99358 — Prolong Service Without Contact
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PROLONG SERVICE W/O CONTACT (CPT 99358) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99358?code_type=CPT
MLA (9th ed.)
“PROLONG SERVICE W/O CONTACT (CPT 99358) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99358?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PROLONG SERVICE W/O CONTACT (CPT 99358) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99358?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $101–$252 (25th–75th percentile) across 1,086 hospitals · 2,332 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99358 — 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 |
|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $265.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $265.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $265.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $265.00 | — | 2025-05-02 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.74 | $200.00 | $190.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.74 | $200.00 | $190.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.74 | $200.00 | $190.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.76 | $200.00 | $190.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.78 | $200.00 | $190.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.80 | $200.00 | $190.00 | 2026-02-20 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Bcbs Of Va | Anthem Blue Cross Ppo | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Aetna | Aetna | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Bcbs Of Va | Anthem Hix | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Southern Health Services | Southern Health Services | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Hooker Furniture Inc | Hooker Furniture | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Multiplan | Multiplan | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Cigna | Cigna | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Uhc | Uhc | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Optima Health Plan | Sentara (Optima) | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Coventry | Coventry Hix | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Bcbs Of Va | Anthem Blue Cross Hmo | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville OutpatientFacility | — | — | — | $9.00 | $3.60 | 2026-07-10 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Medcost | Medcost | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | First Health | First Health Ppo | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Gateway | Gateway Piedmont | — | $9.00 | $3.60 | 2026-05-17 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.98 | $200.00 | $190.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.98 | $200.00 | $190.00 | 2026-02-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.00 | $200.00 | $190.00 | 2026-02-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.04 | $200.00 | $190.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.08 | $200.00 | $190.00 | 2026-02-20 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC HEALTHCHOICE | ALL PRODUCTS | $1.14 | $304.00 | — | 2026-01-01 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.20 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $1.20 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC LCD | ALL PRODUCTS | $1.20 | $304.00 | — | 2026-01-01 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $1.20 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $1.20 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $1.20 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $1.20 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH UFC | $1.26 | $304.00 | — | 2026-01-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | NAPHCARE | Managed Medicaid | $1.62 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | UAHP | FAMILY CARE | $1.62 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | UHC | COMMUNITY CARE | $1.62 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | CENPATICO | Managed Medicaid | $1.62 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | UHC | COMMUNITY CARE PEDS | $1.62 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | NAPHCARE | Managed Medicaid Peds | $1.62 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | UAHP | FAMILY CARE PEDS | $1.62 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | MERCY CARE | COMPLETE CARE PEDS | $1.77 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | MERCY CARE | COMPLETE CARE | $1.77 | — | — | 2024-10-01 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | MERCY CARE | AHCCCS MANAGED MEDICAID - ADULT | $2.13 | $650.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | MERCY CARE | AHCCCS MANAGED MEDICAID - PEDIATRIC | $2.13 | $650.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | HEALTH NET OF ARIZONA | AHCCCS MANAGED MEDICAID - ADULT | $2.13 | $650.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | BANNER UNIVERSITY | AHCCCS MANAGED MEDICAID - PEDIATRIC | $2.13 | $650.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | BANNER UNIVERSITY | AHCCCS MANAGED MEDICAID - ADULT | $2.13 | $650.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | HEALTH NET OF ARIZONA | AHCCCS MANAGED MEDICAID - PEDIATRIC | $2.13 | $650.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | AHCCCS MANAGED MEDICAID - ADULT | $2.13 | $650.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | AHCCCS MANAGED MEDICAID - PEDIATRIC | $2.13 | $650.00 | — | 2025-06-28 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | W/O DAP | $2.14 | $304.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CMDP | ALL PRODUCTS | $2.18 | $304.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | PARTIAL | $2.18 | $304.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | BEHAVIORAL HEALTH | $2.18 | $304.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CARE FIRST | ALL PRODUCTS | $2.18 | $304.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC APIPA | ALL PRODUCTS | $2.18 | $304.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC MERCY CARE | ALL PRODUCTS | $2.18 | $304.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC IHS | ALL PRODUCTS | $2.18 | $304.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | FULLY | $2.18 | $304.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | ONLY | $2.18 | $304.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH DAP | $2.18 | $304.00 | — | 2026-01-01 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | MOLINA | AHCCCS MANAGED MEDICAID - PEDIATRIC | $2.34 | $650.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | MOLINA | AHCCCS MANAGED MEDICAID - ADULT | $2.34 | $650.00 | — | 2025-06-28 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC UNIVERSITY | FAMILY CARE BANNER | $2.40 | $304.00 | — | 2026-01-01 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | BLUE CROSS-ALL PLANS | BLUE CROSS-ALL PLANS | $2.72 | $20.00 | $4.80 | 2026-06-19 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.15 | $231.00 | $43.89 | 2026-08-02 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $3.20 | — | — | 2026-07-15 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $4.00 | $20.00 | $4.80 | 2026-06-19 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | PACIFICARE BMG/RYMG GROUPS ONLY | PACIFICARE BMG/RYMG GROUPS ONLY | $4.68 | $20.00 | $4.80 | 2026-06-19 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.81 | $370.29 | $222.17 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.81 | $370.29 | $222.17 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.92 | $370.29 | $222.17 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.92 | $370.29 | $222.17 | 2025-08-11 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | AETNA MEDICAID | AETNA MEDICAID | $5.18 | $112.00 | $84.00 | 2026-07-22 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | CENTENE MCAID | CENTENE MCAID | $5.18 | $112.00 | $84.00 | 2026-07-22 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $5.18 | $112.00 | $84.00 | 2026-07-22 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $5.18 | $112.00 | $84.00 | 2026-07-22 | MRF ↗ |
| KIOWA COUNTY MEMORIAL HOSPITAL Outpatient | UHC MEDICAID CHIP-ALL OTHER PLANS | UHC MEDICAID CHIP-ALL OTHER PLANS | $5.18 | $216.00 | $183.60 | 2026-03-04 | MRF ↗ |
| KIOWA COUNTY MEMORIAL HOSPITAL Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $5.18 | $216.00 | $183.60 | 2026-03-04 | MRF ↗ |
| KIOWA COUNTY MEMORIAL HOSPITAL Outpatient | CELTIC MEDICAID | CELTIC MEDICAID | $5.18 | $216.00 | $183.60 | 2026-03-04 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | AETNA MEDICAID | AETNA MEDICAID | $5.18 | $112.00 | $84.00 | 2026-04-01 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | CENTENE MCAID | CENTENE MCAID | $5.18 | $112.00 | $84.00 | 2026-04-01 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $5.18 | $112.00 | $84.00 | 2026-04-01 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | BCBS MCAID | BCBS MCAID | $5.18 | $112.00 | $84.00 | 2026-04-01 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $5.18 | $112.00 | $84.00 | 2026-04-01 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | BCBS MCAID | BCBS MCAID | $5.18 | $112.00 | $84.00 | 2026-07-22 | MRF ↗ |
| SCK HEALTH Outpatient | UHC MCAID OP ONLY | UHC MCAID OP ONLY | $5.39 | $100.00 | $100.00 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | SUNFLOWER MCAID OP ONLY - ALL PLANS | SUNFLOWER MCAID OP ONLY - ALL PLANS | $5.39 | $100.00 | $100.00 | 2026-05-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $5.99 | — | — | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $5.99 | — | — | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $5.99 | — | — | 2026-10-01 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | PACIFICARE (RMG) - ALL OTHER PLANS | PACIFICARE (RMG) - ALL OTHER PLANS | $6.00 | $20.00 | $4.80 | 2026-06-19 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | VA CCN-ALL PLANS | VA CCN-ALL PLANS | $7.20 | $20.00 | $16.00 | 2026-01-05 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $7.70 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.70 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $7.70 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.70 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.70 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $7.70 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.70 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.70 | — | — | 2026-04-01 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Mhs Health | Medicare Advantage | $8.00 | $20.00 | $15.00 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | United | Medicare Advantage | $8.20 | $20.00 | $15.00 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Medicare | Medicare | $8.40 | $20.00 | $15.00 | 2026-07-15 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | OK COMPLETE HLTH COMM-ALL OTHER PLANS | OK COMPLETE HLTH COMM-ALL OTHER PLANS | $9.36 | $20.00 | $16.00 | 2026-01-05 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Va | Ccn | $9.40 | $20.00 | $15.00 | 2026-07-15 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | MEDICA COMMERCIAL-ALL PLANS | MEDICA COMMERCIAL-ALL PLANS | $9.72 | $20.00 | $16.00 | 2026-01-05 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | MHN-ALL PLANS | MHN-ALL PLANS | $10.00 | $20.00 | $4.80 | 2026-06-19 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | HERITAGE/REGAL MED GRP-ALL OTHER PLANS | HERITAGE/REGAL MED GRP-ALL OTHER PLANS | $10.00 | $20.00 | $4.80 | 2026-06-19 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | HERITAGE/REGAL MED GRP SR | HERITAGE/REGAL MED GRP SR | $10.00 | $20.00 | $4.80 | 2026-06-19 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | HEALTH NET-ALL OTHER PLANS | HEALTH NET-ALL OTHER PLANS | $10.68 | $20.00 | $4.80 | 2026-06-19 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Humana | Humana Hix | $11.27 | $39.10 | $15.64 | 2026-07-15 | MRF ↗ |
| SIERRA VISTA HOSPITAL Outpatient | MEDADV_BCBS | BCBS MEDICARE ADVANTAGE | $11.40 | $30.00 | $22.50 | 2026-03-29 | MRF ↗ |
| SIERRA VISTA HOSPITAL Outpatient | MEDADV_UHC | UNITED HEALTHCARE MEDICARE ADVANTAGE | $11.40 | $30.00 | $22.50 | 2026-03-29 | MRF ↗ |
| SIERRA VISTA HOSPITAL Outpatient | WELLMED | WELLMED | $11.40 | $30.00 | $22.50 | 2026-03-29 | MRF ↗ |
| SIERRA VISTA HOSPITAL Outpatient | PRESBY_MEDICARE | PRESBYTERIAN MEDICARE ADVANTAGE | $11.40 | $30.00 | $22.50 | 2026-03-29 | MRF ↗ |
| SIERRA VISTA HOSPITAL Outpatient | MEDADV_HUMANA | HUMANA MEDICARE ADVANTAGE | $11.40 | $30.00 | $22.50 | 2026-03-29 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Anthem Hix | $11.46 | $39.10 | $15.64 | 2026-07-15 | MRF ↗ |
| SIERRA VISTA HOSPITAL Outpatient | WESTERNSKY_MEDICARE | WESTERN SKY MEDICARE | $11.97 | $30.00 | $22.50 | 2026-03-29 | MRF ↗ |
| SIERRA VISTA HOSPITAL Outpatient | MEDADV_MOLINA | MOLINA MEDICARE ADVANTAGE | $11.97 | $30.00 | $22.50 | 2026-03-29 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | PINNACLE OP ONLY-ALL PLANS | PINNACLE OP ONLY-ALL PLANS | $12.60 | $20.00 | $4.80 | 2026-06-19 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | RYMG OP ONLY-ALL PLANS | RYMG OP ONLY-ALL PLANS | $12.60 | $20.00 | $4.80 | 2026-06-19 | MRF ↗ |
| SIERRA VISTA HOSPITAL Outpatient | TRICARE | TRICARE | $12.68 | $30.00 | $22.50 | 2026-03-29 | MRF ↗ |
| REDLANDS COMMUNITY HOSPITAL Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $13.00 | $20.00 | $4.80 | 2026-06-19 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Health Traditions | Commercial | $13.50 | $20.00 | $15.00 | 2026-07-15 | 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.