99360 — Physician Standby Services
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PHYSICIAN STANDBY SERVICES (HCPCS 99360) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99360?code_type=HCPCS
MLA (9th ed.)
“PHYSICIAN STANDBY SERVICES (HCPCS 99360) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99360?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PHYSICIAN STANDBY SERVICES (HCPCS 99360) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99360?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $58–$190 (25th–75th percentile) across 887 hospitals · 1,475 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99360 — 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 |
|---|---|---|---|---|---|---|---|
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Humana | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Louisiana Healthcare Connections, Inc. | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | CHIP | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Amerigroup | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | AmeriHealth Mercy LA LaCare | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | 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 EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | AETNA | AETNA COMMERCIAL | — | — | — | 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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $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 ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.75 | $222.00 | $42.18 | 2026-08-02 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $1.76 | — | — | 2026-07-15 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $2.60 | $272.00 | $272.00 | 2026-07-16 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $6.22 | $193.68 | $98.78 | 2025-01-10 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Empire Bcbs | Empire Bc | $7.00 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Empire Bc | Empire Bc | $8.00 | $16.00 | $8.00 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Self-Pay | Self-Pay | $8.00 | $16.00 | $8.00 | 2026-07-20 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Blue Home | $9.40 | $54.00 | $32.40 | 2026-07-15 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | AHCCCS MANAGED MEDICAID - ADULT | $9.72 | $68.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | BANNER UNIVERSITY | AHCCCS MANAGED MEDICAID - ADULT | $9.72 | $68.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | BANNER UNIVERSITY | AHCCCS MANAGED MEDICAID - PEDIATRIC | $9.72 | $68.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | HEALTH NET OF ARIZONA | AHCCCS MANAGED MEDICAID - PEDIATRIC | $9.72 | $68.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | MERCY CARE | AHCCCS MANAGED MEDICAID - ADULT | $9.72 | $68.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | MERCY CARE | AHCCCS MANAGED MEDICAID - PEDIATRIC | $9.72 | $68.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | AHCCCS MANAGED MEDICAID - PEDIATRIC | $9.72 | $68.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | HEALTH CHOICE | AHCCCS MANAGED MEDICAID - ADULT | $9.72 | $68.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | HEALTH CHOICE | AHCCCS MANAGED MEDICAID - PEDIATRIC | $9.72 | $68.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | HEALTH NET OF ARIZONA | AHCCCS MANAGED MEDICAID - ADULT | $9.72 | $68.00 | — | 2025-06-28 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Blue Shield Of Neny | Blue Shield Senior | $10.50 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | MOLINA | AHCCCS MANAGED MEDICAID - PEDIATRIC | $10.69 | $68.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | MOLINA | AHCCCS MANAGED MEDICAID - ADULT | $10.69 | $68.00 | — | 2025-06-28 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Pomco | Pomco | $10.92 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Aetna | Medicare Advantage | $10.96 | $54.00 | $32.40 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | United Healthcare | United Healthcare | $11.20 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Blue Shield Of Neny | Blue Shield Neny | $11.20 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Medicaid SSI | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Humana | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Medicare | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Medicare | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | VA Plan | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Medicaid SSI | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan | Badgercare Plus | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Humana | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS | Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc | Senior Preferred | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Medicare Dual Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Medicaid | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | United Health Care | VA Plan | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | My Choice Wisconsin, Inc. | Medicare Dual Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc | Medicaid/BadgerCare | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan | Badgercare Plus | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc | Senior Preferred | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc | Medicaid/BadgerCare | — | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS | Medicare Advantage | $11.22 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $11.50 | $115.00 | $115.00 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Aetna | Aetna | $11.62 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Coventry | Coventry | $11.62 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Rmsco | Rmsco | $11.90 | $14.00 | $7.00 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Healthy Blue North Carolina | Managed Medicaid | $12.01 | $54.00 | $32.40 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $12.01 | $54.00 | $32.40 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Wellcare | Managed Medicaid | $12.01 | $54.00 | $32.40 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $12.01 | $54.00 | $32.40 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Alliance | Managed Medicaid | $12.01 | $54.00 | $32.40 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | $12.01 | $54.00 | $32.40 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Trillium | Managed Medicaid | $12.13 | $54.00 | $32.40 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Vaya Health | Managed Medicaid | $12.37 | $54.00 | $32.40 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Partners | Managed Medicaid | $12.37 | $54.00 | $32.40 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Pomco | Pomco | $12.48 | $16.00 | $8.00 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | United Healthcare | United Healthcare | $12.80 | $16.00 | $8.00 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Aetna | Aetna | $13.28 | $16.00 | $8.00 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Coventry | Coventry | $13.28 | $16.00 | $8.00 | 2026-07-20 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Corvel | Workers' Compensation | $13.42 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Corvel | Automobile liability / Accident & Health | $13.42 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Corvel | Workers' Compensation | $13.42 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Corvel | Automobile liability / Accident & Health | $13.42 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $13.50 | $135.00 | $135.00 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Aetna | Aetna | $13.60 | $16.00 | $8.00 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Rmsco | Rmsco | $13.60 | $16.00 | $8.00 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Rmsco | Rmsco | $14.40 | $16.00 | $8.00 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Non-Contracted | Non-Contracted | $14.40 | $16.00 | $8.00 | 2026-07-20 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Molina | Medicare Hmo | $14.58 | $81.00 | $48.60 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Molina | Medicare Hmo | $14.58 | $81.00 | $48.60 | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Simply Healthcare | Medicare Hmo | $14.58 | $81.00 | $48.60 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Simply Healthcare | Medicare Hmo | $14.58 | $81.00 | $48.60 | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Tricare | Tricare | $16.00 | $16.00 | $8.00 | 2026-07-20 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Optimum | Medicare Hmo | $16.20 | $81.00 | $48.60 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Freedom | Medicare Hmo | $16.20 | $81.00 | $48.60 | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Optimum | Medicare Hmo | $16.20 | $81.00 | $48.60 | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Freedom | Medicare Hmo | $16.20 | $81.00 | $48.60 | 2026-07-15 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $17.00 | $68.00 | — | 2025-06-28 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $18.00 | $147.00 | $73.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $147.00 | $73.00 | 2025-02-03 | MRF ↗ |
| ISLAND HOSPITAL BothFacility | Kaiser | Commercial | $18.24 | $228.00 | $228.00 | 2026-05-04 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Security Health Plan | EPO | $18.43 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Security Health Plan | EPO | $18.43 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Careplus | Medicare Hmo | $18.51 | $81.00 | $48.60 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Careplus | Medicare Hmo | $18.51 | $81.00 | $48.60 | 2026-07-15 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Tricare | POS | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | United Healthcare | POS | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Aetna | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Pacific Source | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Kaiser Foundation Health Plan of Washington Options, Inc | All Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Kaiser Foundation Health Plan of Washington | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Kaiser Foundation Health Plan of Washington | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $18.66 | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Regence Blueshield of Idaho | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Washington L & I | Workers Comp | — | — | — | 2026-08-19 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv Aetna | All Plans | $18.69 | $193.68 | $98.78 | 2025-01-10 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | The Alliance | Worker's Compensation | $18.70 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | The Alliance | Worker's Compensation | $18.70 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $19.00 | $147.00 | $73.00 | 2025-02-03 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Anthem BCBS | Commercial | $19.36 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Anthem BCBS | Commercial | $19.36 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | TRPN | All Plans | $19.37 | $193.68 | $98.78 | 2025-01-10 | MRF ↗ |
| SCK HEALTH Outpatient | AMBETTER COMM OP ONLY - ALL OTHER PLANS | AMBETTER COMM OP ONLY - ALL OTHER PLANS | $19.43 | $200.00 | $200.00 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | AMBETTER MCR OP ONLY | AMBETTER MCR OP ONLY | $19.43 | $200.00 | $200.00 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | AETNA MCR ADV OP ONLY | AETNA MCR ADV OP ONLY | $19.43 | $200.00 | $200.00 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | UHC MCR ADV OP ONLY | UHC MCR ADV OP ONLY | $19.43 | $200.00 | $200.00 | 2026-05-04 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Va | Medicare | $19.50 | $78.00 | $39.00 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs Medicare | Medicare | $19.50 | $78.00 | $39.00 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicare | Medicare | $19.50 | $78.00 | $39.00 | 2026-07-15 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $464.00 | $324.80 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $464.00 | $324.80 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $464.00 | $324.80 | 2026-07-14 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Triology Health Solutions | Health Plan | $19.80 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Inpatient | Aetna | Aetnamedicare | $19.80 | $66.00 | $59.40 | 2026-07-31 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Triology Health Solutions | Health Plan | $19.80 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Inpatient | Aetna | Aetnamedicare | $19.80 | $66.00 | $59.40 | 2026-07-31 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Aetna Medicare | Medicare | $19.89 | $78.00 | $39.00 | 2026-07-15 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Allwell | Medicare | $19.89 | $78.00 | $39.00 | 2026-07-15 | MRF ↗ |
| DEACONESS HOSPITAL INC OutpatientFacility | Anthem IN/KY Pathway/Exchange | HMO | $20.00 | — | — | 2026-02-11 | MRF ↗ |
| SCHNECK MEDICAL CENTER Outpatient | — | — | — | $157.00 | $109.90 | 2024-12-31 | MRF ↗ |
| DEACONESS HOSPITAL INC OutpatientFacility | Anthem Traditional/HMO/PPO Pathway | HMO | $20.00 | — | — | 2026-02-11 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Quartz Health Solutions, Inc | Commercial / Self-Insured | $20.02 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Quartz Health Solutions, Inc | Commercial / Self-Insured | $20.02 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Blue Cross Blue Shield | Minnesota Health Care Programs | $20.09 | $84.00 | $71.40 | 2026-02-12 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Humana | Commercial | $20.46 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Humana | Commercial | $20.46 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | The Alliance | Health Plan | $20.46 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL OutpatientFacility | The Alliance | Health Plan | $20.46 | $22.00 | $19.80 | 2026-01-08 | MRF ↗ |
| BLACK RIVER MEMORIAL HOSPITAL BothFacility | Security Health Plan | Commercial | $20.55 | $22.00 | $19.80 | 2026-01-08 | 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.