G0439 — Pr Visit Annual Well With Ppps Subsequent Visit
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Visit Annual Well W/ Ppps Subsequent Visit (CPT G0439) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/G0439?code_type=CPT
MLA (9th ed.)
“PR Visit Annual Well W/ Ppps Subsequent Visit (CPT G0439) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/G0439?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Visit Annual Well W/ Ppps Subsequent Visit (CPT G0439) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/G0439?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $129–$240 (25th–75th percentile) across 1,608 hospitals · 4,675 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS G0439 — 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
$129
$163 typical
$240
The middle 50% of negotiated facility rates for this procedure, measured across 1,608 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. | $163 |
| Physician fee Estimate national typical Medicare $138 × 1.22 commercial. | $168 |
| Likely subtotal | $330 |
Complete-episode estimate (typical)
~$330
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 |
|---|---|---|---|---|---|---|---|
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $440.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $440.00 | — | 2025-05-02 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | None | — | — | $92.00 | $9.20 | 2026-04-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $92.00 | $9.20 | 2026-06-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $440.00 | — | 2025-05-02 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $92.00 | $9.20 | 2026-04-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $440.00 | — | 2025-05-02 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.06 | — | — | 2026-03-18 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $3.31 | $165.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $3.31 | $165.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $3.31 | $165.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $3.31 | $165.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $3.31 | $165.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $3.31 | $165.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $3.31 | $165.50 | — | 2026-03-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $3.51 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $3.51 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $3.51 | — | — | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $3.58 | $270.00 | $270.00 | 2026-02-13 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.80 | $365.40 | $365.40 | 2026-04-24 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.82 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.82 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.82 | — | — | 2026-03-18 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $4.38 | $32.00 | $25.60 | 2026-04-24 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.44 | $271.56 | $162.94 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.44 | $271.56 | $162.94 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.44 | $271.56 | $162.94 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.44 | $271.56 | $162.94 | 2025-08-11 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $4.61 | $230.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $4.61 | $230.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $4.61 | $230.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $4.61 | $230.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $4.61 | $230.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $4.61 | $230.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $4.61 | $230.50 | — | 2026-03-31 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Aetna | Coventry | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Aetna | Coventry | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Coventry | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Aetna | Medicare Advantage | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Aetna | Medicare Advantage | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Medicare Advantage | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $4.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $5.60 | $271.56 | $162.94 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $5.60 | $271.56 | $162.94 | 2025-08-11 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $5.83 | $349.00 | $62.82 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $5.83 | $349.00 | $62.82 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $5.87 | $128.00 | $8.96 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $5.96 | $328.00 | $88.56 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $5.96 | $337.00 | $57.29 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $5.96 | $337.00 | $57.29 | 2026-01-24 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $6.34 | — | — | 2026-03-18 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Keystone First | CHIP | $6.91 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Keystone First | Community HealthChoices | $6.91 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $7.65 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $7.68 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $7.68 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $7.68 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage Select 65 | $7.68 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $7.68 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Tiered PPACA | $7.68 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage Select 65 | $7.68 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage Select 65 | $7.68 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Tiered PPACA | $7.68 | $80.00 | — | 2026-04-13 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $7.68 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage Select 65 | $7.68 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $7.68 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $7.68 | $80.00 | — | 2026-04-13 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARPLUS | $7.91 | $113.00 | $113.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARKids | $7.91 | $113.00 | $113.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARHealth | $7.91 | $113.00 | $113.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | MCDSTAR | $7.91 | $113.00 | $113.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | CHIP | $7.91 | $113.00 | $113.00 | 2026-03-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Cigna | Medicare DSNP/Medicare HMO/Medicare PPO | $8.82 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Cigna | Medicare DSNP/Medicare HMO/Medicare PPO | $8.82 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Cigna | Medicare DSNP/Medicare HMO/Medicare PPO | $8.82 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Cigna | Medicare DSNP/Medicare HMO/Medicare PPO | $8.82 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Cigna | Medicare DSNP/Medicare HMO/Medicare PPO | $8.82 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Cigna | Medicare DSNP/Medicare HMO/Medicare PPO | $8.82 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Cigna | Medicare DSNP/Medicare HMO/Medicare PPO | $8.82 | $80.00 | — | 2026-04-13 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | VA CCN-ALL PLANS | VA CCN-ALL PLANS | $9.61 | $26.70 | $21.36 | 2026-01-05 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Keystone First | Community HealthChoices | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | CHIP | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Keystone First | CHIP | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | Community HealthChoices | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Keystone First | Community HealthChoices | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Keystone First | CHIP | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | CHIP | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Keystone First | CHIP | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Keystone First | Community HealthChoices | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | Community HealthChoices | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | CHIP | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | Community HealthChoices | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | CHIP | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | Community HealthChoices | $9.74 | $80.00 | — | 2026-04-13 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MHCP | BCBS MHCP | $9.91 | $27.00 | $23.76 | 2026-02-03 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $10.12 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage Select 65 | $10.12 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $10.87 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $10.87 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $10.87 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $10.87 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $10.87 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $10.87 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $10.87 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Cigna | Commercial | $10.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Cigna | Commercial | $10.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Cigna | Commercial | $10.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Cigna | Commercial | $10.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Cigna | Commercial | $10.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Cigna | Commercial | $10.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Cigna | Commercial | $10.88 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $11.20 | $80.00 | — | 2026-04-13 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield of Wisconsin | Medicare Advantage | $11.20 | $32.00 | $25.60 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Security Health | Medicare Advantage | $11.20 | $32.00 | $25.60 | 2026-04-24 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $11.20 | $80.00 | — | 2026-04-13 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $11.20 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $11.20 | $80.00 | — | 2026-04-13 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $11.20 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $11.20 | $80.00 | — | 2026-04-13 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $11.20 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $11.20 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $11.20 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $12.00 | $80.00 | — | 2026-04-13 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Group Health Coop of Eau Claire | Commercial | $12.10 | $32.00 | $25.60 | 2026-04-24 | MRF ↗ |
| SWEETWATER HOSPITAL ASSOCIATION Both | None | — | — | $135.00 | $45.90 | 2026-04-22 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $12.35 | $80.00 | — | 2026-04-08 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | Self Pay | Self Pay | $12.35 | $65.00 | — | 2026-03-31 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $12.35 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $12.35 | $80.00 | — | 2026-04-08 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MCAID | MEDICA MCAID | $12.47 | $27.00 | $23.76 | 2026-02-03 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | OK COMPLETE HLTH COMM-ALL OTHER PLANS | OK COMPLETE HLTH COMM-ALL OTHER PLANS | $12.50 | $26.70 | $21.36 | 2026-01-05 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $12.51 | — | — | 2025-12-31 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $12.69 | $27.00 | $23.76 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $12.69 | $27.00 | $23.76 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $12.69 | $27.00 | $23.76 | 2026-02-03 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | UnitedHealthcare | VACCN | $12.80 | $80.00 | — | 2026-04-08 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | MEDICA COMMERCIAL-ALL PLANS | MEDICA COMMERCIAL-ALL PLANS | $12.98 | $26.70 | $21.36 | 2026-01-05 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | Blue Precision | $13.41 | $65.00 | — | 2026-03-31 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $13.44 | $32.00 | $25.60 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $13.44 | $32.00 | $25.60 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Health Tradition | Medicare Select Program | $13.44 | $32.00 | $25.60 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Care Wisconsin | Medicare Advantage | $13.44 | $32.00 | $25.60 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | Medicare Select Program | $13.44 | $32.00 | $25.60 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Group Health Coop of Eau Claire | Medicare Advantage | $13.44 | $32.00 | $25.60 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Quartz | Medicare Advantage | $13.44 | $32.00 | $25.60 | 2026-04-24 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR ADV | UCARE MCR ADV | $13.50 | $27.00 | $23.76 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR SELECT | UCARE MCR SELECT | $13.50 | $27.00 | $23.76 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE SR HLTH OPTIONS (MSHO) | UCARE SR HLTH OPTIONS (MSHO) | $13.50 | $27.00 | $23.76 | 2026-02-03 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $13.60 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $13.60 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $13.60 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $13.60 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $13.60 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $13.60 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $13.60 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $13.60 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage Select 65 | $14.28 | $80.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $14.28 | $80.00 | — | 2026-04-13 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | TRICARE HNFS-ALL PLANS | TRICARE HNFS-ALL PLANS | $14.35 | $28.70 | $28.70 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE MCR ADV - ALL PLANS | HUMANA CHOICE CARE MCR ADV - ALL PLANS | $14.35 | $28.70 | $28.70 | 2026-02-18 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | HMO | $14.42 | $65.00 | — | 2026-03-31 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY MEDICARE ADV | COVENTRY MEDICARE ADV | $14.49 | $28.70 | $28.70 | 2026-02-18 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Workers' Comp | $14.66 | $80.00 | — | 2026-04-13 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $14.85 | $110.00 | $82.50 | 2026-01-16 | MRF ↗ |
| Temple University Hospital - Northeastern Campus InpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Workers' Comp | $14.96 | $80.00 | — | 2026-04-13 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Cigna | IFP | $15.26 | $113.00 | $113.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Aetna | QHPHIX | $15.26 | $113.00 | $113.00 | 2026-03-01 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $15.76 | $115.00 | $92.00 | 2026-04-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | AMBETTER COMML EXCH-ALL PLANS | AMBETTER COMML EXCH-ALL PLANS | $15.79 | $28.70 | $28.70 | 2026-02-18 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Cigna | QHP | $15.82 | $113.00 | $113.00 | 2026-03-01 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | UPMC Health Plan | Community HealthChoices | $16.00 | $80.00 | — | 2026-04-08 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | UPMC Health Plan | CHIP | $16.00 | $80.00 | — | 2026-04-08 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Health Partners Plans | CHIP/Medicaid | $16.00 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Commercial | $16.56 | $80.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | First Health | $16.56 | $80.00 | — | 2026-04-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $16.65 | $37.00 | $33.30 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $16.65 | $37.00 | $33.30 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $16.65 | $37.00 | $33.30 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $16.65 | $37.00 | $33.30 | 2026-04-05 | 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.