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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

$20.23 – $628.75

Negotiated median

$162.17

CPT 99204 Office visit, new patient, 45-59 min · Showing 200 of 422 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$438.2
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$401.1
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$355.6
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$338.1
GOOD SAMARITAN HOSPITAL	IN	Cash pay	N/A	outpatient	cash	$315.99
MARGARET MARY COMMUNITY HOSPITAL	IN	Cash pay	N/A	outpatient	cash	$304.33
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$301
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$296.1
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$293.3
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$266
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$261.1
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$236.6
LAPORTE HOSPITAL	IN	Cash pay	N/A	inpatient	cash	$232.2
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$221.9
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$214.2
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$192.5
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$188.3
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$186.2
ASCENSION ST. VINCENT DUNN	IN	Cash pay	N/A	outpatient	cash	$186.11
ASCENSION ST. VINCENT DUNN	IN	Cash pay	N/A	inpatient	cash	$186.11
LAPORTE HOSPITAL	IN	Cash pay	N/A	inpatient	cash	$185.22
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$174.3
BLUFFTON REGIONAL MEDICAL CENTER	IN	Cash pay	N/A	inpatient	cash	$173.25
ASCENSION ST. VINCENT DUNN	IN	occunet	1476_MEDICARE ADVANTAGE OCCUNET INPATIENT 20241001	inpatient	negotiated	$628.75
ASCENSION ST. VINCENT DUNN	IN	Humana	1660_HUMANA PPO SIFL 20250101	outpatient	negotiated	$406.73
ASCENSION ST. VINCENT DUNN	IN	Humana	1658_HUMANA HMO SIFL 20250101	outpatient	negotiated	$406.73
ST. MARY MEDICAL CENTER INC.	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9400_ANTHEM HEALTHSYNC HMO SWIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	patoka valley tier 2	9414_PAKOTA VALLEY TIER 2 SWIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9400_ANTHEM HEALTHSYNC HMO SWIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9402_ANTHEM HEALTHSYNC POS SWIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 2	9414_PAKOTA VALLEY TIER 2 SWIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9402_ANTHEM HEALTHSYNC POS SWIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 1	9411_PAKOTA VALLEY TIER 1 SWIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	patoka valley tier 1	9411_PAKOTA VALLEY TIER 1 SWIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT JENNINGS	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$162.17
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$162.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$162.17
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	9397_UNITED HEALTHCARE VWIN 20250101	both	negotiated	$150.17
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$150.17
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	inpatient	negotiated	$150.17
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$150.17
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	inpatient	negotiated	$150.17
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$144.48
ASCENSION ST VINCENT SETON SPECIALTY	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$144.48
ASCENSION ST VINCENT SETON SPECIALTY	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$144.48
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$144.48
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$144.48
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$144.48
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$144.48
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$144.48
ASCENSION ST. VINCENT JENNINGS	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$144.48
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$144.48
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$144.48
ASCENSION ST. VINCENT JENNINGS	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$144.48
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$114.67
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$114.67
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST. VINCENT JENNINGS	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$114.67
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$114.67
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$114.67
ASCENSION ST. VINCENT WARRICK	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$114.67
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$114.67
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$114.67
ASCENSION ST. VINCENT JENNINGS	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$114.67
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST VINCENT SETON SPECIALTY	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$114.67
ASCENSION ST. VINCENT WARRICK	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$114.67
ASCENSION ST VINCENT SETON SPECIALTY	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$114.67
ASCENSION ST. VINCENT JENNINGS	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$114.67
ASCENSION ST. VINCENT WARRICK	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST. VINCENT JENNINGS	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$114.67
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$114.67
ASCENSION ST. VINCENT JENNINGS	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$114.67
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$114.67
ASCENSION ST. VINCENT WILLIAMSPORT	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST VINCENT SETON SPECIALTY	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$114.67
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$114.67
ST. MARY MEDICAL CENTER INC.	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$114.67
ST. MARY MEDICAL CENTER INC.	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ST. MARY MEDICAL CENTER INC.	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$114.67
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$114.67
ST. MARY MEDICAL CENTER INC.	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$114.67
ASCENSION ST VINCENT SETON SPECIALTY	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$114.67
ST. MARY MEDICAL CENTER INC.	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$114.67
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ST. MARY MEDICAL CENTER INC.	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST. VINCENT JENNINGS	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$114.67
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$114.67
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$114.67
ASCENSION ST. VINCENT WARRICK	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$114.67
ASCENSION ST VINCENT SETON SPECIALTY	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$114.67
ASCENSION ST. VINCENT WILLIAMSPORT	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$114.67
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$114.67
ASCENSION ST. VINCENT WARRICK	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST VINCENT SETON SPECIALTY	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$114.67
ASCENSION ST. VINCENT WARRICK	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$114.67
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$114.67
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$114.67
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$114.67
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	outpatient	negotiated	$21.02
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	9397_UNITED HEALTHCARE VWIN 20250101	both	negotiated	$21.02
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	outpatient	negotiated	$21.02
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$21.02
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$21.02
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$20.23
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$20.23
ASCENSION ST VINCENT SETON SPECIALTY	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$20.23
ASCENSION ST VINCENT SETON SPECIALTY	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$20.23
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$20.23
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$20.23
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$20.23
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$20.23
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$20.23
ASCENSION ST. VINCENT JENNINGS	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$20.23
ASCENSION ST. VINCENT JENNINGS	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$20.23
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$20.23

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).