N804 — Mammography Services
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Mammography Services (OTHER N804) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/N804?code_type=OTHER
MLA (9th ed.)
“Mammography Services (OTHER N804) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/N804?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Mammography Services (OTHER N804) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/N804?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $122–$386 (25th–75th percentile) across 440 hospitals · 664 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER N804 — 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 |
|---|---|---|---|---|---|---|---|
| ST JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| PALESTINE REGIONAL MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| NORTHEAST HOSPITAL CORPORATION OutpatientFacility | Harvard Pilgrim Healthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON OutpatientFacility | Harvard Pilgrim Healthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WINCHESTER HOSPITAL OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| OSF SAINT CLARE MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | Dvaco Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $19.82 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | $19.82 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | $19.97 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $19.97 | — | — | 2025-07-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL SOUTH, LLC OutpatientFacility | Community Care | Select Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $20.37 | — | — | 2025-07-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Molina | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | $20.81 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $22.13 | — | — | 2025-07-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured Non Lcu All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured Non Lcu All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Multiplan | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Medcost | Virginia Link Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Multiplan | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured Non Lcu All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Aetna | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | Priority Health | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | Meridian Health Plan | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | Aetna | Cofinity PHO All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | Meridian | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | UnitedHealthCare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | Priority Health | HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | McLaren | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | Ambetter Health | Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | BCBS | Blue Care Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | Priority Health | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WATERVLIET HOSPITAL OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| WATERTOWN MEMORIAL HOSPITAL OutpatientFacility | UnitedHealthCare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Dean Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Bcbs | Anthem Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Quartz Health Solutions | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Unitedhealthcare | Community Care Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Unitedhealthcare | Wisconsin Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Icare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Unitedhealthcare | Wisconsin Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | BCBS | Anthem Pathway HMO | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | BCBS | Anthem Pathway HPN PPO | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | MedCost | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | BCBS | Anthem Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | MCA 90 Degree Benefits | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | BCBS | Anthem - KY Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Optima | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | United Mine Workers of America | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Caresource | Marketplace Exchange | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | WellCare | Ambetter All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Multiplan | PHCS All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Alliance Coal | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Unicare | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | BCBS | Anthem Blue Access/Preferred HMO/PPO/HIC | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | BCBS | Anthem HealthKeepers Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Passport Health Plan | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| SPECTRUM HEALTH UNITED HOSPITAL OutpatientFacility | Meridian Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST CLARE HOSPITAL - BARABOO OutpatientFacility | Ghc-Eau Claire | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $29.73 | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC OutpatientFacility | Quartz Health Solutions, Inc. | Quartz Wisconsin Medicaid Plans | $29.73 | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Healthpartners Mcr | Medicare Managed Care Plan – Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Choice Care Pmap | Medicaid Managed Care Plan – Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $29.73 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc. | Quartz Wisconsin Medicaid Plans | $29.73 | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medicare Railroad | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | $29.73 | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica | Medica Advantage Solution Medicare | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Snbc & Accessibilitycap | Medicaid Managed Care Plan – Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Plus Msho Medicare | Msho (Dual Mcr/Ma) | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medicare Anthem Advantage | Medicare Managed Care Plan – Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medicare Blue Ppo | Medicare Managed Care Plan -Ppo | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Ucare For Seniors | Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Ucare Mncare | Medicaid Managed Care Plan -Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | Group Health Cooperative Of South Central Wisconsin | Group Health Wisconsin Medicaid Hmo | $29.73 | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Healthpartners | Healthpartners Commercial Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Plus Pmap | Medicaid Managed Care Plan -Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $29.73 | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Humana | Humana Gold Choice Medicare | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Plus Mncare | Medicaid Managed Care Plan – Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicare Advantage Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Tricare West Minnesota | Tricare Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Ucare Individual & Family Plan | Hmo Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Ucare Pmap | Medicaid Managed Care Plan -Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | America's Ppo | America's Ppo Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Tricare East Wisconsin | Tricare Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $29.73 | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota State Employee Plan | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | United Healthcare Of Minnesota, Inc. | United Healthcare Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | Va Community Care Network | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica | Medica For Seniors Msho | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/Epo Networks | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica | Medica Ifb Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Healthpartners | Healthpartners State Employee Plan | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Cooperative Commercial Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Ucare | Ucare Mcr Mn Senior Hlth Optns | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica | Medica Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | United Healthcare Of Minnesota, Inc. | United Healthcare Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Federal Employee Program | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | United Healthcare Of Minnesota, Inc. | United Healthcare Medicare Advantage Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | United Healthcare Of Minnesota, Inc. | United Healthcare Shared Services Plan | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | United Healthcare Of Minnesota, Inc. | United Healthcare Hmo/Ppo/Pos/Epo Networks | — | — | — | 2025-07-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | United Healthcare Of Minnesota, Inc. | Medicaid Managed Care Plan – Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Cooperative Commercial Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Forest County Potowatomi | Forest County Potowatomi Aspirus Network Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Multiplan, Inc | Health Eos Ppos Network Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | The Alliance (F/K/A Employer Health Care Alliance Cooperative) | Security Administrative Services Hmo/Ppo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The Alliance Network Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Forest County Potowatomi | Forest County Potowatomi Self-Funded Ppo Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Multiplan, Inc | Phcs Ppo Networks | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicare Advantage Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | First Health Group Corp | First Health National Rental Ppo Network | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Multiplan, Inc | Multiplan Ppo Network Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Multiplan, Inc | Aetna Health Plan Ppo Networks | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | Va Community Care Network | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $29.87 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/Epo Networks | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Advantage Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicare Advantage Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Pos Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Administrative Services Pos | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Aspirus Health Plan, Inc. | Aspirus Health Plan Medicare Advantage | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $29.87 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Plus Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Health Partners | Health Partners Commercial Ppo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Humana | Humana Medicare Ppo/Pos/Hmo Network Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage Esa | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Cigna | Cigna Ppo And Open Access Plus Benefit Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | $29.87 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Federal Employee Program | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Medicare Advantage Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Traditional Network | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Dual Hmo Snp | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $29.95 | — | — | 2025-07-01 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Wellsense Health Plan | Qhp Government Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST CLARE HOSPITAL - BARABOO OutpatientFacility | Icare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST CLARE HOSPITAL - BARABOO OutpatientFacility | Dean Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MONROE CLINIC OutpatientFacility | Bcbs | Anthem Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MONROE CLINIC OutpatientFacility | Quartz | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MONROE CLINIC OutpatientFacility | Centene | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MONROE CLINIC OutpatientFacility | Medicaid Managed Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MONROE CLINIC OutpatientFacility | Unitedhealthcare | Community Care Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MONROE CLINIC OutpatientFacility | Icare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | Dean Health Plan | Dean Health Plan Wisconsin Medicaid Plans | $30.33 | — | — | 2025-07-01 | MRF ↗ |
| SSM HEALTH ST CLARE HOSPITAL - BARABOO OutpatientFacility | Chorus | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $30.47 | — | — | 2025-07-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Centene | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Network Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Chorus | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Adventhealth Orlando OutpatientFacility | Simply Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | $31.22 | — | — | 2025-07-01 | MRF ↗ |
| THE MONROE CLINIC OutpatientFacility | Dean Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | $31.37 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | $31.45 | — | — | 2025-07-01 | 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.