99251 — Inpt Consult New Or Estab Pt. Physician Spends 20 Minutes
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inpt consult new or estab pt. Physician spends 20 minutes (OTHER 99251) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99251?code_type=OTHER
MLA (9th ed.)
“Inpt consult new or estab pt. Physician spends 20 minutes (OTHER 99251) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99251?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inpt consult new or estab pt. Physician spends 20 minutes (OTHER 99251) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99251?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $60–$155 (25th–75th percentile) across 15 hospitals · 43 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99251 — 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 |
|---|---|---|---|---|---|---|---|
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $19.92 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $19.92 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $25.02 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $25.02 | — | — | 2026-05-23 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Blue Cross Blue Shield Outpatient Only | — | $40.00 | $50.00 | — | 2026-07-30 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Commercial | $40.13 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Commercial | $40.13 | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $41.28 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $41.28 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Aetna Inpatient And Outpatient | — | $41.70 | $50.00 | — | 2026-07-30 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $42.12 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $42.12 | — | — | 2026-05-24 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Healthnet Inpatient And Outpatient | — | $42.50 | $50.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For United Healthcare Inpatient Only | — | $42.50 | $50.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Cigna Hmo Inpatient And Outpatient | — | $43.50 | $50.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For United Healthcare Outpatient Only | — | $45.00 | $50.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Cigna Ppo Inpatient And Outpatinet | — | $45.00 | $50.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For First Health Group Inpatient And Outpatinent | — | $46.00 | $50.00 | — | 2026-07-30 | MRF ↗ |
| LARNED STATE HOSPITAL Inpatient | Insurance | Insurance | $46.61 | $46.61 | $46.61 | 2026-07-31 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellpoint | Tenncare | $47.52 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellpoint | Tenncare | $47.52 | — | — | 2026-05-24 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $50.89 | $178.00 | $115.70 | 2026-07-31 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Coventry Health | Hmo/Pos/Ppo | $52.53 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Coventry Health | Hmo/Pos/Ppo | $52.53 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Multiplan | Commercial | $52.54 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Multiplan | Commercial | $52.54 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $53.21 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $53.21 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Bcbs Network L | $54.94 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Bcbs Network L | $54.94 | — | — | 2026-05-13 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Ubh/Uhc | — | $55.00 | $152.00 | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Lcp Connect | $57.52 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Lcp Connect | $57.52 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $57.65 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $57.65 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | Commercial | $58.16 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | Commercial | $58.16 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | First Health | Commercial | $59.10 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | First Health | Commercial | $59.10 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Choice Pos | $59.83 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Choice Pos | $59.83 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Initial Group | Commercial | $60.81 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Initial Group | Commercial | $60.81 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Comm Hmo Ppo Pos | $62.13 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Comm Hmo Ppo Pos | $62.13 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $62.19 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $62.19 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Bcbs Network S | $62.52 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Bcbs Network S | $62.52 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $64.14 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $64.14 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nx Health 1 | Commercial | $64.42 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nx Health 1 | Commercial | $64.42 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna Commercial | Oap | $64.88 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna Commercial | Oap | $64.88 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Novanet | Commercial | $66.34 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Novanet | Commercial | $66.34 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nx Health 2 | Commercial | $69.02 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nx Health 2 | Commercial | $69.02 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Bcbs Network P | $70.09 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Bcbs Network P | $70.09 | — | — | 2026-05-24 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Americhoice | — | $74.00 | $152.00 | — | 2026-07-15 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Blue Cross Blue Shield Outpatient Only | — | $76.00 | $95.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Aetna Inpatient And Outpatient | — | $79.23 | $95.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Healthnet Inpatient And Outpatient | — | $80.75 | $95.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For United Healthcare Inpatient Only | — | $80.75 | $95.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Cigna Hmo Inpatient And Outpatient | — | $82.65 | $95.00 | — | 2026-07-30 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Anthem Blue Cross Blue Shield Blue Priority - Pos Wi Statewide | — | $85.37 | $178.00 | $115.70 | 2026-07-31 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For United Healthcare Outpatient Only | — | $85.50 | $95.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Cigna Ppo Inpatient And Outpatinet | — | $85.50 | $95.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For First Health Group Inpatient And Outpatinent | — | $87.40 | $95.00 | — | 2026-07-30 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Aetna | — | $90.30 | $152.00 | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Ppo | $90.74 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Hmo | $90.74 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Pos | $90.74 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Choicecare Ppo | $90.74 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Ppo | $90.74 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Choicecare Ppo | $90.74 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Pos | $90.74 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Hmo | $90.74 | — | — | 2026-05-24 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $94.86 | $178.00 | $115.70 | 2026-07-31 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $97.70 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $97.70 | — | — | 2026-05-14 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $104.12 | $178.00 | $115.70 | 2026-07-31 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Standard_Charge|Centene|Wellcare_By_Allwell_Medicare_Advantage|N | — | $107.21 | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | All Commercial Plans | — | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | Gold Medicare Advantage | $107.21 | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | Gold Medicare | $107.21 | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | Aarp Medicare | $107.21 | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | Aarp Medicare Advantage | $107.21 | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | All Commercial Plans | — | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Aetna | Medicare | $107.21 | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Aetna | All Commercial Plans | — | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Aetna | Medicare Advantage | $107.21 | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Oklahoma Medicaid | — | — | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Missouri Medicaid | — | — | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Arkansas Medicaid | — | — | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Standard Charge|Centene|Wellcare By Allwell Medicare|Negotiated | — | $107.21 | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Standard Charge|Arkansasbcbs|Blue Medicare Advantage|Negotiated | — | $107.21 | $151.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Arkansasbcbs | Blue Medicare | $107.21 | $151.00 | — | 2026-07-15 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Traditional - Ppo/Par | — | $109.69 | $178.00 | $115.70 | 2026-07-31 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Commercial | $110.06 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Commercial | $110.06 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Workers Comp | Other | $125.21 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Workers Comp | Other | $125.21 | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Springfield Health | Commercial | $141.04 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Springfield Health | Commercial | $141.04 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare Current | Commercial | $146.20 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Consociate | Commercial | $146.20 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Trilogy | Commercial | $146.20 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare Current | Commercial | $146.20 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Commercial | $146.20 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Trilogy | Commercial | $146.20 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Consociate | Commercial | $146.20 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Commercial | $146.20 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Commercial|Bcbs - Mn|All Plans | — | $149.07 | $221.00 | $136.80 | 2026-08-01 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $153.08 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $153.08 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Current Health | Commercial | $154.80 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Current Health | Commercial | $154.80 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | United Healthcare | Commercial | $154.80 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Humana | Commercial | $154.80 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Blue Choice | Commercial | $154.80 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Hfn | Commercial | $154.80 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Healthlink | Commercial | $154.80 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Blue Choice | Commercial | $154.80 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Healthlink | Commercial | $154.80 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Hfn | Commercial | $154.80 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Humana | Commercial | $154.80 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | United Healthcare | Commercial | $154.80 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Multiplan, Inc. Phcs Ppo Networks | — | $160.20 | $178.00 | $115.70 | 2026-07-31 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | First Health Group Corp National Rental Ppo Network | — | $160.20 | $178.00 | $115.70 | 2026-07-31 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Multiplan, Inc. Health Eos Ppo Networks | — | $160.20 | $178.00 | $115.70 | 2026-07-31 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $160.20 | $178.00 | $115.70 | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Healthlink | Commercial | $161.68 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Healthlink | Commercial | $161.68 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Preferred Plan | Commercial | $163.40 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Preferred Plan | Commercial | $163.40 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Cigna Ppo And Open Access Plus Benefits | — | $165.54 | $178.00 | $115.70 | 2026-07-31 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Multiplan, Inc. Multiplan And Other Brand Affiliated Ppo Networks | — | $165.54 | $178.00 | $115.70 | 2026-07-31 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $170.88 | $178.00 | $115.70 | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $172.00 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $172.00 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Blue Cross Blue Shield | Commercial | $172.00 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $172.00 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $172.00 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $172.00 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $172.00 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Blue Cross Blue Shield | Commercial | $172.00 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $172.00 | $172.00 | $103.20 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $172.00 | $172.00 | $103.20 | 2026-05-14 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | Aetna (Op) | — | $182.00 | $260.00 | $260.00 | 2026-07-17 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | Humana Choice Care (Op) | — | $195.00 | $260.00 | $260.00 | 2026-07-17 | MRF ↗ |
| CHI OAKES HOSPITAL | Medicaid|Sanford Health Plan|All Plans | — | $198.47 | $206.00 | $121.54 | 2026-07-31 | MRF ↗ |
| Carle Richland Memorial Hospital | United Healthcare (Ip/Op) | — | $198.64 | $260.00 | $260.00 | 2026-07-17 | MRF ↗ |
| CHI OAKES HOSPITAL | Commercial|Multiplan|All Plans | — | $199.82 | $206.00 | $121.54 | 2026-07-31 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | Phcs Ppo & Savility Ppo (Ip/Op) | — | $208.00 | $260.00 | $260.00 | 2026-07-17 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | United Healthcare (Ip/Op) | — | $215.80 | $260.00 | $260.00 | 2026-07-17 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER | Cigna Commercial (Ip/Op) | — | $217.62 | $260.00 | $260.00 | 2026-07-17 | MRF ↗ |
| Carle Richland Memorial Hospital | Multiplan (Op) | — | $221.00 | $260.00 | $260.00 | 2026-07-17 | MRF ↗ |
| Carle Richland Memorial Hospital | Phcs (Ip/Op) | — | $221.00 | $260.00 | $260.00 | 2026-07-17 | MRF ↗ |
| Carle Richland Memorial Hospital | Multiplan (Ip) | — | $226.20 | $260.00 | $260.00 | 2026-07-17 | MRF ↗ |
| Carle Richland Memorial Hospital | Humana Choice Care (Ip/Op) | — | $228.80 | $260.00 | $260.00 | 2026-07-17 | MRF ↗ |