C7903 — Hopd Mntl Hlt, Grp
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Hopd mntl hlt, grp (HCPCS C7903) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C7903?code_type=HCPCS
MLA (9th ed.)
“Hopd mntl hlt, grp (HCPCS C7903) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C7903?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Hopd mntl hlt, grp (HCPCS C7903) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C7903?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $32–$107 (25th–75th percentile) across 1,081 hospitals · 1,658 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS C7903 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | 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 STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | 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 | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $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 TRUST PPO | $1.00 | — | — | 2026-05-20 | 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 EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $1.57 | $106.00 | — | 2026-02-19 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1.68 | — | — | 2026-03-18 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $2.73 | $250.00 | $162.50 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $2.73 | $250.00 | $162.50 | 2025-01-01 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | Health Net | Medi-Cal, Healthy Families Healthy Kids | $4.35 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $5.34 | — | — | 2026-03-31 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $5.80 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $6.58 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $6.58 | — | — | 2025-12-23 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | Sharp Health Plan | HMO | $7.25 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | Sharp Health Plan | PPO | $7.25 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| RED BUD REGIONAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $735.00 | $191.10 | 2026-02-18 | MRF ↗ |
| RED BUD REGIONAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $735.00 | $191.10 | 2026-02-18 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $8.16 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $8.16 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $8.20 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $8.20 | — | — | 2026-05-24 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $8.32 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $8.32 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $8.32 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $8.32 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $8.49 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $8.49 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $8.57 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $8.57 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | Health Net | Blue and Gold | $8.69 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | Molina Healthcare | Covered California PPO | $8.69 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicare Advantage | $8.69 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | Health Net | Bronze Network (SmartCare) | $8.69 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | Providence Health Plan | Covered California | $8.69 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | Central Health Plan | Medicare Advantage | $8.69 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $8.91 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $8.91 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Excellus BlueCross BlueShield | Medicare Advantage | $8.96 | $32.00 | $32.00 | 2026-10-12 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $9.00 | $42.00 | $35.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $9.00 | $42.00 | $35.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $9.18 | $42.00 | $35.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $9.18 | $42.00 | $35.70 | 2026-02-28 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California | $9.24 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | ANTHEM | HPN | $10.00 | $60.00 | $39.00 | 2025-06-28 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Anthem | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Uhc Options Ppo | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Great West | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Beech Street | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Anthem Pathways Hpn | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Anthem Pathways Hmo | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | United Mco | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Aetna Better Health Mco | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Wellcare Mco | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Oh Network | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Comm Care | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Plan Vista | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Ccn 1Source | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Sagamore | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Centercare | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Encore | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Uhc Plan 1 | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Uhc Plan 2 | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Humana Mco | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Passport Molina Mco | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Multiplan-Phcs | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Coventry 1St Health | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Centercare Aetna | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Centercare Cigna | All Plans | — | $48.39 | $31.45 | 2026-05-08 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | Kaiser Permanente | HMO | $10.14 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $10.23 | — | — | 2026-02-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $10.94 | — | — | 2026-07-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | ANTHEM | PPO/HMO | $11.11 | $60.00 | $39.00 | 2025-06-28 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Bcbs Blueplus Of Mn | Medicaid Managed Care Plan | $11.16 | — | — | 2026-03-01 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $11.40 | $57.00 | $57.00 | 2026-02-19 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | ALLCARE MEDICARE | ALLCARE MEDICARE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AMBETTER | AMBETTER | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | All Products | $11.88 | $300.00 | $225.00 | 2026-07-01 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $11.88 | $300.00 | $225.00 | 2026-07-01 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AETNA | AETNA HEALTHCARE MEDICARE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA MEDICARE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AMBETTER | AMBETTER | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | MANAGED MEDICAIRE | MANAGED MEDICAIRE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AETNA | AETNA HEALTHCARE MEDICARE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA MEDICARE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | MANAGED MEDICAIRE | MANAGED MEDICAIRE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | ALLCARE MEDICARE | ALLCARE MEDICARE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $11.88 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Ambetter | Commercial|All Plans | $12.07 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Ambetter | Commercial|All Plans | $12.07 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | HUMANA | HUMANA MEDICARE | $12.07 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | HUMANA | HUMANA MEDICARE | $12.07 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Select/Select Plus | $12.18 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $12.24 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $12.24 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $12.36 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $12.36 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA MEDICARE | $12.47 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | NHC ADVANTAGE | NHC ADVANTAGE | $12.47 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $12.47 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | NHC ADVANTAGE | NHC ADVANTAGE | $12.47 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $12.47 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA MEDICARE | $12.47 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Commercial|Exchange | $12.48 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Commercial|Exchange | $12.48 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | BLUE CROSS | BLUE CROSS MEDICARE | $12.59 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | BLUE CROSS | BLUE CROSS MEDICARE | $12.59 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $12.65 | $49.00 | $7.35 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $13.16 | $51.00 | $7.65 | 2025-01-17 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | All Products | $13.26 | $300.00 | $225.00 | 2026-07-01 | MRF ↗ |
| TRI-CITY MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Commercial | $13.35 | $28.98 | $17.39 | 2026-05-29 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Highmark | Highmark Together Blue | $13.38 | — | — | 2026-04-14 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $13.63 | $49.00 | — | 2025-01-17 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $13.67 | — | — | 2026-05-08 | MRF ↗ |
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | Health New England | All Products | $13.67 | — | — | 2025-01-01 | MRF ↗ |
| HANCOCK COUNTY HOSPITAL Both | UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $13.67 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $13.94 | $54.00 | $8.10 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $13.94 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $13.94 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| HANCOCK COUNTY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $13.94 | $54.00 | $12.42 | 2026-03-23 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $14.08 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $14.08 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Highmark | Highmark Together Blue | $14.09 | — | — | 2026-04-14 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $14.19 | $51.00 | — | 2025-01-17 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $14.37 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $14.37 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $14.51 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $14.51 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $14.52 | — | — | 2026-07-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $14.52 | — | — | 2026-07-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Medica | Medicare Advantage | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Aetna-Allina | Medicare Advantage | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Health Partners | Medicare Advantage | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Blue Cross Blue Shield of Minnesota | Medicare Advantage | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | United Healthcare | Medicare Advantage/VACCN | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Humana | Medicare Advantage | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | PrimeWest | Medicare Advantage | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Blue Cross Blue Shield of Minnesota | Managed Medicaid | $14.69 | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Commercial | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Sanford Health | Medicare Advantage | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Managed Medicaid | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Medicare Advantage | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | PrimeWest | Managed Medicaid | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Triwest Healthcare Alliance | Tricare/Champus | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Medica | Managed Medicaid | — | $68.00 | $43.18 | 2026-03-17 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $14.70 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $14.70 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $14.70 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $14.70 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $14.70 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $14.70 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $14.70 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $14.70 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $14.70 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $14.70 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $14.70 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $14.70 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $15.00 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $15.00 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $15.00 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $15.07 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $15.07 | $64.00 | $11.20 | 2026-02-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $15.36 | $32.00 | $32.00 | 2026-10-12 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $15.44 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $15.44 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $15.44 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $15.44 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $15.44 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $15.44 | $42.00 | $20.58 | 2026-02-28 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Medcost | MedCostPPO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2024-12-08 | 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.