99484 — Care Mgmt Svc Bhvl Hlth Cond
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CARE MGMT SVC BHVL HLTH COND (CPT 99484) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99484?code_type=CPT
MLA (9th ed.)
“CARE MGMT SVC BHVL HLTH COND (CPT 99484) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99484?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CARE MGMT SVC BHVL HLTH COND (CPT 99484) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99484?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $33–$104 (25th–75th percentile) across 1,381 hospitals · 2,524 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99484 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$33
$48 typical
$104
The middle 50% of negotiated facility rates for this procedure, measured across 1,381 hospitals. The physician fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $48 |
| Physician fee Estimate national typical Medicare $39 × 1.22 commercial. | $47 |
| Likely subtotal | $95 |
Complete-episode estimate (typical)
~$95
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $33–$104.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician fee (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.91 | $105.00 | $19.95 | 2026-08-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $1.34 | — | — | 2026-07-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1.68 | — | — | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $1.82 | $9.00 | $9.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $1.82 | $9.00 | $9.00 | 2026-06-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $2.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $2.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $2.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $2.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $3.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $3.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $3.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $3.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | PLAIN CHURCH MG-ALL PLANS | PLAIN CHURCH MG-ALL PLANS | $3.60 | $9.00 | $9.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | PLAIN CHURCH MG-ALL PLANS | PLAIN CHURCH MG-ALL PLANS | $3.60 | $9.00 | $9.00 | 2026-02-13 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $4.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $4.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $4.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $4.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $4.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $4.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MENNONITE-ALL PLANS | MENNONITE-ALL PLANS | $4.05 | $9.00 | $9.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MENNONITE-ALL PLANS | MENNONITE-ALL PLANS | $4.05 | $9.00 | $9.00 | 2026-02-13 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicaid Replacement | — | $4.19 | $31.00 | $14.26 | 2026-07-31 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $4.50 | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH IMPERIAL POINT OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $4.50 | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $4.50 | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH CORAL SPRINGS OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $4.50 | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicare Advantage | — | $4.56 | $31.00 | $14.26 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Ambetter | Commercial | $4.87 | $31.00 | $14.26 | 2026-07-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Humana | Medicare - Humana | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Aetna | Aetna | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Priority Health | Priority Health | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | WC - Workers Compensation | WC - Workers Compensation | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Priority Health | Medicare - Priority Health | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP | HAP | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | WC - Workers Compensation | WC - Workers Compensation | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Humana | Medicare - Humana | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Priority Health | Priority Health | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | United Healthcare | United Healthcare | $5.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL Inpatient | — | — | — | $31.00 | $20.15 | 2025-01-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicaid Replacement | — | $5.05 | $31.00 | $14.26 | 2026-07-31 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $5.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $5.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $5.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $5.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $5.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $5.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $5.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $5.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $5.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $5.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $5.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $5.24 | — | — | 2026-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Healthy Blue | All Products | $5.32 | $23.15 | $20.84 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Amerihealth Caritas | All Products | $5.32 | $23.15 | $20.84 | 2026-07-18 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicare Advantage | — | $5.33 | $31.00 | $14.26 | 2026-07-31 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $5.34 | — | — | 2026-03-31 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Carolina Complete Health | Tailored Plan | $5.43 | $23.15 | $20.84 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Wellcare | All Products | $5.48 | $23.15 | $20.84 | 2026-07-18 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $5.80 | $58.00 | $58.00 | 2026-07-15 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $5.93 | $72.00 | $72.00 | 2026-03-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Priority Health | Priority Health | $6.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Aetna | Aetna | $6.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Priority Health | Medicare - Priority Health | $6.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP | HAP | $6.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Molina | Medicare - Molina | $6.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP | HAP | $6.00 | $21.00 | $10.00 | 2025-02-03 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Horizon Nj Health | Horizon Nj Health | $6.08 | $36.00 | $36.00 | 2026-07-15 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $6.20 | $20.00 | $5.40 | 2026-10-20 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $6.20 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Healthy Ny Managed Medicaid | $6.20 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Hmo Option | $6.20 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | EIU ATHLETE-ALL OTHER PLANS | EIU ATHLETE-ALL OTHER PLANS | $6.30 | $9.00 | $9.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | EIU ATHLETE-ALL OTHER PLANS | EIU ATHLETE-ALL OTHER PLANS | $6.30 | $9.00 | $9.00 | 2026-02-13 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Horizon Nj Health | Horizon Nj Health | $6.33 | $36.00 | $36.00 | 2026-07-15 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $6.36 | $52.98 | $31.79 | 2026-02-19 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Anthem Medicare Advantage | $6.40 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Tricare | — | $6.40 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $6.40 | — | — | 2026-01-01 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Emblem | Medicare Advantage | $6.40 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Champva | — | $6.40 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | United Healthcare | Madicare Advantage | $6.40 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Excellus Blue Medicare Advantage | $6.40 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Martins Point | — | $6.46 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Outpatient | Medicaid | Medicaid | — | $48.00 | $33.08 | 2026-07-15 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $6.54 | $52.98 | $31.79 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Humana Military | TRICARE | — | $52.98 | $31.79 | 2026-02-21 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $6.58 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $6.58 | — | — | 2025-12-23 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Cdphp | Medicare Advantage | $6.59 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | RURAL KING-ALL PLANS | RURAL KING-ALL PLANS | $6.66 | $9.00 | $9.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HEALTHSCOPE-ALL PLANS | HEALTHSCOPE-ALL PLANS | $6.66 | $9.00 | $9.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | RURAL KING-ALL PLANS | RURAL KING-ALL PLANS | $6.66 | $9.00 | $9.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HEALTHSCOPE-ALL PLANS | HEALTHSCOPE-ALL PLANS | $6.66 | $9.00 | $9.00 | 2026-02-13 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Wellcare | — | $6.72 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Mvp | Medicare Advantage | $6.72 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Bcbs | Highmark Medicare Advantage | $6.85 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Fidelis | Medicare Advantage | $6.85 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Fidelis | Managed Medicaid | $6.85 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| COBLESKILL REGIONAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $6.85 | $20.00 | $5.40 | 2026-07-15 | MRF ↗ |
| BROWARD HEALTH CORAL SPRINGS InpatientFacility | Sunshine State Health Plan Healthy Kids | HMO | — | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | WellCare Healthy Kids | HMO | — | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH CORAL SPRINGS InpatientFacility | United AARP | Medicare Complete | — | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Simply Healthy Kids | Managed Medicaid | — | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH CORAL SPRINGS InpatientFacility | HealthSun Health Plan | Medicare Advantage | — | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH CORAL SPRINGS InpatientFacility | Simply Healthcare/Clear Health Alliance | Managed Medicaid | — | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH CORAL SPRINGS InpatientFacility | United Healthcare Community Plan/Healthy Kids | HMO | — | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | United/WellMed | Medicare Advantage | — | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Community Care Plan | Managed Medicaid | — | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH IMPERIAL POINT InpatientFacility | Humana | Managed Medicaid | — | $66.15 | $66.15 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Community Care Plan | HMO | — | $66.15 | $66.15 | 2026-04-17 | 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.