G0468 — Fqhc Visit, Ippe Or Awv
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FQHC VISIT, IPPE OR AWV (HCPCS G0468) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/G0468?code_type=HCPCS
MLA (9th ed.)
“FQHC VISIT, IPPE OR AWV (HCPCS G0468) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/G0468?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“FQHC VISIT, IPPE OR AWV (HCPCS G0468) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/G0468?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $127–$228 (25th–75th percentile) across 162 hospitals · 299 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS G0468 — 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 |
|---|---|---|---|---|---|---|---|
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | Dual Managed MedicareMedicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana Military | Tricare West | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | VA CCN Optum | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Healthy Blue | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Verity | Healthnet | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Amerihealth | Caritas | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Louisiana Health Care Connections | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | BCBS of Louisiana | Blue Advantage HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | POS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Gold Medicare | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | HMOPPOPOS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Gilsbar | 360 Alliance PPO | — | — | — | 2026-05-11 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Aetna | Aetna | $0.04 | $0.06 | $0.04 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Uhc Select Core | $0.04 | $0.06 | $0.04 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | $0.04 | $0.06 | $0.04 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Hmo | $0.04 | $0.06 | $0.04 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Interplan | Interplan | $0.05 | $0.06 | $0.04 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $0.05 | $0.06 | $0.04 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Health Net | Health Net | $0.05 | $0.06 | $0.04 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Commercial | $0.05 | $0.06 | $0.04 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Uhc All Payer | $0.05 | $0.06 | $0.04 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | First Health | First Health | $0.05 | $0.06 | $0.04 | 2026-07-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | HealthChoice | HealthChoice | $20.00 | — | — | 2026-08-30 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Humana | Humana | $26.38 | $75.36 | $45.22 | 2026-07-15 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $26.58 | $196.90 | $147.68 | 2026-01-16 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Employee Health Plan | Employee Health Plan | $28.11 | $75.36 | $45.22 | 2026-07-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicaid - Brook | $37.81 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Exchange - Brook | $37.81 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 3-4 - Brook | $37.81 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicare Adv - Brook | $37.81 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 1-2 - Brook | $37.81 | — | — | 2026-04-01 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $39.29 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $39.29 | — | — | 2026-07-31 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $40.46 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $40.46 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $40.46 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $40.46 | — | — | 2026-07-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $40.86 | $196.90 | $147.68 | 2026-01-16 | MRF ↗ |
| SHERIDAN COUNTY HOSPITAL Both | Celtic Insurance | Default | $42.96 | $71.00 | $71.00 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Aetna | Aetna | $45.67 | $75.36 | $45.22 | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | $45.90 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 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 | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | $45.90 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HUMBOLDT PARK HEALTH Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $51.28 | $155.40 | $43.51 | 2026-09-29 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Uhc Select Core | $51.92 | $75.36 | $45.22 | 2026-07-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $52.25 | — | — | 2026-06-15 | MRF ↗ |
| SHERIDAN COUNTY HOSPITAL Both | Blue Cross Blue Shield Of Ks | Default | $52.87 | $71.00 | $71.00 | 2026-07-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $54.29 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $54.29 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $54.29 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $55.32 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $55.32 | — | — | 2026-06-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Hmo | $55.77 | $75.36 | $45.22 | 2026-07-15 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $55.97 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $55.97 | — | — | 2025-01-01 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | $56.52 | $75.36 | $45.22 | 2026-07-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $56.65 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $57.75 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $57.75 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $57.75 | — | — | 2026-06-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $58.21 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $58.21 | — | — | 2025-01-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $58.30 | — | — | 2026-06-15 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2026-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2026-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $58.59 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 1-2 | $58.59 | — | — | 2026-09-05 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $58.77 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $58.77 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $58.77 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $58.77 | — | — | 2025-01-01 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Uhc All Payer | $58.78 | $75.36 | $45.22 | 2026-07-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $58.85 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $58.85 | — | — | 2026-06-15 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $59.33 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $59.33 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $59.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $59.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $59.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $59.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $59.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $59.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $59.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $59.89 | — | — | 2025-01-01 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | BLUE CROSS COMMUNITY HEALTH PLANS - Medicaid | Medicaid Managed Care | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | BLUE CROSS OF CALIFORNIA - Medicare Part A | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | BLUE CROSS BLUE SHIELD OF MI - Medicare Part A | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | AETNA BETTER HEALTH OF ILLINOIS - Medicaid | Medicaid Managed Care | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | UNITEDHEALTHCARE - Medicare Part A | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | HUMANA INC. - Medicare Part A | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | BLUE SHIELD OF CALIFORNIA - Medicare Part A | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | AETNA - Medicare Part B | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | AMBETTER - Medicaid | Medicaid Managed Care | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | AMBETTER - Medicaid | Medicaid Managed Care | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | AETNA BETTER HEALTH - Medicaid | Medicaid Managed Care | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | ILLINICARE HEALT - Commercial-Mut Defined | Medicaid Managed Care | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | UNITEDHEALTHCARE - Medicare Part B | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | HUMANA INC. - Medicare Part B | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | BLUE SHIELD OF CALIFORNIA - Medicare Part B | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | UNITEDHEALTH GROUP - Medicare Part B | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | AETNA - Medicare Part A | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | BLUE CROSS BLUE SHIELD - Medicaid | Medicaid Managed Care | — | $185.00 | $185.00 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL BothFacility | BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS - Medicare Part B | Medicare Advantage | — | $185.00 | $185.00 | 2026-03-10 | 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.