A0427 — Als1-emergency
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALS1-EMERGENCY (HCPCS A0427) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A0427?code_type=HCPCS
MLA (9th ed.)
“ALS1-EMERGENCY (HCPCS A0427) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A0427?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ALS1-EMERGENCY (HCPCS A0427) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A0427?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $518–$1,429 (25th–75th percentile) across 891 hospitals · 2,564 payers.
“Negotiated” is what insurers actually pay hospitals for this CPT/HCPCS A0427 — the consumer-grade median across the country.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| SCHUYLER HOSPITAL | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $1,498.00 | — | 2025-05-02 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | None | — | — | $2,725.35 | $1,362.68 | 2024-12-15 | MRF ↗ |
| SCHUYLER HOSPITAL | FIDELIS | Health Benefit Exchange | — | $1,498.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL | Excellus BCBS | Managed Medicaid _CHP_SP | — | $1,498.00 | — | 2025-05-02 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD | None | — | — | $2,725.35 | $1,362.68 | 2024-12-15 | MRF ↗ |
| SCHUYLER HOSPITAL | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $1,498.00 | — | 2025-05-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER | United Healthcare_775 | Managed Medicare | $1.00 | $4,152.00 | $415.20 | 2026-02-02 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS | AMERIGROUP | Managed Medicaid | $1.00 | $4,462.00 | — | 2026-03-18 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.15 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER | 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 | 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 | 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 | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.19 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL | 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 | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.19 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL | 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 | 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 | 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 | CIGNA [100009] | 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 | 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 | 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 | 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 | 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 | 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 | CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| MONMOUTH MEDICAL CENTER | Clover | Managed Medicare | $4.89 | $2,717.00 | — | 2024-12-31 | MRF ↗ |
| FLAMBEAU HOSPITAL | Security Health Plan (SHP) | Medicare Advantage | $5.49 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL | UnitedHealth Group of WI | Medicare Advantage | $5.49 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL | Veteran's Administration (VA CCN) | VA Network | $5.49 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL | Anthem BCBS of WI | Medicare Advantage | $5.64 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.79 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL | Point Comfort Underwriters | Organizational | $5.94 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| MONMOUTH MEDICAL CENTER | Clover | Managed Medicare | $6.23 | $3,462.00 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER | Clover | Managed Medicare | $6.34 | $3,520.00 | — | 2024-12-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | Veteran's Administration (VA CCN) | VA Network | $7.13 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | Security Health Plan (SHP) | Medicare Advantage | $7.13 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | Anthem BCBS of WI | Medicare Advantage | $7.28 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | Point Comfort Underwriters | Organizational | $7.28 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | Security Health Plan (SHP) | Medicare Advantage | $7.47 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | Veteran's Administration (VA CCN) | VA Network | $7.47 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.57 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | Anthem BCBS of WI | Medicare Advantage | $7.62 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS | CIGNA [100009] | HB Cigna PPO - LeBonheur | $7.76 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.92 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS | UNITED HEALTHCARE [100060] | HB UHC Le Bonheur | $8.01 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE | Point Comfort Underwriters | Organizational | $8.23 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS | CIGNA [100009] | HB CIGNA IFP - LeBonheur | $8.44 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.81 | $1,571.58 | $942.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.81 | $1,571.58 | $942.95 | 2025-08-11 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS | CIGNA [100009] | HB CIGNA HMO - LeBonheur | $9.37 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS | CIGNA [100009] | HB CIGNA LocalPlus - LeBonheur | $9.37 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS | AETNA [100001] | HB LeB Direct Aetna CONTRACT | $9.50 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS | CIGNA [100009] | HB CIGNA OAP – LeBonheur | $9.69 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $11.01 | $1,571.58 | $942.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $11.01 | $1,571.58 | $942.95 | 2025-08-11 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS | BCBS TN [200003] | HB XR BCBS Network S LeBonheur Childrens | $11.54 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS | 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 | Alt BCBS TN Commercial [200008] | HB XR BCBS Network S LeBonheur Childrens | $11.54 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS | BCBS Commercial [200011] | HB XR BCBS Network S LeBonheur Childrens | $11.54 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | Blue Shield of California | Covered California/IFP/PPO | $11.76 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER | Blue Shield of California | Covered California/IFP/PPO | $11.76 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City | Blue Shield of California | Covered California/IFP/PPO | $11.76 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER | Blue Shield of California | HMO | $13.48 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City | Blue Shield of California | HMO | $13.48 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | Blue Shield of California | HMO | $13.48 | — | — | 2026-03-18 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Law Enforcement Franklin Co. | Medicaid | $14.41 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Law Enforcement Franklin Co. | Medicaid | $14.41 | — | — | 2025-01-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $14.67 | $1,571.58 | $942.95 | 2025-08-11 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER | Blue Shield of California | EPO/PPO/Out of State | $14.67 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City | Blue Shield of California | EPO/PPO/Out of State | $14.67 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | Blue Shield of California | EPO/PPO/Out of State | $14.67 | — | — | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $14.67 | $1,571.58 | $942.95 | 2025-08-11 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | UHC | Medicaid | $14.99 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | UHC | Medicaid | $14.99 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Molina | Medicaid | $15.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Anthem | Medicaid | $15.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Anthem | Medicaid | $15.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Molina | Medicaid | $15.13 | — | — | 2025-01-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $15.15 | $1,456.40 | $1,456.40 | 2026-04-24 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Humana | Medicaid | $15.27 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Humana | Medicaid | $15.27 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Caresource | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Buckeye Community Health | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | AmeriHealth Caritas | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Buckeye Community Health | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Caresource | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Buckeye (Centene) | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Buckeye (Centene) | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | AmeriHealth Caritas | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | PARAMOUNT | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Safe Program | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | PARAMOUNT | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | Safe Program | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| LAKEVIEW HOSPITAL | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $16.57 | $2,616.00 | $967.92 | 2026-03-31 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL | BCBS OF NEBRASKA SELECT | ALL PRODUCTS | $16.73 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL | BCBS OF NEBRASKA SELECT | ALL PRODUCTS | $16.73 | — | — | 2025-12-27 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL | Blue Shield of California | Commercial/IFP | $24.84 | — | — | 2026-03-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| WAVERLY HEALTH CENTER | UHC MEDICARE | UHC MEDICARE | $30.06 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | UHC MEDICARE | UHC MEDICARE | $30.06 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | UHC MEDICARE | UHC MEDICARE | $30.06 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | UHC MEDICARE | UHC MEDICARE | $30.06 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | UHC MEDICARE | UHC MEDICARE | $30.06 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | UHC MEDICARE | UHC MEDICARE | $30.06 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $30.36 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $30.36 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $30.36 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $30.36 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $30.36 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $30.36 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| WAVERLY HEALTH CENTER | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| EAST COOPER MEDICAL CENTER | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Lowell General Hospital - Saints Campus | AMERICAN POSTAL WORKERS [100089] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | EMPLOYEE BENEFIT MANAGEMENT [100033] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | MUTUAL OF OMAHA [100074] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | ALLIED BENEFIT SYSTEMS [100015] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | ALLIED NATIONAL GLOBAL CARE [100107] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | ULTRA BENEFITS [100280] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | SUNNY ACRES NURSING HOME [950006] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | TALL TREE ADMINISTRATORS [100271] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | SENIOR WHOLE HEALTH MEDICAID REPLACEMENT [350023] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | SENIOR WHOLE HEALTH MEDICARE REPLACEMENT [450111] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | AMERIHEALTH CARITAS NH [350007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | SPECTERA [100291] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | NORFOLK COUNTY [500013] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | NATIONAL ELEVATOR IND HLTH BENEFITS [100273] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | NORTHWOOD REHABILITATION & HEALTH [950004] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | LOWELL COMM HEALTH CENTER [950009] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | NOVA HEALTHCARE ADMINISTRATORS [100270] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | GROUP AND PENSION ADMINISTRATORS [100043] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | IBEW LOCAL 103 [100272] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | FIRST HEALTH [100278] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | GEHA [100039] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | PALM MANOR [950005] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | CORESOURCE [100285] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | COVERAGE DISCOVERY [100306] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | PLYMOUTH COUNTY [500019] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | COMPSYCH [100027] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | D'YOUVILLE SENIOR CARE [950003] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | AVMED HEALTH PLAN [100247] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | CARE ONE [950007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | EYEMED [100290] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | ASSURANT [100020] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | CARECENTRIX ALTERNATE [100257] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER | Amerihealth Caritas | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER | CareSource | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER | Molina | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER | United Healthcare | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER | Anthem | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER | Buckeye | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER | Humana | Managed Medicaid | $47.97 | — | — | 2025-07-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Lowell General Hospital - Saints Campus | ALLARACARE [100163] | HB XR ALLARACARE LGH | $54.28 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | NATIONAL ELEVATOR IND HLTH BENEFITS [100273] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | MUTUAL OF OMAHA [100074] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | GROUP AND PENSION ADMINISTRATORS [100043] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | AVMED HEALTH PLAN [100247] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | IBEW LOCAL 103 [100272] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | CARE ONE [950007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | D'YOUVILLE SENIOR CARE [950003] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | ALLIED BENEFIT SYSTEMS [100015] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | COVERAGE DISCOVERY [100306] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | LOWELL COMM HEALTH CENTER [950009] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus | CORESOURCE [100285] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $54.60 | $156.00 | $109.20 | 2026-04-01 | 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.