99396 — Pr Preventive Visit,est,40-64
Cite this view
HANK Price Transparency. (n.d.). PR PREVENTIVE VISIT,EST,40-64 (OTHER 99396) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99396?code_type=OTHER
“PR PREVENTIVE VISIT,EST,40-64 (OTHER 99396) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99396?code_type=OTHER. Accessed .
“PR PREVENTIVE VISIT,EST,40-64 (OTHER 99396) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99396?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $82–$161 (25th–75th percentile) across 47 hospitals · 157 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99396 — 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 |
|---|---|---|---|---|---|---|---|
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $5.00 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $17.27 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $17.27 | — | — | 2026-05-23 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $21.85 | $320.00 | $208.00 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Regence Blue Cross Valuecare Ppo - Inpatient/Outpatient | — | $23.13 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $23.40 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $23.40 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $23.40 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $23.40 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Student Resources - Uhc - Inpatient | — | $23.47 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Ushealth Group Freedom Life Uhc - Inpatient | — | $23.47 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Surest - Uhc Choice Plus - Inpatient | — | $23.47 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Uhc All Savers - Inpatient | — | $23.47 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Sierra Health And Life - Uhc - Inpatient | — | $23.47 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Healthscope Benefits - Uhc - Inpatient | — | $23.47 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Umr United Healthcare Options Ppo - Inpatient | — | $23.47 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Umr United Healthcare Choice Network - Inpatient | — | $23.47 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Uhc Medica Choice Plus - Inpatient | — | $23.47 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Golden Rule - Uhc One - Inpatient | — | $23.47 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | United Healthcare - Inpatient | — | $23.47 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $24.00 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $24.00 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $24.00 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $24.00 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $24.00 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $25.00 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $25.00 | — | — | 2026-05-23 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $25.20 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Healthspring_Medicaid_100102702 | — | $25.65 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Superior_Behavioral_Health_Medicaid_170004602 | — | $25.65 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_Perinate_100100308 | — | $25.65 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_100100305 | — | $25.65 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Medicaid_100105515 | — | $25.65 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Unicare_Medicaid_100105403 | — | $25.65 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Medicaid_100105515 | — | $25.65 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Cmmty_Hlth_100106701 | — | $25.65 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Unicare_Medicaid_100105403 | — | $25.65 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Healthspring_Medicaid_100102702 | — | $25.65 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Cmmty_Hlth_100106701 | — | $25.65 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Superior_Behavioral_Health_Medicaid_170004602 | — | $25.65 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_Kids_100100310 | — | $25.65 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_100100307 | — | $25.65 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_100100305 | — | $25.65 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_Perinate_100100308 | — | $25.65 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_Kids_100100310 | — | $25.65 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_100100307 | — | $25.65 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $25.74 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $25.74 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $25.74 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $25.74 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $25.80 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $26.40 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $26.40 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $26.40 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $26.40 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $26.40 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Chip Molina Healthy Kids - Inpatient/Outpatient | — | $27.10 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $27.72 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Medicaid Az Blue Cross Blue Shield Ahcccs - Inpatient/Outpatient | — | $27.75 | $75.00 | $56.25 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Oap - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Great West Cigna - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Humana One Ppo - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Ppo - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Localplus - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Utah Connect - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna - Apwu Ppo - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Hmo - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cbsa Aetna Standard Network - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna - Apwu Oap - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Aetna Global Benefits Standard Network - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Aetna Standard Network - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Aetna Signature Administrators Standard Network - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Humana - Inpatient/Outpatient | — | $28.09 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Starplus_100106705 | — | $28.21 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Star_100106706 | — | $28.21 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Starplus_100106705 | — | $28.21 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_Perinatal_100106707 | — | $28.21 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_100106708 | — | $28.21 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Star_100106706 | — | $28.21 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_Perinatal_100106707 | — | $28.21 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_100106708 | — | $28.21 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $28.38 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Independence Blue Cross - Comcast - Inpatient/Outpatient | — | $29.41 | $33.05 | $24.79 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Bcbs - Mn|All Plans | — | $30.41 | $86.00 | $43.00 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Ucare|All Plans | — | $31.82 | $86.00 | $43.00 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Health Partners|All Plans | — | $31.82 | $86.00 | $43.00 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Medica|All Plans | — | $31.82 | $86.00 | $43.00 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Childrens_Mchp_Medicaid_170002101 | — | $35.62 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Childrens_Mchp_Medicaid_170002101 | — | $35.62 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $37.02 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $37.02 | — | — | 2026-05-13 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $37.05 | $95.00 | $66.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $37.05 | $95.00 | $66.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $37.05 | $95.00 | $66.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $37.05 | $95.00 | $66.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $38.00 | $95.00 | $66.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $38.00 | $95.00 | $66.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $38.00 | $95.00 | $66.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $38.00 | $95.00 | $66.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $38.00 | $95.00 | $66.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $38.40 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $39.26 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $39.26 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $39.90 | $95.00 | $66.50 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Behavioral_Health_Ppo_100101206 | — | $40.00 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Behavioral_Health_Ppo_100101206 | — | $40.00 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Superior_Behavioral_Health_Medicaid_170004602 | — | $40.06 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Unicare_Medicaid_100105403 | — | $40.06 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_100100305 | — | $40.06 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Medicaid_100105515 | — | $40.06 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Healthspring_Medicaid_100102702 | — | $40.06 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_Perinate_100100308 | — | $40.06 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Healthspring_Medicaid_100102702 | — | $40.06 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_Perinate_100100308 | — | $40.06 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_Kids_100100310 | — | $40.06 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Medicaid_100105515 | — | $40.06 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_100100305 | — | $40.06 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_100100307 | — | $40.06 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Cmmty_Hlth_100106701 | — | $40.06 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_100100307 | — | $40.06 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_Kids_100100310 | — | $40.06 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Superior_Behavioral_Health_Medicaid_170004602 | — | $40.06 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Unicare_Medicaid_100105403 | — | $40.06 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Cmmty_Hlth_100106701 | — | $40.06 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $40.85 | $95.00 | $66.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $42.24 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Ppoposepo_100100302 | — | $43.71 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Hmo_100100301 | — | $43.71 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Ppoposepo_100100302 | — | $43.71 | $137.00 | $82.20 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Hmo_100100301 | — | $43.71 | $137.00 | $82.20 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Starplus_100106705 | — | $44.07 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Star_100106706 | — | $44.07 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_Perinatal_100106707 | — | $44.07 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Star_100106706 | — | $44.07 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_Perinatal_100106707 | — | $44.07 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_100106708 | — | $44.07 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_100106708 | — | $44.07 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Starplus_100106705 | — | $44.07 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Multiplan, Inc. Health Eos Ppo Networks | — | $45.00 | $50.00 | $32.50 | 2026-07-31 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $45.00 | $50.00 | $32.50 | 2026-07-31 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Multiplan, Inc. Phcs Ppo Networks | — | $45.00 | $50.00 | $32.50 | 2026-07-31 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | First Health Group Corp National Rental Ppo Network | — | $45.00 | $50.00 | $32.50 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $45.42 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $45.47 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $45.47 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $45.92 | — | — | 2026-05-23 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Cigna Ppo And Open Access Plus Benefits | — | $46.50 | $50.00 | $32.50 | 2026-07-31 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Multiplan, Inc. Multiplan And Other Brand Affiliated Ppo Networks | — | $46.50 | $50.00 | $32.50 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $47.10 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $48.00 | $50.00 | $32.50 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $48.16 | $172.00 | $43.00 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $48.16 | $172.00 | $43.00 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $48.16 | $172.00 | $43.00 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $48.16 | $172.00 | $43.00 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $48.16 | $172.00 | $43.00 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Humana Medicare Advantage Op | — | $48.16 | $172.00 | $43.00 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $48.16 | $172.00 | $43.00 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Medicare Advantage Op | — | $48.16 | $172.00 | $43.00 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcn Medicare Advantage Op | — | $48.16 | $172.00 | $43.00 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicare Op | — | $48.16 | $172.00 | $43.00 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $48.16 | $172.00 | $43.00 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Php Medicare Advantage Op | — | $48.16 | $172.00 | $43.00 | 2026-08-01 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $49.08 | — | — | 2026-05-08 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $49.96 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $50.70 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $51.81 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $52.20 | $60.00 | $42.00 | 2026-07-30 | MRF ↗ |
| ST GABRIELS HOSPITAL | Commercial|Bcbs - Mn|All Plans | — | $55.18 | $86.00 | $43.00 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Childrens_Mchp_Medicaid_170002101 | — | $55.64 | $214.00 | $128.40 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Childrens_Mchp_Medicaid_170002101 | — | $55.64 | $214.00 | $128.40 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $55.77 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $57.42 | $66.00 | $46.20 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $60.80 | $95.00 | $66.50 | 2026-07-30 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicaid Mississippi | Federal | — | $168.00 | $100.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare B Ms Jh | Federal | — | $168.00 | $100.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $60.92 | $168.00 | $100.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | — | $168.00 | $100.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Magnolia Health Plan Mcd Rep | Medicaid Replacement | — | $168.00 | $100.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicaid Mississippi | Federal | — | $168.00 | $100.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare B Ms Jh | Federal | — | $168.00 | $100.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $60.92 | $168.00 | $100.00 | 2026-05-22 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Blue Cross And Blue Shield Of Alabama | All Payor | $61.41 | $185.82 | $141.22 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Blue Cross And Blue Shield Of Alabama | All Payor | $61.41 | $185.82 | $141.22 | 2026-05-27 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcn Op | — | $61.44 | $172.00 | $43.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcbs Op | — | $61.44 | $172.00 | $43.00 | 2026-07-31 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Student Resources - Uhc - Inpatient/Outpatient | — | $61.88 | $75.00 | $56.25 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Uhc Medica Choice Plus - Inpatient/Outpatient | — | $61.88 | $75.00 | $56.25 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Uhc All Savers - Inpatient/Outpatient | — | $61.88 | $75.00 | $56.25 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Surest - Uhc Choice Plus - Inpatient/Outpatient | — | $61.88 | $75.00 | $56.25 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Ushealth Group Freedom Life Uhc - Inpatient/Outpatient | — | $61.88 | $75.00 | $56.25 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Healthscope Benefits - Uhc - Inpatient/Outpatient | — | $61.88 | $75.00 | $56.25 | 2026-07-17 | 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.