99443 — Phone E/m Phys/qhp 21-30 Min
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PHONE E/M PHYS/QHP 21-30 MIN (CPT 99443) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99443?code_type=CPT
MLA (9th ed.)
“PHONE E/M PHYS/QHP 21-30 MIN (CPT 99443) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99443?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PHONE E/M PHYS/QHP 21-30 MIN (CPT 99443) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99443?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $63–$158 (25th–75th percentile) across 742 hospitals · 2,269 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99443 — 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 |
|---|---|---|---|---|---|---|---|
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | PPOplus Llc | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Healthy Blue Louisiana | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Provider Select | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Louisana Healthcare Connections | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | — | $367.00 | $238.55 | 2025-01-01 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Gilsbar Inc. | PPO | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas Louisiana | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Payer | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Select | — | $367.00 | $238.55 | 2025-01-01 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Geha | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Aetna | Advantage Freedom | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Blue Advantage | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | United Healthcare | Optum VA | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Cigna | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.66 | $150.00 | $90.00 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.66 | $150.00 | $90.00 | 2025-08-11 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MULTIPLAN [50010] | CHA HB MULTIPLAN/PHCS | $0.70 | $135.00 | $135.00 | 2026-03-20 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.32 | $150.00 | $90.00 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.32 | $150.00 | $90.00 | 2025-08-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $5.28 | — | — | 2025-01-31 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $5.94 | $144.76 | — | 2024-12-19 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.14 | — | — | 2026-01-01 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $6.25 | $144.76 | — | 2024-12-19 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $6.25 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $6.25 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $6.25 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $6.25 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $6.25 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $6.25 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $6.25 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $6.25 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $6.25 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $6.25 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $6.25 | — | — | 2026-01-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | UHC | MEDICAID | $6.55 | $41.00 | — | 2025-11-10 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $6.56 | $16.00 | $12.00 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $6.56 | $16.00 | $12.00 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MEDIGOLD MCR ADV - ALL PLANS | MEDIGOLD MCR ADV - ALL PLANS | $6.56 | $16.00 | $12.00 | 2026-03-26 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIDELIS | MEDICAID | $6.74 | $41.00 | — | 2025-11-10 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $6.75 | $50.00 | $37.50 | 2026-01-16 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MERCY ONE / HUMANA MCR ADV - ALL PLANS | MERCY ONE / HUMANA MCR ADV - ALL PLANS | $6.76 | $16.00 | $12.00 | 2026-03-26 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | WELLPOINT | MEDICAID | $6.88 | $41.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH MCD/CHIP | $6.88 | $41.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON NJ HEALTH | HORIZON NJ HEALTH | $6.91 | $41.00 | — | 2025-11-10 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | BCBS COMMUNITY MCR ADV | BCBS COMMUNITY MCR ADV | $7.41 | $26.00 | $18.20 | 2026-01-22 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE PRIME | $7.45 | $41.00 | — | 2025-11-10 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $7.80 | $26.00 | $18.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $7.80 | $26.00 | $18.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $7.80 | $26.00 | $18.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | HEALTH ALLIANCE MCR ADV | HEALTH ALLIANCE MCR ADV | $7.80 | $26.00 | $18.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $7.80 | $26.00 | $18.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $7.80 | $26.00 | $18.20 | 2026-01-22 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $7.88 | $26.00 | $18.20 | 2026-01-22 | MRF ↗ |
| KNAPP MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $7.92 | $144.76 | — | 2024-12-19 | MRF ↗ |
| KNAPP MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $8.34 | $144.76 | — | 2024-12-19 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Great West Network | All Plans | $8.62 | $96.00 | $34.56 | 2026-01-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | GOLDEN MEDICARE | $9.06 | $41.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | UHC | MEDICAID | $9.10 | $57.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIDELIS | MEDICAID | $9.38 | $57.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE MCR | $9.39 | $41.00 | — | 2025-11-10 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Humana | PPO | $9.43 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Humana | HMO | $9.43 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Humana | PPO | $9.43 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Humana | PPO | $9.43 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Humana | PPO | $9.43 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Humana | HMO | $9.43 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Humana | HMO | $9.43 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Humana | HMO | $9.43 | — | — | 2026-03-01 | MRF ↗ |
| HOLTON COMMUNITY HOSPITAL Outpatient | SUNFLOWER MEDICAID-ALL PLANS | SUNFLOWER MEDICAID-ALL PLANS | $9.44 | $70.00 | $52.50 | 2026-04-23 | MRF ↗ |
| HOLTON COMMUNITY HOSPITAL Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $9.44 | $70.00 | $52.50 | 2026-04-23 | MRF ↗ |
| HOLTON COMMUNITY HOSPITAL Outpatient | UHC MEDICAID | UHC MEDICAID | $9.44 | $70.00 | $52.50 | 2026-04-23 | MRF ↗ |
| HOLTON COMMUNITY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $9.44 | $70.00 | $52.50 | 2026-04-23 | MRF ↗ |
| Rush County Memorial Hospital Outpatient | MULTIPLAN MEDICAID - ALL PLANS | MULTIPLAN MEDICAID - ALL PLANS | $9.44 | $130.00 | $117.00 | 2025-04-25 | MRF ↗ |
| SCK HEALTH Outpatient | SUNFLOWER MCAID OP ONLY - ALL PLANS | SUNFLOWER MCAID OP ONLY - ALL PLANS | $9.44 | $360.81 | $360.81 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | UHC MCAID OP ONLY | UHC MCAID OP ONLY | $9.44 | $360.81 | $360.81 | 2026-05-04 | MRF ↗ |
| DECATUR HEALTH Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $9.44 | $141.00 | $126.90 | 2026-04-28 | MRF ↗ |
| DECATUR HEALTH Outpatient | SUNFLOWER HEALTH PLAN-ALL PLANS | SUNFLOWER HEALTH PLAN-ALL PLANS | $9.53 | $141.00 | $126.90 | 2026-04-28 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH MCD/CHIP | $9.56 | $57.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | WELLPOINT | MEDICAID | $9.56 | $57.00 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON NJ HEALTH | HORIZON NJ HEALTH | $9.60 | $57.00 | — | 2025-11-10 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| Wise Health System Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY GREEN OAKS HOSPITAL Outpatient | Humana | COMM | $9.66 | — | — | 2026-03-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | OSCAR - ALL PLANS | OSCAR - ALL PLANS | $9.84 | $16.00 | $12.00 | 2026-03-26 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $9.88 | $41.00 | — | 2025-11-10 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | Medicare Advantage - Aetna | All Plans | $9.93 | $96.00 | $49.92 | 2026-01-01 | MRF ↗ |
| TOURO INFIRMARY Outpatient | VERITY HEALTHNET [1072] | WEBTPA LSU FIRST [107201] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | VERITY HEALTHNET [1072] | VERITY HEALTHNET [107200] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | HUMANA [1005] | HUMANA GENERIC [100502] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA [350300] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | AARP [900018] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA-PSYCH [350301] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | HUMANA [1005] | HUMANA PPO [100500] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | HUMANA CHOICE PPO [900022] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | AETNA MEDICARE [900019] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | BLUE CROSS ANTHEM HEALTH [900001] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | UNICARE [900014] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | STERLING OPTION ONE [900013] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | MEDICARE ADVANTAGE GENERIC [900000] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | WELLMED [900031] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | HUMANA [1005] | HUMANA HMO [100501] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | PRIMEWELL HEALTH MCR ADV AR & MS [900037] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | BLUE ADVANTAGE [900029] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | WELLCARE [900017] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | PREFERRED CARE GOLD [900009] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | CIGNA MEDICARE ACCESS PFFS [900003] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | VANTAGE MEDICARE [900016] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | SECURE HORIZON DIRECT [900012] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | PYRAMID LIFE TODAY OPTION [900011] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | COVENTRY ADVANTRA [900027] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | HUMANA GOLD PLUS HMO [900006] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | WINDSOR MEDICARE EXTRA [900026] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | PEOPLES HEALTH [900008] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | PACIFICARE [900007] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | HUMANA [1005] | HUMANA MEDICARE SUPPLEMENT [100508] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | THE HEALTH PLAN [900035] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | HUMANA GOLD CHOICE PFFS [900005] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | PREFERRED CARE PARTNER [900010] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | HEALTH NET [900004] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | MH NET [900028] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | COVENTRY ADVANTRA FREEDOM [900021] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | UNITED HLTH COMMUNITY PLAN MEDICARE [900033] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | UNIVERSAL HEALTH CARE [900015] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | SHARED HEALTH MISSISSIPPI (D-SNP) [900036] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | ALLWELL [900034] | — | $26.00 | $3.64 | 2026-03-25 | MRF ↗ |
| TOURO INFIRMARY Outpatient | MEDICARE ADVANTAGE [9000] | UNITED HLTH MEDICARE ADVA [900023] | — | $26.00 | $3.64 | 2026-03-25 | 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.