99292 — Pr Critical Care Each Additional 30 Minutes
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Critical Care Each Additional 30 Minutes (CPT 99292) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99292?code_type=CPT
MLA (9th ed.)
“PR Critical Care Each Additional 30 Minutes (CPT 99292) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99292?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Critical Care Each Additional 30 Minutes (CPT 99292) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99292?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $244–$1,085 (25th–75th percentile) across 2,667 hospitals · 8,496 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99292 — 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$244
$551 typical
$1,085
The middle 50% of negotiated facility rates for this procedure, measured across 2,667 hospitals. Surgeon & anesthesia 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. | $551 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $100 × 1.22 commercial. | $122 |
| Likely subtotal | $673 |
Surgical episode (typical)
~$673
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,458
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional 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 |
|---|---|---|---|---|---|---|---|
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA GENERIC [100205] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | NATIONAL ASSOCIATION OF LETTER CARRIERS [100211] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | A P W U [100207] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH [1006] | OXFORD HEALTH PLAN [100609] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA [100200] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICARE [2000] | MEDICARE PART A ONLY [200001] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH [1006] | GEHA [100603] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH [1006] | GOLDEN RULE INS CO [100605] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA MEDSOLUTIONS [100213] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA MEDICARE SUPPLEMENT [100209] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICARE [2000] | MEDICARE [200000] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICARE [2000] | RAILROAD MEDICARE [200004] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE COMPASS [100602] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | FIRST HEALTH NETWORK [1066] | MAIL HANDLERS BEN PLA [106600] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH [1006] | UNITED HEALTH INTEGRATED [100606] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TRICARE [8002] | TRICARE OVERSEAS [800206] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH [1006] | CITY OF NEW ORLEANS [100604] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TRICARE [8002] | TRIWEST WPS VACAA [800203] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA STARBRIDGE TN [100201] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH CARE [1078] | OPTUM HEALTH (TRANSPLANT) [107800] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | AMERI GROUP LA [330001] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | UNITED HEALTH COMMUNITY [330005] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA BETTER HEALTH [3501] | AETNA BETTER HEALTH-PSYCH [350101] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA MEDICAID [3509] | HUMANA HEALTHY HORIZON [350900] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | MEDICARE [2000] | MEDICARE PART B ONLY [200002] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH [1006] | UNITED HEALTH CHOICE PLUS [100601] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH [1006] | UHC UT [100610] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | ENVOLVE VISION (LHC) [350403] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | GNOCHC [300005] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | VANTAGE [1071] | VANTAGE HEALTH COMMERCIAL [107100] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH [1006] | NEXUSACO OA [100607] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA NEW ORLEANS ELECTRIC H&W FUND [100202] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH [1006] | NEXUSACO R - REFERRAL REQUIRED [100608] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | SUREST [100613] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TRICARE [8002] | TRICARE WEST REGION [800202] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | PLAN MASTERS MATES & PILOTS [100215] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA NEW ORLEANS ELECTRIC H&W FUND [100202] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID INPATIENT ONLY [300012] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA MEDICARE [9002] | AETNA MEDICARE DUAL PREFERRED [900201] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HEALTHY BLUE LOUISIANA [3502] | HEALTHY BLUE-PSYCH [350201] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA GENERIC [100205] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | FIRST HEALTH NETWORK [1073] | FIRST HEALTH [107300] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID FORM 18 PE [300001] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | AETNA BETTER HEALTH [330004] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | CITY OF NEW ORLEANS [100604] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | LA HEALTHCARE CONNECTIONS [330003] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | A P W U [100207] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID TAKE CHARGE [300003] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID SPENDDOWN [300015] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA BETTER HEALTH [3501] | AETNA BETTER HEALTH [350100] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA [350300] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA [100200] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | NATIONAL ASSOCIATION OF LETTER CARRIERS [100211] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | HEALTHY BLUE [330006] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA STARBRIDGE TN [100201] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA MEDICAID [3509] | HUMANA HEALTHY HORIZON - PSYCH [350901] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | MEDICARE PART B ONLY [200002] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID PSYCH-MAGELLAN [300014] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | UNITED HEALTH COMMUNITY-PSYCH [340005] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | THE HEALTH PLAN [100210] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | ENVOLVE VISION PLAN [303009] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH CARE (MGD MCD) [3505] | MISSISSIPPI UHC MEDICAID [350502] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE LA EXCHANGE ONEX [100611] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | LCMC HEALTH NETWORK (UMR) [107000] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UHC GLOBAL [100616] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | GEHA [100603] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE SHARED SERVICES [100614] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | NEXUSACO OA [100607] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | MEDICARE [200000] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | VERITY HEALTHNET [1072] | VERITY HEALTHNET [107200] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH [1006] | UNITED HEALTH CARE [100600] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE LA EXCHANGE ONEX [100611] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | — | $751.00 | $525.70 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $836.00 | — | 2025-05-02 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TRICARE [8002] | WPS TRICARE FOR LIFE [800204] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TRICARE [8002] | TRICARE FEDERAL HEALTH NET [800207] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | MEDICARE PART A ONLY [200001] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | TRICARE [8002] | TRICARE EAST REGION [800205] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | ALLEGIANCE BENEFIT PAIN MANAGEMENT [100216] | — | $1,532.00 | $214.48 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTH CHOICE PLUS [100601] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | ALLEGIANCE BENEFIT PAIN MANAGEMENT [100216] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | NORTH OAKS UMR [107003] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE ADVANTAGE [9000] | BLUE CROSS ANTHEM HEALTH [900001] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | PREMIER HEALTH [107002] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA ENVOY [100212] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HEALTHY BLUE LOUISIANA [3502] | HEALTHY BLUE LOUISIANA [350200] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AETNA BETTER HEALTH-PSYCH [340004] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA MEDICARE [9002] | AETNA MEDICARE [900200] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | HERITAGE PLUS [100615] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | WPS TRICARE FOR LIFE [800204] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UHC UT [100610] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $836.00 | — | 2025-05-02 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE GRI [100612] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | LA HEALTHCARE CONNECTIONS-PSYCH [340003] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTH INTEGRATED [100606] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AMERI GROUP LA-PSYCH [340001] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTH CARE [100600] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $836.00 | — | 2025-05-02 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA MEDICARE SUPPLEMENT [100209] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA-PSYCH [350301] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE FEDERAL HEALTH NET [800207] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE COMPASS [100602] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | GOLDEN RULE INS CO [100605] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE EAST REGION [800205] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE WEST REGION [800202] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE OVERSEAS [800206] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRIWEST WPS VACAA [800203] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | AMERIHEALTH CARITAS LA [330002] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,506.87 | $753.44 | 2024-12-15 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | UNITED MED RESOURCES (UMR) [107001] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH CARE (MGD MCD) [3505] | UNITED HEALTH COMMUNITY [350500] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | LA HEALTHCARE CONNECTIONS-PSYCH [350401] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $836.00 | — | 2025-05-02 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | NEXUSACO R - REFERRAL REQUIRED [100608] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID [300000] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA/GILSBAR INC [100208] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA STARBRIDGE AZ [100206] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH CARE (MGD MCD) [3505] | UNITED HEALTH COMMUNITY-PSYCH [350501] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | OXFORD HEALTH PLAN [100609] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | AMBETTER COMMERCIAL [350405] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | RAILROAD MEDICARE [200004] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | LA HEALTHCARE CONNECTIONS [350400] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA MEDSOLUTIONS [100213] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | PLAN MASTERS MATES & PILOTS [100215] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AMERIHEALTH CARITAS LA-PSYCH [340002] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | LA MEDICAID EMERGENT (CONIFER USE ONLY) [300016] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | VERITY HEALTHNET [1072] | WEBTPA LSU FIRST [107201] | — | $1,207.00 | $325.89 | 2026-03-25 | MRF ↗ |
| Tulane University Hospital And Clinic Outpatient | CIGNA [1002] | CIGNA STARBRIDGE AZ [100206] | — | $1,532.00 | $214.48 | 2026-03-25 | 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.