99243 — Off/op Cnsltj New/est Low 30
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OFF/OP CNSLTJ NEW/EST LOW 30 (CPT 99243) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99243?code_type=CPT
MLA (9th ed.)
“OFF/OP CNSLTJ NEW/EST LOW 30 (CPT 99243) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99243?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“OFF/OP CNSLTJ NEW/EST LOW 30 (CPT 99243) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99243?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $107–$349 (25th–75th percentile) across 1,345 hospitals · 3,964 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99243 — 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 |
|---|---|---|---|---|---|---|---|
| TIPPAH COUNTY HOSPITAL Both | Humana | Medicare Advantage | — | $312.00 | $312.00 | 2025-07-29 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $390.00 | $39.00 | 2026-06-01 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Molina Healthcare of Mississippi | Default | — | $312.00 | $312.00 | 2025-07-29 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $390.00 | $39.00 | 2026-04-01 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Aetna | Medicare Advantage | — | $312.00 | $312.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Medicare A MS JH | Default | — | $312.00 | $312.00 | 2025-07-29 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $161.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $161.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $161.00 | — | 2025-05-02 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | None | — | — | $390.00 | $39.00 | 2026-04-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $161.00 | — | 2025-05-02 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.56 | $151.00 | $143.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.56 | $151.00 | $143.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.60 | $151.00 | $143.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.72 | $151.00 | $143.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.72 | $151.00 | $143.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.74 | $151.00 | $143.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.74 | $151.00 | $143.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.74 | $151.00 | $143.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.82 | $151.00 | $143.45 | 2026-02-20 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.45 | $235.20 | $235.20 | 2026-04-24 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.74 | $244.00 | $46.36 | 2026-01-25 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $5.00 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $5.00 | $140.00 | $91.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC ARK MEDICAID | $5.00 | $90.00 | $58.50 | 2026-03-12 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $5.00 | $285.00 | $228.00 | 2026-01-05 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | CIGNA COMM - ALL OTHER PLANS | CIGNA COMM - ALL OTHER PLANS | $5.00 | $200.70 | $100.35 | 2026-05-05 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $5.00 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $5.00 | $120.00 | $78.00 | 2026-03-13 | MRF ↗ |
| MORRIS HOSPITAL & HEALTHCARE CENTERS Outpatient | CIGNA IFP | CIGNA IFP | $5.00 | $182.00 | $43.79 | 2026-05-07 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $5.00 | $120.00 | $78.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $5.00 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $5.00 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $5.00 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $231.00 | — | 2026-02-25 | MRF ↗ |
| MORRIS HOSPITAL & HEALTHCARE CENTERS Outpatient | CIGNA PPO - ALL OTHER PLANS | CIGNA PPO - ALL OTHER PLANS | $5.00 | $182.00 | $43.79 | 2026-05-07 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $5.00 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $5.00 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $5.00 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $245.00 | $245.00 | 2026-04-08 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $340.00 | $238.00 | 2026-01-22 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $5.00 | $120.00 | $78.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $5.00 | $120.00 | $78.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $5.10 | $120.00 | $78.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $5.10 | $120.00 | $78.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $5.10 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $5.10 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $5.10 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $5.10 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $5.48 | $398.00 | $398.00 | 2026-02-13 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $5.78 | $297.68 | $297.68 | 2026-03-12 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $6.12 | $306.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $6.12 | $306.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $6.12 | $306.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $6.12 | $306.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $6.12 | $306.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $6.12 | $306.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $6.12 | $306.00 | — | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $6.35 | $120.00 | $78.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $6.35 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $6.35 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $6.35 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $6.35 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $8.47 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $8.55 | $19.00 | $17.10 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $8.55 | $19.00 | $17.10 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $8.55 | $19.00 | $17.10 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $8.55 | $19.00 | $17.10 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $8.55 | $19.00 | $17.10 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $8.55 | $19.00 | $17.10 | 2026-04-05 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $9.10 | $140.00 | $91.00 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.10 | $140.00 | $91.00 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $9.10 | $140.00 | $91.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.10 | $140.00 | $91.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $9.10 | $140.00 | $91.00 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.10 | $140.00 | $91.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $9.10 | $140.00 | $91.00 | 2026-03-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Outpatient | Aetna | All Products | $9.34 | $336.00 | $201.60 | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Outpatient | Aetna | All Products | $9.34 | $336.00 | $201.60 | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Outpatient | Aetna | All Products | $9.34 | $336.00 | $201.60 | 2026-02-12 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $10.69 | $78.00 | $62.40 | 2026-04-24 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $10.73 | $165.00 | $107.25 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $10.73 | $165.00 | $107.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $10.73 | $165.00 | $107.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $10.73 | $165.00 | $107.25 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $10.73 | $165.00 | $107.25 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $10.73 | $165.00 | $107.25 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $10.73 | $165.00 | $107.25 | 2026-03-12 | MRF ↗ |
| MERIT HEALTH MADISON Outpatient | UNITED_EXCHANGE | UNITED HEALTHCARE INSURANCE EXCHANGE | $10.88 | $49.00 | $19.60 | 2026-03-25 | MRF ↗ |
| MERIT HEALTH MADISON Outpatient | UNITED | UNITED HEALTHCARE | $11.17 | $49.00 | $19.60 | 2026-03-25 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | VA Plan | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc | Medicaid/BadgerCare | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Medicaid SSI | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Medicare Dual Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc | Senior Preferred | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Medicare | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | VA Plan | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc | Senior Preferred | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Humana | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan | Badgercare Plus | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Humana | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Medicare Dual Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Medicare | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Medicaid SSI | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan | Badgercare Plus | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc | Medicaid/BadgerCare | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB ROGR PASSE AR TOTAL CARE | $11.35 | $120.00 | $78.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB ROGR PASSE AR TOTAL CARE | $11.35 | $120.00 | $78.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $11.35 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $11.35 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $11.35 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $11.35 | $102.00 | $66.30 | 2026-03-13 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | Commercial | $11.40 | $19.00 | $17.10 | 2026-04-05 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Medicare A Ky J15 | Default | $11.76 | $40.00 | $24.00 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $11.76 | $40.00 | $24.00 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $11.76 | $40.00 | $24.00 | 2026-05-22 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | HealthNet | Commercial | $12.35 | $19.00 | $17.10 | 2026-04-05 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $12.54 | $95.00 | $14.25 | 2026-01-25 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $12.58 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $12.58 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $12.58 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $12.58 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $12.58 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $12.58 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $12.58 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $12.58 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $12.58 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $12.58 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $12.58 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $12.58 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $12.71 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $12.71 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] | PH HB SENIORCARE PACE | $12.76 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] | PH HB SENIORCARE PACE | $12.76 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] | PH HB SENIORCARE PACE | $12.76 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] | PH HB SENIORCARE PACE | $12.76 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] | PH HB SENIORCARE PACE | $12.76 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] | PH HB SENIORCARE PACE | $12.76 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] | PH HB SENIORCARE PACE | $12.76 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] | PH HB SENIORCARE PACE | $12.76 | $55.00 | $35.75 | 2026-03-01 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Medicaid Kentucky | Default | $12.80 | $40.00 | $24.00 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Ky Anthem | Medicare Advantage | $12.80 | $40.00 | $24.00 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Group Medicare Advantage | Medicare Advantage | $12.80 | $40.00 | $24.00 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Ky Anthem | Medicaid Replacement | $12.80 | $40.00 | $24.00 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare Health Plan Mcd Rep | Medicaid Replacement | $12.80 | $40.00 | $24.00 | 2026-05-22 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $12.84 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $12.84 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $12.84 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $12.84 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $12.84 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $12.84 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $12.84 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $12.84 | $37.00 | $18.36 | 2026-02-28 | MRF ↗ |
| DALLAS MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $12.94 | $199.70 | — | 2024-12-19 | MRF ↗ |
| DALLAS MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $12.94 | $199.70 | — | 2024-12-19 | MRF ↗ |
| DALLAS MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $12.94 | $199.70 | — | 2024-12-19 | MRF ↗ |
| DALLAS MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $12.94 | $199.70 | — | 2024-12-19 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB OKLC AETNA MCR | $12.96 | $90.00 | $58.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.13 | $202.00 | $131.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $13.13 | $202.00 | $131.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.13 | $202.00 | $131.30 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $13.13 | $202.00 | $131.30 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.13 | $202.00 | $131.30 | 2026-03-18 | 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.