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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$18.84 – $283.93

Negotiated median

$72.77

CPT 67028 Intravitreal injection · Showing 200 of 489 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Lutheran Hospital Of Indiana	IN	Chargemaster	N/A	outpatient	gross	$33,270
Bluffton Regional Medical Center	IN	Chargemaster	N/A	inpatient	gross	$475.00
Bluffton Regional Medical Center	IN	Chargemaster	N/A	outpatient	gross	$475.00
Laporte Hospital	IN	Chargemaster	N/A	outpatient	gross	$404.00
Laporte Hospital	IN	Chargemaster	N/A	inpatient	gross	$404.00
Laporte Hospital	IN	Chargemaster	N/A	outpatient	gross	$399.00
Laporte Hospital	IN	Chargemaster	N/A	inpatient	gross	$399.00
Laporte Hospital	IN	Chargemaster	N/A	outpatient	gross	$337.00
Laporte Hospital	IN	Chargemaster	N/A	inpatient	gross	$337.00
Laporte Hospital	IN	Chargemaster	N/A	outpatient	gross	$333.00
Laporte Hospital	IN	Chargemaster	N/A	inpatient	gross	$333.00
Lutheran Hospital Of Indiana	IN	Chargemaster	N/A	inpatient	gross	$290.00
Lutheran Hospital Of Indiana	IN	Chargemaster	N/A	outpatient	gross	$290.00
Laporte Hospital	IN	Chargemaster	N/A	outpatient	gross	$269.00
Laporte Hospital	IN	Chargemaster	N/A	inpatient	gross	$269.00
Laporte Hospital	IN	Chargemaster	N/A	outpatient	gross	$266.00
Laporte Hospital	IN	Chargemaster	N/A	inpatient	gross	$266.00
Lutheran Hospital Of Indiana	IN	Chargemaster	N/A	inpatient	gross	$255.00
Lutheran Hospital Of Indiana	IN	Chargemaster	N/A	outpatient	gross	$255.00
Bluffton Regional Medical Center	IN	Chargemaster	N/A	inpatient	gross	$255.00
Bluffton Regional Medical Center	IN	Chargemaster	N/A	outpatient	gross	$255.00
Dupont Hospital	IN	Chargemaster	N/A	outpatient	gross	$255.00
Dupont Hospital	IN	Chargemaster	N/A	inpatient	gross	$255.00
Lutheran Hospital Of Indiana	IN	Cash pay	N/A	outpatient	cash	$9,981.08
Bluffton Regional Medical Center	IN	Cash pay	N/A	inpatient	cash	$261.25
Laporte Hospital	IN	Cash pay	N/A	inpatient	cash	$218.16
Laporte Hospital	IN	Cash pay	N/A	inpatient	cash	$215.46
Laporte Hospital	IN	Cash pay	N/A	inpatient	cash	$181.98
Laporte Hospital	IN	Cash pay	N/A	inpatient	cash	$179.82
Laporte Hospital	IN	Cash pay	N/A	inpatient	cash	$145.26
Laporte Hospital	IN	Cash pay	N/A	inpatient	cash	$143.64
Bluffton Regional Medical Center	IN	Cash pay	N/A	inpatient	cash	$140.25
Laporte Hospital	IN	Cash pay	N/A	outpatient	cash	$133.32
Laporte Hospital	IN	Cash pay	N/A	outpatient	cash	$131.67
Dupont Hospital	IN	Cash pay	N/A	inpatient	cash	$114.75
Bluffton Regional Medical Center	IN	Cash pay	N/A	outpatient	cash	$114.00
Laporte Hospital	IN	Cash pay	N/A	outpatient	cash	$111.21
Laporte Hospital	IN	Cash pay	N/A	outpatient	cash	$109.89
Lutheran Hospital Of Indiana	IN	Cash pay	N/A	inpatient	cash	$104.40
Lutheran Hospital Of Indiana	IN	Cash pay	N/A	inpatient	cash	$91.80
Laporte Hospital	IN	Cash pay	N/A	outpatient	cash	$88.77
Laporte Hospital	IN	Cash pay	N/A	outpatient	cash	$87.78
Lutheran Hospital Of Indiana	IN	Cash pay	N/A	outpatient	cash	$87.00
Lutheran Hospital Of Indiana	IN	Cash pay	N/A	outpatient	cash	$76.50
Dupont Hospital	IN	Cash pay	N/A	outpatient	cash	$68.85
Bluffton Regional Medical Center	IN	Cash pay	N/A	outpatient	cash	$61.20
Schneck Medical Center	IN	[De-identified Min]	—	outpatient	min	$4,500.00
Laporte Hospital	IN	[De-identified Min]	—	outpatient	min	$310.16
Lutheran Hospital Of Indiana	IN	[De-identified Min]	—	outpatient	min	$309.49
Bluffton Regional Medical Center	IN	[De-identified Min]	—	outpatient	min	$309.49
Dupont Hospital	IN	[De-identified Min]	—	outpatient	min	$309.49
Laporte Hospital	IN	[De-identified Min]	—	inpatient	min	$168.87
Laporte Hospital	IN	[De-identified Min]	—	inpatient	min	$166.78
Bluffton Regional Medical Center	IN	[De-identified Min]	—	inpatient	min	$142.03
Laporte Hospital	IN	[De-identified Min]	—	inpatient	min	$140.87
Laporte Hospital	IN	[De-identified Min]	—	inpatient	min	$139.19
Laporte Hospital	IN	[De-identified Min]	—	inpatient	min	$112.44
Laporte Hospital	IN	[De-identified Min]	—	inpatient	min	$111.19
Bluffton Regional Medical Center	IN	[De-identified Min]	—	outpatient	min	$102.44
Bluffton Regional Medical Center	IN	[De-identified Min]	—	inpatient	min	$76.24
Dupont Hospital	IN	[De-identified Min]	—	inpatient	min	$75.73
Lutheran Hospital Of Indiana	IN	[De-identified Min]	—	inpatient	min	$73.07
Laporte Hospital	IN	[De-identified Min]	—	outpatient	min	$71.77
Lutheran Hospital Of Indiana	IN	[De-identified Min]	—	outpatient	min	$71.77
Lutheran Hospital Of Indiana	IN	[De-identified Min]	—	outpatient	min	$71.63
Lutheran Hospital Of Indiana	IN	[De-identified Min]	—	inpatient	min	$64.25
Lutheran Hospital Of Indiana	IN	[De-identified Min]	—	outpatient	min	$62.98
Dupont Hospital	IN	[De-identified Min]	—	outpatient	min	$61.81
Bluffton Regional Medical Center	IN	[De-identified Min]	—	outpatient	min	$61.20
Ascension St. Vincent Jennings	IN	[De-identified Min]	—	outpatient	min	$39.75
Ascension St. Vincent Jennings	IN	[De-identified Min]	—	both	min	$39.75
St. Mary Medical Center Inc.	IN	[De-identified Min]	—	outpatient	min	$18.84
St. Mary Medical Center Inc.	IN	[De-identified Min]	—	both	min	$18.84
St. Mary Medical Center Inc.	IN	[De-identified Min]	—	inpatient	min	$18.84
St. Mary Medical Center Inc.	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$283.93
St. Mary Medical Center Inc.	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$283.93
Ascension St. Vincent Jennings	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$283.93
St. Mary Medical Center Inc.	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	Anthem BCBS	9400_ANTHEM HEALTHSYNC HMO SWIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	Anthem BCBS	9402_ANTHEM HEALTHSYNC POS SWIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	patoka valley tier 1	9411_PAKOTA VALLEY TIER 1 SWIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	patoka valley tier 2	9414_PAKOTA VALLEY TIER 2 SWIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$143.69
Ascension St. Vincent Jennings	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$143.69
St. Mary Medical Center Inc.	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	outpatient	negotiated	$134.58
St. Mary Medical Center Inc.	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$134.58
St. Mary Medical Center Inc.	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$72.77
St. Mary Medical Center Inc.	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$72.77
St. Mary Medical Center Inc.	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$72.77
St. Mary Medical Center Inc.	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$72.77
St. Mary Medical Center Inc.	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$72.77
St. Mary Medical Center Inc.	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$72.77
St. Mary Medical Center Inc.	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$72.77
St. Mary Medical Center Inc.	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$72.77
St. Mary Medical Center Inc.	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$72.77
Ascension St. Vincent Jennings	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$72.77
Ascension St. Vincent Jennings	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$72.77
Ascension St. Vincent Jennings	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$72.77
Ascension St. Vincent Jennings	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$72.77
Ascension St. Vincent Jennings	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$72.77
Ascension St. Vincent Jennings	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$72.77
Ascension St. Vincent Jennings	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$72.77
Ascension St. Vincent Jennings	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$72.77
Ascension St. Vincent Jennings	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$72.77
St. Mary Medical Center Inc.	IN	Aetna	8946_AETNA MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	Aetna	8955_AETNA CHOICE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	Anthem BCBS	8964_ANTHEM MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	ascension complete mcr	9108_ASCENSION COMPLETE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	Medicare Advantage	8973_CARESOURCE HMO MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	CareSource	9054_CARESOURCE MARKETPLACE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	corizon	9072_CORIZON MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	Humana	9000_HUMANA GOLD CHOICE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	Humana	8991_HUMANA CHOICE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	Humana	8982_HUMANA PPO MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	immergrun	9081_IMMERGRUN MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	Medicare	9090_MDWISE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	Medicare	9063_MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	Ambetter	9036_MHS CENPATICO AMBETTER MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	personalized care	9045_ASCENSION PERSONALIZED CARE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	secure horizons-pacificare	9099_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	UnitedHealthcare	9009_UNITED HEALTHCARE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	Medicare Advantage	9018_WELLCARE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	Medicare Advantage	9027_ZING MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	Aetna	8946_AETNA MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	Aetna	8955_AETNA CHOICE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	Anthem BCBS	8964_ANTHEM MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	ascension complete mcr	9108_ASCENSION COMPLETE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	Medicare Advantage	8973_CARESOURCE HMO MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	CareSource	9054_CARESOURCE MARKETPLACE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	corizon	9072_CORIZON MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	Humana	9000_HUMANA GOLD CHOICE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	Humana	8991_HUMANA CHOICE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	Humana	8982_HUMANA PPO MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	immergrun	9081_IMMERGRUN MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	Medicare	9090_MDWISE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	Medicare	9063_MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	Ambetter	9036_MHS CENPATICO AMBETTER MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	personalized care	9045_ASCENSION PERSONALIZED CARE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
Ascension St. Vincent Jennings	IN	secure horizons-pacificare	9099_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001	outpatient	negotiated	$59.32
St. Mary Medical Center Inc.	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$39.75
St. Mary Medical Center Inc.	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$39.75
Ascension St. Vincent Jennings	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$39.75
St. Mary Medical Center Inc.	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	inpatient	negotiated	$18.84
St. Mary Medical Center Inc.	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$18.84
Lutheran Hospital Of Indiana	IN	[De-identified Max]	—	outpatient	max	$29,943
Schneck Medical Center	IN	[De-identified Max]	—	outpatient	max	$4,500.00
Lutheran Hospital Of Indiana	IN	[De-identified Max]	—	outpatient	max	$1,436.14
Bluffton Regional Medical Center	IN	[De-identified Max]	—	outpatient	max	$1,436.14
Dupont Hospital	IN	[De-identified Max]	—	outpatient	max	$1,436.14
Laporte Hospital	IN	[De-identified Max]	—	outpatient	max	$1,424.25
Bluffton Regional Medical Center	IN	[De-identified Max]	—	inpatient	max	$427.50
Bluffton Regional Medical Center	IN	[De-identified Max]	—	outpatient	max	$427.50
Laporte Hospital	IN	[De-identified Max]	—	inpatient	max	$363.60
Laporte Hospital	IN	[De-identified Max]	—	outpatient	max	$363.60
Laporte Hospital	IN	[De-identified Max]	—	inpatient	max	$359.10
Laporte Hospital	IN	[De-identified Max]	—	outpatient	max	$359.10
Laporte Hospital	IN	[De-identified Max]	—	inpatient	max	$303.30
Laporte Hospital	IN	[De-identified Max]	—	outpatient	max	$303.30
Laporte Hospital	IN	[De-identified Max]	—	inpatient	max	$299.70
Laporte Hospital	IN	[De-identified Max]	—	outpatient	max	$299.70
St. Mary Medical Center Inc.	IN	[De-identified Max]	—	outpatient	max	$283.93
St. Mary Medical Center Inc.	IN	[De-identified Max]	—	both	max	$283.93
St. Mary Medical Center Inc.	IN	[De-identified Max]	—	inpatient	max	$283.93
Ascension St. Vincent Jennings	IN	[De-identified Max]	—	outpatient	max	$283.93
Ascension St. Vincent Jennings	IN	[De-identified Max]	—	both	max	$283.93
Lutheran Hospital Of Indiana	IN	[De-identified Max]	—	inpatient	max	$261.00
Lutheran Hospital Of Indiana	IN	[De-identified Max]	—	outpatient	max	$261.00
Laporte Hospital	IN	[De-identified Max]	—	inpatient	max	$242.10
Laporte Hospital	IN	[De-identified Max]	—	outpatient	max	$242.10
Laporte Hospital	IN	[De-identified Max]	—	inpatient	max	$239.40
Laporte Hospital	IN	[De-identified Max]	—	outpatient	max	$239.40
Lutheran Hospital Of Indiana	IN	[De-identified Max]	—	inpatient	max	$229.50
Lutheran Hospital Of Indiana	IN	[De-identified Max]	—	outpatient	max	$229.50
Bluffton Regional Medical Center	IN	[De-identified Max]	—	inpatient	max	$229.50
Bluffton Regional Medical Center	IN	[De-identified Max]	—	outpatient	max	$229.50
Dupont Hospital	IN	[De-identified Max]	—	inpatient	max	$229.50
Dupont Hospital	IN	[De-identified Max]	—	outpatient	max	$229.50

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).