99285 — Emergency Department Visit For Life Threatening Or Functioning Severity
Cite this view
HANK Price Transparency. (n.d.). EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY (OTHER 99285) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99285?code_type=OTHER
“EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY (OTHER 99285) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99285?code_type=OTHER. Accessed .
“EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY (OTHER 99285) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99285?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $542–$1,478 (25th–75th percentile) across 97 hospitals · 363 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99285 — 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 |
|---|---|---|---|---|---|---|---|
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $37.77 | $6,170.00 | $4,010.50 | 2026-07-31 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $1,081.00 | $324.30 | 2026-05-08 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $38.53 | $851.00 | $553.15 | 2026-07-31 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna | All Plans | — | $80.73 | $72.66 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | United Healthcare | All Plans | — | $80.73 | $72.66 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Care Source | Medicaid | $45.48 | $80.73 | $72.66 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ambetter, Qualchoice And Novasys Health | All Plan | — | $80.73 | $72.66 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Aetna | All Plans | — | $80.73 | $72.66 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Arkansas Total Care | Medicaid | $45.48 | $80.73 | $72.66 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna Accn Network | All Plans | — | $80.73 | $72.66 | 2026-05-09 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $50.00 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $50.00 | — | — | 2026-05-23 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Medicaid Rate | — | $51.00 | $900.00 | $675.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Medicaid Rate | — | $51.00 | $900.00 | $675.00 | 2026-05-24 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $55.00 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $55.00 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Kids Medicaid | $55.00 | $1,987.00 | $480.06 | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $55.00 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | Mcd Advantage | $55.00 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $55.00 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Kids Medicaid | $55.00 | $1,987.00 | $480.06 | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | Mcd Advantage | $55.00 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Geisinger | Mcd Advantage | $59.95 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Geisinger | Mcd Advantage | $59.95 | — | — | 2026-05-13 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1028 Advantage Aetna | — | $63.11 | $270.00 | — | 2026-08-01 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $67.19 | $349.00 | $349.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $67.19 | $349.00 | $349.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Behavioral Health- Ny Govt Programs | $67.19 | $349.00 | $349.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $67.19 | $349.00 | $349.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $67.19 | $349.00 | $349.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $67.19 | $349.00 | $349.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $67.19 | $349.00 | $349.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $67.19 | $349.00 | $349.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $67.19 | $349.00 | $349.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $67.19 | $349.00 | $349.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $67.19 | $349.00 | $349.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $67.19 | $349.00 | $349.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $67.19 | $349.00 | $349.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicaid | $67.19 | $349.00 | $349.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $67.19 | $349.00 | $349.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $67.19 | $349.00 | $349.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mycompass | Medicaid | $67.19 | $349.00 | $349.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Behavioral Health- Ny Govt Programs | $67.19 | $349.00 | $349.00 | 2026-05-13 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 750 Tricare | — | $69.21 | $270.00 | — | 2026-08-01 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Summitt | Medicaid | $70.32 | $80.73 | $72.66 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Empower | Medicaid | $70.32 | $80.73 | $72.66 | 2026-05-09 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Americhoice | — | $74.00 | $489.00 | — | 2026-07-15 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Caresource | Passe | $77.52 | $900.00 | $675.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Summit Community Care | Passe | $77.52 | $900.00 | $675.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Summit Community Care | Passe | $77.52 | $900.00 | $675.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Caresource | Passe | $77.52 | $900.00 | $675.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Empower | Passe | $77.52 | $900.00 | $675.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Total Care | Passe | $77.52 | $900.00 | $675.00 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Empower | Passe | $77.52 | $900.00 | $675.00 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Total Care | Passe | $77.52 | $900.00 | $675.00 | 2026-05-24 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1022 Advantage Humana | — | $80.24 | $270.00 | — | 2026-08-01 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Blue Cross | All Plans | $80.73 | $80.73 | $72.66 | 2026-05-09 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Amerigroup | Medicaid | $86.32 | $5,202.00 | $2,080.80 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Amerigroup | Medicaid | $86.32 | $5,202.00 | $2,080.80 | 2026-05-08 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1023 Advantage United Healthcare | — | $88.91 | $270.00 | — | 2026-08-01 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Multiplan (Phcs) | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Medicare Advantage Op | — | $91.56 | $327.00 | $81.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicare Op | — | $91.56 | $327.00 | $81.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcn Medicare Advantage Op | — | $91.56 | $327.00 | $81.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Humana Medicare Advantage Op | — | $91.56 | $327.00 | $81.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Php Medicare Advantage Op | — | $91.56 | $327.00 | $81.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $91.56 | $327.00 | $81.75 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $91.56 | $327.00 | $81.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $91.56 | $327.00 | $81.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $91.56 | $327.00 | $81.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $91.56 | $327.00 | $81.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $91.56 | $327.00 | $81.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $91.56 | $327.00 | $81.75 | 2026-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Aetna| Negotiated_Percentage | — | $95.00 | $1,081.00 | $324.30 | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $103.14 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $103.14 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $103.69 | $344.00 | $172.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $103.69 | $344.00 | $172.00 | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Ohio | Managed Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan/Ohio | Medicaid Managed Care | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $111.19 | $348.00 | $174.00 | 2026-05-09 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Medicaid | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Managed Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Ohio | Managed Medicaid | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan/Ohio | Medicaid Managed Care | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcn Medicare Advantage Op | — | $124.26 | $327.00 | $81.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Medicare Advantage Op | — | $124.26 | $327.00 | $81.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Humana Medicare Advantage Op | — | $124.26 | $327.00 | $81.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Php Medicare Advantage Op | — | $124.26 | $327.00 | $81.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Blue Cross Medicare Plus Blue Op | — | $124.26 | $327.00 | $81.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Medicare Op | — | $124.26 | $327.00 | $81.75 | 2026-07-31 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohiohealthy | Premier | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Managed Medicaid | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group (Aka Ohio Healthy) | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan/Ohio | Medicaid Managed Care | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Ppo | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $125.00 | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Multiplan (Phcs) | Commercial | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bureau For Children With Medical Handicaps | Mcd | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Commercial | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Ohio | Managed Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Traditional | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Three Rivers Provider Network (Trpn) | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bureau For Children With Medical Handicaps | Mcd | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Emerald Health Network | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohiohealthy | Premier | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Managed Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual Insurance | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Paramount Advantage/Anthem | Medicare Advantage | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual Insurance | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Traditional | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Three Rivers Provider Network (Trpn) | Commercial | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group | Ppo/Health Reach | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Managed Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Accessible Health Alliance/Oh Health Choice | Comm | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Three Rivers Provider Network (Trpn) | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group (Aka Ohio Healthy) | Commercial | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Multiplan (Phcs) | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan | Medicare Dual | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Paramount Advantage/Anthem | Medicare Advantage | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio State University Health Plan | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan | Medicare Dual | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio State University Health Plan | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Managed Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group | Ppo/Health Reach | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Health Exchange | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio State University Health Plan | Commercial | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan | Medicare Dual | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Managed Medicaid | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bureau For Children With Medical Handicaps | Mcd | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Marysville City Schools | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Beech Street | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Beech Street | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group | Ppo/Health Reach | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Accessible Health Alliance/Oh Health Choice | Comm | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Choice | Ppo | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Managed Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Managed Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Beech Street | Commercial | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Paramount Advantage/Anthem | Medicare Advantage | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $125.00 | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Preferred Network | Commercial | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Hmo.Hic | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohiohealthy | Premier | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Accessible Health Alliance/Oh Health Choice | Comm | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Managed Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $125.00 | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Emerald Health Network | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Better Health | Commercial | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual | Commercial | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Emerald Health Network | Commercial | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Better Health | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Choice | Ppo | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Better Health | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group (Aka Ohio Healthy) | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Managed Medicaid | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Managed Medicaid | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual Insurance | Commercial | — | $2,865.00 | $1,862.25 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Preferred Network | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Hmo, Ppo, Traditional | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Preferred Network | Commercial | — | $2,500.00 | $1,625.00 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $128.51 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $128.51 | — | — | 2026-05-13 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Hmo | $130.40 | $1,896.00 | $1,327.20 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Ppo | $130.40 | $1,896.00 | $1,327.20 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Ppo | $130.40 | $1,896.00 | $1,327.20 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Hmo | $130.40 | $1,896.00 | $1,327.20 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $130.81 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $130.81 | — | — | 2026-05-24 | MRF ↗ |
| FAITH REGIONAL HEALTH SERVICES Outpatient | Molina | Managed Medicaid | — | $5,080.00 | $3,180.08 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $131.00 | $1,987.00 | $480.06 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $131.00 | $1,987.00 | $480.06 | 2026-05-23 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana Military � Tricare | All Plans | $131.01 | $339.00 | $115.26 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana Military � Tricare | All Plans | $131.01 | $339.00 | $115.26 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana Military � Tricare | All Plans | $131.01 | $339.00 | $115.26 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana Military � Tricare | All Plans | $132.81 | $339.00 | $115.26 | 2026-05-06 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $132.81 | $339.00 | $257.64 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana Military � Tricare | All Plans | $132.81 | $339.00 | $115.26 | 2026-05-06 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $132.81 | $339.00 | $257.64 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana Military � Tricare | All Plans | $132.81 | $339.00 | $115.26 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana Military � Tricare | All Plans | $132.81 | $339.00 | $115.26 | 2026-05-06 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 300 Blue Cross | — | $134.23 | $270.00 | — | 2026-08-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $137.80 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $137.80 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $138.74 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $138.74 | — | — | 2026-05-23 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $138.74 | $3,465.00 | $1,732.50 | 2026-05-13 | 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.