99284 — Pr Emergency Dept Visit Moderate
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Emergency Dept Visit Moderate (CPT 99284) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99284?code_type=CPT
MLA (9th ed.)
“PR Emergency Dept Visit Moderate (CPT 99284) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99284?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Emergency Dept Visit Moderate (CPT 99284) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99284?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $417–$1,478 (25th–75th percentile) across 3,897 hospitals · 10,832 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99284 — 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
$417
$761 typical
$1,478
The middle 50% of negotiated facility rates for this procedure, measured across 3,897 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. | $761 |
| Physician fee Estimate national typical Medicare $118 × 1.22 commercial. | $144 |
| Likely subtotal | $906 |
Complete-episode estimate (typical)
~$906
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 $417–$1,478.
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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $12,553.63 | $8,159.86 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $2,247.55 | $1,123.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $2,247.55 | $1,123.78 | 2024-12-15 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Inpatient | Occunet | All Commercial Products | $0.03 | $0.64 | $0.58 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Inpatient | Wellmark PPO | PPO | $0.03 | $0.64 | $0.58 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Humana Medicare Advantage | Medicare Advantage | $0.03 | $0.64 | $0.58 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Humana Medicare Advantage | Medicare Advantage | $0.03 | $0.05 | $0.05 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Inpatient | Occunet | All Commercial Products | $0.03 | $0.05 | $0.05 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Inpatient | Wellmark PPO | PPO | $0.03 | $0.05 | $0.05 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Inpatient | Humana ChoiceCare | All Commercial Products | $0.04 | $0.05 | $0.05 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Inpatient | Humana ChoiceCare | All Commercial Products | $0.04 | $0.64 | $0.58 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Iowa Total Care | Medicaid | $0.04 | $0.05 | $0.05 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Molina | Medicaid | $0.04 | $0.05 | $0.05 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Molina | Medicaid | $0.04 | $0.64 | $0.58 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Iowa Total Care | Medicaid | $0.04 | $0.64 | $0.58 | 2026-03-19 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $7,645.00 | $5,733.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $4,260.00 | $3,195.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $7,645.00 | $5,733.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $4,260.00 | $3,195.00 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $4,496.00 | $3,372.00 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $4,496.00 | $3,372.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $7,645.00 | $5,733.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $4,260.00 | $3,195.00 | 2026-09-01 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MN | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE DISTINCTION TRANSPLANT | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - PA (HIGHMARK) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | PRE-EMPLOYMENT | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - WA (REGENCE) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OR (REGENCE) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - SC | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | WellMark Medicare Advantage | Medicare Advantage | $0.35 | $0.05 | $0.05 | 2026-03-19 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - FEDERAL | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - PA (INDEPENDENCE) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK HMO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WY | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BCN DOMESTIC | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL ALTERNATE | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AR | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | WC DOMESTIC | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - PA (CAPITAL) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS DOMESTIC | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CA (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - SD (WELLMARK) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NV (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CARE NETWORK | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - RI | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - TN | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - TX | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MS | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Aetna Medicare Advantage | Medicare Advantage | $0.35 | $0.64 | $0.58 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | United Healthcare Medicare Advantage | Medicare Advantage | $0.35 | $0.64 | $0.58 | 2026-03-19 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NE | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | WellMark Medicare Advantage | Medicare Advantage | $0.35 | $0.64 | $0.58 | 2026-03-19 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - CA | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WI (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AK (PREMERA) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MT | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MI | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ID | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NC | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ME (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NM | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OK | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - DE (HIGHMARK) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (EXCELLUS) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IN (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MA | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CT (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - HI | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CO (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NJ (HORIZON) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (CAREFIRST) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | United Healthcare Medicare Advantage | Medicare Advantage | $0.35 | $0.05 | $0.05 | 2026-03-19 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - LA | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - GA (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AZ | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - KS | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | KAISER DOMESTIC | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BCBS GENERIC | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - FL | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - DC (CAREFIRST) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - UT (REGENCE) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WV (HIGHMARK) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NH (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Aetna Medicare Advantage | Medicare Advantage | $0.35 | $0.05 | $0.05 | 2026-03-19 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VT | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ND | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OH (ANTHEM) | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AL | WELLMARK PPO | $0.35 | — | $1,987.05 | 2026-03-31 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Inpatient | Wellmark HMO | HMO | $0.42 | $0.64 | $0.58 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Inpatient | Wellmark HMO | HMO | $0.42 | $0.05 | $0.05 | 2026-03-19 | 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 | Humana | 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 ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $5,937.00 | $4,452.75 | 2026-09-01 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Inpatient | United Healthcare | All Commercial Products | $0.50 | $0.05 | $0.05 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Inpatient | United Healthcare | All Commercial Products | $0.50 | $0.64 | $0.58 | 2026-03-19 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $4,496.00 | $3,372.00 | 2026-09-01 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Inpatient | Midlands Choice | All Commercial Products | $0.61 | $0.05 | $0.05 | 2026-03-19 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Inpatient | Midlands Choice | All Commercial Products | $0.61 | $0.64 | $0.58 | 2026-03-19 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $2,303.00 | — | 2026-07-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY InpatientFacility | Quartz | Badgercare | — | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY InpatientFacility | Dean Health Plan | Commercial | — | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY InpatientFacility | Anthem Blue Cross | Commercial | — | $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 OutpatientFacility | Aetna | Commercial | $0.65 | $1.00 | $0.80 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY InpatientFacility | United Healthcare | Commercial | — | $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 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 ↗ |
| 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 | Medical Associates Health Plans | Commercial | $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 ↗ |
| 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 ↗ |
| 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 ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $4,260.00 | $3,195.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $7,645.00 | $5,733.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $5,569.00 | $4,176.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $2,189.00 | $1,794.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $2,189.00 | $1,794.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $2,189.00 | $1,794.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $2,189.00 | $1,794.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $2,189.00 | $1,794.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $2,189.00 | $1,794.98 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | $4,496.00 | $3,372.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $2,189.00 | $1,794.98 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $2,189.00 | $1,794.98 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | $4,496.00 | $3,372.00 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | $4,496.00 | $3,372.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $4,041.00 | $3,030.75 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $5,983.00 | $4,487.25 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $2,189.00 | $1,794.98 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $4,041.00 | $3,030.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $4,041.00 | $3,030.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $4,041.00 | $3,030.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $4,041.00 | $3,030.75 | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $2,405.00 | $1,202.50 | 2026-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $4,041.00 | $3,030.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $4,057.00 | $3,042.75 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | COMMUNITY FIRST | COMMUNITY FIRST HEALTH PLAN MEDICAID STAR KIDS | $1.00 | $5,937.00 | $4,452.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $4,057.00 | $3,042.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $4,057.00 | $3,042.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $4,057.00 | $3,042.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $4,057.00 | $3,042.75 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $2,189.00 | $1,794.98 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $12,553.63 | $8,159.86 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $12,553.60 | $8,159.84 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $4,057.00 | $3,042.75 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $2,405.00 | $1,202.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $2,405.00 | $1,202.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $2,405.00 | $1,202.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $2,405.00 | $1,202.50 | 2026-07-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $1.38 | $1,987.50 | $1,391.25 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $1.38 | $1,987.50 | $1,391.25 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $1.38 | $1,987.50 | $1,391.25 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $1.38 | $1,987.50 | $1,391.25 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $1.38 | $1,987.50 | $1,391.25 | 2025-01-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $2,405.00 | $1,202.50 | 2026-07-01 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - SD (WELLMARK) | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - AZ | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - DE (HIGHMARK) | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - MA | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | AETNA DOMESTIC | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - CT (ANTHEM) | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - IN (ANTHEM) | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - LA | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - WV (HIGHMARK) | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK HMO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE SHIELD - CA | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - NE | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - VT | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - FEDERAL | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | KAISER DOMESTIC | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - WY | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS DOMESTIC | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - DC (CAREFIRST) | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER OutpatientFacility | BLUE CROSS - TN | WELLMARK PPO | $1.92 | — | $3,286.00 | 2026-03-31 | 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.