A7034 — Nasal Interface (mask Or Cannula Type) Used With Positive Airway Pressure Device, With Or Without Head Strap
Cite this view
HANK Price Transparency. (n.d.). Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS A7034) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A7034?code_type=HCPCS
“Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS A7034) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A7034?code_type=HCPCS. Accessed .
“Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS A7034) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A7034?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $68–$138 (25th–75th percentile) across 787 hospitals · 1,172 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A7034 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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).
The middle 50% of negotiated facility rates for this procedure, measured across 787 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $90 |
| Likely subtotal | $90 |
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 $68–$138.
- 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 |
|---|---|---|---|---|---|---|---|
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | POS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | HMOPPOPOS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Gold Medicare | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Healthy Blue | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Amerihealth | Caritas | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | Dual Managed MedicareMedicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Gilsbar | 360 Alliance PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana Military | Tricare West | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Verity | Healthnet | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Louisiana Health Care Connections | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | VA CCN Optum | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | BCBS of Louisiana | Blue Advantage HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-05-11 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Ip | — | — | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Ip | — | — | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $0.46 | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Ip | — | — | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare Comm. | — | — | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Op | — | — | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Sentara Medicaid | — | $0.46 | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Cigna | Hmo Ppo Healthpartners Plans | — | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $0.46 | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | All Sentara Comm. Plans | — | — | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Op Plans | — | — | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Ip Plans | — | — | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Ip | — | — | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Op | — | — | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare Comm. | — | — | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $0.46 | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Op | — | — | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Sentara Medicaid | — | $0.46 | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Op | — | — | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $0.46 | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $0.47 | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $0.47 | $808.00 | $266.64 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $0.47 | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare | Medicaid | $0.47 | $808.00 | $266.64 | 2026-09-21 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.56 | $150.00 | $142.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.56 | $150.00 | $142.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.56 | $150.00 | $142.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.57 | $150.00 | $142.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.58 | $150.00 | $142.50 | 2026-02-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.60 | $150.00 | $142.50 | 2026-02-20 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.64 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.64 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.64 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.64 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.65 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (PPO) [314305] | $0.68 | $2.34 | $1.52 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE HMO [486110] | $0.68 | $2.34 | $1.52 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (HMO) [314300] | $0.68 | $2.34 | $1.52 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR ADVANTAGE CHOICE PPO [464310] | $0.68 | $2.34 | $1.52 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR GOLD PLUS HMO [464300] | $0.68 | $2.34 | $1.52 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MYCARE OHIO MCR AND MCD [314310] | $0.68 | $2.34 | $1.52 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE PPO [486100] | $0.68 | $2.34 | $1.52 | 2025-01-21 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.72 | $193.71 | $184.02 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.72 | $193.71 | $184.02 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.72 | $193.71 | $184.02 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.73 | $196.00 | $186.20 | 2026-02-20 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305] | $0.73 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE PPO [486100] | $0.73 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | THE HEALTH PLAN [265] | THE HEALTH PLAN HMO PPO MEDICARE ADV [265100] | $0.73 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | MMO MANAGED MEDICARE [486] | MMO MANAGED MEDICARE HMO [486110] | $0.73 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC MEDICARE HMO/HMO-POS [624305] | $0.73 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC MEDICARE PPO [624310] | $0.73 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310] | $0.73 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.73 | $196.00 | $186.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.73 | $196.00 | $186.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.73 | $150.00 | $142.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.73 | $150.00 | $142.50 | 2026-02-20 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UHC AARP MEDICARE COMPLETE [624335] | $0.73 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300] | $0.73 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | UHC MANAGED MEDICARE [624] | UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315] | $0.73 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.74 | $193.71 | $184.02 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.74 | $196.00 | $186.20 | 2026-02-20 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300] | $0.75 | $2.34 | $1.52 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305] | $0.75 | $2.34 | $1.52 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | ANTHEM MANAGED MEDICARE [334] | ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310] | $0.75 | $2.34 | $1.52 | 2025-01-21 | MRF ↗ |
| OHIOHEALTH SHELBY HOSPITAL Outpatient | THE HEALTH PLAN [265] | THE HEALTH PLAN HMO PPO MEDICARE ADV [265100] | $0.75 | $2.34 | $1.52 | 2025-01-21 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.76 | $193.71 | $184.02 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.76 | $196.00 | $186.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.77 | $193.71 | $184.02 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.77 | $208.00 | $197.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.77 | $208.00 | $197.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.77 | $208.00 | $197.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.78 | $196.00 | $186.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.78 | $150.00 | $142.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.79 | $208.00 | $197.60 | 2026-02-20 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Humana of AZ | Medicare | $0.80 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (PPO) [314305] | $0.80 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Allwell | Medicare | $0.80 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR ADVANTAGE CHOICE PPO [464310] | $0.80 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MEDICARE PLAN (HMO) [314300] | $0.80 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | TriWest | Medicare | $0.80 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Amerigroup | Medicare | $0.80 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Banner UC Health | Medicare | $0.80 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | TriWest | Medicare | $0.80 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HUMANA MANAGED MEDICARE [464] | HUMANA MCR GOLD PLUS HMO [464300] | $0.80 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | AETNA MANAGED MEDICARE [314] | AETNA MYCARE OHIO MCR AND MCD [314310] | $0.80 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Humana of AZ | Medicare | $0.80 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | AZCH Complete | Medicare | $0.80 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Amerigroup | Medicare | $0.80 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | AZCH Complete | Medicare | $0.80 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Banner UC Health | Medicare | $0.80 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Allwell | Medicare | $0.80 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.81 | $208.00 | $197.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.81 | $150.00 | $142.50 | 2026-02-20 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.82 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.83 | $208.00 | $197.60 | 2026-02-20 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.88 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | UnitedHealth Group of AZ | Medicare | $0.90 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | UnitedHealth Group of AZ | Medicare | $0.90 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.90 | $2.34 | $1.52 | 2025-01-31 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | HEALTH PLANS INC [20002] | CHA HB HARVARD PILGRIM HEALTHCARE HPI | $0.92 | $1.68 | $1.68 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | UNITED HEALTH [40002] | CHA HB HARVARD PILGRIM HEALTHCARE HPI | $0.92 | $1.67 | $1.67 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | HPHC [20001] | CHA HB HARVARD PILGRIM HEALTHCARE HPI | $0.92 | $1.67 | $1.67 | 2026-03-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.95 | $193.71 | $184.02 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.95 | $193.71 | $184.02 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.96 | $196.00 | $186.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.96 | $196.00 | $186.20 | 2026-02-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CIGNA [50005] | CHA HB CIGNA HEALTHCARE | $0.97 | $1.67 | $1.67 | 2026-03-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.97 | $193.71 | $184.02 | 2026-02-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | CIGNA [50005] | CHA HB CIGNA HEALTHCARE | $0.98 | $1.68 | $1.68 | 2026-03-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.98 | $196.00 | $186.20 | 2026-02-20 | MRF ↗ |
| SIERRA MEDICAL CENTER 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HOSPITAL GENERAL DE CASTANER Both | Triple S VITAL | TSV | — | $1.00 | — | 2023-08-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HOSPITAL GENERAL DE CASTANER Both | First Medical VITAL | FMV | — | $1.00 | — | 2023-08-31 | MRF ↗ |
| HOSPITAL GENERAL DE CASTANER Both | International Medical Card | IMC | — | $1.00 | — | 2023-08-31 | MRF ↗ |
| HOSPITAL GENERAL DE CASTANER Both | Medicare y Mucho Mas | MMM | — | $1.00 | — | 2023-08-31 | MRF ↗ |
| HOSPITAL GENERAL DE CASTANER Both | Humana Gold | HG | — | $1.00 | — | 2023-08-31 | MRF ↗ |
| HOSPITAL GENERAL DE CASTANER Both | TRIPLE S ADVANTAGE | TSA | — | $1.00 | — | 2023-08-31 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HOSPITAL GENERAL DE CASTANER Both | MCS Privado | MCS | — | $1.00 | — | 2023-08-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.01 | $193.71 | $184.02 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.02 | $208.00 | $197.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.02 | $208.00 | $197.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.02 | $196.00 | $186.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.04 | $208.00 | $197.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.05 | $193.71 | $184.02 | 2026-02-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MASS GENERAL BRIGHAM [50021] | CHA HB MASS GENERAL BRIGHAM | $1.06 | $1.67 | $1.67 | 2026-03-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.06 | $196.00 | $186.20 | 2026-02-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MASS GENERAL BRIGHAM [50021] | CHA HB MASS GENERAL BRIGHAM | $1.07 | $1.68 | $1.68 | 2026-03-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.08 | $208.00 | $197.60 | 2026-02-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | UNITED MEDICAL RESOURCE [40005] | CHA HB UNITED HEALTH CARE | $1.09 | $1.68 | $1.68 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | OXFORD HEALTH [40004] | CHA HB UNITED HEALTH CARE | $1.09 | $1.67 | $1.67 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | WELLPOINT [50012] | CHA HB UNICARE INDEMNITY | $1.09 | $1.67 | $1.67 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | AARP [40001] | CHA HB UNITED HEALTH CARE | $1.09 | $1.68 | $1.68 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | UNITED HEALTH [40002] | CHA HB UNITED HEALTH CARE | $1.09 | $1.67 | $1.67 | 2026-03-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.12 | $208.00 | $197.60 | 2026-02-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MULTIPLAN [50010] | CHA HB MULTIPLAN/PHCS | $1.14 | $1.67 | $1.67 | 2026-03-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.23 | $333.75 | $317.06 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.23 | $333.75 | $317.06 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.23 | $333.75 | $317.06 | 2026-02-20 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Copperpoint | Commercial | $1.24 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Copperpoint | Commercial | $1.24 | $5.00 | $4.00 | 2026-02-04 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.27 | $333.75 | $317.06 | 2026-02-20 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $1.29 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $1.29 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $1.29 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $1.29 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $1.29 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $1.29 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $1.29 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| BERGER HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $1.29 | $2.34 | $1.52 | 2025-01-22 | MRF ↗ |
| HARDIN MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $1.29 | $2.34 | $1.52 | 2025-01-22 | 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.