cigna | Hmo | $33.37 | $120.00 | $84.00 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Inpatient | Cigna | Hmo | $33.37 | $120.00 | $84.00 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Inpatient | Cigna | Ppo | $33.37 | $120.00 | $84.00 | 2026-05-22 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $33.54 | $78.00 | $54.60 | 2026-07-30 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Medicaid Az Blue Cross Blue Shield Ahcccs - Inpatient/Outpatient | — | $33.65 | $90.95 | $68.21 | 2026-07-17 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Uhc Op | — | $33.92 | $53.00 | $13.25 | 2026-07-31 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Amerigroup | — | $34.15 | $100.00 | — | 2026-07-15 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $34.32 | $143.00 | $85.80 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $34.32 | $143.00 | $85.80 | 2026-05-14 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Vo | — | $35.00 | $100.00 | — | 2026-07-15 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Americhoice | — | $36.00 | $100.00 | — | 2026-07-15 | MRF ↗ |
| FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY Both | AETNA | — | $36.13 | $103.00 | $61.80 | 2025-01-01 | MRF ↗ |
| Prairie View Inc | Humana Medicare Advantage | — | $36.33 | $84.00 | $79.80 | 2026-07-18 | MRF ↗ |
| Prairie View Inc | Humana Medicare Advantage | — | $36.33 | $86.00 | $84.00 | 2026-08-01 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Aetna Health Inc. Ppo/Pos | All Plans | $36.38 | $55.00 | $18.70 | 2026-05-06 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Humana Military � Tricare | All Plans | $36.80 | $55.00 | $18.70 | 2026-05-27 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Humana | — | $37.00 | $100.00 | — | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Humana Military � Tricare | All Plans | $37.09 | $55.00 | $18.70 | 2026-05-06 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 300 Blue Cross | — | $37.29 | $75.00 | — | 2026-08-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Dsnp | $37.49 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Dsnp | $37.49 | — | — | 2026-05-24 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicare A Ms Jh | Default | $37.53 | $103.50 | $103.50 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicare A Ms Jh | Default | $37.53 | $103.50 | $103.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellpoint | Tenncare | $37.90 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellpoint | Tenncare | $37.90 | — | — | 2026-05-24 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Healthspring | — | $37.94 | $100.00 | — | 2026-07-15 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Medicare | — | $37.94 | $100.00 | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Bcn | Professional | $38.17 | $71.00 | $35.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Bcn | Professional | $38.17 | $71.00 | $35.50 | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Commercial | $38.29 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Commercial | $38.29 | — | — | 2026-05-24 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Ambetter | Default | $38.30 | $103.50 | $103.50 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Ambetter | Default | $38.30 | $103.50 | $103.50 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Aetna | Commercial | $38.56 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Aetna | Commercial | $38.56 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Health Op | — | $38.58 | $53.00 | $13.25 | 2026-08-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcbs Op | — | $38.69 | $53.00 | $13.25 | 2026-07-31 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $38.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $38.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $38.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $38.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $38.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $38.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $38.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $38.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $38.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $38.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $38.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $38.93 | — | — | 2026-05-23 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Blue Cross Blue Shield Of Mississippi Ahs Commercial | All Plans | $39.00 | $55.00 | $18.70 | 2026-05-06 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $39.35 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $39.35 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cofinity Op | — | $39.75 | $53.00 | $13.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Op | — | $39.75 | $53.00 | $13.25 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Aetna Op | — | $39.75 | $53.00 | $13.25 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Cofinity Op | — | $39.75 | $53.00 | $13.25 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Aetna Op | — | $39.75 | $53.00 | $13.25 | 2026-08-01 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 5 And 6 | $39.80 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 5 And 6 | $39.80 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 3 And 4 | $39.80 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 1 And 2 | $39.80 | $76.00 | $76.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 3 And 4 | $39.80 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 1 And 2 | $39.80 | $76.00 | $76.00 | 2026-05-13 | MRF ↗ |
| Prairie View Inc | Humana Commercial | — | $40.15 | $86.00 | $84.00 | 2026-08-01 | MRF ↗ |
| Prairie View Inc | Humana Commercial | — | $40.15 | $84.00 | $79.80 | 2026-07-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | Commercial | $40.99 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | Commercial | $40.99 | — | — | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $41.05 | $55.00 | $18.70 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | United Healthcare Community Plan Of Mississippi | All Plans | $41.05 | $55.00 | $18.70 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $41.05 | $55.00 | $18.70 | 2026-05-06 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $41.05 | $103.50 | $103.50 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicaid Mississippi | Federal | $41.05 | $103.50 | $103.50 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicaid Mississippi | Federal | $41.05 | $103.50 | $103.50 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $41.05 | $103.50 | $103.50 | 2026-05-13 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $41.17 | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $41.17 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $41.17 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Humana Op | — | $41.34 | $53.00 | $13.25 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Cofinity Op | — | $41.34 | $53.00 | $13.25 | 2026-07-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Humana Op | — | $41.34 | $53.00 | $13.25 | 2026-08-01 | MRF ↗ |
| Prairie View Inc | United Healthcare Commercial | — | $41.76 | $84.00 | $79.80 | 2026-07-18 | MRF ↗ |
| Prairie View Inc | United Healthcare Commercial | — | $41.76 | $86.00 | $84.00 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Uhc Op | — | $41.87 | $53.00 | $13.25 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Uhc Op | — | $41.87 | $53.00 | $13.25 | 2026-07-31 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Uhc Op | — | $41.87 | $53.00 | $13.25 | 2026-08-01 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicare|Medica|All Plans | — | $41.88 | $288.00 | $144.00 | 2026-07-31 | MRF ↗ |
| CHI OAKES HOSPITAL | Medicare|Medica|All Plans | — | $41.88 | $166.00 | $97.94 | 2026-07-31 | 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.