99385 — Pr E&m Preventive Medicine Initial Comprehensive New Patient 18-39 Years
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years (CPT 99385) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99385?code_type=CPT
MLA (9th ed.)
“PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years (CPT 99385) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99385?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years (CPT 99385) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99385?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $93–$312 (25th–75th percentile) across 1,461 hospitals · 4,764 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99385 — 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 | Health Benefit Exchange | — | $123.00 | — | 2025-05-02 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Aetna | Medicare Advantage | — | $250.00 | $250.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Humana | Medicare Advantage | — | $250.00 | $250.00 | 2025-07-29 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $123.00 | — | 2025-05-02 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $390.00 | $39.00 | 2026-06-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | None | — | — | $390.00 | $39.00 | 2026-04-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | — | $591.00 | $384.15 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $123.00 | — | 2025-05-02 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $390.00 | $39.00 | 2026-04-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | — | $591.00 | $384.15 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $123.00 | — | 2025-05-02 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Molina Healthcare of Mississippi | Default | — | $250.00 | $250.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Medicare A MS JH | Default | — | $250.00 | $250.00 | 2025-07-29 | 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 | Cigna PPO | Default | — | $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 | Primewell Vantage Health Plan | Default | — | $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 | Humana Healthy Horizons MCD Rep | Medicaid Replacement | $0.13 | $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 ↗ |
| IBERIA MEDICAL CENTER Outpatient | Louisiana Healthcare Connections MCD Rep | 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 | APWU Health Plan | 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 | Medicare A LA JH | Default | — | $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 | Wellcare Health Plan Inc MCR Adv | 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 | UHC Community Plan LA MCD Rep | Default | $0.13 | $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 | Aetna | Medicaid Replacement | $0.13 | $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 | Medicare B LA JH | Default | — | $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 | Gilsbar Inc | Default | $0.13 | $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 | WebTPA | Default | $0.13 | $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 | VAPCCC3 All Regions 1-6 DOS GT 1/30/19 | Federal | — | $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 | PPO Plus LLC | Default | $0.13 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.54 | $147.00 | $139.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.54 | $147.00 | $139.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.59 | $147.00 | $139.65 | 2026-02-20 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Aetna | Default | $0.63 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Meritain | Default | $0.63 | $1.00 | $0.60 | 2025-07-16 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.71 | $147.00 | $139.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.71 | $147.00 | $139.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.72 | $147.00 | $139.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.72 | $147.00 | $139.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.72 | $147.00 | $139.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.72 | $147.00 | $139.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.73 | $147.00 | $139.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.75 | $147.00 | $139.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.79 | $147.00 | $139.65 | 2026-02-20 | MRF ↗ |
| IBERIA MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $0.98 | $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 | Blue Cross Blue Shield of LA | 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 ↗ |
| IBERIA MEDICAL CENTER Outpatient | Golden Rule Insurance Company | Default | $1.00 | $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 ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | HomeState | Managed Medicaid | $1.07 | $125.00 | $87.50 | 2025-09-16 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.31 | $222.78 | $133.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.31 | $222.78 | $133.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.31 | $222.78 | $133.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.31 | $222.78 | $133.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.62 | $222.78 | $133.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.62 | $222.78 | $133.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.62 | $222.78 | $133.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.62 | $222.78 | $133.67 | 2025-08-11 | MRF ↗ |
| MCLAREN THUMB REGION Both | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - United | Medicare - United | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Priority Health | Medicare - Priority Health | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Employee Benefit Logistics | Medicare - Employee Benefit Logistics | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Fidelis | Medicare - Fidelis | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | MI Amish Medical Board | MI Amish Medical Board | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Molina | Medicare - Molina | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Humana | Medicare - Humana | $3.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $3.67 | $183.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $3.67 | $183.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $3.67 | $183.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $3.67 | $183.50 | — | 2026-03-31 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.67 | $353.30 | $353.30 | 2026-04-24 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $3.67 | $183.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $3.67 | $183.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $3.67 | $183.50 | — | 2026-03-31 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.85 | $222.78 | $133.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.85 | $222.78 | $133.67 | 2025-08-11 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | FirstCare | Commercial | $5.00 | $25.00 | $18.00 | 2025-06-13 | MRF ↗ |
| MCLAREN THUMB REGION Both | WC - Workers Compensation | WC - Workers Compensation | $5.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | McLaren Commercial Ins | McLaren Commercial Ins | $5.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $266.50 | $266.50 | 2026-04-08 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $432.00 | — | 2026-02-25 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | HMO | $5.00 | $25.00 | $18.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Medicare Advantage | Medicare Advantage | $5.00 | $25.00 | $18.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | PPO | $5.00 | $25.00 | $18.00 | 2025-06-13 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $5.00 | $228.00 | $182.40 | 2026-01-05 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | FirstCare | Medicare Advantage | $5.00 | $25.00 | $18.00 | 2025-06-13 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $292.00 | $204.40 | 2026-01-22 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | VA PCCC | $5.00 | $25.00 | $18.00 | 2025-06-13 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | CIGNA COMM - ALL OTHER PLANS | CIGNA COMM - ALL OTHER PLANS | $5.00 | $193.12 | $96.56 | 2026-05-05 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $5.62 | $75.00 | $75.00 | 2026-02-13 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $5.82 | $222.78 | $133.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $5.82 | $222.78 | $133.67 | 2025-08-11 | MRF ↗ |
| MCLAREN THUMB REGION Both | Tricare | Tricare | $6.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $6.29 | $314.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $6.29 | $314.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $6.29 | $314.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $6.29 | $314.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $6.29 | $314.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $6.29 | $314.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $6.29 | $314.50 | — | 2026-03-31 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Cigna Healthcare | Managed Medicare | $6.49 | $43.28 | $17.32 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Kaiser | Managed Medicare | $6.49 | $43.28 | $17.32 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Innovage | Managed Medicare | $6.49 | $43.28 | $17.32 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Aetna | Managed Medicare | $6.49 | $43.28 | $17.32 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Medicare | Managed Medicare | $6.49 | $43.28 | $17.32 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Humana | Managed Medicare | $6.49 | $43.28 | $17.32 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Managed Medicare | Managed Medicare | $6.49 | $43.28 | $17.32 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Devoted Health | Managed Medicare | $6.49 | $43.28 | $17.32 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicare | $6.49 | $43.28 | $17.32 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Optum Care Network | Managed Medicare | $6.49 | $43.28 | $17.32 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Cigna Healthcare | Managed Medicare | $6.58 | $43.87 | $17.55 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Optum Care Network | Managed Medicare | $6.58 | $43.87 | $17.55 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Devoted Health | Managed Medicare | $6.58 | $43.87 | $17.55 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Managed Medicare | Managed Medicare | $6.58 | $43.87 | $17.55 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Medicare | Managed Medicare | $6.58 | $43.87 | $17.55 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Kaiser | Managed Medicare | $6.58 | $43.87 | $17.55 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Humana | Managed Medicare | $6.58 | $43.87 | $17.55 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Aetna | Managed Medicare | $6.58 | $43.87 | $17.55 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicare | $6.58 | $43.87 | $17.55 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Innovage | Managed Medicare | $6.58 | $43.87 | $17.55 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Cigna Healthcare | Managed Medicare | $6.80 | $45.30 | $18.12 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Devoted Health | Managed Medicare | $6.80 | $45.30 | $18.12 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Innovage | Managed Medicare | $6.80 | $45.30 | $18.12 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Aetna | Managed Medicare | $6.80 | $45.30 | $18.12 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Managed Medicare | Managed Medicare | $6.80 | $45.30 | $18.12 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Kaiser | Managed Medicare | $6.80 | $45.30 | $18.12 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Optum Care Network | Managed Medicare | $6.80 | $45.30 | $18.12 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Medicare | Managed Medicare | $6.80 | $45.30 | $18.12 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicare | $6.80 | $45.30 | $18.12 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Humana | Managed Medicare | $6.80 | $45.30 | $18.12 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicare | $6.92 | $43.28 | $17.32 | 2026-02-04 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $6.97 | $348.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $6.97 | $348.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $6.97 | $348.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $6.97 | $348.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $6.97 | $348.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $6.97 | $348.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $6.97 | $348.50 | — | 2026-03-31 | MRF ↗ |
| MCLAREN THUMB REGION Both | Cofinity Auto | Cofinity Auto | $7.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicare | $7.02 | $43.87 | $17.55 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicare | $7.25 | $45.30 | $18.12 | 2026-02-04 | MRF ↗ |
| MCLAREN THUMB REGION Both | First Health Network | First Health Network | $8.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Aetna | Aetna | $8.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | United Healthcare | United Healthcare | $8.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Blue Cross Blue Shield | Blue Cross Blue Shield | $8.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Priority Health | Priority Health | $8.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - United | Medicare - United | $9.00 | $25.00 | $12.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Priority Health | Medicare - Priority Health | $9.00 | $25.00 | $12.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $9.00 | $25.00 | $12.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | MI Amish Medical Board | MI Amish Medical Board | $9.00 | $25.00 | $12.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Employee Benefit Logistics | Medicare - Employee Benefit Logistics | $9.00 | $25.00 | $12.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Fidelis | Medicare - Fidelis | $9.00 | $25.00 | $12.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | HAP | HAP | $9.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Molina | Medicare - Molina | $9.00 | $25.00 | $12.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Humana | Medicare - Humana | $9.00 | $25.00 | $12.00 | 2025-02-03 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | TUFTS HEALTH PLAN [30001] | CHA HB TUFTS SPIRIT | — | $221.00 | $221.00 | 2026-03-20 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Advantage | $10.00 | $25.00 | $18.00 | 2025-06-13 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | UHC | MEDICAID | $10.06 | $63.00 | — | 2025-11-10 | MRF ↗ |
| COALINGA REGIONAL MEDICAL CENTER Outpatient | HEALTHNET MCR ADV | HEALTHNET MCR ADV | $10.08 | $42.00 | $25.20 | 2026-03-02 | MRF ↗ |
| COALINGA REGIONAL MEDICAL CENTER Outpatient | ANTHEM BC MCR | ANTHEM BC MCR | $10.08 | $42.00 | $25.20 | 2026-03-02 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MHCP | BCBS MHCP | $10.27 | $28.00 | $24.64 | 2026-02-03 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | MCD | — | $212.89 | $212.89 | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIDELIS | MEDICAID | $10.36 | $63.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | WELLPOINT | MEDICAID | $10.57 | $63.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH MCD/CHIP | $10.57 | $63.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON NJ HEALTH | HORIZON NJ HEALTH | $10.62 | $63.00 | — | 2025-11-10 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Aetna | Coventry | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Aetna | Medicare Advantage | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Medicare Advantage | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Aetna | Medicare Advantage | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Coventry | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Aetna | Coventry | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $11.41 | $187.00 | — | 2026-04-13 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE PRIME | $11.44 | $63.00 | — | 2025-11-10 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Managed Medicaid | — | $57.00 | $36.20 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Medicare Advantage | — | $57.00 | $36.20 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Sanford Health | Medicare Advantage | — | $57.00 | $36.20 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Blue Cross Blue Shield of Minnesota | Managed Medicaid | $12.31 | $57.00 | $36.20 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Commercial | — | $57.00 | $36.20 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Blue Cross Blue Shield of Minnesota | Medicare Advantage | — | $57.00 | $36.20 | 2026-03-17 | 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.