G0411 — Interactive Grp Psyc Php/iop
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INTERACTIVE GRP PSYC PHP/IOP (HCPCS G0411) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/G0411?code_type=HCPCS
MLA (9th ed.)
“INTERACTIVE GRP PSYC PHP/IOP (HCPCS G0411) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/G0411?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INTERACTIVE GRP PSYC PHP/IOP (HCPCS G0411) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/G0411?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $116–$312 (25th–75th percentile) across 509 hospitals · 1,081 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS G0411 — 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 |
|---|---|---|---|---|---|---|---|
| ALLEGHANY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of North Carolina | Blue Value | $0.25 | — | — | 2025-08-12 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | HealthChoice | HealthChoice | $0.60 | — | — | 2026-08-30 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Bcbs Blueplus Of Mn | Medicaid Managed Care Plan | $11.16 | — | — | 2026-03-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Self Pay Non-Traditional | Self Pay Non-Traditional | $11.43 | $142.83 | $142.83 | 2026-07-17 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARKids | $11.71 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHPFC | $11.71 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STAR | $11.71 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARPLUS | $11.71 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHIP | $11.71 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | MCR | $12.94 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $13.46 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $13.46 | — | — | 2025-06-27 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STARPLUS | $13.70 | $228.28 | $228.28 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | CHIP | $13.70 | $228.28 | $228.28 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STARKids | $13.70 | $228.28 | $228.28 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | CHPFC | $13.70 | $228.28 | $228.28 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STAR | $13.70 | $228.28 | $228.28 | 2025-01-01 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $14.78 | — | — | 2026-01-29 | MRF ↗ |
| ALOMERE HEALTH OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | $15.66 | — | — | 2026-04-01 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $15.99 | $389.59 | — | 2024-12-19 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Medicaid | $16.44 | — | — | 2026-04-01 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $16.83 | $389.59 | — | 2024-12-19 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $18.07 | $750.00 | — | 2026-08-17 | MRF ↗ |
| SBH Green Bay, LLC d/b/a WILLOW CREEK BEHAVIORAL HEALTH Outpatient | Managed Health Services-Managed MA | Managed Health Services-Managed MA | $18.30 | $2,500.00 | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BCBS MN | Medicaid | $18.87 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $18.87 | — | — | 2026-01-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $18.90 | $63.00 | $63.00 | 2026-03-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $18.94 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $18.94 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna - Hmo/Pos/Ppo | $18.94 | — | — | 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 ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | BCBS MN | Medicaid | $19.21 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $19.21 | — | — | 2026-01-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $19.30 | $800.80 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $19.88 | $750.00 | — | 2026-08-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Self Pay Non-Traditional | Self Pay Non-Traditional | $20.15 | $251.88 | $251.88 | 2026-07-17 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $20.71 | — | — | 2026-03-04 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $20.77 | $442.00 | $442.00 | 2026-03-01 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $20.92 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WORTHINGTON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $21.16 | — | — | 2026-03-04 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Vail Health | COMM | $21.17 | $139.26 | $139.26 | 2026-03-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $21.22 | $800.80 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $21.30 | $750.00 | — | 2026-08-17 | MRF ↗ |
| LAKE REGION HEALTHCARE CORPORATION OutpatientFacility | Blue Cross Blue Shield of Minnesota | Managed Medicaid | $21.46 | — | — | 2026-03-17 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | Medciare Advantage (MMG) | $21.86 | — | — | 2025-10-24 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $22.10 | $279.00 | $209.25 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $22.54 | $442.00 | $442.00 | 2024-10-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $22.74 | $800.80 | — | 2026-08-17 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Superior | Medicaid | $22.99 | $279.00 | $209.25 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $23.70 | $750.00 | — | 2026-08-17 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $24.75 | $637.75 | — | 2025-08-07 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $24.75 | $630.05 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $24.75 | $544.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $24.75 | $544.00 | — | 2024-12-19 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - OMH | $24.96 | $208.00 | $135.20 | 2026-03-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALL SAVERS INSURANCE [1073] | ALL SAVERS INSURANCE [107301] | $25.20 | $63.00 | $63.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE LIFE INS CO [1075] | UNITED HEALTH CARE LIFE INS CO [107501] | $25.20 | $63.00 | $63.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE [105801] | $25.20 | $63.00 | $63.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 31374 [105807] | $25.20 | $63.00 | $63.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | SUREST [105805] | $25.20 | $63.00 | $63.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 740810 [105803] | $25.20 | $63.00 | $63.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE STUDENT RESOURCES [105808] | $25.20 | $63.00 | $63.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 30555 [105802] | $25.20 | $63.00 | $63.00 | 2026-03-23 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $25.31 | $279.00 | $209.25 | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $25.31 | $800.80 | — | 2026-08-17 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Fidelis Care of New Jersey | Managed Medicaid | $25.32 | $205.00 | $205.00 | 2026-04-24 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIP | $25.36 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIPPerinatal | $25.36 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR | $25.36 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR+PLUS | $25.36 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MGMCD | $27.32 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MCDCHIPBH | $27.32 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Outpatient | UHC | UHC Medicaid | $27.50 | $637.75 | — | 2025-08-07 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | UHC | UHC Medicaid (02/01/2023 to 12-31-2026) | $27.50 | $544.00 | — | 2026-09-01 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | UBH | UBH Medicaid | $27.50 | $544.00 | — | 2026-09-01 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Horizon | Horizon NJ Health Medicaid | $27.50 | $544.00 | — | 2026-09-01 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Outpatient | Traditional Medicaid | Traditional Medicaid | $27.50 | $637.75 | — | 2025-08-07 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Horizon | Horizon Nj Health - Medicaid | $27.50 | $630.05 | — | 2026-09-01 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | UBH | UBH Medicaid | $27.50 | $630.05 | — | 2026-09-01 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | UHC (Americhoice) | UHC Medicaid | $27.50 | $630.05 | — | 2026-09-01 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $27.50 | $544.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Wellcare | Wellcare Medicaid | $27.50 | $544.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | UHC | UHC Medicaid | $27.50 | $544.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | UBH | UBH Medicaid | $27.50 | $544.00 | — | 2026-03-17 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | UHC | UHC Medicaid (02/01/2023 to 12-31-2026) | $27.50 | $544.00 | — | 2026-03-17 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Horizon | Horizon NJ Health Medicaid | $27.50 | $544.00 | — | 2026-03-17 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Horizon | Horizon Nj Health - Medicaid | $27.50 | $630.05 | — | 2026-03-17 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Americhoice (UHC) | Americhoice Medicaid | $27.50 | $630.05 | — | 2024-12-19 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | UHC (Americhoice) | UHC Medicaid | $27.50 | $630.05 | — | 2026-03-17 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Outpatient | Wellcare | Wellcare Medicaid | $27.50 | $637.75 | — | 2025-08-07 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $27.50 | $630.05 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $27.50 | $544.00 | — | 2024-12-19 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | UBH | UBH Medicaid | $27.50 | $630.05 | — | 2026-03-17 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | UHC | UHC Medicaid | $27.50 | $544.00 | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Wellcare | Wellcare Medicaid | $27.50 | $544.00 | — | 2024-12-19 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $27.54 | — | — | 2026-01-28 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MCRPPO | $27.54 | $573.70 | $573.70 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MCRHMO | $27.65 | $573.70 | $573.70 | 2026-03-01 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Wellcare | Wellcare Medicaid | $28.32 | $630.05 | — | 2024-12-19 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARPLUS | $28.33 | $472.09 | $472.09 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STAR | $28.33 | $472.09 | $472.09 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARKids | $28.33 | $472.09 | $472.09 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHPFC | $28.33 | $472.09 | $472.09 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHIP | $28.33 | $472.09 | $472.09 | 2026-03-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $28.39 | — | — | 2026-07-18 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $28.47 | $605.84 | $605.84 | 2026-03-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | United | OptionsPPO | $28.83 | $139.26 | $139.26 | 2026-03-01 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Clover Health | Clover Medicaid | $28.88 | $630.05 | — | 2024-12-19 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | CSN | $28.88 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Anthem | PathwayEssentials | $29.37 | $139.26 | $139.26 | 2026-03-01 | MRF ↗ |
| PEAK BEHAVIORAL HEALTH SERVICES, LLC Outpatient | MOLINA HEALTHCARE OF NM MC Managed | MOLINA HEALTHCARE OF NM MC Managed | $29.55 | $500.00 | — | 2026-05-20 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $29.66 | $960.00 | $960.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $29.66 | $960.00 | $960.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BLUECHOICE [810] | PHU HB BLUES EXCHANGE OCONEE | $29.74 | $208.00 | $135.20 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB BLUES EXCHANGE OCONEE | $29.74 | $208.00 | $135.20 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $29.99 | $728.00 | $728.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $29.99 | $728.00 | $728.00 | 2026-03-01 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $30.00 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Fidelis | Medicaid | $30.00 | — | — | 2026-10-12 | MRF ↗ |
| BRATTLEBORO MEMORIAL HOSPITAL OutpatientFacility | Amerihealth-Caritas | Managed Medicaid | $30.00 | — | — | 2025-12-29 | MRF ↗ |
| BRATTLEBORO MEMORIAL HOSPITAL OutpatientFacility | New Hampshire Healthy Families | Managed Medicaid | $30.00 | — | — | 2025-12-29 | MRF ↗ |
| BRATTLEBORO MEMORIAL HOSPITAL OutpatientFacility | Wellsense | Managed Medicaid | $30.00 | — | — | 2025-12-29 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Outpatient | Aetna Better Health | Aetna Better Health - Medicaid | $30.25 | $637.75 | — | 2025-08-07 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Outpatient | Aetna Better Health | Aetna Better Health - Behavioral Health | $30.25 | $637.75 | — | 2025-08-07 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid | $30.25 | $544.00 | — | 2024-12-19 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Aetna | Aetna Medicaid | $30.25 | $630.05 | — | 2024-12-19 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Aetna | Aetna Better Health - Medi Medi | $30.25 | $630.05 | — | 2024-12-19 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Outpatient | Aetna Better Health | Aetna Better Health - Medi Medi | $30.25 | $637.75 | — | 2025-08-07 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid | $30.25 | $544.00 | — | 2024-12-19 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Aetna | MCR | $30.50 | $442.00 | $442.00 | 2026-03-01 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | PMAP | $30.72 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $30.72 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $30.72 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $30.72 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $30.72 | — | — | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $30.72 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $30.72 | — | — | 2026-02-05 | MRF ↗ |
| PALM BEACH GARDENS MEDICAL CENTER Outpatient | Aetna | MCR | $30.77 | $446.00 | $446.00 | 2026-03-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | CHIP | $30.96 | $516.00 | $516.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | CHPFC | $30.96 | $516.00 | $516.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | STAR | $30.96 | $516.00 | $516.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | STARKids | $30.96 | $516.00 | $516.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Superior Health Plan | STARPLUS | $30.96 | $516.00 | $516.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | STARPLUS | $30.96 | $516.00 | $516.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | STARKids | $30.96 | $516.00 | $516.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | CHIP | $30.96 | $516.00 | $516.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | STAR | $30.96 | $516.00 | $516.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Superior Health Plan | CHPFC | $30.96 | $516.00 | $516.00 | 2026-03-01 | MRF ↗ |
| PEAK BEHAVIORAL HEALTH SERVICES, LLC Outpatient | MOLINA HEALTHCARE OF TX MEDICARE | MOLINA HEALTHCARE OF TX MEDICARE | $31.12 | $500.00 | — | 2026-05-20 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | OpenAccessPlus | $31.22 | $195.11 | $195.11 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | MCR | $31.30 | $472.09 | $472.09 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | BCBS [800] | PHM HB BLUES EXCHANGE - TUOMEY | $31.41 | $208.00 | $135.20 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | BLUECHOICE [810] | PHM HB BLUES EXCHANGE - TUOMEY | $31.41 | $208.00 | $135.20 | 2026-03-01 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Parkland Medicaid | Parkland Community Health Plan Star Medicaid | $31.47 | $389.59 | — | 2024-12-19 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Fidelis Exchange | Commercial | $31.50 | — | — | 2026-10-12 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $31.62 | $166.40 | $166.40 | 2026-08-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $31.62 | $166.40 | $166.40 | 2026-08-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $31.62 | $166.40 | $166.40 | 2026-07-31 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $31.62 | $166.40 | $166.40 | 2026-07-31 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $31.82 | $442.00 | $442.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $31.82 | $442.00 | $442.00 | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First | MCDSTAR | $31.96 | $228.28 | $228.28 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First | CHIP | $31.96 | $228.28 | $228.28 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCD | $31.96 | $228.28 | $228.28 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIPBH | $31.96 | $228.28 | $228.28 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCDBH | $31.96 | $228.28 | $228.28 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIP | $31.96 | $228.28 | $228.28 | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $32.03 | $208.00 | $135.20 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $32.03 | $208.00 | $135.20 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $32.03 | $208.00 | $135.20 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $32.03 | $208.00 | $135.20 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $32.03 | $208.00 | $135.20 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $32.03 | $208.00 | $135.20 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $32.03 | $208.00 | $135.20 | 2026-03-01 | 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.