D4346 — Scaling Gingiv Inflammation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Scaling gingiv inflammation (HCPCS D4346) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/D4346?code_type=HCPCS
MLA (9th ed.)
“Scaling gingiv inflammation (HCPCS D4346) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/D4346?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Scaling gingiv inflammation (HCPCS D4346) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/D4346?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $707–$1,967 (25th–75th percentile) across 669 hospitals · 888 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS D4346 — 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 |
|---|---|---|---|---|---|---|---|
| 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 | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Commercial (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Government (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $10.50 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Kaiser National | Transplant (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Blue Cross Blue Shield Association BDCT | Transplant (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Life Trac National | Transplant (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Anthem Centers for Medical Excellence | Transplant (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Humana National | Transplant (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Commercial (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Medicaid (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $15.35 | — | — | 2026-03-04 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Integrated Health Plan | Commercial (PPO) | $15.75 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | MotivHealth/Denver Public Schools | Commercial (PPO) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (Select CO) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access | CHP+ | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna Lifesource | Transplant (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Select Health | Commercial (EPO/HMO/POS/PPO) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Denver Health Medical Plan | Medicaid Choice | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Behavioral Health/Optum | Commercial (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Aetna Institute of Excellence | Transplant (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Rocky Mountain Health Plan | Medicaid Prime | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access Behavioral Health | Medicaid (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Medicaid | FFS (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna | Commercial (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Department of Corrections | Commercial (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | ValueOptions Colorado | Medicaid (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (All Contracted Plans) | — | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Excellus Hmo Blue Option Managed Medicaid | $23.25 | $75.00 | $20.25 | 2026-07-17 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Aetna | Medicare Advantage Ppo | $30.40 | $95.00 | $47.50 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Aetna | Medicare Advantage Hmo | $30.40 | $95.00 | $47.50 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage Hmo | $30.40 | $95.00 | $47.50 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage Ppo | $30.40 | $95.00 | $47.50 | 2026-07-18 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 3&4 | $30.88 | $9,309.43 | $6,051.13 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $30.88 | $9,309.43 | $6,051.13 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $30.88 | $9,309.43 | $6,051.13 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $32.98 | $9,309.43 | $6,051.13 | 2024-12-30 | MRF ↗ |
| NICKLAUS CHILDREN'S HOSPITAL OutpatientFacility | Dentaquest | Medicaid Dental | $33.44 | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $33.75 | $75.00 | $48.75 | 2026-08-10 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $35.19 | — | — | 2026-03-04 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Kaiser | CHP+ | $35.70 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $36.23 | — | — | 2026-03-04 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $36.40 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $36.40 | — | — | 2026-02-12 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | KAISER | QUEST INT | $36.40 | — | — | 2026-01-25 | MRF ↗ |
| KAHUKU MEDICAL CENTER Outpatient | UHC | Mcd HMO | $36.40 | — | — | 2024-06-28 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | UnitedHealthcare | Quest | $36.40 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | UnitedHealthcare | Quest | $36.40 | — | — | 2026-02-12 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | UHC | QUEST INT | $36.40 | — | — | 2026-01-25 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $36.40 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $36.40 | — | — | 2026-02-12 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $37.26 | — | — | 2026-03-04 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $37.49 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $37.49 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | AlohaCare | ABD | $37.49 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $37.49 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | ABD | $37.49 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $37.49 | — | — | 2026-02-12 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $37.50 | $75.00 | $48.75 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | BCBS-ALL OTHER PLANS | BCBS-ALL OTHER PLANS | $37.50 | $75.00 | $48.75 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $37.50 | $75.00 | $48.75 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | HEALTH PARTNERS COMM/EXCH - ALL OTHER PLANS | HEALTH PARTNERS COMM/EXCH - ALL OTHER PLANS | $37.50 | $75.00 | $48.75 | 2026-08-10 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | WellCare of KY | WellCare of KY Pediatric | $37.50 | $150.00 | $81.00 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Better Health | $37.50 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Better Health | $37.50 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Better Health | $37.50 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Better Health | $37.50 | $150.00 | $81.00 | 2025-10-01 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | ABD | $38.58 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | ABD | $38.58 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | QUEST - ABD | $38.58 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | QUEST - ABD | $38.58 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana Health Plan | Quest ABD | $38.58 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Ohana Health Plan | Quest ABD | $38.58 | — | — | 2026-02-12 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Rocky Mountain Health Plan Behavioral Health | Medicaid (All Contracted Plans) | $42.00 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Molina | Molina Passport KY MCD | $45.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Molina | Molina Passport KY MCD | $45.00 | $150.00 | $81.00 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Molina | Molina Passport KY MCD | $45.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Molina | Molina Passport KY MCD | $45.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $45.54 | — | — | 2026-03-04 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Cigna | Cigna Dental PPO | $46.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Cigna | Cigna Dental PPO | $46.00 | $150.00 | $81.00 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Cigna | Cigna Dental PPO | $46.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Cigna | Cigna Dental PPO | $46.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Carelon Behavioral Health | Medicaid (All Contracted Plans) | $47.25 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Denver Health Medical Plan | CHP+ | $47.25 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Humana | Medicare Advantage | $47.50 | $95.00 | $47.50 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Alignment Health | — | $47.50 | $95.00 | $47.50 | 2026-07-18 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | DentaQuest | DentaQuest TennCare | $48.26 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | DentaQuest | DentaQuest TennCare | $48.26 | $150.00 | $81.00 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | DentaQuest | DentaQuest TennCare | $48.26 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | DentaQuest | DentaQuest TennCare | $48.26 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Lifetime Benefits | — | $48.87 | $75.00 | $20.25 | 2026-07-17 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $48.94 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $48.94 | — | — | 2026-04-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Aetna | Commercial | $48.94 | — | — | 2026-01-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $48.94 | — | — | 2026-04-01 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $48.94 | — | — | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Medicare Advantage | $48.94 | — | — | 2026-06-30 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $48.94 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage - Dhp | $48.94 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $48.94 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $48.94 | — | — | 2026-07-18 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $48.94 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $48.94 | — | — | 2025-10-24 | MRF ↗ |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL OutpatientFacility | Aetna | All Plans | $48.94 | — | — | 2026-01-28 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | United | United DBP | $50.40 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | United | United DBP | $50.40 | $150.00 | $81.00 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | United | United DBP | $50.40 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Presbyterian Health Plan | Medicaid (All Contracted Plans) | $50.40 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | United | United DBP | $50.40 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare | — | $50.41 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare | — | $50.41 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Medicare | — | $50.41 | $50,000.00 | $32,500.00 | 2026-07-05 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Colorado Access Behavioral Health | Medicaid (All Contracted Plans) | $51.45 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Presbyterian Health Plan | Medicaid (All Contracted Plans) | $51.45 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Colorado Access | CHP+ | $51.45 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | UNITED HEALTH CARE | Managed Medicare | $52.07 | — | — | 2025-07-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $54.60 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | UHC | ALL PRODUCTS | $54.60 | — | — | 2026-02-12 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Commercial | $54.81 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $54.81 | — | — | 2025-08-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Delta Dental | Delta Dental GP PPO MPA | $56.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Met Life | Met Life Dental | $56.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Delta Dental | Delta Dental GP PPO MPA | $56.00 | $150.00 | $81.00 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Met Life | Met Life Dental | $56.00 | $150.00 | $81.00 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Met Life | Met Life Dental | $56.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Delta Dental | Delta Dental GP PPO MPA | $56.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Delta Dental | Delta Dental GP PPO MPA | $56.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Met Life | Met Life Dental | $56.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Highmark | $56.25 | $75.00 | $20.25 | 2026-07-17 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $56.33 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $56.33 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $56.33 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $56.33 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $56.33 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $56.33 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $56.33 | — | — | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Aetna | Commercial/Hmo/Ppo/Pos | $57.00 | $95.00 | $47.50 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Cigna | Commercial/Hmo/Ppo | $57.00 | $95.00 | $47.50 | 2026-07-18 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Aetna Savings Plus | Exchange | $57.26 | — | — | 2026-07-13 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Molina Healthcare of New Mexico | Medicaid (All Contracted Plans) | $57.75 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Peak Health Alliance/EBMS | Commercial (All Contracted Plans) | $57.75 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Molina Healthcare of Nebraska | Medicaid (All Contracted Plans) | $57.75 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Rocky Mountain Health Plan | CHP+ | $57.75 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Presbyterian Health Plan | Commercial (All Contracted Plans) | $58.80 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Presbyterian Health Plan | Commercial (All Contracted Plans) | $59.85 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $60.00 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $60.00 | — | — | 2025-12-27 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Healthy Blue of Nebraska | Medicaid (All Contracted Plans) | $60.90 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Aetna Gatekeeper | Commercial | $62.64 | — | — | 2026-07-13 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Aetna Non-Gatekeeper | Commercial | $62.64 | — | — | 2026-07-13 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Peak Health Alliance/EBMS | Commercial (All Contracted Plans) | $63.00 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Kaiser | Commercial (HMO, POS) | $63.00 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Mvp | — | $63.75 | $75.00 | $20.25 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Cigna | Mvp | $63.75 | $75.00 | $20.25 | 2026-07-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Humana | Commercial (HMO) | $64.05 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | United Healthcare | Commercial (Select CO) | $65.10 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Denver Health Medical Plan | Elevate Exchange | $65.63 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Delta Dental | Delta Dental GP Premier MPA | $66.00 | $150.00 | $81.00 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Delta Dental | Delta Dental GP Premier MPA | $66.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Delta Dental | Delta Dental GP Premier MPA | $66.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Delta Dental | Delta Dental GP Premier MPA | $66.00 | $150.00 | $43.50 | 2025-10-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $66.87 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $66.87 | — | — | 2026-03-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $66.93 | — | — | 2026-07-18 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Pomco | — | $67.50 | $75.00 | $20.25 | 2026-07-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Interlink National | Transplant Medicaid (All Contracted Plans) | $68.25 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Evernorth Behavioral Health | Commercial (All Contracted Plans) | $68.25 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Denver Health Medical Plan | Highpoint Denver Plus DHMO & Plus HDHP | $68.25 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Rocky Mountain Health Plan | Commercial (All Contracted Plans) | $68.25 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $68.94 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $68.94 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $68.94 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $68.94 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $68.94 | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $69.61 | — | — | 2026-05-23 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Anthem Exchange | $69.75 | $75.00 | $20.25 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Empire Exchange | $69.75 | $75.00 | $20.25 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Outpatient | Bcbs | Empire Managed Medicaid | $69.75 | $75.00 | $20.25 | 2026-07-17 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $70.27 | — | — | 2026-07-18 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | United Healthcare | Commercial (All Contracted Plans) | $70.35 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Anthem Blue Cross Blue Shield | Commercial (HMO/EPO/POS) | $70.35 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $70.94 | — | — | 2026-07-18 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark | HMO | $72.20 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark | PPO/Indemnity | $72.20 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark | HMO | $72.20 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark | PPO/Indemnity | $72.20 | — | — | 2025-12-31 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Centivo | Commercial (EPO) | $72.45 | $105.00 | $68.25 | 2026-04-17 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Highmark | Highmark Social Mission Indemnity | $72.88 | — | — | 2026-04-14 | 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.