E0194 — Dme Pos
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DME POS (HCPCS E0194) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/E0194?code_type=HCPCS
MLA (9th ed.)
“DME POS (HCPCS E0194) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/E0194?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DME POS (HCPCS E0194) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/E0194?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,113–$6,041 (25th–75th percentile) across 563 hospitals · 548 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS E0194 — 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 |
|---|---|---|---|---|---|---|---|
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $24.21 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $24.52 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Summacare | MEDICARE ADVANTAGE | $25.63 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $25.63 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $26.24 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | CARESOURCE | Managed Medicaid | $26.40 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $26.40 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $26.58 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $26.75 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $26.75 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $26.75 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $26.84 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $26.84 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | MOLINA | Managed Medicaid | $26.91 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | ANTHEM | Managed Medicaid | $26.91 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $27.01 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $27.10 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $27.10 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $27.10 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $27.26 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $27.26 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $27.36 | — | — | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $27.42 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $27.62 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $27.62 | — | — | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $27.74 | — | — | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $27.74 | — | — | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $28.03 | — | — | 2025-06-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | Managed Medicaid | $28.19 | — | — | 2025-06-28 | MRF ↗ |
| LUTHERAN HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $28.39 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $28.57 | — | — | 2025-06-28 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $29.10 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $29.10 | — | — | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $29.13 | — | — | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $29.13 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $29.66 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $29.66 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $29.66 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $29.66 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $29.66 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $29.66 | — | — | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $29.68 | — | — | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $30.23 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $30.23 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $30.23 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $30.23 | — | — | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $30.30 | — | — | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $30.30 | — | — | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $30.30 | — | — | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $30.51 | — | — | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $30.59 | — | — | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $30.88 | — | — | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $30.88 | — | — | 2025-06-28 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $30.97 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $31.08 | — | — | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $31.08 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | OPTUM | Managed Medicaid Transplant | $31.44 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $31.57 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $31.57 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $31.57 | — | — | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $31.75 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $32.17 | — | — | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $32.17 | — | — | 2025-06-28 | MRF ↗ |
| Crosbyton Clinic Hospital Outpatient | Aetna | Commercial | $33.00 | $172.00 | $172.00 | 2025-10-01 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $33.08 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | CARESOURCE | Managed Medicaid | $33.09 | — | — | 2025-06-28 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | Paramount | Managed Medicaid | $34.08 | — | — | 2025-06-28 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | MOLINA | Managed Medicaid | $34.74 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | ANTHEM | Managed Medicaid | $34.74 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | Buckeye | Managed Medicaid | $34.74 | — | — | 2025-06-28 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $35.06 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $35.06 | — | — | 2025-01-01 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | UNITED | Managed Medicaid | $35.41 | — | — | 2025-06-28 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid | $35.83 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $35.83 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $35.83 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | UHC | Managed Medicaid | $35.83 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $36.17 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $36.17 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid | $36.17 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $36.17 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $36.17 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $36.17 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Humana | Managed Medicaid | $36.17 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $36.17 | — | — | 2026-04-01 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | United BH | Managed Medicaid | $36.40 | — | — | 2025-06-28 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $36.46 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $36.46 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $36.81 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $36.81 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $36.81 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $36.81 | — | — | 2025-01-01 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $36.99 | — | — | 2025-06-28 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $37.16 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $37.16 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $37.51 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $37.51 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $37.51 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $37.51 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $37.51 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $37.51 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $37.51 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $37.51 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $38.22 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $38.22 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $38.22 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $38.22 | — | — | 2025-01-01 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $38.94 | — | — | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $38.94 | — | — | 2025-06-28 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $40.89 | — | — | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $40.89 | — | — | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $40.89 | — | — | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $42.83 | — | — | 2025-06-28 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Caresource | Managed Medicaid | $43.18 | — | — | 2025-11-11 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | OPTUM | Managed Medicaid Transplant | $43.68 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | OPTUM | Managed Medicaid Transplant | $43.68 | — | — | 2025-06-28 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $44.02 | — | — | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Aetna OhRise | Managed Medicaid | $44.02 | — | — | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Cenpatico | Behavioral Health | $44.02 | — | — | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $44.02 | — | — | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $44.02 | — | — | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $44.44 | — | — | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | United HealthCare Community Plan Ohio | Managed Medicaid | $45.27 | — | — | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | AmeriHealth Caritas Ohio | Managed Medicaid | $45.27 | — | — | 2025-11-11 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | Paramount | Managed Medicaid | $47.36 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | Paramount | Managed Medicaid | $47.36 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | ANTHEM | Managed Medicaid | $48.28 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | MOLINA | Managed Medicaid | $48.28 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | ANTHEM | Managed Medicaid | $48.28 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | MOLINA | Managed Medicaid | $48.28 | — | — | 2025-06-28 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | UHC | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Caresource | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Humana | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Caresource | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $48.68 | — | — | 2026-04-01 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | UNITED | Managed Medicaid | $49.20 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | CARESOURCE | Managed Medicaid | $49.20 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | UNITED | Managed Medicaid | $49.20 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | CARESOURCE | Managed Medicaid | $49.20 | — | — | 2025-06-28 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER 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 ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | AMERIHEALTH | Managed Medicaid | $50.58 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB OutpatientFacility | AMERIHEALTH | Managed Medicaid | $50.58 | — | — | 2025-06-28 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Fresno | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Tulare | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Merced | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $55.00 | — | — | 2025-03-13 | 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.