99245 — Off/op Consltj New/est Hi 55
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OFF/OP CONSLTJ NEW/EST HI 55 (OTHER 99245) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99245?code_type=OTHER
MLA (9th ed.)
“OFF/OP CONSLTJ NEW/EST HI 55 (OTHER 99245) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99245?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“OFF/OP CONSLTJ NEW/EST HI 55 (OTHER 99245) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99245?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $162–$394 (25th–75th percentile) across 31 hospitals · 128 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99245 — 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 | $18.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $18.48 | — | — | 2026-05-14 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $23.40 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $23.40 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $23.40 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $23.40 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $24.00 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $24.00 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $24.00 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $24.00 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $24.00 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $25.20 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $25.80 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $38.40 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $45.42 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $47.10 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $52.20 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Americhoice | — | $65.00 | $543.00 | — | 2026-07-15 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Cigna | Hmo | $75.00 | $341.00 | $238.70 | 2026-05-14 | 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 | 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 ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $76.00 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $76.00 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-23 | 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 ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $77.81 | — | — | 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 | $77.81 | — | — | 2026-05-23 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Bcbs - Mn|All Plans | — | $81.66 | $231.00 | $115.50 | 2026-07-31 | MRF ↗ |
| CHI OAKES HOSPITAL | Commercial|Bcbs - Nd|All Plans | — | $84.92 | $804.00 | $474.36 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Health Partners|All Plans | — | $85.47 | $231.00 | $115.50 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Medica|All Plans | — | $85.47 | $231.00 | $115.50 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Ucare|All Plans | — | $85.47 | $231.00 | $115.50 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Bcbs - Mn|All Plans | — | $89.44 | $253.00 | $126.50 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_100100305 | — | $90.04 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_Perinate_100100308 | — | $90.04 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Medicaid_100105515 | — | $90.04 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Superior_Behavioral_Health_Medicaid_170004602 | — | $90.04 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_100100307 | — | $90.04 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_100100305 | — | $90.04 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Cmmty_Hlth_100106701 | — | $90.04 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_Perinate_100100308 | — | $90.04 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Unicare_Medicaid_100105403 | — | $90.04 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Healthspring_Medicaid_100102702 | — | $90.04 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Healthspring_Medicaid_100102702 | — | $90.04 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_Kids_100100310 | — | $90.04 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Cmmty_Hlth_100106701 | — | $90.04 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Unicare_Medicaid_100105403 | — | $90.04 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Superior_Behavioral_Health_Medicaid_170004602 | — | $90.04 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Medicaid_100105515 | — | $90.04 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_100100307 | — | $90.04 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_Kids_100100310 | — | $90.04 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Ucare|All Plans | — | $93.61 | $253.00 | $126.50 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Health Partners|All Plans | — | $93.61 | $253.00 | $126.50 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Medica|All Plans | — | $93.61 | $253.00 | $126.50 | 2026-07-31 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $97.26 | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_100106708 | — | $99.05 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Starplus_100106705 | — | $99.05 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_Perinatal_100106707 | — | $99.05 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_100106708 | — | $99.05 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Star_100106706 | — | $99.05 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_Perinatal_100106707 | — | $99.05 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Star_100106706 | — | $99.05 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Starplus_100106705 | — | $99.05 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Ubh/Uhc | — | $105.00 | $543.00 | — | 2026-07-15 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $108.89 | $856.00 | $556.40 | 2026-07-31 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Commercial | $111.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Commercial | $111.00 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $113.96 | $414.00 | $207.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $113.96 | $414.00 | $207.00 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $113.96 | $417.00 | $208.50 | 2026-05-09 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $124.95 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $124.95 | — | — | 2026-05-23 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Childrens_Mchp_Medicaid_170002101 | — | $125.06 | $481.00 | $288.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Childrens_Mchp_Medicaid_170002101 | — | $125.06 | $481.00 | $288.60 | 2026-07-30 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $126.16 | — | — | 2026-05-23 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $130.26 | $334.00 | $233.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $130.26 | $334.00 | $233.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $130.26 | $334.00 | $233.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $130.26 | $334.00 | $233.80 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $133.55 | $417.00 | $208.50 | 2026-05-09 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $133.60 | $334.00 | $233.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $133.60 | $334.00 | $233.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $133.60 | $334.00 | $233.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $133.60 | $334.00 | $233.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $133.60 | $334.00 | $233.80 | 2026-07-30 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh Medicare Advantage | All Plans | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Ohio | Managed Medicaid | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Wholecare Pa Medicare Advantage | All Pla | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $134.60 | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh Medicare Advantage | All Plans | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Geisinger Pa Medicare Advantage | All Plans | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Commercial | Buckeye Commercial | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Upmc For Life Medicare Advantage | All Plans | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh Medicare Advantage | All Plans | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Oh Medicare Advantage | Hmo | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $134.60 | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $136.52 | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $137.16 | $705.00 | $352.50 | 2026-05-13 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Ppo | $139.74 | $341.00 | $238.70 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Hmo | $139.74 | $341.00 | $238.70 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Ppo | $139.74 | $341.00 | $238.70 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Hmo | $139.74 | $341.00 | $238.70 | 2026-05-22 | MRF ↗ |
| TRI-CITY MEDICAL CENTER | Blue Shield Covered Ca | — | $140.25 | $375.00 | $225.00 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $140.28 | $334.00 | $233.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $143.62 | $334.00 | $233.80 | 2026-07-30 | MRF ↗ |
| ST GABRIELS HOSPITAL | Commercial|Bcbs - Mn|All Plans | — | $148.21 | $231.00 | $115.50 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $150.00 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $151.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $151.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $151.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $151.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $151.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $151.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $151.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $151.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $151.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $151.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $151.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $151.44 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $153.30 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $153.30 | — | — | 2026-05-24 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $156.17 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $156.17 | — | — | 2026-05-23 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Hmo/Ppo/Pos | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicare Advantage | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Essential Aliessa | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Humana | Commercial | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Health Benefit Exchange | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Medicare Advantage | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Amerigroup | Commercial | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Medicare | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Commercial | $161.99 | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Indemnity | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Univera | Medicaid | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Ppo | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicaid | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Medicare Adv | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | State Products | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Self Funded | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Hmo | — | $193.70 | $135.59 | 2026-05-14 | MRF ↗ |
| ST GABRIELS HOSPITAL | Commercial|Bcbs - Mn|All Plans | — | $162.33 | $253.00 | $126.50 | 2026-07-31 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $170.15 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $170.15 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $170.15 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $170.15 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $170.15 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $170.15 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $170.15 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $170.15 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $170.15 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $170.15 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $170.15 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $170.15 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $172.75 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $172.75 | — | — | 2026-05-24 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $173.47 | $707.25 | $707.25 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $173.47 | $707.25 | $707.25 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicaid Mississippi | Federal | $173.47 | $707.25 | $707.25 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicaid Mississippi | Federal | $173.47 | $707.25 | $707.25 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $173.95 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $173.95 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $177.87 | — | — | 2026-05-24 | 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.