99305 — Pr Nursing Facility Care, Init, Mod Severity
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR NURSING FACILITY CARE, INIT, MOD SEVERITY (OTHER 99305) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99305?code_type=OTHER
MLA (9th ed.)
“PR NURSING FACILITY CARE, INIT, MOD SEVERITY (OTHER 99305) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99305?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“PR NURSING FACILITY CARE, INIT, MOD SEVERITY (OTHER 99305) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99305?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $124–$197 (25th–75th percentile) across 32 hospitals · 113 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99305 — 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 |
|---|---|---|---|---|---|---|---|
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $44.00 | $251.00 | $251.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Essential Plans 1 -4 | $44.00 | $251.00 | $251.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $44.00 | $251.00 | $251.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $44.00 | $251.00 | $251.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $44.00 | $251.00 | $251.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $44.00 | $251.00 | $251.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $44.00 | $251.00 | $251.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $44.00 | $251.00 | $251.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $44.00 | $251.00 | $251.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Essential Plans 1 -4 | $44.00 | $251.00 | $251.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $44.00 | $251.00 | $251.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $44.00 | $251.00 | $251.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $44.00 | $251.00 | $251.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $44.00 | $251.00 | $251.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $44.00 | $251.00 | $251.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $44.00 | $251.00 | $251.00 | 2026-05-22 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $50.70 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $50.70 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $50.70 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $50.70 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $52.00 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $52.00 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $52.00 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $52.00 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $52.00 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $54.60 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $55.90 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1028 Advantage Aetna | — | $58.67 | $251.00 | — | 2026-08-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 750 Tricare | — | $64.34 | $251.00 | — | 2026-08-01 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Excellus | Govt Programs/ Special Products | $71.44 | $251.00 | $251.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Excellus | Govt Programs/ Special Products | $71.44 | $251.00 | $251.00 | 2026-05-22 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1022 Advantage Humana | — | $74.60 | $251.00 | — | 2026-08-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $75.26 | $295.00 | $191.75 | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $76.00 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $76.00 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $78.24 | $326.00 | $195.60 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $78.24 | $326.00 | $195.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $78.24 | $326.00 | $195.60 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $78.24 | $326.00 | $195.60 | 2026-05-24 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1023 Advantage United Healthcare | — | $82.65 | $251.00 | — | 2026-08-01 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $83.20 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $83.92 | $260.00 | $130.00 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $83.92 | $260.00 | $130.00 | 2026-05-08 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $84.23 | $322.00 | $225.40 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $84.23 | $322.00 | $225.40 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $84.23 | $322.00 | $225.40 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $84.23 | $322.00 | $225.40 | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $84.56 | $264.00 | $132.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $84.56 | $264.00 | $132.00 | 2026-05-09 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Ppo | $87.18 | $322.00 | $225.40 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Ppo | $87.18 | $322.00 | $225.40 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Hmo | $87.18 | $322.00 | $225.40 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Hmo | $87.18 | $322.00 | $225.40 | 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 - Managed Care | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $88.29 | — | — | 2026-05-23 | 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 | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $88.29 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | — | — | — | 2026-05-23 | MRF ↗ |
| Prairie View Inc | Cigna Rate | — | $90.00 | $278.00 | $272.00 | 2026-08-01 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Prairie View Inc | Cigna Rate | — | $90.00 | $273.00 | $259.35 | 2026-07-18 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Blue Cross And Blue Shield Of Alabama | All Payor | $91.06 | $195.82 | $148.82 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $95.75 | $195.82 | $66.58 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $95.75 | $195.82 | $66.58 | 2026-05-06 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $95.75 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $95.75 | $195.82 | $66.58 | 2026-05-06 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $95.75 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $95.75 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $95.75 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | $95.75 | $195.82 | $148.82 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Multiplan/Phcs/American Lifecare | All Plans | $95.75 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $96.81 | $267.00 | $267.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | — | $267.00 | $267.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicaid Mississippi | Federal | — | $267.00 | $267.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $96.81 | $267.00 | $267.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicaid Mississippi | Federal | — | $267.00 | $267.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | — | $267.00 | $267.00 | 2026-05-22 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $98.41 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Aetna Health Inc. Ppo/Pos | All Plans | $98.62 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Aetna Health Inc. Ppo/Pos | All Plans | $98.62 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Aetna Health Inc. Ppo/Pos | All Plans | $98.62 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $98.79 | $267.00 | $267.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $98.79 | $267.00 | $267.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $98.83 | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $98.83 | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Humana Military � Tricare | All Plans | $99.26 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Humana Military � Tricare | All Plans | $99.26 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Humana Military � Tricare | All Plans | $99.26 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Commercial | $99.47 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Commercial | $99.47 | — | — | 2026-05-23 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Inpatient | Humana Military � Tricare | All Plans | $99.54 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Humana Military � Tricare | All Plans | $99.54 | $195.82 | $66.58 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Humana Military � Tricare | All Plans | $99.54 | $195.82 | $66.58 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Humana Military � Tricare | All Plans | $99.54 | $195.82 | $66.58 | 2026-05-06 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $99.54 | $195.82 | $148.82 | 2026-05-27 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Inpatient | Humana Military � Tricare | All Plans | $99.54 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $100.22 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $100.22 | — | — | 2026-05-23 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $100.24 | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $100.71 | $268.00 | $134.00 | 2026-05-13 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $102.05 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 3 And 4 | $107.63 | $251.00 | $251.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 1 And 2 | $107.63 | $251.00 | $251.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 3 And 4 | $107.63 | $251.00 | $251.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 5 And 6 | $107.63 | $251.00 | $251.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 5 And 6 | $107.63 | $251.00 | $251.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 1 And 2 | $107.63 | $251.00 | $251.00 | 2026-05-13 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $109.85 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicaid Mississippi | Federal | $110.16 | $307.05 | $307.05 | 2026-05-22 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Inpatient | United Healthcare Community Plan Of Mississippi | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Inpatient | United Healthcare Community Plan Of Mississippi | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | United Healthcare Community Plan Of Mississippi | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | United Healthcare Community Plan Of Mississippi | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | United Healthcare Community Plan Of Mississippi | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-06 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $110.16 | $195.82 | $66.58 | 2026-05-27 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicaid Mississippi | Federal | $110.16 | $307.05 | $307.05 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $110.16 | $307.05 | $307.05 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $110.16 | $307.05 | $307.05 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicare A Ms Jh | Default | $111.34 | $307.05 | $307.05 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Medicare A Ms Jh | Default | $111.34 | $307.05 | $307.05 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $112.97 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $112.97 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $113.10 | $130.00 | $91.00 | 2026-07-30 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Ambetter | Default | $113.61 | $307.05 | $307.05 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Ambetter | Default | $113.61 | $307.05 | $307.05 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Cigna | Commercial | — | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Cigna | Medicare Advantage | $114.11 | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Unitedhealthcare Of Ms | Managed Medicaid | — | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Magnolia Health Plan | Managed Medicaid | — | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Aetna | Commercial | — | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Molina Healthcare Of Ms | Chip | — | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Humana | Medicare Advantage | $114.11 | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Aetna | Medicare Advantage | $114.11 | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Molina Healthcare Of Ms | Managed Medicaid | — | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Windsor Health Plan | Pho | — | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Molina Healthcare Of Ms | Commercial | — | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Advanced Health Systems | Commercial | — | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Unitedhealthcare | Va | $114.11 | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Ppoplus | Commercial | — | $188.00 | $56.40 | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $114.44 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $114.47 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $114.47 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $116.70 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $116.70 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $117.43 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $117.43 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $117.43 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $117.43 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $118.33 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $118.33 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $118.33 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $118.33 | — | — | 2026-05-14 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Inpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | — | $307.05 | $307.05 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare B Ms Jh | Federal | $118.52 | $267.00 | $267.00 | 2026-05-22 | 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.