99281 — Emergency Department Visit For The Evaluation And Management / Emergency Department Visit For The Evaluation And Management Of A Patient, Which Requires These 3 Key Components: A Problem Focused Histo
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Emergency department visit for the evaluation and management / Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A problem focused histo (OTHER 99281) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99281?code_type=OTHER
MLA (9th ed.)
“Emergency department visit for the evaluation and management / Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A problem focused histo (OTHER 99281) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99281?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Emergency department visit for the evaluation and management / Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A problem focused histo (OTHER 99281) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99281?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $70–$236 (25th–75th percentile) across 92 hospitals · 353 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Medicaid|United|All Plans | — | $2.27 | $35.00 | $12.25 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|Texas Childrens (Tch)|All Plans | — | $2.27 | $35.00 | $12.25 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|Community Health Choice|All Plans | — | $2.27 | $35.00 | $12.25 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Medicaid|Texas Childrens (Tch)|All Plans | — | $2.27 | $35.00 | $12.25 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|Superior Health Plan|All Plans | — | $2.27 | $35.00 | $12.25 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Medicaid|Superior Health Plan|All Plans | — | $2.27 | $35.00 | $12.25 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|United|All Plans | — | $2.27 | $35.00 | $12.25 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|Cigna|All Plans | — | $2.32 | $35.00 | $12.25 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Medicaid|Cigna|All Plans | — | $2.32 | $35.00 | $12.25 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|Bcbs - Tx|All Plans | — | $2.39 | $35.00 | $12.25 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Medicaid|Bcbs - Tx|All Plans | — | $2.39 | $35.00 | $12.25 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|Community Health Choice|All Plans | — | $2.40 | $37.00 | $12.95 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Medicaid|Texas Childrens (Tch)|All Plans | — | $2.40 | $37.00 | $12.95 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Medicaid|Superior Health Plan|All Plans | — | $2.40 | $37.00 | $12.95 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Medicaid|United|All Plans | — | $2.40 | $37.00 | $12.95 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|Texas Childrens (Tch)|All Plans | — | $2.40 | $37.00 | $12.95 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|United|All Plans | — | $2.40 | $37.00 | $12.95 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|Superior Health Plan|All Plans | — | $2.40 | $37.00 | $12.95 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|Cigna|All Plans | — | $2.45 | $37.00 | $12.95 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Medicaid|Cigna|All Plans | — | $2.45 | $37.00 | $12.95 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Medicaid|Bcbs - Tx|All Plans | — | $2.52 | $37.00 | $12.95 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Medicaid|Bcbs - Tx|All Plans | — | $2.52 | $37.00 | $12.95 | 2026-07-31 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Texas Childrens (Tch)|All Plans | — | $4.08 | $35.00 | $12.25 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Amerigroup|All Other Plans | — | $4.08 | $35.00 | $12.25 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Superior Health Plan|All Plans | — | $4.08 | $35.00 | $12.25 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|United|All Plans | — | $4.08 | $35.00 | $12.25 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Cigna|All Plans | — | $4.16 | $35.00 | $12.25 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Amerigroup|Starplus | — | $4.20 | $35.00 | $12.25 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Bcbs - Tx|All Plans | — | $4.28 | $35.00 | $12.25 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Texas Childrens (Tch)|All Plans | — | $4.31 | $37.00 | $12.95 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Amerigroup|All Other Plans | — | $4.31 | $37.00 | $12.95 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|United|All Plans | — | $4.31 | $37.00 | $12.95 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Superior Health Plan|All Plans | — | $4.31 | $37.00 | $12.95 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Cigna|All Plans | — | $4.39 | $37.00 | $12.95 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Amerigroup|Starplus | — | $4.44 | $37.00 | $12.95 | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Bcbs - Tx|All Plans | — | $4.52 | $37.00 | $12.95 | 2026-08-01 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $6.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $6.72 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $7.24 | $23.00 | $11.50 | 2026-05-09 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $8.04 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $8.04 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $8.04 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $8.04 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $8.04 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $8.04 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $8.04 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicaid | $8.04 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $8.04 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Behavioral Health- Ny Govt Programs | $8.04 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $8.04 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $8.04 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Behavioral Health- Ny Govt Programs | $8.04 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $8.04 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $8.04 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicaid | $8.04 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $8.04 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $8.04 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $8.63 | $55.00 | $41.80 | 2026-05-27 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 5 And 6 | $9.18 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 3 And 4 | $9.18 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 3 And 4 | $9.18 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 1 And 2 | $9.18 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 1 And 2 | $9.18 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 5 And 6 | $9.18 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $9.24 | $145.00 | $108.75 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $9.24 | $145.00 | $108.75 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicaid Mississippi | Federal | $9.55 | $270.00 | $270.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $9.55 | $270.00 | $270.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $9.55 | $270.00 | $270.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicaid Mississippi | Federal | $9.55 | $270.00 | $270.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $10.13 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $10.13 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $10.13 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $10.13 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $10.24 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $10.24 | — | — | 2026-05-14 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare B Ms Jh | Federal | $10.28 | $300.00 | $300.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare B Ms Jh | Federal | $10.28 | $300.00 | $300.00 | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | United Healthcare - Medicare Advantage | All Payor | $10.33 | $55.00 | $41.80 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Cigna Healthcare � Cigna Healthspring � Medicare Advantage Product(S) | All Payor | $10.33 | $55.00 | $41.80 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Medicare Advantage | All Payor | $10.33 | $55.00 | $41.80 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $10.33 | $55.00 | $41.80 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Magnolia Health Plan � Wellcare By All Well Of Mississippi | All Payor | $10.33 | $55.00 | $41.80 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Optum Va Ccn | All Payor | $10.33 | $55.00 | $41.80 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Primewell Health Services � Medicare Advantage | All Payor | $10.33 | $55.00 | $41.80 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Molina Healthcare Of Mississippi � Medicare Advantage Product(S) | All Payor | $10.43 | $55.00 | $41.80 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Simpra Medicare Advantage | All Payor | $10.43 | $55.00 | $41.80 | 2026-05-27 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Medicare Advantage | $10.48 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Medicare Advantage | $10.48 | — | — | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Patrius Health Medicare Advantage � Ahs | All Payor | $10.54 | $55.00 | $41.80 | 2026-05-27 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Oklahoma Medicaid | — | $10.63 | $304.00 | $300.00 | 2026-07-15 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Exchange | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Humana Choice Care | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Humana Choice Care | Commercial | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Nascentia | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Essential Plans 1 -4 | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Martins Point | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Humana Choice Care | Commercial | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Medicare | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Cdphp | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Medicare | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Medicaid Hmo | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Medicaid Hmo | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Medicare | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Martins Point | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Emblemhealth | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicare | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Emblemhealth | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Humana Choice Care | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Cdphp | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicare Advantage And Medicaid Advantage Plus | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Exchange | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Essential Plans 1 -4 | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicare | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Nascentia | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Fidelis | Medicare | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicare Advantage And Medicaid Advantage Plus | $10.64 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicare Advantage | $10.64 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $10.65 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $10.65 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $10.65 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $10.65 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $10.65 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $10.65 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $10.65 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $10.65 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $10.65 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $10.65 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $10.65 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $10.65 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Behavioral Health- Commercial | $10.77 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Behavioral Health- Commercial | $10.77 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $10.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $10.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $10.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $10.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $10.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $10.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $10.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $10.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $10.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $10.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $10.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $10.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $10.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $10.78 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $10.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $10.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $10.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $10.85 | — | — | 2026-05-14 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Shared Health Mississippi | All Payor | $10.85 | $55.00 | $41.80 | 2026-05-27 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | Medicare Advantage | $10.87 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | Medicare Advantage | $10.87 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicare | Professional | $10.92 | $23.00 | $11.50 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicare | Professional | $10.92 | $23.00 | $11.50 | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $10.96 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $10.96 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $10.96 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $10.96 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellpoint | Medicare Advantage | $10.97 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Signature | Medicare Advantage | $10.97 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellpoint | Medicare Advantage | $10.97 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Signature | Medicare Advantage | $10.97 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicare | Professional | $10.99 | $23.00 | $11.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $10.99 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $10.99 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $11.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $11.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $11.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $11.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $11.10 | — | — | 2026-05-23 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Medicare | $11.10 | $44.00 | $44.00 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $11.10 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $11.10 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $11.10 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $11.10 | — | — | 2026-05-14 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Medicare | $11.10 | $44.00 | $44.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $11.10 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Devoted Health | Medicare Advantage | $11.19 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Upmc Health Plan | Commercial | $11.19 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Devoted Health | Medicare Advantage | $11.19 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Upmc Health Plan | Commercial | $11.19 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $11.20 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $11.20 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $11.20 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $11.20 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $11.20 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $11.20 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $11.20 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $11.20 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $11.20 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $11.20 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $11.20 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $11.20 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $11.20 | — | — | 2026-05-14 | 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.