G0237 — Therapeutic Procd Strg Endur
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Therapeutic procd strg endur (HCPCS G0237) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/G0237?code_type=HCPCS
MLA (9th ed.)
“Therapeutic procd strg endur (HCPCS G0237) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/G0237?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Therapeutic procd strg endur (HCPCS G0237) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/G0237?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $30–$125 (25th–75th percentile) across 2,460 hospitals · 6,421 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS G0237 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$30
$65 typical
$125
The middle 50% of negotiated facility rates for this procedure, measured across 2,460 hospitals. The physician fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $65 |
| Physician fee Estimate national typical Medicare $13 × 1.22 commercial. | $15 |
| Likely subtotal | $80 |
Complete-episode estimate (typical)
~$80
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $30–$125.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician fee (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $220.16 | $110.08 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $220.16 | $110.08 | 2024-12-15 | MRF ↗ |
| BURGESS HEALTH CENTER Outpatient | Humana | Medicare | — | $91.00 | $72.80 | 2026-05-23 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $272.00 | $223.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $272.00 | $223.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $272.00 | $223.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $295.00 | $241.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $295.00 | $241.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $295.00 | $241.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $272.00 | $223.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $272.00 | $223.04 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $295.00 | $241.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $272.00 | $223.04 | 2025-11-26 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $3.24 | $6.47 | $6.47 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $3.24 | $6.47 | $6.47 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $3.24 | $6.47 | $6.47 | 2026-03-27 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $3.35 | $104.34 | $53.21 | 2025-01-10 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Inpatient | Blue Medicare Partner Health Plan | Medicare | $3.51 | $58.00 | $34.80 | 2026-08-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | FAMILY HEALTH NETWORK HMO [1610] | KH ILLINOIS MEDICAID | — | $53.00 | $37.10 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | KH ILLINOIS MEDICAID | — | $53.00 | $37.10 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CENPATICO BEHAVIORAL HEALTH [1603] | KH ILLINOIS MEDICAID | — | $53.00 | $37.10 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | KH ILLINOIS MEDICAID | — | $53.00 | $37.10 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | KH ILLINOIS MEDICAID | — | $53.00 | $37.10 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | KH ILLINOIS MEDICAID | — | $53.00 | $37.10 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | KH ILLINOIS MEDICAID | — | $53.00 | $37.10 | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $295.00 | $241.90 | 2025-11-26 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | Blue Cross | Hmo | $3.89 | $132.00 | $3.89 | 2026-05-06 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | Blue Cross | Hmo | $3.89 | $132.00 | $3.89 | 2026-05-09 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $4.03 | $104.34 | $37.56 | 2026-01-01 | MRF ↗ |
| TRINITY REGIONAL MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $149.67 | $119.74 | 2026-01-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $4.09 | $68.00 | $33.73 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $4.09 | $68.00 | $33.73 | 2026-02-28 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $4.21 | $6.47 | $6.47 | 2026-03-27 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $4.39 | $188.00 | — | 2026-03-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $4.50 | $10.00 | $7.50 | 2026-01-16 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | United Healthcare | All | $4.50 | $132.00 | $3.89 | 2026-05-06 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | United Healthcare | All | $4.50 | $132.00 | $3.89 | 2026-05-09 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $4.57 | $228.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $4.57 | $228.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $4.57 | $228.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $4.57 | $228.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $4.57 | $228.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $4.57 | $228.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $4.57 | $228.50 | — | 2026-03-31 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $4.74 | $104.34 | $37.56 | 2026-01-01 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Tricare | Node Tricare | $4.81 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Department Of Veterans Affairs | Node Champva | $4.81 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER OutpatientFacility | Amerigroup | CHIP/Medicaid | $4.86 | $54.00 | $47.52 | 2026-04-15 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | Blue Cross | Ppo | $4.87 | $132.00 | $3.89 | 2026-05-06 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | Blue Cross | Ppo | $4.87 | $132.00 | $3.89 | 2026-05-09 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | MEDICA MCAID | MEDICA MCAID | $4.90 | $13.81 | $9.39 | 2026-01-24 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $5.00 | $22.00 | $22.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $5.00 | $22.00 | $22.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $5.00 | $22.00 | $22.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $5.00 | $22.00 | $22.00 | 2025-07-03 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $5.10 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $5.10 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $5.10 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $5.10 | — | — | 2025-04-16 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | United Healthcare | Node Uhc Mcr Adv | $5.12 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Iu Health Plan | Node Iu Health Plan Mcr Adv | $5.12 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Humana Mcr Adv | Node Humana Mcr Adv | $5.12 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Managed Health Services | Node Mhs Mcr Adv | $5.12 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Medicare Traditional | Node Medicare Traditional | $5.12 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Medicare Non Par | Node Medicare Non Par | $5.12 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Anthem In Mcr Select | Node Anthem In Mcr Select | $5.12 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | Aetna | Medicare|All Plans | $5.13 | $34.20 | $11.97 | 2026-02-28 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | Aetna | Medicare|All Plans | $5.13 | $34.20 | $11.97 | 2026-02-28 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Node Anthem In Mcr Adv | $5.20 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Va | Node Va | $5.20 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Healthy Indiana Program-Anthem | Anthem In Hip | $5.20 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Devoted Health Mcr Adv | Node Devoted Health Mcr Adv | $5.22 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Aetna | Node Aetna Mcr Adv | $5.22 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Aetna | Commercial | $5.28 | $130.50 | $130.50 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Aetna | Commercial | $5.28 | $130.50 | $130.50 | 2025-09-11 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $5.36 | $13.81 | $9.39 | 2026-01-24 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $5.41 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $5.41 | — | — | 2025-12-23 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Miami County Sheriffs Department | Miami County Jail | $5.41 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | In Dept Of Correction | In Doc | $5.41 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Pphp Mcr Adv | Node Pphp Mcr Adv | $5.46 | $26.00 | $13.00 | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Self Pay | Self Pay | $5.46 | $26.00 | $5.46 | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Amish Aid | Amish Aid | $5.46 | $26.00 | $5.46 | 2026-07-15 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | BCBS MCARE ADV | BCBS MCARE ADV | $5.52 | $13.81 | $9.39 | 2026-01-24 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | MEDICA MCARE ADV | MEDICA MCARE ADV | $5.52 | $13.81 | $9.39 | 2026-01-24 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $5.52 | $38.00 | $44.00 | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $5.52 | $38.00 | $44.00 | 2024-12-19 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | MEDICA MSHO | MEDICA MSHO | $5.52 | $13.81 | $9.39 | 2026-01-24 | MRF ↗ |
| Post Acute Medical Specialty Hospital Of Texarkana InpatientFacility | Aetna | Commercial | $5.60 | — | — | 2025-09-11 | MRF ↗ |
| PAM Rehabilitation Hospital of Humble OutpatientFacility | Aetna | Commercial | $5.85 | $156.05 | $156.05 | 2025-09-11 | MRF ↗ |
| PAM Rehabilitation Hospital of Humble OutpatientFacility | Aetna First Health | Medical Rental | $5.85 | $156.05 | $156.05 | 2025-09-11 | MRF ↗ |
| PAM Rehabilitation Hospital of Humble InpatientFacility | Wellpoint (Amerigroup) | MMD Plan | $5.85 | $156.05 | $156.05 | 2025-09-11 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Blue Cross Blue Shield Completecaresource Michigan Medicaidmeridian Health Healthy Michigan Planmeridian Health Medicaid Hmomeridian Health Mi Childmeridian Health Plan | Hmo | $5.94 | $76.00 | $45.60 | 2026-07-15 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Platform Health Insurance | Ppo | $5.94 | $76.00 | $45.60 | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Unicare | Wv Medicaid | $5.97 | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $5.97 | — | — | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $5.97 | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | The Healthplan | Wv Medicaid | $5.97 | — | — | 2026-05-06 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $6.00 | $117.70 | $117.70 | 2024-10-01 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Inpatient | ILLINICARE/MERIDIAN MEDICAID [6509] | ILLINICARE BH [650909] | $6.00 | $72.00 | $19.00 | 2024-05-13 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Inpatient | ILLINICARE/MERIDIAN MEDICAID [6509] | YOUTHCARE IL [650908] | $6.00 | $72.00 | $19.00 | 2024-05-13 | MRF ↗ |
| GRAHAM HOSPITAL ASSOCIATION Both | HUMANA MEDICARE PPO/HMO CAH | HUMANA MEDICARE PPO/HMO CAH | $6.01 | $20.09 | — | 2026-05-13 | MRF ↗ |
| GRAHAM HOSPITAL ASSOCIATION Both | HUMANA MEDICARE PPO/HMO CAH | HUMANA MEDICARE PPO/HMO CAH | $6.01 | $18.10 | $18.10 | 2026-04-20 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Connection | $6.05 | $195.35 | $33.57 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Connection | $6.05 | $195.35 | $33.57 | 2025-06-27 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | GLOBAL EXCEL [1712] | KH MEDICARE | — | $53.00 | $37.10 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | KH MEDICARE | — | $53.00 | $37.10 | 2026-04-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $6.11 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $6.11 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $6.11 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $6.11 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $6.11 | — | — | 2025-06-28 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Wellcare | Wellcare Medicaid | $6.13 | $38.00 | $44.00 | 2024-12-19 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $6.13 | $149.51 | $112.13 | 2026-07-31 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Wellpoint Amerigroup | Wellpoint Amerigroup Medicaid | $6.13 | $38.00 | $44.00 | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Wellpoint Amerigroup | Wellpoint Amerigroup Medicaid | $6.13 | $38.00 | $44.00 | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Wellcare | Wellcare Medicaid | $6.13 | $38.00 | $44.00 | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $6.13 | $38.00 | $44.00 | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $6.13 | $38.00 | $44.00 | 2024-12-19 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $6.15 | — | — | 2026-04-01 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Unicare Health Plan Of West Virginia Inc. | Managed Medicaid | $6.17 | $208.00 | $208.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Aetna Better Health Of West Virginia | Chip | $6.17 | $208.00 | $208.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | The Health Plan Of West Virginia Inc. | Managed Medicaid | $6.17 | $208.00 | $208.00 | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Physicians Health Plan | Php Options | $6.22 | $26.00 | $7.02 | 2026-07-17 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Medicaid Georgia | Default | $6.23 | $38.57 | $28.93 | 2026-04-01 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Self Pay | Self Pay | $6.24 | $26.00 | $6.24 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Amish Aid | Amish Aid | $6.24 | $26.00 | $6.24 | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $6.24 | $26.00 | $6.24 | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Outpatient | Amish Aid | Amish Aid | $6.24 | $26.00 | $6.24 | 2026-07-15 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | UHC | UHC Medicaid | $6.25 | $38.00 | $44.00 | 2024-12-19 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Amerigroup NM, GA, DC | Default | $6.25 | $38.57 | $28.93 | 2026-04-01 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | UHC | UHC Medicaid | $6.25 | $38.00 | $44.00 | 2024-12-19 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $6.29 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $6.29 | — | — | 2026-05-24 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Physicians Health Plan | Php Options | $6.30 | $26.00 | $7.02 | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Outpatient | Physicians Health Plan | Php Options | $6.30 | $26.00 | $6.24 | 2026-07-15 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $6.32 | $193.11 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $6.32 | $193.11 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $6.32 | $193.11 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $6.32 | $193.11 | — | 2025-09-05 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | MDWise | Medicaid | $6.37 | $238.68 | $143.21 | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $6.37 | $238.68 | $143.21 | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Managed Health Services | Medicaid | $6.37 | $238.68 | $143.21 | 2026-02-18 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARETAKER HIP [232] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE [220] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID HIP [230] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | FRANCISCAN ACO [236] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Anthem Blue Cross of IN | Medicaid | $6.37 | $238.68 | $143.21 | 2026-02-18 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID [200] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $6.37 | $152.00 | $91.20 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | WellCare of Georgia | Default | $6.38 | $38.57 | $28.93 | 2026-04-01 | MRF ↗ |
| STONEWALL JACKSON MEMORIAL HOSPITAL Outpatient | Health Plan Medicaid | Medicaid | $6.39 | $163.99 | $82.00 | 2026-07-15 | MRF ↗ |
| STONEWALL JACKSON MEMORIAL HOSPITAL Outpatient | Unicare Medicaid | Medicaid | $6.39 | $163.99 | $82.00 | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Physicians Health Plan Of Northern Indiana | Php Options | $6.42 | $26.00 | $7.80 | 2026-07-17 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Blue_Access | $6.46 | $195.35 | $33.57 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Blue_Access | $6.46 | $195.35 | $33.57 | 2025-06-27 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Php | Php Options | $6.50 | $26.00 | $6.24 | 2026-07-15 | MRF ↗ |
| STONEWALL JACKSON MEMORIAL HOSPITAL Outpatient | Caresource Medicaid | Medicaid | $6.52 | $163.99 | $82.00 | 2026-07-15 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | CareSource GA | Default | $6.54 | $38.57 | $28.93 | 2026-04-01 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Ky Work Comp | Ky Work Comp | $6.55 | $26.00 | $9.36 | 2026-07-17 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $6.57 | $101.00 | $65.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $6.57 | $101.00 | $65.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $6.57 | $101.00 | $65.65 | 2026-03-12 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $6.69 | — | — | 2026-07-18 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Community First | Star Kids KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | First Care | KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Community First | Chip KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Superior | Chip KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Superior | Star Plus KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Driscoll Children's Health Plan | Star Kids KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Driscoll Children's Health Plan | Chip KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Driscoll Children's Health Plan | Star KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Aetna | Star KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Superior | Star KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | El Paso First | KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Superior | Foster Care KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Aetna | Chip KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | Star Chip KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| STONEWALL JACKSON MEMORIAL HOSPITAL Outpatient | Highmark Bcbs Medicaid | Medicaid | $6.71 | $163.99 | $82.00 | 2026-07-15 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Community First | Star KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Superior | Star Kids KM | $6.71 | $61.00 | $20.13 | 2026-01-13 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Peak Health | Commercial | $6.73 | $39.00 | $27.30 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Peak Health | Commercial | $6.73 | $39.00 | $27.30 | 2025-08-07 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid | $6.74 | $38.00 | $44.00 | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid | $6.74 | $38.00 | $44.00 | 2024-12-19 | MRF ↗ |
| AVOYELLES HOSPITAL Both | COVENTRY | COVENTRY PSYCH | $6.79 | $165.00 | $49.50 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | AETNA | AETNA IP | $6.79 | $165.00 | $49.50 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | AETNA | AETNA OP | $6.79 | $165.00 | $49.50 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | FIRST CHOICE HEALTH | FIRST HEALTH OP | $6.79 | $165.00 | $49.50 | 2026-04-29 | 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.