D3320 — End Thxpy, Premolar Tooth
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). END THXPY, PREMOLAR TOOTH (HCPCS D3320) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/D3320?code_type=HCPCS
MLA (9th ed.)
“END THXPY, PREMOLAR TOOTH (HCPCS D3320) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/D3320?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“END THXPY, PREMOLAR TOOTH (HCPCS D3320) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/D3320?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $665–$1,765 (25th–75th percentile) across 766 hospitals · 1,064 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS D3320 — 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 |
|---|---|---|---|---|---|---|---|
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.47 | $1,370.00 | — | 2024-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Zelis | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Municipal Health Benefit Fund | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ambetter, Qualchoice And Novasys Health | All Plan | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | White River Health System | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Care Source | Medicaid | $45.48 | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Sharp | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Multiplan | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | First Health | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Blue Cross | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Phcs | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Arkansas Total Care | Medicaid | $45.48 | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | American Lifecare | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Aetna | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna Accn Network | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Vantage Health | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ppo Plus (Stratose) | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | First Community Bank Corp Benefit | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Mercy Managed Care | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | American Ppo Inc. | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Healthscope Benefits | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Three Rivers Provider Network | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | United Healthcare | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Usa Managed Care | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Vantos Health System | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Health Partners Pho | All Plans | — | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $50.23 | $627.90 | $376.74 | 2026-02-21 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | AETNA [2022] | BMC HB AETNA | $54.77 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZAETNA [1001] | BMC HB AETNA | $54.77 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZAETNA [1001] | BMC HB AETNA STUDENT HEALTH | $54.77 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | MERITAIN HEALTH [1023] | BMC HB AETNA | $54.77 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | AETNA [2022] | BMC HB AETNA STUDENT HEALTH | $54.77 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | MASS GENERAL BRIGHAM HEALTH PLAN COMMERCIAL [8009] | BMC HB MASS GENERAL BRIGHAM HEALTH HMO/PPO/UNSUBSIDIZED QHP | $60.41 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $69.07 | $627.90 | $376.74 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | Superior Health Plan | Medicaid | $69.07 | $627.90 | $376.74 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $69.07 | $627.90 | $376.74 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $69.07 | $627.90 | $376.74 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | Superior Health Plan | Medicaid | $69.07 | $627.90 | $376.74 | 2026-02-21 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $69.25 | $69.25 | $51.94 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | CHP MCR ADV | CHP MCR ADV | $69.25 | $69.25 | $51.94 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | MOLINA MCARE | MOLINA MCARE | $69.25 | $69.25 | $51.94 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $69.25 | $69.25 | $51.94 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE MCR ADV - ALL PLANS | HEALTH ALLIANCE MCR ADV - ALL PLANS | $69.25 | $69.25 | $51.94 | 2026-04-29 | MRF ↗ |
| OTHELLO COMMUNITY HOSPITAL Outpatient | UHC MCARE HMO | UHC MCARE HMO | $69.25 | $69.25 | $51.94 | 2026-04-29 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Empower | Medicaid | $70.32 | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Summitt | Medicaid | $70.32 | $1,010.36 | $909.32 | 2026-05-09 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | CURATIVE - ALL PLANS | CURATIVE - ALL PLANS | $75.00 | $2,503.00 | — | 2026-07-06 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | CURATIVE - ALL PLANS | CURATIVE - ALL PLANS | $75.00 | $2,503.00 | — | 2026-03-26 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | AVMED SELECT/FIRST NTWRK | AVMED SELECT/FIRST NTWRK | $80.00 | $2,503.00 | — | 2026-03-26 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | UNICARE [8004] | BMC HB WELLPOINT | $84.00 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | WELLPOINT [2034] | BMC HB WELLPOINT | $84.00 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | AVMED COMM - ALL OTHER PLANS | AVMED COMM - ALL OTHER PLANS | $87.00 | $2,503.00 | — | 2026-03-26 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS [8002] | BMC HB TUFTS PPO | $87.32 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | CIGNA [2023] | BMC HB TUFTS PPO | $87.32 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS [8002] | BMC HB TUFTS POS/HMO | $87.32 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZCIGNA [1002] | BMC HB TUFTS PPO | $87.32 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway OutpatientFacility | Superior Health Plan | Medicaid | $87.91 | $627.90 | $376.74 | 2026-02-23 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY OutpatientFacility | Superior Health Plan | Medicaid | $87.91 | $627.90 | $376.74 | 2026-02-19 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS [8002] | BMC HB TUFTS SELECT | $89.60 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | CIGNA [2023] | BMC HB CIGNA | $95.20 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZCIGNA [1002] | BMC HB CIGNA | $95.20 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | COMMUNITY HEALTH PLAN OF WASHINGTON | COMMUNITY HEALTH PLAN OF WA | $96.19 | $501.00 | $325.65 | 2026-03-23 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $100.46 | $627.90 | $376.74 | 2026-02-20 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $100.46 | $627.90 | $376.74 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | Cook Children's Health Plan | Medicaid | $100.46 | $627.90 | $376.74 | 2026-02-21 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | Superior Health Plan | Medicaid | $100.46 | $627.90 | $376.74 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL OutpatientFacility | Superior Health Plan | Medicaid | $100.46 | $627.90 | $376.74 | 2026-02-20 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $100.90 | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Humana National | Transplant (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Life Trac National | Transplant (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Kaiser National | Transplant (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Blue Cross Blue Shield Association BDCT | Transplant (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Medicaid (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Commercial (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Government (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Commercial (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Anthem Centers for Medical Excellence | Transplant (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Pmap | $101.36 | $603.00 | $603.00 | 2026-07-18 | MRF ↗ |
| Baylor All Saints Medical Center Of Fort Worth OutpatientFacility | Aetna | Medicaid | $102.47 | $627.90 | $376.74 | 2026-02-21 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $105.47 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $105.47 | — | — | 2026-03-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $107.06 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $107.06 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $107.06 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $107.06 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $109.20 | — | — | 2025-07-22 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Wi Ma | Wi Ma | $109.64 | $1,100.00 | $1,100.00 | 2026-07-18 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Wi Ma | Wi Ma | $109.64 | $603.00 | $603.00 | 2026-07-18 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $111.43 | — | — | 2025-06-27 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $116.70 | — | — | 2025-07-22 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $119.30 | $627.90 | $376.74 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | Superior Health Plan | Medicaid | $119.30 | $627.90 | $376.74 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE OutpatientFacility | Superior Health Plan | Medicaid | $119.30 | $627.90 | $376.74 | 2026-02-21 | MRF ↗ |
| BAYLOR UNIVERSITY MEDICAL CENTER OutpatientFacility | Superior Health Plan | Medicaid | $119.30 | $627.90 | $376.74 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE OutpatientFacility | Aetna | Medicaid | $121.69 | $627.90 | $376.74 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $125.58 | $627.90 | $376.74 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO OutpatientFacility | Superior Health Plan | Medicaid | $125.58 | $627.90 | $376.74 | 2026-02-19 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $126.10 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $126.10 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $126.10 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $126.10 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $126.10 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $147.67 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $147.67 | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $147.71 | $1,196.00 | $1,196.00 | 2026-07-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Behavioral Health/Optum | Commercial (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Aetna Institute of Excellence | Transplant (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | MotivHealth/Denver Public Schools | Commercial (PPO) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Medicaid | FFS (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access Behavioral Health | Medicaid (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Department of Corrections | Commercial (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (Select CO) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | ValueOptions Colorado | Medicaid (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access | CHP+ | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Integrated Health Plan | Commercial (PPO) | $151.35 | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Rocky Mountain Health Plan | Medicaid Prime | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Denver Health Medical Plan | Medicaid Choice | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Select Health | Commercial (EPO/HMO/POS/PPO) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna Lifesource | Transplant (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna | Commercial (All Contracted Plans) | — | $1,009.00 | $655.85 | 2026-04-17 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $152.00 | $1,440.00 | $244.80 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | $1,440.00 | $244.80 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCR ADV | HEALTHNET MCR ADV | $152.00 | $1,440.00 | $244.80 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | AETNA MCR ADV | AETNA MCR ADV | $152.00 | $1,440.00 | $244.80 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | $1,440.00 | $244.80 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $152.00 | $1,440.00 | $244.80 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | UHC MCR ADV | UHC MCR ADV | $152.00 | $1,440.00 | $244.80 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $152.00 | $1,440.00 | $244.80 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $152.00 | $1,440.00 | $244.80 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | UHC MCR ADV | UHC MCR ADV | $152.00 | $1,440.00 | $244.80 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | AETNA MCR ADV | AETNA MCR ADV | $152.00 | $1,440.00 | $244.80 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCR ADV | HEALTHNET MCR ADV | $152.00 | $1,440.00 | $244.80 | 2026-05-23 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicaid Replacement | — | $161.46 | $1,196.00 | $550.16 | 2026-07-31 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Daniel Memorial | Managed Medicaid | $164.06 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $164.06 | — | — | 2026-02-06 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $164.06 | — | — | 2025-12-02 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Daniel Memorial | Managed Medicaid | $164.06 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $164.06 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $164.06 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Daniel Memorial | Managed Medicaid | $164.06 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Nassaua County Sheriff's Office | Managed Medicaid | $164.06 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Humana | Managed Medicaid | $164.06 | — | — | 2026-02-06 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | Managed Medicaid | $164.07 | — | — | 2025-12-02 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | Humana | MANAGED MEDICAID | $164.07 | — | — | 2026-03-31 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | HUMANA MCAID | HUMANA MCAID | $164.07 | $2,503.00 | — | 2026-03-26 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | AmeriHealth | Managed Medicaid_CHIP | $164.07 | — | — | 2025-12-02 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Healthy Kids | $164.07 | — | — | 2025-08-01 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Simply Healthcare | MANAGED MEDICAID | $164.07 | — | — | 2026-03-31 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | WELLCARE MCAID | WELLCARE MCAID | $164.07 | $2,503.00 | — | 2026-03-26 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $164.07 | — | — | 2025-12-02 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | SIMPLY HLTH MCAID - ALL OTHER PLANS | SIMPLY HLTH MCAID - ALL OTHER PLANS | $164.07 | $2,503.00 | — | 2026-03-26 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | Simply Healthcare | MANAGED MEDICAID | $164.07 | — | — | 2026-03-31 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Simply Healthcare | CHIP | $164.07 | — | — | 2025-12-02 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $164.07 | $2,503.00 | — | 2026-03-26 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Sunshine | Managed Medicaid | $164.07 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | WellCare | Managed Medicaid | $164.07 | — | — | 2025-12-02 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | COMM CARE MCAID - ALL OTHER PLANS | COMM CARE MCAID - ALL OTHER PLANS | $164.07 | $2,503.00 | — | 2026-03-26 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Simply Healthcare | Managed Medicaid | $164.07 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | WellCare | CHIP | $164.07 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Community Care Plan | Managed Medicaid | $164.07 | — | — | 2025-12-02 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | AMERIHEALTH MCAID | AMERIHEALTH MCAID | $164.07 | $2,503.00 | — | 2026-03-26 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | SUNSHINE MCAID - ALL OTHER PLANS | SUNSHINE MCAID - ALL OTHER PLANS | $164.07 | $2,503.00 | — | 2026-03-26 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $164.07 | — | — | 2025-08-01 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Sunshine | CHIP | $164.07 | — | — | 2025-12-02 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $164.07 | — | — | 2025-08-01 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Humana | MANAGED MEDICAID | $164.07 | — | — | 2026-03-31 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | CHIP | $164.07 | — | — | 2025-12-02 | 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.