99381 — Init Pm E/m New Pat Infant
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INIT PM E/M NEW PAT INFANT (CPT 99381) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99381?code_type=CPT
MLA (9th ed.)
“INIT PM E/M NEW PAT INFANT (CPT 99381) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99381?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“INIT PM E/M NEW PAT INFANT (CPT 99381) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99381?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $82–$267 (25th–75th percentile) across 1,370 hospitals · 4,301 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99381 — 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 |
|---|---|---|---|---|---|---|---|
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $100.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $100.00 | — | 2025-05-02 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $203.00 | $20.30 | 2026-06-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | — | $591.00 | $384.15 | 2025-01-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | None | — | — | $203.00 | $20.30 | 2026-04-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | — | $591.00 | $384.15 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $100.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $100.00 | — | 2025-05-02 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $203.00 | $20.30 | 2026-04-01 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Louisiana Healthcare Connections MCD Rep | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Primewell Vantage Health Plan | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Multiplan Inc. for American Family | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Vantage Health/Primewell MCR Adv AR MS only | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | PHCS GEHA Govt Employee Health Assc | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Blue Advantage of LA | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Aetna | Medicaid Replacement | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Peoples Health Network DOS lt 01012024 | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | CIGNA Healthspring MCR Adv | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Medicare A LA JH | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | PPO Plus LLC | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | UHC Community Plan LA MCD Rep | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Medicare B LA JH | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | First Health | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Cigna PPO | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Healthy Blue Community Care of LA MCD | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Gilsbar Inc | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Tricare East Region DOS lt 01012025 | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Humana Healthy Horizons MCD Rep | Medicaid Replacement | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Wellcare Health Plan Inc MCR Adv | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of LA | Medicare Advantage | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | APWU Health Plan | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | WebTPA | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Great West Healthcare | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | VAPCCC3 All Regions 1-6 DOS GT 1/30/19 | Federal | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Cigna | Default | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Humana | Medicare Advantage | — | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Verity National Group | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.34 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.34 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.36 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.37 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.44 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.44 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.45 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.45 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.45 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.45 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.46 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.47 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.48 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.50 | $92.00 | $87.40 | 2026-02-20 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Meritain | Default | $0.63 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Aetna | Default | $0.63 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $0.98 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | UHC Definity Services | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of LA | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | GEHA Multiplan Network | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Golden Rule Insurance Company | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | UMR United Medical Resources | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | United Healthcare | Default | $1.00 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | HomeState | Managed Medicaid | $1.07 | $100.00 | $70.00 | 2025-09-16 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.75 | $166.95 | $100.17 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.75 | $166.95 | $100.17 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.75 | $166.95 | $100.17 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.75 | $166.95 | $100.17 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.31 | $220.50 | $132.30 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.31 | $220.50 | $132.30 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.31 | $220.50 | $132.30 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.31 | $220.50 | $132.30 | 2025-08-11 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.17 | $304.80 | $304.80 | 2026-04-24 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.85 | $367.50 | $220.50 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.85 | $367.50 | $220.50 | 2025-08-11 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | KAREN ANN QUINLAN [5285] | HMC KAREN ANN QUINLAN | $4.02 | $393.00 | $69.67 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | KAREN ANN QUINLAN [5285] | HMC KAREN ANN QUINLAN | $4.02 | $393.00 | $69.67 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | NMC KAREN ANN QUINLAN | $4.02 | $393.00 | $44.24 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | OMC KAREN ANN QUINLAN | $4.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | MMC KAREN ANN QUINLAN | $4.02 | $393.00 | $71.62 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | OMC KAREN ANN QUINLAN | $4.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | CMC KAREN ANN QUINLAN | $4.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | KAREN ANN QUINLAN [5285] | HMC KAREN ANN QUINLAN | $4.02 | $393.00 | $69.67 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | NMC KAREN ANN QUINLAN | $4.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | OMC KAREN ANN QUINLAN | $4.02 | $393.00 | $69.99 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | CMC KAREN ANN QUINLAN | $4.02 | $393.00 | $60.86 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | MMC KAREN ANN QUINLAN | $4.02 | $393.00 | $71.62 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | NMC KAREN ANN QUINLAN | $4.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $4.38 | $65.00 | $65.00 | 2026-02-13 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | COMPASSIONATE CARE [5442] | CSMC COMPASSIONATE CARE | $4.52 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | COMPASSIONATE CARE [5442] | CSMC COMPASSIONATE CARE | $4.52 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $4.87 | — | $119.00 | 2026-03-31 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS [5340] | CMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $60.86 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CIGNA LOCAL PLUS [5340] | HMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $69.67 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS [5340] | CSMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS [5340] | OMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS [5340] | CSMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS [5340] | NMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS [5340] | OMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS [5340] | CMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS [5340] | NMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $44.24 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS [5340] | OMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $69.99 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS [5340] | MMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $71.62 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS [5340] | MMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $71.62 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CIGNA LOCAL PLUS [5340] | HMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $69.67 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS [5340] | NMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CIGNA LOCAL PLUS [5340] | HMC CIGNA LOCAL PLUS | $4.90 | $393.00 | $69.67 | 2026-01-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $4.91 | — | $119.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $4.92 | — | $257.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $4.92 | — | $119.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $4.92 | — | $257.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $4.92 | — | $119.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $4.92 | — | $119.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $4.93 | — | $119.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $4.97 | — | $119.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $4.97 | — | $257.00 | 2026-03-31 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $176.00 | $123.20 | 2026-01-22 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $5.00 | $177.00 | $141.60 | 2026-01-05 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $161.50 | $161.50 | 2026-04-08 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | CIGNA COMM - ALL OTHER PLANS | CIGNA COMM - ALL OTHER PLANS | $5.00 | $171.67 | $85.84 | 2026-05-05 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CIGNA MEDICARE IP SPLITS [5478] | OMC CIGNA MEDICARE | $5.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE IP SPLITS [5461] | NMC HORIZON BRAVEN | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE BEHAVIORAL [5409] | OMC UNITED MEDICARE | $5.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | NMC HORIZON BRAVEN | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | NMC HORIZON BRAVEN | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CIGNA MEDICARE [5440] | NMC CIGNA MEDICARE | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA AHS EMPLOYEE [5306] | NMC AETNA AHS EMPLOYEE | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | NMC HORIZON BRAVEN | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | NMC HORIZON BRAVEN | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | VA COMMUNITY CARE NETWORK [5403] | CSMC VETERAN AFFAIR COMMUNITY CARE NETWORK | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CIGNA MEDICARE IP SPLITS [5478] | NMC CIGNA MEDICARE | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE [5035] | NMC UNITED MEDICARE | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE [5312] | OMC HORIZON BRAVEN | $5.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | OMC HORIZON BRAVEN | $5.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | NMC HORIZON BRAVEN | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | $5.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | AETNA CENTRASTATE EMPLOYEE [5425] | CSMC AETNA AHS EMPLOYEE | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | NMC HORIZON BRAVEN | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | AETNA AHS EMPLOYEE [5306] | OMC AETNA AHS EMPLOYEE | $5.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE BEHAVIORAL [5409] | NMC UNITED MEDICARE | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) IP SPLITS [5465] | CSMC CIGNA MEDICARE | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA AHS EMPLOYEE [5306] | NMC AETNA AHS EMPLOYEE | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | OMC HORIZON BRAVEN | $5.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | VA COMMUNITY CARE NETWORK [5403] | OMC VETERAN AFFAIRS COMMUNITY CARE NETWORK | $5.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | CIGNA MEDICARE IP SPLITS [5478] | CSMC CIGNA MEDICARE | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | VA COMMUNITY CARE NETWORK [5403] | NMC VETERAN AFFAIR COMMUNITY CARE NETWORK | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | CIGNA MEDICARE [5440] | CSMC CIGNA MEDICARE | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) [5419] | CSMC CIGNA MEDICARE | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE BEHAVIORAL [5409] | CSMC UNITED MEDICARE | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | NMC HORIZON BRAVEN | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | AARP MEDICARE COMP [5039] | CSMC UNITED MEDICARE | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS [5052] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CIGNA MEDICARE [5440] | OMC CIGNA MEDICARE | $5.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | NMC HORIZON BRAVEN | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AARP MEDICARE COMP [5039] | NMC UNITED MEDICARE | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HIGHMARK COMMUNITY BLUE MEDICARE [5534] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE IP SPLITS [5471] | CSMC UNITED MEDICARE | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AARP MEDICARE COMP [5039] | NMC UNITED MEDICARE | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | NMC HORIZON BRAVEN | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS [5052] | NMC HORIZON BRAVEN | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | CIGNA MEDICARE IP SPLITS [5478] | CSMC CIGNA MEDICARE | $5.02 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $5.02 | — | $257.00 | 2026-03-31 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA AHS EMPLOYEE [5306] | CMC AETNA AHS EMPLOYEE | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE BEHAVIORAL [5409] | CSMC UNITED MEDICARE | $5.02 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH IP SPLITS [5477] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) IP SPLITS [5465] | NMC CIGNA MEDICARE | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE [5035] | CSMC UNITED MEDICARE | $5.02 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS [5052] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE BEHAVIORAL [5409] | CMC UNITED MEDICARE | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE IP SPLITS [5471] | CSMC UNITED MEDICARE | $5.02 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE IP SPLITS [5471] | NMC UNITED MEDICARE | $5.02 | $393.00 | $44.24 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | CMC HORIZON BRAVEN | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | CMC HORIZON BRAVEN | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) [5419] | OMC CIGNA MEDICARE | $5.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE [5312] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | GEHA | UNITED HEALTHCARE | $5.02 | — | $119.00 | 2026-03-31 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) IP SPLITS [5465] | CMC CIGNA MEDICARE | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH IP SPLITS [5477] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $5.02 | — | $119.00 | 2026-03-31 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | US MARSHALL SERVICE [5429] | CSMC US MARSHALL | $5.02 | $393.00 | $5.77 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HIGHMARK COMMUNITY BLUE MEDICARE [5534] | CMC HORIZON BRAVEN | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE IP SPLITS [5461] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CIGNA MEDICARE IP SPLITS [5478] | CMC CIGNA MEDICARE | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | AARP MEDICARE COMP [5039] | CSMC UNITED MEDICARE | $5.02 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE IP SPLITS [5471] | CMC UNITED MEDICARE | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) [5419] | CMC CIGNA MEDICARE | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | CMC HORIZON BRAVEN | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE IP SPLITS [5471] | OMC UNITED MEDICARE | $5.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HIGHMARK COMMUNITY BLUE MEDICARE [5534] | CSMC HORIZON BRAVEN | $5.02 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | CMC HORIZON BRAVEN | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | OMC HORIZON BRAVEN | $5.02 | $393.00 | $69.99 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) IP SPLITS [5465] | CSMC CIGNA MEDICARE | $5.02 | $393.00 | $5.77 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS [5052] | CMC HORIZON BRAVEN | $5.02 | $393.00 | $60.86 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | VA COMMUNITY CARE NETWORK [5403] | CMC VETERAN AFFAIRS COMMUNITY CARE NETWORK | $5.02 | $393.00 | $60.86 | 2026-04-01 | 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.