G0239 — Oth Resp Proc, Group
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Oth resp proc, group (HCPCS G0239) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/G0239?code_type=HCPCS
MLA (9th ed.)
“Oth resp proc, group (HCPCS G0239) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/G0239?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Oth resp proc, group (HCPCS G0239) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/G0239?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $43–$166 (25th–75th percentile) across 2,564 hospitals · 6,556 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS G0239 — 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
$43
$79 typical
$166
The middle 50% of negotiated facility rates for this procedure, measured across 2,564 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. | $79 |
| Physician fee Estimate national typical Medicare $14 × 1.22 commercial. | $18 |
| Likely subtotal | $97 |
Complete-episode estimate (typical)
~$97
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 $43–$166.
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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $214.01 | $107.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $214.01 | $107.00 | 2024-12-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $884.00 | $724.88 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $884.00 | $724.88 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,490.40 | $968.76 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $884.00 | $724.88 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1,490.40 | $968.76 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $884.00 | $724.88 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $884.00 | $724.88 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $884.00 | $724.88 | 2025-11-26 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Aetna (Medicaid) | Aetna Better Health | $3.78 | $31.50 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | WellCare (Medicaid) | WellCare of Kentucky | $3.78 | $31.50 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicaid) | Passport Health Plan by Molina Healthcare | $3.82 | $31.50 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicaid) | United Healthcare Community Plan | $3.82 | $31.50 | — | 2026-04-01 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Commercial | $3.86 | — | — | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross Lanier | Commercial | $3.86 | — | — | 2026-07-15 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | WELLCARE MCAID | WELLCARE MCAID | $4.00 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $4.00 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $4.00 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | WELLCARE MCAID | WELLCARE MCAID | $4.00 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $4.00 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | UHC MCAID | UHC MCAID | $4.00 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | UHC MCAID | UHC MCAID | $4.00 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | ANTHEM MCAID | ANTHEM MCAID | $4.00 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | HUMANA MCAID | HUMANA MCAID | $4.00 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | HUMANA MCAID | HUMANA MCAID | $4.00 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $4.00 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | ANTHEM MCAID | ANTHEM MCAID | $4.00 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicaid) | Humana Healthy Horizons | $4.01 | $31.50 | — | 2026-04-01 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $4.03 | $104.34 | $37.56 | 2026-09-19 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | WELLCARE MCAID | WELLCARE MCAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH HARDIN Outpatient | ANTHEM MEDICAID | ANTHEM MEDICAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | WELLCARE MCAID | WELLCARE MCAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LEXINGTON Outpatient | WELLCARE MCAID | WELLCARE MCAID | $4.50 | $50.00 | $37.50 | 2026-03-31 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | ANTHEM MCAID | ANTHEM MCAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | UHC MCAID | UHC MCAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LEXINGTON Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $4.50 | $50.00 | $37.50 | 2026-03-31 | MRF ↗ |
| BAPTIST HEALTH LEXINGTON Outpatient | ANTHEM MCAID | ANTHEM MCAID | $4.50 | $50.00 | $37.50 | 2026-03-31 | MRF ↗ |
| BAPTIST HEALTH LEXINGTON Outpatient | UHC MCAID | UHC MCAID | $4.50 | $50.00 | $37.50 | 2026-03-31 | MRF ↗ |
| BAPTIST HEALTH HARDIN Outpatient | WELLCARE MEDICAID | WELLCARE MEDICAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | MOLINA MCAID-ALL PLANS | MOLINA MCAID-ALL PLANS | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH HARDIN Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | HUMANA MCAID | HUMANA MCAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | UHC MCAID | UHC MCAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LEXINGTON Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $4.50 | $50.00 | $37.50 | 2026-03-31 | MRF ↗ |
| BAPTIST HEALTH HARDIN Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | HUMANA MCAID | HUMANA MCAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | ANTHEM MCAID | ANTHEM MCAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH HARDIN Outpatient | UHC MEDICAID | UHC MEDICAID | $4.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LEXINGTON Outpatient | HUMANA MCAID HMO | HUMANA MCAID HMO | $4.50 | $50.00 | $37.50 | 2026-03-31 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STAR | $4.55 | $75.86 | $75.86 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STARKids | $4.55 | $75.86 | $75.86 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STARPLUS | $4.55 | $75.86 | $75.86 | 2026-05-14 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | CHPFC | $4.55 | $75.86 | $75.86 | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | STAR | $4.55 | $75.86 | $75.86 | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | STARKids | $4.55 | $75.86 | $75.86 | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | STARPLUS | $4.55 | $75.86 | $75.86 | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | CHIP | $4.55 | $75.86 | $75.86 | 2026-09-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | CHIP | $4.55 | $75.86 | $75.86 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | CHPFC | $4.55 | $75.86 | $75.86 | 2026-05-14 | MRF ↗ |
| BAPTIST HEALTH HARDIN Outpatient | HUMANA MCAID | HUMANA MCAID | $4.59 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $4.74 | $104.34 | $37.56 | 2026-09-19 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Outpatient | Cigna | CIGNA One Health HMO and Local Plus | $4.80 | $155.00 | $53.00 | 2025-05-01 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | Blue Cross | Hmo | $5.04 | $105.00 | $5.04 | 2026-05-09 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | Blue Cross | Hmo | $5.04 | $105.00 | $5.04 | 2026-05-06 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Outpatient | BCBS | BCBS HMO | $5.26 | $155.00 | $53.00 | 2025-05-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Outpatient | BCBS | BCBS Blue Choice Provider | $5.26 | $155.00 | $53.00 | 2025-05-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Outpatient | BCBS | BCBS PPO | $5.26 | $155.00 | $53.00 | 2025-05-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Outpatient | BCBS | BCBS Blue Choice Options | $5.26 | $155.00 | $53.00 | 2025-05-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Outpatient | BCBS | BCBS Blue Choice Preffered | $5.26 | $155.00 | $53.00 | 2025-05-01 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $5.30 | $40.00 | $8.40 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $5.30 | $40.00 | $8.40 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $5.30 | $40.00 | $8.40 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $5.30 | $40.00 | $8.40 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $5.30 | $40.00 | $8.40 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $5.30 | $40.00 | $8.40 | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Donor Connect | Other | $5.31 | $183.08 | $137.31 | 2026-08-01 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $5.43 | $76.00 | $38.00 | 2026-03-21 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | $5.44 | $202.00 | $141.40 | 2025-01-01 | MRF ↗ |
| BAPTIST HEALTH LOUISVILLE Outpatient | AETNA MCAID | AETNA MCAID | $5.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LOUISVILLE Outpatient | HUMANA MCAID | HUMANA MCAID | $5.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LOUISVILLE Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $5.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LOUISVILLE Outpatient | UHC MCAID | UHC MCAID | $5.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LOUISVILLE Outpatient | WELLCARE MCAID | WELLCARE MCAID | $5.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LOUISVILLE Outpatient | ANTHEM MCAID | ANTHEM MCAID | $5.50 | $50.00 | $37.50 | 2026-04-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | Aetna | Medicare|All Plans | $5.67 | $37.80 | $13.23 | 2026-02-28 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | Aetna | Medicare|All Plans | $5.67 | $37.80 | $13.23 | 2026-02-28 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Inpatient | Blue Medicare Partner Health Plan | Medicare | $5.68 | $94.00 | $56.40 | 2026-08-01 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Both | Aetna | All Commercial Products | $5.70 | $19.00 | $11.40 | 2026-09-21 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | MEDICA MCAID | MEDICA MCAID | $5.81 | $16.38 | $11.14 | 2026-01-24 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $5.85 | $13.00 | $9.75 | 2026-01-16 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $6.00 | $26.00 | $26.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $6.00 | $26.00 | $26.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $6.00 | $26.00 | $26.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $6.00 | $26.00 | $26.00 | 2025-07-03 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Humana Medicare Advantage | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Priority Health Medicare Advantage | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | U-M Health Advantage | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Mclaren Medicare Advantage | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Senior Community Health | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicare | Part A & B | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Aetna Medicare Advantage | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medigold | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicare Plus Blue | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Sparrow Advantage | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Php Medicare Advantage | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Hap Medicare Advantage | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Bcn Medicare Advantage | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Covenant Advantage | Hmo | $6.24 | $26.00 | $6.50 | 2026-07-15 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $6.24 | $76.00 | $38.00 | 2026-03-20 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | Blue Cross | Ppo | $6.31 | $105.00 | $5.04 | 2026-05-06 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | Blue Cross | Ppo | $6.31 | $105.00 | $5.04 | 2026-05-09 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $6.36 | $16.38 | $11.14 | 2026-01-24 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARETAKER HIP [232] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID HIP [230] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE [220] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | FRANCISCAN ACO [236] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID [200] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $6.37 | $287.00 | $172.20 | 2026-04-01 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | MDWise | Medicaid | $6.37 | $258.28 | $154.97 | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Managed Health Services | Medicaid | $6.37 | $258.28 | $154.97 | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Anthem Blue Cross of IN | Medicaid | $6.37 | $258.28 | $154.97 | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $6.37 | $258.28 | $154.97 | 2026-02-18 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE InpatientFacility | Molina Passport of Kentucky | Managed Medicaid | — | $57.87 | $7.53 | 2026-02-03 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | BCBS MCARE ADV | BCBS MCARE ADV | $6.55 | $16.38 | $11.14 | 2026-01-24 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | MEDICA MCARE ADV | MEDICA MCARE ADV | $6.55 | $16.38 | $11.14 | 2026-01-24 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $6.55 | $127.00 | $63.00 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $6.55 | $127.00 | $63.00 | 2026-02-28 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | MEDICA MSHO | MEDICA MSHO | $6.55 | $16.38 | $11.14 | 2026-01-24 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Anthem Medicaid Kentucky | — | $6.60 | $60.00 | $36.00 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Humana Medicaid Kentucky | — | $6.60 | $60.00 | $36.00 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Aetna Medicaid Kentucky | — | $6.60 | $60.00 | $36.00 | 2026-08-01 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Aetna | Commercial | $6.71 | $175.77 | $175.77 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Aetna | Commercial | $6.71 | $175.77 | $175.77 | 2025-09-11 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Molina Medicaid Kentucky | — | $6.73 | $60.00 | $36.00 | 2026-08-01 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $6.76 | $76.00 | $38.00 | 2026-03-21 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Molina Passport of Kentucky | Managed Medicaid | $6.94 | $57.87 | $7.53 | 2026-02-03 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Humana of Kentucky | Managed Medicaid | $6.94 | $57.87 | $7.53 | 2026-02-03 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $6.94 | $57.87 | $7.53 | 2026-02-03 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Wellcare of Kentucky | Managed Medicaid | $6.94 | $57.87 | $7.53 | 2026-02-03 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Humana Tricare | Military | — | $57.87 | $7.53 | 2026-02-03 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | Anthem | Managed Medicaid | $6.94 | $57.87 | $7.53 | 2026-02-03 | MRF ↗ |
| BAPTIST HEALTH DEACONESS MADISONVILLE OutpatientFacility | United Healthcare | Managed Medicaid | $6.94 | $57.87 | $7.53 | 2026-02-03 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $6.96 | $171.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $6.96 | $171.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $6.96 | $171.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $6.96 | $171.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $6.96 | $171.00 | — | 2025-06-28 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $7.00 | $162.00 | $97.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $7.00 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $7.00 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $7.00 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $7.00 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $7.00 | $168.00 | $100.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $7.00 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $7.00 | $168.00 | $100.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $7.00 | $162.00 | $97.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $7.00 | $168.00 | $100.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $7.00 | $168.00 | $100.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $7.00 | $168.00 | $100.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $7.00 | $168.00 | $100.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $7.00 | $168.00 | $100.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $7.00 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $7.00 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $7.00 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $7.00 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $7.00 | $168.00 | $100.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $7.00 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $7.00 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $7.00 | $531.00 | $318.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $7.00 | $168.00 | $100.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $7.00 | $162.00 | $97.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $7.00 | $393.00 | $235.80 | 2026-01-01 | 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.