N903 — Influenza Vaccines & Pneumococcal Pneumonia Vaccines
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Influenza Vaccines & Pneumococcal Pneumonia Vaccines (OTHER N903) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/N903?code_type=OTHER
MLA (9th ed.)
“Influenza Vaccines & Pneumococcal Pneumonia Vaccines (OTHER N903) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/N903?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Influenza Vaccines & Pneumococcal Pneumonia Vaccines (OTHER N903) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/N903?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $78–$323 (25th–75th percentile) across 87 hospitals · 101 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER N903 — 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 |
|---|---|---|---|---|---|---|---|
| THE MIRIAM HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Cigna | Ppo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Mo Medicaid | All Plans | $5.25 | — | — | 2025-05-01 | 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 | Cigna | OAP Other Commercial Plan | — | — | — | 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 | BCBS | Anthem Pathway Exchange | — | — | — | 2025-12-01 | MRF ↗ |
| Ssm Cardinal Glennon Children's Hospital OutpatientFacility | Medica | Employee | — | — | — | 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 | Cigna | PPO | — | — | — | 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 | Centene | Home State 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 | 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 | UnitedHealthCare | Community Care Medicaid Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| PROVIDENCE SEASIDE HOSPITAL OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc. | Quartz Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $8.91 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/Epo Networks | $8.91 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $8.91 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Medical Mutual | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Partnership | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Cross Gmc | Ucd Hb Blue Cross Gmc | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | $9.36 | — | — | 2025-07-01 | MRF ↗ |
| EAST TENNESSEE CHILDRENS HOSPITAL OutpatientFacility | UnitedHealthCare | TennCare Medicaid Managed Care Plan | $9.52 | — | — | 2024-10-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Cross | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Cross | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Centene | Home State Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Tufts Health Plan | Ri Together - Managed Medicaid | $13.12 | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Aetna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL OutpatientFacility | Aetna | Better Health Medicaid Managed Care - HMO | $13.52 | — | — | 2025-11-01 | MRF ↗ |
| ORLANDO HEALTH MELBOURNE HOSPITAL OutpatientFacility | Aetna | Better Health Medicaid Managed Care - HMO | $13.52 | — | — | 2025-11-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Metroplus | Exchange Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Bcbs | Anthem Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Wha | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Unitedhealthcare | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Paramount | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | McLaren | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | Blue Cross | Complete Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Health Alliance Plan | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | UnitedHealthCare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Blue Cross | Complete Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Priority Health | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL OutpatientFacility | UnitedHealthCare | Medicaid Managed Care Plan | $17.16 | — | — | 2025-11-01 | MRF ↗ |
| ORLANDO HEALTH MELBOURNE HOSPITAL OutpatientFacility | UnitedHealthCare | Medicaid Managed Care Plan | $17.16 | — | — | 2025-11-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS RHINELANDER HOSPITAL OutpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Advantage Plans | $19.31 | — | — | 2025-07-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Buckeye Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL OutpatientFacility | Pacificsource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Upmc For You (Ma) | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Highmark Senior Solutions Company | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Health Partners (Ma) Hmo | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS DUBOIS OutpatientFacility | Health Partners (Ma) Hmo | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Upmc For You (Ma) | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| Penn Highlands Clearfield OutpatientFacility | Highmark Senior Solutions Company | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PROVIDENCE SEASIDE HOSPITAL OutpatientFacility | Medicaid | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SEASIDE HOSPITAL OutpatientFacility | Careoregon | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAMMOTH HOSPITAL OutpatientFacility | Blue Cross | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Allwell | Allwell Medicare Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Jrmc | — | — | — | 2025-01-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-10-12 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Excellus | EXCELLUS CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem Health Plus | Child Health Plus | — | — | — | 2026-04-01 | MRF ↗ |
| DELAWARE VALLEY HOSPITAL, INC OutpatientFacility | Fidelis | FIDELIS CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | Excellus | EXCELLUS CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | Excellus | Excellus Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | Fidelis | Fidelis Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | Fidelis | FIDELIS CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | Fidelis | FIDELIS CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | Excellus | Excellus Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| DELAWARE VALLEY HOSPITAL, INC OutpatientFacility | Fidelis | Fidelis Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | Fidelis | Fidelis Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Healthplus Medicaid - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Commercial PPO | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | United Community Plan | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem Health Plus | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Child Health Plus | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Fidelis | FIDELIS CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Fidelis | Fidelis Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire Bc | Empire Bc - Healthplus Medicaid - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire Bc | Empire Bc - Healthplus Medicaid - Bi | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | Excellus | EXCELLUS CHILD HEALTH PLUS | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | Excellus | Excellus Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Unitedhealthcare | Choice/Choice+Options Ppo Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LARABIDA CHILDRENS HOSPITAL I OutpatientFacility | County Care | Government | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Select Health | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | MOLINA | Molina Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Affinity | Affinity Medicaid - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Affinity | Affinity Medicaid - Bi | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Emblem | Emblem Hip/Ghi Hmo Comm - Bi | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Emblem | Emblem Ghi/Hip Ppo Comm - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Emblem | Emblem Ghi/Hip Ppo Comm - Bi | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Select Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Select Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Aetna | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Health Plan Of San Mateo | Pediatric Only Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Health Plan Of San Mateo | Pediatric Only Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Health Plan Of San Mateo | Pediatric Only Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Covered California Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Covered California Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Blue Shield | Covered California Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Molina Gmc | Ucd Hb Molina Gmc | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Healthnet Gmc | Ucd Hb Health Net Gmc Referred | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Healthnet | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | $47.12 | — | — | 2025-07-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | McLaren | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | UnitedHealthCare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Health Alliance Plan | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Blue Cross | Complete Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Priority Health | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Emblem Health - HIP | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Cigna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Cross | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Epn/Ifp Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Epn/Ifp Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL LOS BANOS OutpatientFacility | Ccah | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| OSF SAINT KATHARINE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITALS AND WELLNESS CENTERS OutpatientFacility | UnitedHealthcare | All Commercial Plans | — | — | — | 2026-09-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | UnitedHealthcare | All Commercial Plans | — | — | — | 2026-09-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Shield | EPN Exchange | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Shield | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Sharp Health | HMO | — | — | — | 2025-07-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Healthy Blue | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicaid Chp Inn/Onn - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS HUNTINGDON OutpatientFacility | Upmc For You (Ma) | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Shield | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Centene | Centene Home State Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Aetna | Commercial PPO | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Amerihealth Caritas (Ma) | All Plans | $69.88 | — | — | 2025-08-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Bcbs | Blue Preferred Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Kaiser Permanente | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Kaiser Permanente | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Kaiser Permanente | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Partnership Healthplan/Ccs | Ucd Hb Partnership | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Partnership Healthplan Gmc | Ucd Hb Partnership | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS DIVINE SAVIOR HOSPITAL OutpatientFacility | Quartz Health Solutions, Inc. | Quartz Wisconsin Medicaid Plans | $77.38 | — | — | 2025-07-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL VINITA, INC OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Buckeye Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Unitedhealthcare | Community Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL VINITA, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 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.