99304 — 1st Nf Care Sf/low Mdm 25
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). 1st nf care sf/low mdm 25 (OTHER 99304) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99304?code_type=OTHER
MLA (9th ed.)
“1st nf care sf/low mdm 25 (OTHER 99304) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99304?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“1st nf care sf/low mdm 25 (OTHER 99304) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99304?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $75–$144 (25th–75th percentile) across 35 hospitals · 131 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99304 — 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 |
|---|---|---|---|---|---|---|---|
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $39.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $39.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $39.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $39.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $40.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $40.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $40.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $40.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $40.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $42.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $43.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $46.13 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $46.13 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $50.69 | $157.00 | $78.50 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $50.69 | $157.00 | $78.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $51.12 | $160.00 | $80.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $51.12 | $160.00 | $80.00 | 2026-05-09 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $51.12 | $160.00 | $80.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $51.12 | $160.00 | $80.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $51.12 | $160.00 | $80.00 | 2026-05-09 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional | $51.12 | $160.00 | $80.00 | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $55.22 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $55.22 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | — | — | — | 2026-05-23 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $56.66 | $206.00 | $133.90 | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $59.04 | $246.00 | $147.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $59.04 | $246.00 | $147.60 | 2026-05-14 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Humana Military � Tricare | All Plans | $59.68 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Humana Military � Tricare | All Plans | $59.68 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $59.90 | $185.82 | $141.22 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Humana Military � Tricare | All Plans | $59.90 | $185.82 | $63.18 | 2026-05-06 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $59.97 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $59.97 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $60.82 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $61.11 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Commercial | $62.20 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Commercial | $62.20 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Blue Cross And Blue Shield Of Alabama | All Payor | $62.96 | $185.82 | $141.22 | 2026-05-27 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $64.00 | $100.00 | $70.00 | 2026-07-30 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Ppo | $65.63 | $189.00 | $132.30 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Hmo | $65.63 | $189.00 | $132.30 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Hmo | $65.63 | $189.00 | $132.30 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Ppo | $65.63 | $189.00 | $132.30 | 2026-05-22 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | United Healthcare Community Plan Of Mississippi | All Plans | $66.28 | $185.82 | $63.18 | 2026-05-06 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $66.28 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $66.28 | $185.82 | $63.18 | 2026-05-06 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $66.28 | $215.05 | $215.05 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicaid Mississippi | Federal | $66.28 | $215.05 | $215.05 | 2026-05-22 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $66.28 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicaid Mississippi | Federal | $66.28 | $215.05 | $215.05 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $66.28 | $215.05 | $215.05 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $67.81 | $187.00 | $187.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicaid Mississippi | Federal | — | $187.00 | $187.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $67.81 | $187.00 | $187.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | — | $187.00 | $187.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicaid Mississippi | Federal | — | $187.00 | $187.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | — | $187.00 | $187.00 | 2026-05-22 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Magnolia Health Plan | Managed Medicaid | — | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Cigna | Commercial | — | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Molina Healthcare Of Ms | Commercial | — | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Molina Healthcare Of Ms | Managed Medicaid | — | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Molina Healthcare Of Ms | Chip | — | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Unitedhealthcare Of Ms | Managed Medicaid | — | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Humana | Medicare Advantage | $67.85 | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Unitedhealthcare | Va | $67.85 | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Aetna | Commercial | — | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Aetna | Medicare Advantage | $67.85 | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Windsor Health Plan | Pho | — | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Advanced Health Systems | Commercial | — | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Ppoplus | Commercial | — | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Cigna | Medicare Advantage | $67.85 | $155.00 | $46.50 | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Aetna Health Inc. Ppo/Pos | All Plans | $68.37 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Aetna Health Inc. Ppo/Pos | All Plans | $68.37 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $69.12 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $69.12 | — | — | 2026-05-23 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $69.19 | $187.00 | $187.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $69.19 | $187.00 | $187.00 | 2026-05-22 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kern Health | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Cencal | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Ccah | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Cross Medi-Cal | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Managed Care Systems (Drmg) | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Manage Care Systems (Gemcare) | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Sutter Hospitals (Epo) | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Stanislaus Partners In Health | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Multiplan (Phcs) | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | First Health (Coventry) | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaweah Delta Healthcare | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Incentive Health | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Community Health Networks | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Nbd | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield Covered Ca | All | $69.38 | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Uhc National | United Ppo | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Plan Of San Joaquin | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Adventist | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaiser Medi-Cal | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Net Medi-Cal | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Dignity Health | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Aetna | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Healthsmart | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield | All | $69.38 | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Uhc Local | United Select Hmo | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaiser | All | — | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $69.42 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $69.42 | — | — | 2026-05-23 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | $70.08 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Commercial | Buckeye Commercial | $70.08 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh Medicare Advantage | All Plans | $70.08 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | $70.08 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $70.97 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $70.97 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $70.97 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $70.97 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $71.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $71.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $71.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $71.47 | — | — | 2026-05-24 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare B Ms Jh | Federal | $71.54 | $187.00 | $187.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | — | $215.05 | $215.05 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicaid Mississippi | Federal | — | $215.05 | $215.05 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicare B Ms Jh | Federal | $71.54 | $215.05 | $215.05 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare B Ms Jh | Federal | $71.54 | $187.00 | $187.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | — | $215.05 | $215.05 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicare B Ms Jh | Federal | $71.54 | $215.05 | $215.05 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicaid Mississippi | Federal | — | $215.05 | $215.05 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $71.73 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $71.73 | — | — | 2026-05-23 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | $71.98 | $185.82 | $141.22 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $71.98 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $71.98 | $185.82 | $63.18 | 2026-05-06 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $71.98 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY Both | Medicaid | — | $72.02 | $200.00 | $120.00 | 2025-01-01 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Oh Medicare Advantage | Hmo | $72.18 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Wholecare Pa Medicare Advantage | All Pla | $72.18 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Ohio | Managed Medicaid | $72.18 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Wv Medicare Advantage | All Plans | $72.88 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Humana | Military | $73.37 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Managed Medicare | — | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Managed Medicare | — | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh Medicare Advantage | All Plans | $73.58 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Upmc For Life Medicare Advantage | All Plans | $73.58 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | $73.58 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh Medicare Advantage | All Plans | $73.58 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | $73.58 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | $73.58 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | $73.58 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Community Care Health Plan | All | $74.24 | $209.00 | $209.00 | 2026-05-08 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Geisinger Pa Medicare Advantage | All Plans | $74.28 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv Medicare Advantage | All Plans | $74.28 | $189.00 | $94.50 | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Optum Va Ccn | All Plans | $74.60 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | United Healthcare Medicare Advantage | All Plans | $74.60 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Magnolia Health Plan Wellcare By Allwell Of Mississippi | All Plans | $74.60 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Cigna Healthspring � Medicare Advantage Product(S) | All Plans | $74.60 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | United Healthcare Medicare Advantage | All Plans | $74.60 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Primewell Health Services Medicare Advantage | All Plans | $74.60 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Primewell Health Services Medicare Advantage | All Plans | $74.60 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Optum Va Ccn | All Plans | $74.60 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Magnolia Health Plan Wellcare By Allwell Of Mississippi | All Plans | $74.60 | $185.82 | $63.18 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Cigna Healthspring � Medicare Advantage Product(S) | All Plans | $74.60 | $185.82 | $63.18 | 2026-05-27 | 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.