N809 — Other Medicine
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Other Medicine (OTHER N809) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/N809?code_type=OTHER
MLA (9th ed.)
“Other Medicine (OTHER N809) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/N809?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Other Medicine (OTHER N809) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/N809?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $53–$323 (25th–75th percentile) across 326 hospitals · 263 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER N809 — 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 |
|---|---|---|---|---|---|---|---|
| METROHEALTH SYSTEM OutpatientFacility | Caresource | Dual Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Molina Healthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Ucare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Ucare | Medicare Managed Care Plan | — | — | — | 2026-10-12 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Ucare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | Medicare Managed Care Plan | — | — | — | 2026-10-12 | MRF ↗ |
| FIRSTHEALTH MONTGOMERY MEMORIAL HOSP OutpatientFacility | Medicaid Managed Care Organization | United Healthcare Community Plan | $2.26 | — | — | 2025-10-31 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | BCBS | Anthem Medicaid Managed Care Plan | $2.73 | — | — | 2025-01-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Buckeye | Community Medicaid Managed Care Plan | $3.67 | — | — | 2025-01-01 | MRF ↗ |
| BAYSTATE MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $3.97 | — | — | 2025-10-15 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | BCBS | Anthem HealthKeepers Medicaid Managed Care Plan | $4.63 | — | — | 2025-07-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Humana Medicare Advantage | Hmo | $4.76 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Humana Medicare Advantage | Hmo | $4.76 | — | — | 2024-07-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Exchange | — | — | — | 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 | Icare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | — | — | — | 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 | Centene Behavioral Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| ALTRU HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-03-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $5.85 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC OutpatientFacility | Quartz Health Solutions, Inc. | Quartz Wisconsin Medicaid Plans | $5.85 | — | — | 2025-07-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Dean Health Plan | 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 | $5.85 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Quartz Health Solutions, Inc. | Quartz Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC OutpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $5.85 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | $5.85 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $5.85 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | $6.14 | — | — | 2025-07-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Meridian Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Blodgett Hospital OutpatientFacility | Bcbs | Complete Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Helen DeVos Children's Hospital OutpatientFacility | Priority Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Helen DeVos Children's Hospital OutpatientFacility | Bcbs | Complete Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Blodgett Hospital OutpatientFacility | Meridian Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Blodgett Hospital OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Helen DeVos Children's Hospital OutpatientFacility | Mclaren Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Blodgett Hospital OutpatientFacility | Priority Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Blodgett Hospital OutpatientFacility | Mclaren Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Devos Childrens Hospital - Transplant Unit OutpatientFacility | Mclaren Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Mclaren Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Bcbs | Complete Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Devos Childrens Hospital - Transplant Unit OutpatientFacility | Meridian Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Devos Childrens Hospital - Transplant Unit OutpatientFacility | Priority Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Helen DeVos Children's Hospital OutpatientFacility | Meridian Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Helen DeVos Children's Hospital OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Devos Childrens Hospital - Transplant Unit OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Devos Childrens Hospital - Transplant Unit OutpatientFacility | Bcbs | Complete Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | Mclaren | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Helen DeVos Children's Hospital OutpatientFacility | Unitedhealthcare | Uhccp Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | Meridian Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | Priority Health | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| Devos Childrens Hospital - Transplant Unit OutpatientFacility | Unitedhealthcare | Uhccp Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | Meridian Health Plan | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Unitedhealthcare | Uhccp Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | Humana | Advantage Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | Meridian Health Plan | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | Priority Health | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH OutpatientFacility | Humana | Advantage Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| Corewell Health Blodgett Hospital OutpatientFacility | Unitedhealthcare | Uhccp Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KERSHAWHEALTH OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| KERSHAWHEALTH OutpatientFacility | BCBS | Employee | — | — | — | 2025-07-01 | MRF ↗ |
| KERSHAWHEALTH OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Medicare Hmo | Aetna Medicare | — | — | — | 2026-04-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Commonwealth Care Alliance | PPO Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Harvard Pilgrim | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Carelon | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Fallon | PPO Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Tufts | Direct Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Serenity Pace | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Wellfleet | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Multiplan | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Serenity Pace | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | United Behavioral Health | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Aetna Coventry | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Tufts | Unify Dual Eligible Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Optum VA CCN | Government | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Health New England | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Carelon | Unicare All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Fallon | PPO Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | United Behavioral Health | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Carelon | Connectorcare All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Commonwealth Care Alliance | PPO Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Carelon | Unicare All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Carelon | Connectorcare All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Harvard Pilgrim | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Optum VA CCN | Government | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Wellfleet | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Tufts | Unify Dual Eligible Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Fallon | Summit Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Carelon | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Fallon | Summit Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Fallon | Navicare HMO Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Aetna Coventry | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Multiplan | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Tufts | Direct Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Fallon | Navicare HMO Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL OutpatientFacility | Health New England | Medicare Managed Care Plan | — | — | — | 2025-10-15 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Cigna | Ifp Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Humana | Medicaid Managed Care Plan | $7.67 | — | — | 2025-07-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Aetna | Medicare Managed Care Plan | $8.62 | — | — | 2025-01-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | BCBS | Anthem - KY Medicaid Managed Care Plan | $8.97 | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Passport Health Plan | Medicaid Managed Care Plan | $8.97 | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Aetna | Medicaid Managed Care Plan | $8.97 | — | — | 2025-07-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Multiplan | PHCS All Commercial Plans | $9.00 | — | — | 2025-07-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid Managed Care Plan | $9.15 | — | — | 2025-07-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Buckeye | Medicaid Managed Care - HMO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Healthsmart | Accel PPO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | AmeriHealth | Medicaid Managed Care - HMO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | BCBS | HMO/POS/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | BCBS | Anthem Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | UnitedHealthCare | PPO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | UnitedHealthCare | Medicaid Managed Care - HMO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | CareSource | Medicaid Managed Care - HMO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Medical Mutual | HMO/POS/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Aetna | HMO/POS/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Molina | Medicaid Managed Care - HMO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Ambetter | Buckeye Healthcare Exchange Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Paramount | HMO | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Paramount | PPO | — | — | — | 2025-01-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST HOSPITAL CORPORATION OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Cigna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Molina | Advantage Medicare Managed Care Plan | $10.57 | — | — | 2025-01-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Devoted Health | Medicare Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Healthcare La | Ancillary Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | BCBS | Anthem Senior Advantage Medicare Managed Care Plan | $10.96 | — | — | 2025-01-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | BCBS | Anthem Traditional | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | BCBS | Anthem Healthy Blue Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Medica | Employee | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Humana | All Commercial Plans | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Cigna | OAP Other Commercial Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Cigna | PPO | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Cigna | C7 Other Commercial Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | BCBS | Anthem Blue Preferred HMO/POS | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | BCBS | Anthem Blue Access Choice All Commercial Plans | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | BCBS | Anthem Blue Access PPO | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | BCBS | Community IL Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Centene | Home State Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | UnitedHealthCare | St. Louis University Employee Other Commercial Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | UnitedHealthCare | Community Care Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | BCBS | Anthem Pathway Exchange | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | UnitedHealthCare | Non-PPO Other Commercial Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Optum | Transplant | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | UnitedHealthCare | Behavioral Health Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | PHCS | All Commercial Plans | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Meridian | Youth Care Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Aetna | NAP Other Commercial Plan | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Healthlink | PPO | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Healthlink | HMO | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Health Alliance | All Commercial Plans | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Alliance Coal | All Commercial Plans | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Health Systems | All Commercial Plans | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | SmartHealth | All Commercial Plans | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Centene Ambetter | Exchange | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Medica | Exchange | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | UnitedHealthCare | Options PPO | — | — | — | 2025-12-01 | MRF ↗ |
| Devos Childrens Hospital - Transplant Unit OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Helen DeVos Children's Hospital OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Corewell Health Blodgett Hospital OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OSF SAINT KATHARINE MEDICAL CENTER OutpatientFacility | BCBS | Medicaid Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| OSF SAINT KATHARINE MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| OSF SAINT KATHARINE MEDICAL CENTER OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| OSF SAINT KATHARINE MEDICAL CENTER OutpatientFacility | Youthcare | Medicaid Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Community Il Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRIDGTON HOSPITAL OutpatientFacility | Martins Point | Martins Point Generations Advantage | $11.73 | — | — | 2025-07-01 | MRF ↗ |
| WAUPUN MEMORIAL HOSPITAL OutpatientFacility | Icare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | BCBS | BlueEssentials Exchange | $11.97 | — | — | 2025-07-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | BCBS | Lowcountry Blue Exchange | $11.97 | — | — | 2025-07-01 | MRF ↗ |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OutpatientFacility | Sutter East Bay Medical Foundation | Other Noncommercial | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Bcbs | Lowcountry Blue Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Humana | Medicare Managed Care | — | — | — | 2026-04-01 | 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.