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 (HCPCS 99281) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99281?code_type=HCPCS
MLA (9th ed.)
“Emergency department visit for problem that may not require health care professional (HCPCS 99281) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99281?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Emergency department visit for problem that may not require health care professional (HCPCS 99281) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99281?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $89–$312 (25th–75th percentile) across 3,117 hospitals · 10,821 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.
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 | None | — | — | $471.70 | $235.85 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $471.70 | $235.85 | 2024-12-15 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | UHC | COMMERCIAL | — | $0.01 | $0.01 | 2024-12-25 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $8,738.51 | $5,680.03 | 2025-11-26 | 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 | 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 | Americhoice | MEDICAID | $0.10 | $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 ↗ |
| 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 ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $0.11 | $1.00 | $1.00 | 2025-01-31 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $0.20 | $455.00 | $364.00 | 2026-03-26 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.32 | $344.00 | $127.28 | 2026-03-31 | 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 | Anthem Blue Cross | 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 ↗ |
| 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 | Quartz | 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 ↗ |
| 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 ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $0.60 | $56.00 | $36.40 | 2026-05-07 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | ELAP | COMM | $0.60 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.61 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-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 ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.61 | $2.42 | $2.42 | 2026-03-27 | 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 ↗ |
| 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 ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY OutpatientFacility | Aetna | Commercial | $0.65 | $1.00 | $0.80 | 2026-02-04 | 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 | 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 ↗ |
| 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 | 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 ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY InpatientFacility | The Alliance | Commercial | $0.80 | $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 ↗ |
| 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 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 ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HIXIndividual | $0.92 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.93 | $250.00 | $237.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.93 | $250.00 | $237.50 | 2026-02-20 | 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 ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.97 | $250.00 | $237.50 | 2026-02-20 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.00 | $250.00 | $237.50 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $563.00 | $461.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $3,692.05 | $2,399.83 | 2025-11-26 | 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 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | 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 ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $1.09 | $2.42 | $2.42 | 2026-03-27 | 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 | 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 ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $1.09 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.11 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.11 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.14 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.14 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | University of Utah | HealthyPremier | $1.15 | $2.89 | $2.89 | 2026-03-01 | 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 ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $1.16 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $1.16 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $1.16 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.18 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $1.21 | $2.42 | $2.42 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $1.21 | $2.42 | $2.42 | 2026-03-27 | 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 | 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 | 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 ↗ |
| 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 | Cigna Medicare Advantage | Medicare Advantage | $1.28 | $251.25 | $201.00 | 2026-05-08 | 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 | Medica Choice Care Dos Lt 01012022 Or Snbc | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.46 | $1,260.57 | $1,260.57 | 2026-03-18 | 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 ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.47 | $273.00 | $259.35 | 2026-02-20 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Aetna | FirstHealth | $2.11 | $2.89 | $2.89 | 2026-03-01 | 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 ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Multiplan | Primary | $2.37 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA 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 | 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 ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $2.42 | $2.42 | $2.42 | 2026-03-27 | 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 ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.52 | $242.55 | $242.55 | 2026-04-24 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | USA Managed Care | PPO | $2.60 | $2.89 | $2.89 | 2026-03-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $2.97 | $22.00 | $16.50 | 2026-01-16 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $3.45 | $517.00 | $310.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $3.45 | $130.00 | $78.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $3.45 | $418.00 | $250.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $3.45 | $259.00 | $155.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $3.45 | $576.00 | $345.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $3.45 | $576.00 | $345.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $3.45 | $576.00 | $345.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.45 | $221.00 | $132.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.45 | $221.00 | $132.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $3.45 | $259.00 | $155.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $3.45 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| UVALDE MEMORIAL HOSPITAL Both | Humana Gold Choice Pgba | HUGOLDMCR | — | $443.20 | — | 2026-05-12 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $419.00 | $251.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $130.00 | $78.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $576.00 | $345.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $517.00 | $310.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $517.00 | $310.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $130.00 | $78.00 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $259.00 | $155.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $221.00 | $132.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $221.00 | $132.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $576.00 | $345.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $419.00 | $251.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $259.00 | $155.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $512.00 | $307.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $576.00 | $345.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $418.00 | $250.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $576.00 | $345.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $576.00 | $345.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $418.00 | $250.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $221.00 | $132.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $512.00 | $307.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $512.00 | $307.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $576.00 | $345.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $512.00 | $307.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $576.00 | $345.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $576.00 | $345.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $259.00 | $155.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.65 | $221.00 | $132.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.65 | $259.00 | $155.40 | 2026-01-01 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $3.76 | $369.00 | $239.85 | 2026-03-14 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $3.84 | $192.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $3.84 | $192.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $3.84 | $192.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $3.84 | $192.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $3.84 | $192.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $3.84 | $192.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $3.84 | $192.00 | — | 2026-03-31 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH [12001] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | CHAMPUS/TRICARE [103] | MARTINS POINT/US FAMILY [10304] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $4.12 | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $4.12 | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICAID [11403] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $78.28 | $78.28 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $78.28 | $78.28 | 2024-12-30 | 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.