N905 — Not Recognized By Opps
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Not Recognized by OPPS (OTHER N905) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/N905?code_type=OTHER
MLA (9th ed.)
“Not Recognized by OPPS (OTHER N905) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/N905?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Not Recognized by OPPS (OTHER N905) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/N905?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $180–$1,221 (25th–75th percentile) across 436 hospitals · 374 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER N905 — 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 |
|---|---|---|---|---|---|---|---|
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Medical Mutual | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-09-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Bcbs | Blue Choice Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Dana-farber Cancer Institute OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Dana-farber Cancer Institute OutpatientFacility | Wellpoint | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Dana-farber Cancer Institute OutpatientFacility | Optum | Trs Adult Transplant | — | — | — | 2026-04-01 | MRF ↗ |
| Dana-farber Cancer Institute OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Dana-farber Cancer Institute OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - PLACENTIA LINDA OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Dana-farber Cancer Institute OutpatientFacility | Mgbhp | Commercial & Qualified Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Dana-farber Cancer Institute OutpatientFacility | Mgbhp | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Dana-farber Cancer Institute OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| NORTON COUNTY HOSPITAL OutpatientFacility | Bcbs Of Kansas | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Baylor Scott And White | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Healthy Blue | Missouri Medicaid Managed Care Plan | — | — | — | 2026-09-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Home State Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH TAMPA OutpatientFacility | Sunshine State Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | VA CCN | Government | — | — | — | 2026-03-31 | MRF ↗ |
| SENTARA MARTHA JEFFERSON HOSPITAL OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Cchp | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE OutpatientFacility | Bcbs | Healthy Blue Medicaid Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE OutpatientFacility | Unitedhealthcare | Community Plan Medicaid Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Bcbs | Traditional | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WATERTOWN MEMORIAL HOSPITAL OutpatientFacility | UnitedHealthCare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE OutpatientFacility | Amerihealth Caritas | Medicaid Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| DOCTORS HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OhioHealth Pickerington Methodist Hospital OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| DOCTORS HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Baylor Scott And White | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Baylor Scott And White | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Multiplan | Phcs Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Molina | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Blue Shield | Epn Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | Blue Shield | Epn Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - PLACENTIA LINDA OutpatientFacility | Blue Shield | Epn Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Blue Shield | Epn Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Blue Shield | Epn Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | Blue Plus Pmap Medicaid Managed Care Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | Blue Plus Pmap Medicaid Managed Care Plans | — | — | — | 2026-10-12 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Bcbs | Blue Plus Pmap Medicaid Managed Care Plans | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | MVP | Medicaid Managed Care Plan | $6.00 | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP OutpatientFacility | Healthy Michigan | Medicaid Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Health Choice | Pathway Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Health Plan Inc | Multiplan, Commercial - Ppo | $6.50 | — | — | 2025-01-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | All Commercial Plans | — | — | — | 2026-10-12 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | Quartz | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-09-01 | MRF ↗ |
| PHOEBE SUMTER MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | — |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Ambetter | Ambetter Metallic | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Wellcare | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Golden Rule | Uhc Golden Rule | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Health Cost Sol | Ark Dept Of Correct | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Passe Mcd Advantage | Arkansas Total Care | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Aetna Traditional | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Mcare Mc | Bc Medicare Mgd Care | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Qualchoice | Qualchoice Mgd Care | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Cigna Health Plan | Cigna Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Aarp | Aarp Mcr Complete | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Umr | Umr | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Metallic | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Health Advantage | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Jrmc | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Federal Emp | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Allwell | Allwell Medicare Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Humana Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Uhc Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Uhc Cip Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | United Hlthcare Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Medical Mutual | Nasc All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Medical Mutual | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT CHILDRENS HOSPITAL OutpatientFacility | Superior Healthplan | Star Kids Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Cigna | Ppo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital OutpatientFacility | Centene/Sunshine | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | 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 | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Custom Design Benefits Eas | All Plans | $9.56 | — | — | 2024-07-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Custom Design Benefits Eas | All Plans | $9.56 | — | — | 2024-07-01 | MRF ↗ |
| GOOD SAMARITAN REGIONAL HLTH CENTER OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | Blue Cross | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Blue Cross | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - PLACENTIA LINDA OutpatientFacility | Blue Cross | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Blue Cross | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Blue Cross | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Ambetter | Select Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Superior | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Ambetter Health | Select Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW OutpatientFacility | Superior | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER OutpatientFacility | Peachstate | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Fidelis Care | Medicaid Managed Care | $10.00 | — | — | 2026-07-18 | MRF ↗ |
| ASPIRUS IRONWOOD HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Michigan | Blue Care Network Medicare Advantage Plus Blue Ppo | $10.16 | — | — | 2025-07-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Independent Health Association | Medisource Medicaid Managed Care | $10.39 | — | — | 2026-07-18 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Aetna | Ppo/Pos/Epo | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | UPMC | For You Medicaid Managed Care Plan | $10.40 | — | — | 2025-07-01 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Aetna | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | UnitedHealthCare | All Commercial Plans | $10.68 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Wellsense | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | South Country Health Alliance | Minnesota Pmap Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | South Country Health Alliance | Minnesota Pmap Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINONA HEALTH SERVICES OutpatientFacility | South Country Health Alliance | Minnesota Pmap Medicaid Managed Care Plan | — | — | — | 2026-10-12 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Geisinger Family Medicaid Hmo | All Plans | $11.00 | — | — | 2025-08-01 | MRF ↗ |
| MONADNOCK COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MONADNOCK COMMUNITY HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Fidelis | Fidelis Medicaid - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Fidelis | Medicaid Managed Care Plan | $11.12 | — | — | 2025-01-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Health Partners/Jefferson Health | Medicaid Managed Care Plan | $11.42 | — | — | 2025-07-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Buckeye Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Baylor Scott And White | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Baylor Scott And White | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Healthnet | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Healthnet | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Medical Mutual | New Business Discount Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | Ambetter Health | Peach State Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | Ambetter Health | Peach State Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BAYSTATE MEDICAL CENTER OutpatientFacility | Tufts | PPO | $14.13 | — | — | 2025-10-15 | MRF ↗ |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER OutpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER OutpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Fidelis | Fidelis Medicaid / Chp / Harp - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Kaiser | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Kaiser | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Medicaid | — | — | — | 2026-04-01 | MRF ↗ |
| STANFORD HEALTH CARE TRI-VALLEY OutpatientFacility | Blue Cross | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN HOSPITAL SYSTEM OutpatientFacility | Bcbs | Blue Advantage Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann The Woodlands Medical Center OutpatientFacility | Bcbs | Blue Advantage Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN HOSPITAL SYSTEM OutpatientFacility | Bcbs | Blue Advantage Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Aetna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | BCBS | Complete Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | Narrow Network HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | Core Network HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | Tiered Network HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | Tiered Network HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Cofinity | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Health Alliance Plan | HMO | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Health Alliance Plan | ASR Other Commercial Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | UnitedHealthCare | UHCCP Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | McLaren Health Plan | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | McLaren Health Plan | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | BCBS | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Aetna | Existing Business All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Meridian Health Plan | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Meridian Health Plan | Ambetter/Choice Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Meridian Health Plan | Ambetter/Choice Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | University of Michigan Health Plan | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | BCBS | Complete Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | Core Network HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Priority Health | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Health Alliance Plan | HMO | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Health Alliance Plan | ASR Other Commercial Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | McLaren Health Plan | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | McLaren Health Plan | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | Meridian Health Plan | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SPECTRUM HEALTH OutpatientFacility | University of Michigan Health Plan | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care | $16.13 | — | — | 2026-07-18 | 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.