99281 — Emergency Department Visit For Problem That May Not Require Health Care Professional
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Emergency department visit for problem that may not require health care professional (CPT 99281) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99281?code_type=CPT
MLA (9th ed.)
“Emergency department visit for problem that may not require health care professional (CPT 99281) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99281?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Emergency department visit for problem that may not require health care professional (CPT 99281) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99281?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $88–$317 (25th–75th percentile) across 3,842 hospitals · 10,672 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99281 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$88
$168 typical
$317
The middle 50% of negotiated facility rates for this procedure, measured across 3,842 hospitals. The physician fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $168 |
| Physician fee Estimate national typical Medicare $11 × 1.22 commercial. | $13 |
| Likely subtotal | $181 |
Complete-episode estimate (typical)
~$181
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $88–$317.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician fee (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $471.70 | $235.85 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $471.70 | $235.85 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | UHC | COMMERCIAL | — | $0.01 | $0.01 | 2024-12-25 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $0.10 | $1.00 | $1.00 | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Americhoice | MEDICAID | $0.10 | $1.00 | $1.00 | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $0.11 | $1.00 | $1.00 | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Amerigroup | ALL PRODUCTS | $0.11 | $1.00 | $1.00 | 2025-01-31 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | HUMANA | HUMANA EXCHANGE HIX | $0.19 | $935.00 | $701.25 | 2026-09-01 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $0.20 | $455.00 | $364.00 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $0.20 | $455.00 | $364.00 | 2026-03-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $0.21 | $935.00 | $701.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $935.00 | $701.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $1,664.00 | $1,248.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA EXCHANGE HIX | $0.23 | $1,664.00 | $1,248.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $0.25 | $1,664.00 | $1,248.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $1,664.00 | $1,248.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $935.00 | $701.25 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $879.00 | $659.25 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $879.00 | $659.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | HUMANA | HUMANA HEALTH PLANS HMO/POS | $0.31 | $935.00 | $701.25 | 2026-09-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.32 | $344.00 | $127.28 | 2026-03-31 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | HUMANA | HUMANA HEALTH PLANS PPO/EPO | $0.32 | $935.00 | $701.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $1,664.00 | $1,248.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $935.00 | $701.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA HEALTH PLANS HMO/POS | $0.36 | $1,664.00 | $1,248.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA HEALTH PLANS PPO/EPO | $0.38 | $1,664.00 | $1,248.00 | 2026-09-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | Humana | Medicare Advantage | $0.47 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | United Healthcare | Medicare Advantage | $0.47 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | Aetna | Medicare Advantage | $0.47 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | Anthem Blue Cross | Medicare Advantage | $0.47 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | Quartz | Medicare Advantage | $0.47 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | Medical Associates Health Plans | Medicare Advantage | $0.47 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $1,057.00 | $792.75 | 2026-09-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.50 | $399.81 | $239.89 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.50 | $399.81 | $239.89 | 2025-08-11 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | ELAP | COMM | $0.60 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $0.60 | $56.00 | $36.40 | 2026-05-07 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $879.00 | $659.25 | 2026-09-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.61 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.61 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $419.00 | — | 2026-07-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | ELAP | COMM | $0.64 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.64 | $38.00 | $7.22 | 2026-05-20 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $0.64 | $55.00 | $55.00 | 2026-03-09 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $0.64 | $177.00 | $177.00 | 2026-07-09 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $0.64 | — | — | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.64 | $39.00 | $7.41 | 2026-01-25 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | United Healthcare | Commercial | $0.65 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | Aetna | Commercial | $0.65 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | Group Health Cooperative of South Central Wisconsin | Commercial | $0.65 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY InpatientFacility | Quartz | Commercial | $0.68 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY InpatientFacility | Group Health Cooperative of South Central Wisconsin | Commercial | $0.70 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC InpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $0.70 | $1.00 | $1.00 | 2025-01-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY InpatientFacility | Medical Associates Health Plans | Commercial | $0.75 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY InpatientFacility | Medical Associates Health Plans | Encompass Health Network | $0.75 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $0.80 | $1.00 | $1.00 | 2025-01-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY InpatientFacility | The Alliance | Commercial | $0.80 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | Anthem Blue Cross | Commercial | $0.81 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | Medical Associates Health Plans | Commercial | $0.84 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.84 | $323.00 | $323.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.84 | $323.00 | $323.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.84 | $458.00 | $458.00 | 2026-07-15 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $0.90 | $125.00 | $125.00 | 2026-07-16 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Driscoll | Medicaid | $0.91 | $377.00 | $150.80 | 2026-07-15 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Driscoll | Medicaid | $0.91 | $633.00 | $253.20 | 2026-07-15 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HIXIndividual | $0.92 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.93 | $250.00 | $237.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.93 | $250.00 | $237.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.93 | $250.00 | $237.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.95 | $250.00 | $237.50 | 2026-02-20 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIXIndividual | $0.95 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY InpatientFacility | Humana | Commercial | $0.95 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | Dean Health Plan | Commercial | $0.96 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.97 | $250.00 | $237.50 | 2026-02-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $569.00 | $426.75 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.00 | $250.00 | $237.50 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,460.00 | $1,095.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $569.00 | $426.75 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,664.00 | $1,248.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | $879.00 | $659.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $605.00 | $453.75 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $935.00 | $701.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $569.00 | $426.75 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $3,692.05 | $2,399.83 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $569.00 | $426.75 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $645.00 | $322.50 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $569.00 | $426.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $605.00 | $453.75 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | COMMUNITY FIRST | COMMUNITY FIRST HEALTH PLAN MEDICAID STAR KIDS | $1.00 | $1,057.00 | $792.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $605.00 | $453.75 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | $879.00 | $659.25 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | $879.00 | $659.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $569.00 | $426.75 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $3,692.05 | $2,399.83 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $605.00 | $453.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $605.00 | $453.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $605.00 | $453.75 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,651.00 | $1,238.25 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HealthyPremierSSG | $1.06 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HealthyPreferred | $1.06 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $645.00 | $322.50 | 2026-07-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $1.09 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $1.09 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $1.09 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $645.00 | $322.50 | 2026-07-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | University of Utah | HealthyPremierSSG | $1.10 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | University of Utah | HealthyPreferred | $1.10 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $1.13 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HealthyPremier | $1.15 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $1.16 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna UT Overstock | COMM | $1.16 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $1.16 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $645.00 | $322.50 | 2026-07-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Cigna UT Overstock | COMM | $1.20 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | University of Utah | HealthyPremier | $1.20 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $645.00 | $322.50 | 2026-07-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $1.21 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $1.21 | $57.00 | $42.75 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $1.21 | $57.00 | $42.75 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $1.21 | $57.00 | $42.75 | 2026-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna | NBNPPO | $1.22 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.27 | $1,260.57 | $1,260.57 | 2026-03-18 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Outpatient | Medica Government Plans Medicare Advantage | Medicare Advantage | $1.28 | $251.25 | $201.00 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Outpatient | Medicare A Mn J6 | Default | $1.28 | $251.25 | $201.00 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Outpatient | Bcbs Mn Secure Blue Mcr Adv Dos After 1/1/19 | Medicare Advantage | $1.28 | $251.25 | $201.00 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Outpatient | Medica Choice Care Dos Lt 01012022 Or Snbc | Medicare Advantage | $1.28 | $251.25 | $201.00 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Outpatient | Medicare Railroad Palmetto Gba | Default | $1.28 | $251.25 | $201.00 | 2026-05-08 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.28 | — | — | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $1.28 | $81.00 | $81.00 | 2026-02-13 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Outpatient | Cigna Medicare Advantage | Medicare Advantage | $1.28 | $251.25 | $201.00 | 2026-05-08 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.28 | $1,260.57 | $1,260.57 | 2026-03-18 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Cigna | NBNPPO | $1.32 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.34 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.34 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.36 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.42 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Angle Insurance | COMM | $1.44 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $1.46 | $1,260.57 | $1,260.57 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.46 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.46 | $1,260.57 | $1,260.57 | 2026-03-18 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $645.00 | $322.50 | 2026-07-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.47 | $273.00 | $259.35 | 2026-02-20 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Northern Utah Rehabilitation | COMM | $1.50 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Magellan Behavioral Health | TRICARE | $1.50 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Cigna | Non-ExclusivePPO | $1.54 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $1.57 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.58 | $1,260.57 | $1,260.57 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.59 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.59 | $1,260.57 | $1,260.57 | 2026-03-18 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Public Employees | PrefferedNetwork | $1.60 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Cigna | Non-ExclusivePPO | $1.67 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| Wayne Hospital Both | Whc Humana Medicare | 1710910 1 | — | $363.00 | $272.25 | 2026-07-15 | MRF ↗ |
| Wayne Hospital Both | Whc Anthem Medicare | 1601910 1 | — | $363.00 | $272.25 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $1.71 | $342.00 | $342.00 | 2026-06-05 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $1.73 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Union Pacific Railroad | COMM | $1.88 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Multiplan | Primary | $1.89 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Union Pacific Railroad | COMM | $1.95 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.00 | $399.81 | $239.89 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.00 | $399.81 | $239.89 | 2025-08-11 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Humana Inc. | Standard | — | $260.80 | $221.68 | 2026-07-15 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | EverNorth | COMMBH | $2.10 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Aetna | FirstHealth | $2.11 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| EASTERN PLUMAS HOSPITAL - PORTOLA CAMPUS Outpatient | MUTUAL OF OMAHA COMPANIES CLAIMS DEPARTMENT - Medicare | Medicare | — | $100.00 | $80.00 | 2026-06-16 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Aetna | FirstHealth | $2.19 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Injury Care of Utah | WCOMP | $2.25 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Autoliv ASP | COMM | $2.31 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Injury Care of Utah | WCOMP | $2.34 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Multiplan | Primary | $2.37 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $2.39 | $342.00 | $342.00 | 2026-06-05 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Magellan BH | COMMBH | $2.40 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA MEDICARE | $2.42 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $2.42 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $2.42 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $2.42 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $645.00 | $322.50 | 2026-07-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.52 | $242.55 | $242.55 | 2026-04-24 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | USA Managed Care | PPO | $2.55 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | USA Managed Care | PPO | $2.60 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $2.62 | $342.00 | $342.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $2.63 | $342.00 | $342.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $2.63 | $342.00 | $342.00 | 2026-06-05 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Trinity Health | COMM | $2.70 | $3.00 | $3.00 | 2024-10-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $2.91 | $342.00 | $342.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $2.93 | $342.00 | $342.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $2.93 | $342.00 | $342.00 | 2026-06-05 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $2.95 | $5.00 | $3.75 | 2026-06-04 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $2.95 | $5.00 | $3.75 | 2026-06-04 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $2.95 | $5.00 | $3.75 | 2026-06-04 | 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.