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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

Hospitals

Payers

Negotiated range

$131.17 – $649

Negotiated median

$168.38

CPT 90791 Psychiatric diagnostic evaluation · Showing 200 of 558 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
COLLETON MEDICAL CENTER	SC	Blue Cross Blue Shield	PreferredBlue	outpatient	negotiated	$649
COLLETON MEDICAL CENTER	SC	Blue Cross Blue Shield	BlueChoice	outpatient	negotiated	$649
HILTON HEAD HOSPITAL	SC	Blue Cross Blue Shield	Preferred Blue Commercial (PB)	outpatient	negotiated	$551.5
HILTON HEAD HOSPITAL	SC	Blue Cross Blue Shield	Blue Choice Health Plan Commercial (BCHP)	outpatient	negotiated	$551.5
COASTAL CAROLINA MEDICAL CENTER	SC	Blue Cross Blue Shield	Preferred Blue Commercial (PB)	outpatient	negotiated	$488.94
COASTAL CAROLINA MEDICAL CENTER	SC	Blue Cross Blue Shield	Blue Choice Health Plan Commercial (BCHP)	outpatient	negotiated	$488.94
EAST COOPER REGIONAL MEDICAL CENTER	SC	Blue Cross Blue Shield	Blue Choice Health Plan Commercial (BCHP)	outpatient	negotiated	$472.56
EAST COOPER REGIONAL MEDICAL CENTER	SC	Blue Cross Blue Shield	Preferred Blue Commercial (PB)	outpatient	negotiated	$472.56
HILTON HEAD HOSPITAL	SC	select health	Marketplace	outpatient	negotiated	$369.78
EAST COOPER REGIONAL MEDICAL CENTER	SC	Blue Cross Blue Shield	State Health Plan	outpatient	negotiated	$347.82
COASTAL CAROLINA MEDICAL CENTER	SC	Blue Cross Blue Shield	State Health Plan	outpatient	negotiated	$347.82
HILTON HEAD HOSPITAL	SC	Blue Cross Blue Shield	State Health Plan	outpatient	negotiated	$347.82
COLLETON MEDICAL CENTER	SC	blue choice health plan	HIX	outpatient	negotiated	$328.42
COLLETON MEDICAL CENTER	SC	Blue Cross Blue Shield	PBHIX	outpatient	negotiated	$328.42
COASTAL CAROLINA MEDICAL CENTER	SC	select health	Marketplace	outpatient	negotiated	$315.3
EAST COOPER REGIONAL MEDICAL CENTER	SC	select health	Marketplace	outpatient	negotiated	$315.3
COLLETON MEDICAL CENTER	SC	sc state employees	COMM	outpatient	negotiated	$304.42
HILTON HEAD HOSPITAL	SC	Blue Cross Blue Shield	Blue Choice Blue Option HIX (BCBO)	outpatient	negotiated	$304.33
HILTON HEAD HOSPITAL	SC	Blue Cross Blue Shield	Blue Cross Blue Essentials HIX (BCBE)	outpatient	negotiated	$304.33
HILTON HEAD HOSPITAL	SC	Molina	Marketplace	outpatient	negotiated	$288.89
COASTAL CAROLINA MEDICAL CENTER	SC	Molina	Marketplace	outpatient	negotiated	$272.38
HILTON HEAD HOSPITAL	SC	absolute total care	Marketplace	outpatient	negotiated	$272.38
COASTAL CAROLINA MEDICAL CENTER	SC	absolute total care	Marketplace	outpatient	negotiated	$272.38
EAST COOPER REGIONAL MEDICAL CENTER	SC	absolute total care	Marketplace	outpatient	negotiated	$272.38
MARY BLACK MEMORIAL HOSPITAL	SC	upmc health plan [100181]	UPMC HEALTH PLAN [10018101]	inpatient	negotiated	$262.33
COASTAL CAROLINA MEDICAL CENTER	SC	Blue Cross Blue Shield	Blue Cross Blue Essentials HIX (BCBE)	outpatient	negotiated	$254.39
COASTAL CAROLINA MEDICAL CENTER	SC	Blue Cross Blue Shield	Blue Choice Blue Option HIX (BCBO)	outpatient	negotiated	$254.39
EAST COOPER REGIONAL MEDICAL CENTER	SC	Blue Cross Blue Shield	Blue Choice Blue Option HIX (BCBO)	outpatient	negotiated	$250.96
EAST COOPER REGIONAL MEDICAL CENTER	SC	Blue Cross Blue Shield	Blue Cross Blue Essentials HIX (BCBE)	outpatient	negotiated	$250.96
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	AFFINITY MOLINA ESSENTIAL PLAN 3 AND 4 [10016704]	outpatient	negotiated	$242.25
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	MOLINA ESSENTIAL PLAN 1 AND 2 [10016701]	inpatient	negotiated	$242.25
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	MOLINA ESSENTIAL PLAN 3 AND 4 [10016702]	inpatient	negotiated	$242.25
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	AFFINITY BY MOLINA ESSENTIAL 200-250 [10016705]	outpatient	negotiated	$242.25
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	AFFINITY MOLINA ESSENTIAL PLAN 1 AND 2 [10016703]	outpatient	negotiated	$242.25
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	MOLINA ESSENTIAL PLAN 200-250 [10016706]	outpatient	negotiated	$242.25
EAST COOPER REGIONAL MEDICAL CENTER	SC	Molina	Marketplace	outpatient	negotiated	$239.37
MARY BLACK MEMORIAL HOSPITAL	SC	federal workers compensation [500100]	DIVISION OF ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION [50010003]	inpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	federal workers compensation [500100]	DIVISION OF COAL MINE WORKERS COMPENSATION [50010002]	outpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	LIBERTY MUTUAL INS [11400108]	outpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	ERIE INSURANCE NF [1140113]	inpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	PROGRESSIVE INS [11400105]	inpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	ONE BEACON INS [11400110]	inpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	TRAVELERS INS [11400106]	inpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	NO FAULT - OTHER [11400112]	outpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	NO FAULT - NO INFORMATION [11400115]	inpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	ALLSTATE INS [11400104]	outpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	NEW YORK CENTRAL MUTUAL [11400102]	outpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	federal workers compensation [500100]	DIVISION OF FEDERAL EMPLOYEES COMPENSATION (FECA) [50010001]	outpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	NATIONWIDE INS [11400107]	outpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	MET LIFE AUTO [11400111]	outpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	GEICO INS [11400103]	inpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	STATE FARM INSURANCE [11400101]	outpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	HARTFORD INS [11400109]	inpatient	negotiated	$230.23
MARY BLACK MEMORIAL HOSPITAL	SC	Cigna	CIGNA GREAT WEST [10000902]	outpatient	negotiated	$211.32
MARY BLACK MEMORIAL HOSPITAL	SC	Cigna	CIGNA [10000901]	outpatient	negotiated	$211.32
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	TRADITIONAL [10016904]	outpatient	negotiated	$186.37
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	UNIVERA ARTICLE 44 [10016907]	inpatient	negotiated	$186.37
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	UNIVERA ARTICLE 43 [10016906]	inpatient	negotiated	$186.37
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	PPO UNIVERA [10016903]	outpatient	negotiated	$186.37
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	LIFETIME BENEFIT SOLUTIONS [10016902]	outpatient	negotiated	$186.37
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	HMO FOR INDIVIDUALS [10016901]	outpatient	negotiated	$186.37
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	ASO [10016905]	outpatient	negotiated	$186.37
MARY BLACK MEMORIAL HOSPITAL	SC	beacon health options [100023]	BEACON HEALTH OPTIONS [10002302]	inpatient	negotiated	$174.89
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis exchange [100164]	FIDELIS EXCHANGE [10016401]	outpatient	negotiated	$174.89
MARY BLACK MEMORIAL HOSPITAL	SC	beacon essential [350122]	BEACON ESSENTIAL PLAN 200-250 [35012203]	outpatient	negotiated	$174.89
MARY BLACK MEMORIAL HOSPITAL	SC	beacon essential [350122]	BEACON ESSENTIAL PLAN 1 AND 2 [35012201]	inpatient	negotiated	$174.89
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PREFERRED CHOICE PPO [10015115]	inpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	BCBS OF MICH [10015110]	outpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	BLUE CROSS/BLUE SHIELD [10015101]	outpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	COMMUNITY BLUE POS [10017310]	outpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	EMPIRE B/C -YLS [10015107]	inpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	EMPIRE B/C PPO-YLS [10015108]	inpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	FEDERAL BC UNDER 65 [10015112]	inpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	HEALTHY NEW YORK BC [10015103]	outpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	HMO ALIGN SELECT [10017311]	inpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA HMO/POS/BC [10017303]	inpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PREFERRED CHOICE POS [10017313]	inpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA PPO B/C [10015105]	inpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	POS ALIGN SELECT [10017312]	outpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA TRADITIONAL B/C [10015104]	outpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PPO B/C [10015111]	inpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	AQUA [10017301]	inpatient	negotiated	$174.26
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PREFERRED CHOICE TIERED [10017314]	outpatient	negotiated	$174.26
HILTON HEAD HOSPITAL	SC	select health	MMP	outpatient	negotiated	$173.33
HILTON HEAD HOSPITAL	SC	select health	Medicare Advantage	outpatient	negotiated	$173.33
COASTAL CAROLINA MEDICAL CENTER	SC	select health	Medicare Advantage	outpatient	negotiated	$173.33
EAST COOPER REGIONAL MEDICAL CENTER	SC	select health	Medicare Advantage	outpatient	negotiated	$173.33
COASTAL CAROLINA MEDICAL CENTER	SC	select health	MMP	outpatient	negotiated	$173.33
EAST COOPER REGIONAL MEDICAL CENTER	SC	select health	MMP	outpatient	negotiated	$173.33
COASTAL CAROLINA MEDICAL CENTER	SC	clover insurance company	PPO MA	outpatient	negotiated	$171.68
HILTON HEAD HOSPITAL	SC	clover insurance company	PPO MA	outpatient	negotiated	$171.68
EAST COOPER REGIONAL MEDICAL CENTER	SC	clover insurance company	PPO MA	outpatient	negotiated	$171.68
EAST COOPER REGIONAL MEDICAL CENTER	SC	clover insurance company	HMO MA	outpatient	negotiated	$171.68
COASTAL CAROLINA MEDICAL CENTER	SC	clover insurance company	HMO MA	outpatient	negotiated	$171.68
HILTON HEAD HOSPITAL	SC	clover insurance company	HMO MA	outpatient	negotiated	$171.68
COASTAL CAROLINA MEDICAL CENTER	SC	Cigna	HealthSpring	outpatient	negotiated	$170.03
HILTON HEAD HOSPITAL	SC	Cigna	HealthSpring	outpatient	negotiated	$170.03
EAST COOPER REGIONAL MEDICAL CENTER	SC	Cigna	HealthSpring	outpatient	negotiated	$170.03
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	KALOS MEDICARE ADVANTAGE [45012601]	inpatient	negotiated	$169.12
EAST COOPER REGIONAL MEDICAL CENTER	SC	Molina	Medicare Advantage	outpatient	negotiated	$168.38
EAST COOPER REGIONAL MEDICAL CENTER	SC	Molina	MMP	outpatient	negotiated	$168.38
HILTON HEAD HOSPITAL	SC	Molina	MMP	outpatient	negotiated	$168.38
HILTON HEAD HOSPITAL	SC	Molina	Medicare Advantage	outpatient	negotiated	$168.38
COASTAL CAROLINA MEDICAL CENTER	SC	Molina	Medicare Advantage	outpatient	negotiated	$168.38
COASTAL CAROLINA MEDICAL CENTER	SC	Molina	MMP	outpatient	negotiated	$168.38
EAST COOPER REGIONAL MEDICAL CENTER	SC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$166.73
MARY BLACK MEMORIAL HOSPITAL	SC	iha first choice [800001]	IHA NON -CH FIRST CHOICE [80000102]	outpatient	negotiated	$166.72
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	SELF FUNDED IHA [10016504]	outpatient	negotiated	$166.72
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	NOVA [10016506]	inpatient	negotiated	$166.72
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	IHA PASSPORT [10016507]	outpatient	negotiated	$166.72
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	IHA ENCOMPASS [10016503]	inpatient	negotiated	$166.72
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	IHA ARTICLE 43 [10016502]	inpatient	negotiated	$166.72
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	COMMERCIAL IHA 44 [10016501]	outpatient	negotiated	$166.72
MARY BLACK MEMORIAL HOSPITAL	SC	iha first choice [800001]	IHA CH FIRST CHOICE [80000101]	outpatient	negotiated	$166.72
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	CHOICE PLUS [10016505]	inpatient	negotiated	$166.72
COASTAL CAROLINA MEDICAL CENTER	SC	devoted health	HMO MA	outpatient	negotiated	$165.08
HILTON HEAD HOSPITAL	SC	Aetna	Medicare Advantage	outpatient	negotiated	$165.08
EAST COOPER REGIONAL MEDICAL CENTER	SC	Aetna	Medicare Advantage	outpatient	negotiated	$165.08
EAST COOPER REGIONAL MEDICAL CENTER	SC	absolute total care	MMP	outpatient	negotiated	$165.08
EAST COOPER REGIONAL MEDICAL CENTER	SC	absolute total care	Medicare Advantage	outpatient	negotiated	$165.08
EAST COOPER REGIONAL MEDICAL CENTER	SC	devoted health	HMO MA	outpatient	negotiated	$165.08
COASTAL CAROLINA MEDICAL CENTER	SC	Aetna	Medicare Advantage	outpatient	negotiated	$165.08
EAST COOPER REGIONAL MEDICAL CENTER	SC	Humana	Medicare Advantage	outpatient	negotiated	$165.08
HILTON HEAD HOSPITAL	SC	Humana	Medicare Advantage	outpatient	negotiated	$165.08
HILTON HEAD HOSPITAL	SC	devoted health plan	PPO MA	outpatient	negotiated	$165.08
COASTAL CAROLINA MEDICAL CENTER	SC	absolute total care	Medicare Advantage	outpatient	negotiated	$165.08
HILTON HEAD HOSPITAL	SC	devoted health plan	HMO MA	outpatient	negotiated	$165.08
COASTAL CAROLINA MEDICAL CENTER	SC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$165.08
COASTAL CAROLINA MEDICAL CENTER	SC	devoted health	PPO MA	outpatient	negotiated	$165.08
COASTAL CAROLINA MEDICAL CENTER	SC	Humana	Medicare Advantage	outpatient	negotiated	$165.08
HILTON HEAD HOSPITAL	SC	absolute total care	MMP	outpatient	negotiated	$165.08
HILTON HEAD HOSPITAL	SC	absolute total care	Medicare Advantage	outpatient	negotiated	$165.08
HILTON HEAD HOSPITAL	SC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$165.08
COASTAL CAROLINA MEDICAL CENTER	SC	absolute total care	MMP	outpatient	negotiated	$165.08
EAST COOPER REGIONAL MEDICAL CENTER	SC	devoted health	PPO MA	outpatient	negotiated	$165.08
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	SENIOR BLUE SELECT [45011604]	inpatient	negotiated	$161.53
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	MEDICARE PPO B/C [45011601]	outpatient	negotiated	$161.53
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	FEDERAL BC OVER 65 [45011602]	outpatient	negotiated	$161.53
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	SENIOR BLUE BLUESAVER [45011603]	outpatient	negotiated	$161.53
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	SENIOR BLUE [45011606]	outpatient	negotiated	$161.53
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA MEDICARE B/C [45011605]	outpatient	negotiated	$161.53
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis essential [100163]	FIDELIS ESSENTIAL PLAN 1 AND 2 [10016301]	outpatient	negotiated	$160.31
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis essential [100163]	FIDELIS ESSENTIAL PLAN 3 AND 4 [10016302]	outpatient	negotiated	$160.31
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis essential [100163]	FIDELIS ESSENTIAL PLAN 200-250 [10016303]	inpatient	negotiated	$160.31
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	BEACON HEALTH MEDICARE [45012701]	outpatient	negotiated	$160.31
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE HMO [45012901]	outpatient	negotiated	$160.31
MARY BLACK MEMORIAL HOSPITAL	SC	ghi [100153]	GHI [10015301]	outpatient	negotiated	$160.31
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE LIBERTY [45012902]	outpatient	negotiated	$160.31
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	SENIOR CHOICE [45012401]	inpatient	negotiated	$159.83
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	UNIVERA MEDICARE DUAL [45012403]	inpatient	negotiated	$159.83
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PPO UNIVERA [45012402]	inpatient	negotiated	$159.83
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis dual advantage [450120]	FIDELIS DUAL ADVANTAGE [45012001]	outpatient	negotiated	$153.03
MARY BLACK MEMORIAL HOSPITAL	SC	Humana	HUMANA MEDICARE HMO/POS [45013001]	outpatient	negotiated	$153.03
MARY BLACK MEMORIAL HOSPITAL	SC	Humana	HUMANA MEDICARE PFFS [45013002]	inpatient	negotiated	$153.03
MARY BLACK MEMORIAL HOSPITAL	SC	Humana	HUMANA MEDICARE PPO [45013003]	outpatient	negotiated	$153.03
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE FIDELIS DUAL PLUS [45045101]	outpatient	negotiated	$153.03
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE FIDELIS DUAL DSNP [45045103]	outpatient	negotiated	$153.03
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE FIDELIS DUAL ACCESS [45045102]	inpatient	negotiated	$153.03
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	FIDELIS MEDICARE ADVANTAGE [45012101]	inpatient	negotiated	$153.03
MARY BLACK MEMORIAL HOSPITAL	SC	Aetna	AETNA MEDICARE HMO [45011201]	inpatient	negotiated	$153.03
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis dual advantage [450120]	FIDELIS DUAL ADV FLEX [45012002]	inpatient	negotiated	$153.03
MARY BLACK MEMORIAL HOSPITAL	SC	TRICARE	TRICARE [60010002]	outpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	TRICARE	WPS TRICARE FOR LIFE [60010001]	inpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	EMPIRE PLAN OF UNITED HEALTHCARE [10015401]	outpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	champ va [700002]	CHAMP VA [70000201]	outpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	CARE IMPROVEMENT PLUS [45011702]	outpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	CENTERS PLAN FOR HEALTHY LIVING [45011703]	outpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	COMPLETE SENIOR CARE [45011704]	outpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Cigna	CIGNA MEDICARE HMO [45011301]	inpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	covid19 hrsa [45013]	COVID19 HRSA [4501301]	outpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	fallon health [450115]	FALLON HEALTH [45011501]	inpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	CATHOLIC HEALTH LIFE PACE MEDICAID [30000501]	outpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	hospice [550001]	NIAGARA [55000102]	inpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	seneca nation [450119]	SENECA NATION [45011901]	inpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	catholic health life pace [400005]	CATHOLIC HEALTH LIFE PACE [40000501]	inpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	TRICARE	USFHP MARTINS POINT HEALTH CARE [60010003]	outpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	EXCELLUS ROCHESTER MEDICARE [45012801]	inpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	hospice [550001]	ERIE [55000101]	outpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE COVID VAC ALT [4000010102]	inpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE HMO OTHER [45011701]	inpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PART A [40000102]	inpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PART A AND B [40000101]	outpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PART B [40000103]	inpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PART B ALTERNATE [88801]	inpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE RAILROAD [40000104]	outpatient	negotiated	$145.74
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	FAMILY CHOICE [45012203]	inpatient	negotiated	$143.34
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MCR PASSPORT ADVANTAGE [45012204]	inpatient	negotiated	$143.34
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PPO IHA [45012202]	outpatient	negotiated	$143.34
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	ENCOMPASS 65 [45012201]	inpatient	negotiated	$143.34
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UNITED HEALTHCARE ALT [10018401]	inpatient	negotiated	$138.28
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UNITED HEALTHCARE [10015402]	outpatient	negotiated	$138.28
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UHC OTHER COMMERCIAL [10015403]	inpatient	negotiated	$138.28
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UNITED HEALTHCARE UMR [10018501]	outpatient	negotiated	$138.28
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UHC DUAL COMPLETE RPPO-SNP [45002109]	inpatient	negotiated	$131.17
MARY BLACK MEMORIAL HOSPITAL	SC	beacon essential [350122]	BEACON ESSENTIAL PLAN 3 AND 4 [35012202]	outpatient	negotiated	$131.17
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	BEACON HEALTH MEDICAID [35010001]	outpatient	negotiated	$131.17
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	CHILD HEALTH PLUS FIDELIS MEDICAID [35010503]	outpatient	negotiated	$131.17
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	CHILD HEALTH PLUS FIDELIS NON MEDICAID [35010502]	outpatient	negotiated	$131.17
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	FIDELIS [35010501]	inpatient	negotiated	$131.17
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	FIDELIS MLTC [35010504]	inpatient	negotiated	$131.17

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).