S9484 — Crisis Intervention Per Hour
Cite this view
HANK Price Transparency. (n.d.). CRISIS INTERVENTION PER HOUR (HCPCS S9484) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/S9484?code_type=HCPCS
“CRISIS INTERVENTION PER HOUR (HCPCS S9484) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/S9484?code_type=HCPCS. Accessed .
“CRISIS INTERVENTION PER HOUR (HCPCS S9484) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/S9484?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $74–$278 (25th–75th percentile) across 349 hospitals · 683 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS S9484 — 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 |
|---|---|---|---|---|---|---|---|
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $1.96 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $1.96 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $1.96 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $1.96 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $1.96 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $1.96 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $1.96 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $1.96 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $1.96 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $1.96 | — | — | 2026-03-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $2.41 | $250.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $2.41 | $250.00 | — | 2026-02-27 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $3.07 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $3.07 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $3.07 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $3.07 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $3.07 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED BEHAVIORAL HEALTH [5185] | UNITED BEHAVIORAL HEALTH [518501] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH MEDICARE [1305] | INDEPENDENT HEALTH MEDICARE [130501] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] | CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD [5143] | HIGHMARK BCBS [514301] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $3.33 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA [2700] | AETNA [270002] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE [5158] | UNITED HEALTHCARE (ATLANTA,GA) [515803] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $3.33 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH [5156] | INDEPENDENT HEALTH (BUFFALO NY) [515601] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED BEHAVIORAL HEALTH [131701] | UNITED BEHAVIORAL HEALTH [131701] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID [1710] | INDEPENDENT HEALTH ASSOC MEDICAID [171001] | — | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $3.51 | — | — | 2026-04-01 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY OutpatientFacility | Fidelis Care | NJ Family Care | $3.64 | $32.00 | $4.12 | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY OutpatientFacility | Aetna | Better Health | $3.88 | $32.00 | $4.12 | 2026-03-04 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $3.99 | $30.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $3.99 | $30.00 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Advantage | $4.10 | $30.00 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $4.11 | $34.65 | — | 2024-12-19 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Outpatient | Peach State | Peach State Medicaid | $4.11 | $34.65 | — | 2024-12-19 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $4.11 | $34.65 | — | 2024-12-19 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Outpatient | Wellcare | Wellcare Medicaid | $4.11 | $34.65 | — | 2024-12-19 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Fidelis Care | NJ Family Care | $4.15 | $32.00 | $6.36 | 2026-03-04 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Outpatient | Amerihealth Caritas | Amerihealth Caritas | $4.20 | $34.65 | — | 2024-12-19 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $4.23 | $30.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $4.26 | $30.00 | — | 2024-12-31 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE BLUE CROSS BLUE SHIELD [1306] | MEDICARE BLUE CHOICE [130601] | $4.28 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Outpatient | Caresource | Caresource Medicaid | $4.32 | $34.65 | — | 2024-12-19 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | UNITED BEHAVIORAL HEALTH | MED ADV | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | EVERNORTH | ALL PRODUCTS | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | TRISTATE | ALL PRODUCTS | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | HORIZON | MEDICAID | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC OutpatientFacility | CLOVER | ALL PRODUCTS | $4.35 | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | COMPSYCH | ALL PRODUCTS | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | WORKFORCE ASSISTANCE | ALL PRODUCTS | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | HORIZON | HMO | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.35 | $30.00 | — | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | QUALCARE | ALL PRODUCTS | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | UNITED BEHAVIORAL HEALTH | MEDICAID | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | UNITED BEHAVIORAL HEALTH | COMMERCIAL | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC OutpatientFacility | AETNA | BETTER HEALTH | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | BRIGHTON | ALL PRODUCTS | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | HORIZON | PPO | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC OutpatientFacility | CLOVER | ALL PRODUCTS | $4.35 | $30.00 | $12.00 | 2025-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | AETNA | GATEKEEPER/NON-GATEKEEPER | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | CONCERN PLUS | ALL PRODUCTS | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | HORIZON | MED ADV | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| HACKENSACK MERIDIAN HEALTH CARRIER CLINIC BothFacility | AMERIGROUP | ALL PRODUCTS | — | $30.00 | $12.00 | 2024-12-31 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Aetna | Better Health | $4.46 | $32.00 | $6.36 | 2026-03-04 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4.65 | $30.00 | — | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $4.65 | $30.00 | — | 2024-12-31 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - OMH | $4.80 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $4.83 | $30.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $4.92 | $30.00 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $4.92 | $30.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $4.98 | $30.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $4.98 | $30.00 | — | 2025-12-31 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Better Health | $5.09 | $31.00 | $5.81 | 2026-03-04 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $5.13 | $30.00 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $5.13 | $30.00 | — | 2025-12-31 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | United Healthcare Community Plan | Medicaid Managed Care Plan | $5.15 | $29.00 | $29.00 | 2026-04-24 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $5.16 | $30.00 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | SEOUL MEDICAL GROUP | ALL PRODUCTS | $5.22 | $30.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.40 | $30.00 | — | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.40 | $30.00 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.40 | $30.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.40 | $30.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.40 | $30.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.40 | $30.00 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.40 | $30.00 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.40 | $30.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.40 | $30.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.40 | $30.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.40 | $30.00 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.40 | $30.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $5.43 | $30.00 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $5.43 | $30.00 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $5.55 | $30.00 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $5.61 | $30.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | SEOUL MEDICAL GROUP | ALL PRODUCTS | $5.61 | $30.00 | — | 2025-12-31 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | AmeriHealth | Medicare Advantage | $5.68 | $29.00 | $29.00 | 2026-04-24 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Wellpoint | Managed Medicaid | $5.70 | $29.00 | $29.00 | 2026-04-24 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB BLUES EXCHANGE OCONEE | $5.72 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BLUECHOICE [810] | PHU HB BLUES EXCHANGE OCONEE | $5.72 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Fidelis Care of New Jersey | Managed Medicaid | $5.80 | $29.00 | $29.00 | 2026-04-24 | MRF ↗ |
| MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS OutpatientFacility | Fidelis Care | NJ Family Care | $5.84 | $31.00 | $7.36 | 2026-03-03 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | Managed Medicaid | $5.97 | $29.00 | $29.00 | 2026-04-24 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $6.12 | $30.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $6.12 | $30.00 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $6.12 | $30.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | SEOUL MEDICAL GROUP | ALL PRODUCTS | $6.15 | $30.00 | — | 2025-12-31 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $6.16 | $40.00 | $12.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $6.16 | $40.00 | $12.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $6.16 | $40.00 | $12.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $6.16 | $40.00 | $12.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $6.16 | $40.00 | $12.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $6.16 | $40.00 | $12.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $6.16 | $40.00 | $26.00 | 2026-03-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $6.18 | $30.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $6.18 | $30.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | SEOUL MEDICAL GROUP | ALL PRODUCTS | $6.21 | $30.00 | — | 2025-12-31 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Horizon Blue Cross Blue Shield | Medicare and Braven Health | $6.21 | $29.00 | $29.00 | 2026-04-24 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $6.24 | $30.00 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $6.27 | $30.00 | — | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS OutpatientFacility | Aetna | Better Health | $6.27 | $31.00 | $7.36 | 2026-03-03 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $6.30 | $30.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $6.36 | $30.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $6.36 | $30.00 | — | 2024-12-31 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MOLINA HEALTHCARE [5189], MOLINA HEALTHCARE [1723] | MOLINA ESSENTIAL (NO MEDICAID) [518902], MOLINA ESSENTIAL PA 3 AND 4 [172302] | $6.38 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE [5189] | MOLINA ESSENTIAL PQ 1 AND 2 [518902], MOLINA ESSENTIAL PA 3 AND 4 [172302] | $6.38 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | SEOUL MEDICAL GROUP | ALL PRODUCTS | $6.51 | $30.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6.54 | $30.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicare Advantage | $6.54 | $30.00 | — | 2024-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | OPTUM HEALTH | MANAGED MEDICAID | $6.60 | $30.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $6.81 | $30.00 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $6.93 | $30.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | SEOUL MEDICAL GROUP | ALL PRODUCTS | $6.93 | $30.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $6.96 | $30.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $6.96 | $30.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $6.96 | $30.00 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $7.05 | $30.00 | — | 2024-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | AETNA | MANAGED MEDICAID | $7.53 | $30.00 | — | 2025-12-31 | 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.