A4562 — Hc Pessary Kit Non-rubber
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC PESSARY KIT NON-RUBBER (HCPCS A4562) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A4562?code_type=HCPCS
MLA (9th ed.)
“HC PESSARY KIT NON-RUBBER (HCPCS A4562) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A4562?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“HC PESSARY KIT NON-RUBBER (HCPCS A4562) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A4562?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $69–$130 (25th–75th percentile) across 1,327 hospitals · 3,098 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A4562 — 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
$69
$88 typical
$130
The middle 50% of negotiated facility rates for this procedure, measured across 1,327 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $88 |
| Likely subtotal | $88 |
Facility charge (no separate professional fee)
$88
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 $69–$130.
- 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 |
|---|---|---|---|---|---|---|---|
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $290.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $290.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $290.00 | — | 2025-05-02 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $85.00 | $72.25 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $85.00 | $72.25 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $290.00 | — | 2025-05-02 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $85.00 | $72.25 | 2025-01-01 | MRF ↗ |
| O'connor Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $0.03 | $192.00 | $134.40 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $0.03 | $192.00 | $134.40 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $0.03 | $192.00 | $134.40 | 2026-09-01 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Inpatient | Novanet | Commercial | $0.15 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.16 | $43.00 | $40.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.16 | $43.00 | $40.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.16 | $43.00 | $40.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.16 | $43.00 | $40.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.17 | $43.00 | $40.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.17 | $43.00 | $40.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.21 | $43.00 | $40.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.22 | $43.00 | $40.85 | 2026-02-20 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Inpatient | Alabama Crime Victims | Commercial | $0.50 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Aetna | Commercial | $0.60 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | — | — | 2026-07-01 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Commercial | $0.70 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Inpatient | Mega Life | Commercial | $0.80 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Uhc | Commercial | $0.80 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Inpatient | Mcm Maxcare | Commercial | $0.80 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Multiplan | Phcs | $0.85 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Beechstreet | Phcs | $0.85 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Inpatient | Coventry First Health | Commercial | $0.85 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Inpatient | Geha | Commercial | $0.85 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Workers Comp | Commercial | $0.85 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Inpatient | Trpn | Commercial | $0.90 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $502.46 | $326.60 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $95.59 | $47.79 | 2026-07-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | 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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Inpatient | Aetna | Commercial | $1.00 | $1.00 | $0.55 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $502.46 | $326.60 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $95.59 | $47.79 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $95.59 | $47.79 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $95.59 | $47.79 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $95.59 | $47.79 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $95.59 | $47.79 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $95.59 | $47.79 | 2026-07-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $2.64 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $2.64 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $2.64 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $2.64 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity/Federal Employee Program | $2.64 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $2.69 | — | — | 2026-07-18 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $502.46 | $326.60 | 2025-11-26 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $3.93 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $3.93 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $3.93 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $3.93 | — | — | 2026-05-06 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Partners | Managed Medicaid | $3.96 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Partners | Managed Medicaid | $3.96 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4.01 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Behavioral Health | $4.05 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4.05 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Wellcare | Managed Medicaid | $4.09 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Healthy Blue | Managed Medicaid | $4.09 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Carolina Complete Health | Managed Medicaid | $4.09 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Behavioral Health | $4.09 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Vaya | Managed Medicaid | $4.13 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Healthy Blue | Managed Medicaid | $4.13 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Wellcare | Managed Medicaid | $4.13 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Carolina Complete Health | Managed Medicaid | $4.13 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Vaya | Managed Medicaid | $4.17 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Managed Medicaid | $4.19 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Trillium | Managed Medicaid | $4.21 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Managed Medicaid | $4.21 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Trillium | Managed Medicaid | $4.25 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4.46 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Behavioral Health | $4.50 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Wellcare | Managed Medicaid | $4.54 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Healthy Blue | Managed Medicaid | $4.54 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Carolina Complete Health | Managed Medicaid | $4.54 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Vaya | Managed Medicaid | $4.59 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Partners | Managed Medicaid | $4.59 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Managed Medicaid | $4.64 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Trillium | Managed Medicaid | $4.68 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Physician Reach Out | Plan H | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Partners | Managed Medicaid | $4.75 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Behavioral Health | $4.75 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | IEX Commercial | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Broughton Cardinal Partners | Commercial | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Healthy Blue | Managed Medicaid | $4.79 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Carolina Complete Health | Managed Medicaid | $4.79 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $4.79 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Vaya | Managed Medicaid | $4.84 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4.84 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4.85 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Broughton Cardinal Partners | Commercial | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | United Healthcare | IEX Commercial | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Managed Medicaid | $4.88 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Alliance | Behavioral Health | $4.90 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Trillium | Managed Medicaid | $4.93 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Carolina Complete Health | Managed Medicaid | $4.94 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Healthy Blue | Managed Medicaid | $4.94 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Wellcare | Managed Medicaid | $4.94 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Partners | Managed Medicaid | $4.98 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Vaya | Managed Medicaid | $5.00 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | United Healthcare | Managed Medicaid | $5.03 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Alliance | Managed Medicaid | $5.04 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Trillium | Managed Medicaid | $5.09 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | United Healthcare | IEX Commercial | — | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Physician Reach Out | Plan P | — | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Partners | Managed Medicaid | $5.14 | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Broughton Cardinal Partners | Commercial | — | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5.18 | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Alliance | Managed Medicaid | $5.23 | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Carolina Complete Health | Managed Medicaid | $5.28 | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Healthy Blue | Managed Medicaid | $5.28 | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Wellcare | Managed Medicaid | $5.28 | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $5.30 | $265.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $5.30 | $265.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $5.30 | $265.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $5.30 | $265.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $5.30 | $265.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $5.30 | $265.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $5.30 | $265.00 | — | 2026-03-31 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | United Healthcare | Managed Medicaid | $5.30 | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Vaya | Managed Medicaid | $5.33 | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $5.38 | $39.55 | $19.78 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $5.43 | $39.55 | $19.78 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER OutpatientFacility | Peach State Health Plan | Managed Medicaid | $5.43 | $39.55 | $19.78 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Trillium | Managed Medicaid | $5.44 | $39.55 | $19.78 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Broughton Cardinal Partners | Commercial | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Physician Reach Out | Plan H | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Partners | Managed Medicaid | $5.54 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | United Healthcare | IEX Commercial | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5.58 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Carolina Complete Health | Managed Medicaid | $5.69 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Wellcare | Managed Medicaid | $5.69 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Healthy Blue | Managed Medicaid | $5.69 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Healthy Blue | Medicaid Managed Care | $5.73 | $39.55 | $19.78 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Amerihealth | Medicaid Managed Care | $5.73 | $39.55 | $19.78 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Carolina Complete | Medicaid Managed Care | $5.73 | $39.55 | $19.78 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Partners | Medicaid Tailored Plan | $5.73 | $39.55 | $19.78 | 2025-10-08 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Vaya | Managed Medicaid | $5.74 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicaid Managed Care | $5.79 | $39.55 | $19.78 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Medicaid Managed Care | $5.79 | $39.55 | $19.78 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Vaya | Medicaid Tailored Plan | $5.79 | $39.55 | $19.78 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Alliance | Medicaid Tailored Plan | $5.85 | $39.55 | $19.78 | 2025-10-08 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Trillium | Managed Medicaid | $5.86 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $5.87 | $293.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $5.87 | $293.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $5.87 | $293.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $5.87 | $293.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $5.87 | $293.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $5.87 | $293.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $5.87 | $293.50 | — | 2026-03-31 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Alliance | Managed Medicaid | $5.87 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Trillium | Medicaid Tailored Plan | $5.91 | $39.55 | $19.78 | 2025-10-08 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | United Healthcare | Managed Medicaid | $5.92 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Broughton Cardinal Partners | Commercial | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5.92 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | United Healthcare | IEX Commercial | — | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | Managed Medicaid | $5.98 | $39.55 | $19.78 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Alliance | Behavioral Health | $5.98 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $6.00 | $60.00 | $60.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $6.00 | $60.00 | $60.00 | 2026-04-15 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Blue Cross Blue Shield | Traditional HMO | $6.00 | $10.00 | $8.00 | 2026-03-25 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Partners | Managed Medicaid | $6.03 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Carolina Complete Health | Managed Medicaid | $6.03 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Healthy Blue | Managed Medicaid | $6.03 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Wellcare | Managed Medicaid | $6.03 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $6.07 | $303.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $6.07 | $303.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $6.07 | $303.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $6.07 | $303.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $6.07 | $303.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $6.07 | $303.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $6.07 | $303.50 | — | 2026-03-31 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Vaya | Managed Medicaid | $6.09 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Alliance | Managed Medicaid | $6.09 | $39.55 | $19.78 | 2025-12-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $6.12 | $54.00 | $16.52 | 2026-07-18 | 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.