A0426 — Als 1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALS 1 (HCPCS A0426) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A0426?code_type=HCPCS
MLA (9th ed.)
“ALS 1 (HCPCS A0426) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A0426?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ALS 1 (HCPCS A0426) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A0426?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $324–$924 (25th–75th percentile) across 805 hospitals · 2,317 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A0426 — 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 this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$324
$530 typical
$924
The middle 50% of negotiated facility rates for this procedure, measured across 805 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $530 |
| Likely subtotal | $530 |
Facility charge (no separate professional fee)
$530
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
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 |
|---|---|---|---|---|---|---|---|
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas Louisiana | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Healthy Blue Louisiana | Medicaid | — | — | — | 2026-01-08 | 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 ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Gilsbar Inc. | PPO | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Payer | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | PPOplus Llc | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $2,096.21 | $1,048.10 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $2,096.21 | $1,048.10 | 2024-12-15 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | United Healthcare_775 | Managed Medicare | $1.00 | $5,877.00 | $587.70 | 2026-02-02 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.15 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.15 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.15 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.15 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.15 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.19 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.19 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.19 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.19 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.19 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $5.49 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.49 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.49 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.64 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.79 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $5.94 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.13 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.13 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $7.28 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $7.28 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.43 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.43 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.43 | — | — | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.47 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.47 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.57 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $7.62 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $7.76 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.92 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Le Bonheur | $8.01 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $8.23 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA IFP - LeBonheur | $8.44 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $8.51 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $8.51 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $8.51 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.27 | — | — | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $9.27 | $1,146.56 | $687.94 | 2025-08-11 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.27 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.27 | — | — | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $9.27 | $1,146.56 | $687.94 | 2025-08-11 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $9.28 | $891.95 | $891.95 | 2026-04-24 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA LocalPlus - LeBonheur | $9.37 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA HMO - LeBonheur | $9.37 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AETNA [100001] | HB LeB Direct Aetna CONTRACT | $9.50 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA OAP – LeBonheur | $9.69 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $10.46 | $2,486.00 | $919.82 | 2026-03-31 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | BCBS Commercial [200011] | HB XR BCBS Network S LeBonheur Childrens | $11.54 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | BCBS TN [200003] | HB XR BCBS Network S LeBonheur Childrens | $11.54 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | Alt BCBS MS Commercial [200009] | HB XR BCBS Network S LeBonheur Childrens | $11.54 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | Alt BCBS TN Commercial [200008] | HB XR BCBS Network S LeBonheur Childrens | $11.54 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $14.41 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $14.41 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $14.99 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $14.99 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $15.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $15.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $15.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $15.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $15.27 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $15.27 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $15.69 | — | — | 2026-03-18 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | BCBS OF NEBRASKA SELECT | ALL PRODUCTS | $16.73 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | BCBS OF NEBRASKA SELECT | ALL PRODUCTS | $16.73 | — | — | 2025-12-27 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $22.19 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $22.19 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $22.19 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $22.19 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $22.19 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $22.41 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $22.41 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $22.41 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $22.41 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $22.41 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $25.11 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $25.11 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $25.11 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $25.11 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $25.11 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $25.11 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $25.11 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $25.11 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $25.11 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $25.11 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| ANDERSON COUNTY HOSPITAL Both | MEDICAID MANAGED CARE (KS) [2252] | UHC COMMUNITY PLAN OF KS [22508] | $40.00 | $793.00 | $475.80 | 2025-12-31 | MRF ↗ |
| ANDERSON COUNTY HOSPITAL Both | MEDICAID MANAGED CARE (KS) [2252] | SUNFLOWER STATE HEALTH [22505] | $40.00 | $793.00 | $475.80 | 2025-12-31 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS BRIDGES NTWRK | HLTH PARTNERS BRIDGES NTWRK | $40.59 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS BRIDGES NTWRK | HLTH PARTNERS BRIDGES NTWRK | $40.59 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS BRIDGES NTWRK | HLTH PARTNERS BRIDGES NTWRK | $40.59 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS BRIDGES NTWRK | HLTH PARTNERS BRIDGES NTWRK | $40.59 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | $40.59 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS BRIDGES NTWRK | HLTH PARTNERS BRIDGES NTWRK | $40.59 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | $40.59 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | $40.59 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | $40.59 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | $40.59 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $40.94 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $40.94 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $40.94 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $40.94 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $40.94 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| ANDERSON COUNTY HOSPITAL Both | MEDICAID MANAGED CARE (KS) [2252] | HEALTHY BLUE KANSAS [22577] | $41.60 | $793.00 | $475.80 | 2025-12-31 | MRF ↗ |
| ANDERSON COUNTY HOSPITAL Both | MEDICAID MANAGED CARE (KS) [2252] | ZZZAETNA BETTER HEALTH OF KANSAS [22571] | $41.60 | $793.00 | $475.80 | 2025-12-31 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Anthem | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Molina | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | CareSource | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Buckeye | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Humana | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $49.64 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $49.64 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $49.64 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $49.64 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $49.64 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $52.56 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $52.56 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $52.56 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $52.56 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $52.56 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HEALTH ALLIANCE-ALL PLANS | HEALTH ALLIANCE-ALL PLANS | $52.56 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HEALTH ALLIANCE-ALL PLANS | HEALTH ALLIANCE-ALL PLANS | $52.56 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HEALTH ALLIANCE-ALL PLANS | HEALTH ALLIANCE-ALL PLANS | $52.56 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HEALTH ALLIANCE-ALL PLANS | HEALTH ALLIANCE-ALL PLANS | $52.56 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HEALTH ALLIANCE-ALL PLANS | HEALTH ALLIANCE-ALL PLANS | $52.56 | $58.40 | $30.37 | 2026-03-03 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Medicaid Georgia | Default | $54.30 | $336.00 | $252.00 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Amerigroup NM, GA, DC | Default | $54.43 | $336.00 | $252.00 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | WellCare of Georgia | Default | $55.52 | $336.00 | $252.00 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | CareSource GA | Default | $57.02 | $336.00 | $252.00 | 2026-04-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $57.15 | $476.28 | $285.77 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $58.82 | $476.28 | $285.77 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | TriWest | Community Care Network | $61.92 | $476.28 | $285.77 | 2026-02-21 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Ambetter | All Ambetter ACA Exchange Plans | $64.80 | $240.00 | $240.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Aetna Better Health | Dual Medicare/Medicaid MMAI | $64.80 | $240.00 | $240.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | UnitedHealthcare | VA/Community Care | $64.80 | $240.00 | $240.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $64.80 | $240.00 | $240.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Meridian | Dual Medicare/Medicaid MMAI | $64.80 | $240.00 | $240.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $64.80 | $240.00 | $240.00 | 2026-05-07 | MRF ↗ |
| CLAY COUNTY HOSPITAL OutpatientFacility | Medica(WellFirst) | Medicare Advantage | $64.80 | $240.00 | $240.00 | 2026-05-07 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Prime Health Services | Worker's Compensation | $64.87 | $476.28 | $285.77 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | CORVEL | Worker's Compensation | $64.87 | $476.28 | $285.77 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | HealthSpring | Medicare Advantage | $65.01 | $476.28 | $285.77 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | American Health Plan | Medicare Advantage | $65.01 | $476.28 | $285.77 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | ProCare Advantage | Medicare Advantage | $65.01 | $476.28 | $285.77 | 2026-02-21 | 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.