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 (OTHER 99243) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99243?code_type=OTHER
MLA (9th ed.)
“OFF/OP CNSLTJ NEW/EST LOW 30 (OTHER 99243) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99243?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“OFF/OP CNSLTJ NEW/EST LOW 30 (OTHER 99243) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99243?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $82–$217 (25th–75th percentile) across 34 hospitals · 118 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $5.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $9.34 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $9.34 | — | — | 2026-05-14 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $13.65 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $13.65 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $13.65 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $13.65 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $14.00 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $14.00 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $14.00 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $14.00 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $14.00 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $14.70 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $15.05 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $22.40 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $26.50 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $27.48 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $30.45 | $35.00 | $24.50 | 2026-07-30 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $39.55 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $39.55 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $45.33 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $45.33 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Bcbs - Mn|All Plans | — | $47.37 | $134.00 | $67.00 | 2026-07-31 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $49.44 | — | — | 2026-05-08 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Ucare|All Plans | — | $49.58 | $134.00 | $67.00 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Health Partners|All Plans | — | $49.58 | $134.00 | $67.00 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Medica|All Plans | — | $49.58 | $134.00 | $67.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_100100307 | — | $49.61 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Cmmty_Hlth_100106701 | — | $49.61 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Cmmty_Hlth_100106701 | — | $49.61 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Medicaid_100105515 | — | $49.61 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Healthspring_Medicaid_100102702 | — | $49.61 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Healthspring_Medicaid_100102702 | — | $49.61 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_Perinate_100100308 | — | $49.61 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_Kids_100100310 | — | $49.61 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_Perinate_100100308 | — | $49.61 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_100100305 | — | $49.61 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_100100307 | — | $49.61 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Unicare_Medicaid_100105403 | — | $49.61 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_Kids_100100310 | — | $49.61 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Medicaid_100105515 | — | $49.61 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Unicare_Medicaid_100105403 | — | $49.61 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Superior_Behavioral_Health_Medicaid_170004602 | — | $49.61 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Superior_Behavioral_Health_Medicaid_170004602 | — | $49.61 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_100100305 | — | $49.61 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Bcbs - Mn|All Plans | — | $51.62 | $146.00 | $73.00 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Health Partners|All Plans | — | $54.02 | $146.00 | $73.00 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Ucare|All Plans | — | $54.02 | $146.00 | $73.00 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Medica|All Plans | — | $54.02 | $146.00 | $73.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Star_100106706 | — | $54.57 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_Perinatal_100106707 | — | $54.57 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_100106708 | — | $54.57 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_100106708 | — | $54.57 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Star_100106706 | — | $54.57 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Starplus_100106705 | — | $54.57 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_Perinatal_100106707 | — | $54.57 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Starplus_100106705 | — | $54.57 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $55.81 | $223.00 | $111.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $55.81 | $223.00 | $111.50 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $56.02 | $225.00 | $112.50 | 2026-05-09 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Hmo | $58.27 | $341.00 | $238.70 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Hmo | $58.27 | $341.00 | $238.70 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Ppo | $58.27 | $341.00 | $238.70 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Ppo | $58.27 | $341.00 | $238.70 | 2026-05-14 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Americhoice | — | $64.00 | $333.00 | — | 2026-07-15 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $66.14 | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh Medicare Advantage | All Plans | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Ohio | Managed Medicaid | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh Medicare Advantage | All Plans | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Geisinger Pa Medicare Advantage | All Plans | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $66.14 | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Commercial | Buckeye Commercial | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Wholecare Pa Medicare Advantage | All Pla | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Upmc For Life Medicare Advantage | All Plans | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh Medicare Advantage | All Plans | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Oh Medicare Advantage | Hmo | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $67.08 | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $67.40 | $186.00 | $93.00 | 2026-05-13 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Childrens_Mchp_Medicaid_170002101 | — | $68.90 | $265.00 | $159.00 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Childrens_Mchp_Medicaid_170002101 | — | $68.90 | $265.00 | $159.00 | 2026-07-30 | MRF ↗ |
| CHI OAKES HOSPITAL | Commercial|Bcbs - Nd|All Plans | — | $69.24 | $409.00 | $241.31 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $71.76 | $184.00 | $128.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $71.76 | $184.00 | $128.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $71.76 | $184.00 | $128.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $71.76 | $184.00 | $128.80 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $71.99 | $225.00 | $112.50 | 2026-05-09 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $73.60 | $184.00 | $128.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $73.60 | $184.00 | $128.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $73.60 | $184.00 | $128.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $73.60 | $184.00 | $128.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $73.60 | $184.00 | $128.80 | 2026-07-30 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Cigna | Ppo | $75.00 | $341.00 | $238.70 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Cigna | Hmo | $75.00 | $341.00 | $238.70 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Cigna | Ppo | $75.00 | $341.00 | $238.70 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Cigna | Hmo | $75.00 | $341.00 | $238.70 | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $76.10 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $76.10 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $76.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $76.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $76.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $76.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $76.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $76.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $76.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $76.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $76.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $76.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $76.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $76.93 | — | — | 2026-05-23 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $77.28 | $184.00 | $128.80 | 2026-07-30 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $77.51 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $77.51 | — | — | 2026-05-24 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $79.12 | $184.00 | $128.80 | 2026-07-30 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $79.63 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $79.63 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $80.40 | — | — | 2026-05-23 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicare Advantage | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Essential Aliessa | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Commercial | $82.27 | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | State Products | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Ppo | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Health Benefit Exchange | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicaid | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Univera | Medicaid | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Medicare | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Humana | Commercial | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Indemnity | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Amerigroup | Commercial | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Hmo/Ppo/Pos | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Medicare Advantage | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Hmo | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Medicare Adv | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Self Funded | — | $98.90 | $69.23 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $83.09 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $83.09 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $83.09 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $83.09 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $83.09 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $83.09 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $83.09 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $83.09 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $83.09 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $83.09 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $83.09 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $83.09 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $84.44 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $84.44 | — | — | 2026-05-24 | MRF ↗ |
| ST GABRIELS HOSPITAL | Commercial|Bcbs - Mn|All Plans | — | $85.98 | $134.00 | $67.00 | 2026-07-31 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $86.25 | $427.00 | $277.55 | 2026-07-31 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Upmc Health Plan | Commercial | $87.24 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Upmc Health Plan | Commercial | $87.24 | — | — | 2026-05-24 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $92.19 | $358.80 | $358.80 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicaid Mississippi | Federal | $92.19 | $358.80 | $358.80 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $92.19 | $358.80 | $358.80 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicaid Mississippi | Federal | $92.19 | $358.80 | $358.80 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Dsnp | $93.38 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Dsnp | $93.38 | — | — | 2026-05-24 | MRF ↗ |
| ST GABRIELS HOSPITAL | Commercial|Bcbs - Mn|All Plans | — | $93.68 | $146.00 | $73.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $96.07 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $96.07 | — | — | 2026-05-13 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER | Commercial|Aetna|All Plans | — | $97.28 | $152.00 | $53.20 | 2026-07-31 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER | Commercial|Aetna|All Plans | — | $97.28 | $152.00 | $53.20 | 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.