Q5110 — Nivestym
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Nivestym (HCPCS Q5110) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5110?code_type=HCPCS
MLA (9th ed.)
“Nivestym (HCPCS Q5110) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5110?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Nivestym (HCPCS Q5110) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5110?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1–$471 (25th–75th percentile) across 2,045 hospitals · 4,784 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q5110 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$1
$190 typical
$471
The middle 50% of negotiated facility rates for this procedure, measured across 2,045 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $190 |
| Likely subtotal | $190 |
Facility charge (no separate professional fee)
$190
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $1–$471.
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $415.43 | $207.71 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $415.43 | $207.71 | 2024-12-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-10-22 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.04 | — | — | 2026-03-18 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.05 | — | — | 2026-03-31 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.06 | $2,100.00 | $315.00 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.06 | $2,100.00 | $315.00 | 2025-12-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Excellus BlueCross BlueShield | Medicare Advantage | $0.08 | $0.27 | $0.27 | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Humana Military | TRICARE | $0.08 | $0.27 | $0.27 | 2026-10-12 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $0.10 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $0.10 | — | — | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LEBN DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $0.11 | $1,054.71 | $685.56 | 2026-06-10 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | AETNA | AETNA MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | WELLCARE | WELLCARE MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Both | Aetna Health | Medicare | $0.11 | $840.96 | $840.96 | 2026-11-02 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Both | Pace- Element Care | Elder Services Of North Shore | $0.11 | $840.96 | $840.96 | 2026-11-02 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | TUFTS | TUFTS MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Both | Tufts Health Plan | Medicare | $0.11 | $840.96 | $840.96 | 2026-11-02 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Aetna of PA | Medicare | $0.11 | $1.50 | $1.20 | 2026-03-06 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | WELLCARE | WELLCARE MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | US Family Health Plan | Tricare Prime | — | $1.50 | $1.20 | 2026-03-06 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | ANTHEM | ANTHEM MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Tricare | TRICARE | — | $1.50 | $1.20 | 2026-03-06 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $0.11 | $266.76 | $266.76 | 2026-04-01 | MRF ↗ |
| CENTRAL VERMONT MEDICAL CENTER InpatientFacility | Humana Military | TRICARE | $0.11 | $0.27 | $0.27 | 2026-10-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | UNITED | UNITED MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $0.11 | $266.76 | $266.76 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | TUFTS | TUFTS MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $0.11 | $266.76 | $266.76 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | AETNA | AETNA MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $0.11 | $266.76 | $266.76 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | ANTHEM | ANTHEM MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $0.11 | $266.76 | $266.76 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $0.11 | $266.76 | $266.76 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | TUFTS | TUFTS MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | UNITED | UNITED MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Both | Wellsense Health Plan | Medicare | $0.11 | $840.96 | $840.96 | 2026-11-02 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Both | United Healthcare | Medicare | $0.11 | $840.96 | $840.96 | 2026-11-02 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | WELLCARE | WELLCARE MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $0.11 | $266.76 | $266.76 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Both | Fallon Medicare Advantage | Summit Elder Care (Pace) | $0.11 | $840.96 | $840.96 | 2026-11-02 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | AETNA | AETNA MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | UNITED | UNITED MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | ANTHEM | ANTHEM MEDICARE | $0.11 | $285.97 | $285.97 | 2026-04-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $0.12 | — | — | 2026-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | All Products | $0.12 | — | — | 2026-07-01 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Both | Mgb Health Plan | Medicare | $0.12 | $840.96 | $840.96 | 2026-11-02 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Both | Fallon Medicare Advantage | Navicare | $0.12 | $840.96 | $840.96 | 2026-11-02 | MRF ↗ |
| THEDACARE REGIONAL MED CTR - NEENAH BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.12 | $198.32 | $111.06 | 2026-03-02 | MRF ↗ |
| THEDACARE MEDICAL CENTER-WAUPACA BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.12 | $198.32 | $111.06 | 2026-03-02 | MRF ↗ |
| UPMC EAST InpatientFacility | UPMC Work Partners | Workers Comp | $0.12 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | All Products | $0.13 | — | — | 2026-07-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $0.13 | $0.27 | $0.27 | 2026-10-12 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $0.13 | — | — | 2026-08-19 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Priority Health | Managed Medicaid | $0.14 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.14 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Outpatient | Local 1199 | Medicare | $0.14 | $2.20 | $0.29 | 2026-07-15 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $0.14 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $0.14 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Both | Senior Whole | Health Sco | $0.14 | $840.96 | $840.96 | 2026-11-02 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Molina | Managed Medicaid | $0.14 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Meridian | Managed Medicaid | $0.14 | — | — | 2025-03-12 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | $0.14 | — | — | 2026-04-17 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Priority Health | Managed Medicaid | $0.14 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan McLaren | Managed Medicaid | $0.14 | — | — | 2025-03-12 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $0.14 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid/Essential Plans | $0.14 | $0.27 | $0.27 | 2026-10-12 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Anthem | Child Health Plus | $0.14 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $0.14 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Blue Cross Complete | Managed Medicaid | $0.14 | — | — | 2025-03-12 | MRF ↗ |
| Saint Mary's Health Care BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.15 | $1,007.20 | $654.68 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care BothFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $0.15 | $1,007.20 | $654.68 | 2026-03-31 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $0.15 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| Saint Mary's Health Care BothFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $0.15 | $1,007.20 | $654.68 | 2026-03-31 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $0.15 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $0.15 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| Saint Mary's Health Care BothFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $0.15 | $1,007.20 | $654.68 | 2026-03-31 | MRF ↗ |
| BRONSON SOUTH HAVEN HOSPITAL OutpatientFacility | PHP | Medicaid | $0.15 | $787.14 | $629.71 | 2026-08-03 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $0.15 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | Priority Health | Choice Medicaid | $0.15 | $777.54 | $622.03 | 2026-08-03 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $0.15 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $0.15 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| BRONSON SOUTH HAVEN HOSPITAL OutpatientFacility | Priority Health | Choice Medicaid | $0.15 | $787.14 | $629.71 | 2026-08-03 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $0.15 | $591.75 | $502.99 | 2026-04-17 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL OutpatientFacility | Priority Health | Choice Medicaid | $0.15 | $485.96 | $388.77 | 2026-08-03 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | BCBS | Complete | $0.15 | $777.54 | $622.03 | 2026-08-03 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Wellpath | Correctional Healthcare | $0.15 | $0.27 | $0.27 | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $0.15 | $563.71 | $563.71 | 2026-04-28 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $0.15 | $737.38 | $553.04 | 2025-05-16 | MRF ↗ |
| CENTRAL VERMONT MEDICAL CENTER InpatientFacility | Wellpath | Correctional Healthcare | $0.15 | $0.27 | $0.27 | 2026-10-01 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL OutpatientFacility | UHCCP | Medicaid | $0.15 | $485.96 | $388.77 | 2026-08-03 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | UHC | Medicaid | $0.15 | $777.54 | $622.03 | 2026-08-03 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL OutpatientFacility | UHC | Medicaid | $0.15 | $485.96 | $388.77 | 2026-08-03 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $0.15 | — | — | 2026-03-29 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | AmeriHealth Caritas | Medicare | $0.15 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | UPMC Health Plan | Managed Medicare | $0.15 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| BRONSON SOUTH HAVEN HOSPITAL OutpatientFacility | Meridian | Medicaid | $0.15 | $787.14 | $629.71 | 2026-08-03 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $0.15 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $0.15 | — | — | 2026-03-29 | MRF ↗ |
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | Health New England | All Products | $0.15 | — | — | 2025-01-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $10.00 | $7.50 | 2026-09-01 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Univera | Univera_Medicare_Hamot_2024 | $0.15 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | Cle-Care Hmo | $0.15 | — | — | 2026-04-01 | MRF ↗ |
| BRONSON SOUTH HAVEN HOSPITAL OutpatientFacility | BCBS | Complete | $0.15 | $787.14 | $629.71 | 2026-08-03 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL OutpatientFacility | BCBS | Complete | $0.15 | $485.96 | $388.77 | 2026-08-03 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $0.15 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | UPMC Health Plan | Managed Medicare | $0.15 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $0.15 | $563.71 | $563.71 | 2026-02-19 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | AmeriHealth Caritas | Medicare | $0.15 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| BRONSON SOUTH HAVEN HOSPITAL OutpatientFacility | UHC | Medicaid | $0.15 | $787.14 | $629.71 | 2026-08-03 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | UHCCP | Medicaid | $0.15 | $777.54 | $622.03 | 2026-08-03 | MRF ↗ |
| BRONSON SOUTH HAVEN HOSPITAL OutpatientFacility | UHCCP | Medicaid | $0.15 | $787.14 | $629.71 | 2026-08-03 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $10.00 | $7.50 | 2026-09-01 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL OutpatientFacility | Mclaren | Medicaid | $0.15 | $485.96 | $388.77 | 2026-08-03 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $0.16 | — | — | 2026-10-16 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $0.16 | — | — | 2026-10-16 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $0.16 | — | — | 2026-10-16 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Blue Chip Direct Advance Other Commercial Plan | $0.16 | — | — | 2026-04-01 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $0.16 | — | — | 2026-10-16 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $0.16 | — | — | 2026-10-16 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $0.16 | — | — | 2025-06-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Cigna | Behavioral Health | $0.16 | $0.27 | $0.27 | 2026-10-12 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Blue Cross Complete Medicaid | Hmo | $0.16 | $641.00 | $160.25 | 2026-10-12 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Priority Health Medicaid | Hmo | $0.16 | $641.00 | $160.25 | 2026-10-12 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Mclaren Medicaid | Hmo | $0.16 | $641.00 | $160.25 | 2026-10-12 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Cigna | Commercial | $0.16 | $737.38 | $553.04 | 2025-05-17 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Medicaid | Caid | $0.16 | $641.00 | $160.25 | 2026-10-12 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | Cigna | Medicare | $0.16 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | United Healthcare | Medicare | $0.16 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $0.16 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $0.16 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $0.16 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $0.16 | — | — | 2026-05-13 | 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.