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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

$69.52 – $1,156

Negotiated median

$108.19

CPT 99221 Initial hospital care, low complexity · Showing 200 of 393 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
HEALTHSOURCE SAGINAW INC.	MI	northern michigan regional entity	AuSable Valley Community Mental Health Authority	inpatient	negotiated	$1,156
HEALTHSOURCE SAGINAW INC.	MI	genesse health system	Genesse Community Mental Health	inpatient	negotiated	$1,134
HEALTHSOURCE SAGINAW INC.	MI	st. clair county community mental health	St. Clair County Community Mental Health	inpatient	negotiated	$1,134
HEALTHSOURCE SAGINAW INC.	MI	livingston county community mental health	Livingston County Community Mental Health	inpatient	negotiated	$1,134
HEALTHSOURCE SAGINAW INC.	MI	lapeer county community mental health	Lapeer County Community Mental Health	inpatient	negotiated	$1,134
HEALTHSOURCE SAGINAW INC.	MI	lenawee community mental health authority	Lenawee Community Mental Health Authority	inpatient	negotiated	$1,112
HEALTHSOURCE SAGINAW INC.	MI	northern michigan regional entity	Northeast Michigan Community Mental Health Authority	inpatient	negotiated	$1,081.5
HEALTHSOURCE SAGINAW INC.	MI	northern michigan regional entity	North Country Mental Health Authority	inpatient	negotiated	$1,081.5
HEALTHSOURCE SAGINAW INC.	MI	southwest michigan behavioral health	Joseph County Community Mental Health Authority DBA Pivotal	inpatient	negotiated	$1,081
HEALTHSOURCE SAGINAW INC.	MI	southwest michigan behavioral health	Southwest MI Kalamazoo CMH	inpatient	negotiated	$1,081
HEALTHSOURCE SAGINAW INC.	MI	southwest michigan behavioral health	Cass County Community Mental Health Authority DBA Pivotal	inpatient	negotiated	$1,081
HEALTHSOURCE SAGINAW INC.	MI	southwest michigan behavioral health	Calhoun County Community Mental Health Authority DBA Summit Pointe	inpatient	negotiated	$1,081
HEALTHSOURCE SAGINAW INC.	MI	southwest michigan behavioral health	Barry County Community Health Authority	inpatient	negotiated	$1,081
HEALTHSOURCE SAGINAW INC.	MI	priority health	HMO and PPO	inpatient	negotiated	$1,081
HEALTHSOURCE SAGINAW INC.	MI	midmichigan health network	Tuscola Behavioral Health Systems	inpatient	negotiated	$1,080
HEALTHSOURCE SAGINAW INC.	MI	midmichigan health network	Saginaw County Community Mental Health Authority	inpatient	negotiated	$1,080
HEALTHSOURCE SAGINAW INC.	MI	midmichigan health network	Montcalm Care network	inpatient	negotiated	$1,080
HEALTHSOURCE SAGINAW INC.	MI	midmichigan health network	Gratiot Integrated Health Network	inpatient	negotiated	$1,080
HEALTHSOURCE SAGINAW INC.	MI	midmichigan health network	MidMichigan Health Network	inpatient	negotiated	$1,080
HEALTHSOURCE SAGINAW INC.	MI	midmichigan health network	Community Mental Health Authority of Clinton, Eaton, and Ingham Counties	inpatient	negotiated	$1,080
HEALTHSOURCE SAGINAW INC.	MI	midmichigan health network	Central Michigan Community Mental Health	inpatient	negotiated	$1,080
HEALTHSOURCE SAGINAW INC.	MI	midmichigan health network	Bay Arenac Mental Health Authority	inpatient	negotiated	$1,080
HEALTHSOURCE SAGINAW INC.	MI	midmichigan health network	Ionia Community Mental Health The Right Door	inpatient	negotiated	$1,080
HEALTHSOURCE SAGINAW INC.	MI	midmichigan health network	Huron Behavioral Health	inpatient	negotiated	$1,080
HEALTHSOURCE SAGINAW INC.	MI	midmichigan health network	Shiawassee Health and Wellness	inpatient	negotiated	$1,080
HEALTHSOURCE SAGINAW INC.	MI	priority health	HMO and PPO	inpatient	negotiated	$955
HEALTHSOURCE SAGINAW INC.	MI	meridian health plan	Medicare	inpatient	negotiated	$659
HEALTHSOURCE SAGINAW INC.	MI	Molina	Molina Marketplace Plan	inpatient	negotiated	$610
HEALTHSOURCE SAGINAW INC.	MI	meridian health plan	Medicare	inpatient	negotiated	$525
HEALTHSOURCE SAGINAW INC.	MI	Molina	Molina Marketplace Plan	inpatient	negotiated	$490
HEALTHSOURCE SAGINAW INC.	MI	Molina	Molina Healthcare of Michigan	inpatient	negotiated	$450
HEALTHSOURCE SAGINAW INC.	MI	meridian health plan	Medicare	inpatient	negotiated	$429
HEALTHSOURCE SAGINAW INC.	MI	Molina	Molina Marketplace Plan	inpatient	negotiated	$420
MCLAREN FLINT	MI	First Health	—	—	negotiated	$380.12
MCLAREN LAPEER REGION	MI	Medicaid	—	—	negotiated	$376.5
MCLAREN LAPEER REGION	MI	First Health	—	—	negotiated	$376.5
MCLAREN LAPEER REGION	MI	Blue Cross Blue Shield	—	—	negotiated	$376.5
HEALTHSOURCE SAGINAW INC.	MI	meridian health plan	Medicare	inpatient	negotiated	$373
HEALTHSOURCE SAGINAW INC.	MI	Molina	Molina Marketplace Plan	inpatient	negotiated	$330
HEALTHSOURCE SAGINAW INC.	MI	meridian health plan	Medicare	inpatient	negotiated	$316
HEALTHSOURCE SAGINAW INC.	MI	Molina	Molina Marketplace Plan	inpatient	negotiated	$310
HEALTHSOURCE SAGINAW INC.	MI	Molina	Molina Healthcare of Michigan	inpatient	negotiated	$300
MCLAREN FLINT	MI	Medicaid	—	—	negotiated	$275
MCLAREN LAPEER REGION	MI	UnitedHealthcare	—	—	negotiated	$263.55
HEALTHSOURCE SAGINAW INC.	MI	Molina	Molina Healthcare of Michigan	inpatient	negotiated	$260
TAWAS ST. JOSEPH HOSPITAL	MI	Blue Cross Blue Shield	2834_JCIL BLUE CROSS BLUE SHIELD PPO 20241001	outpatient	negotiated	$258.64
MCLAREN FLINT	MI	hp - ppo op rate	—	—	negotiated	$254.59
MCLAREN FLINT	MI	cofinity - wc/auto op rate	—	—	negotiated	$253.47
MCLAREN FLINT	MI	cofinity - auto op rate	—	—	negotiated	$253.47
HEALTHSOURCE SAGINAW INC.	MI	Molina	Molina Healthcare of Michigan	inpatient	negotiated	$240
MCLAREN FLINT	MI	First Health	—	—	negotiated	$237.15
MCLAREN LAPEER REGION	MI	cofinity - auto op rate	—	—	negotiated	$233.81
MCLAREN FLINT	MI	priority health op rate	—	—	negotiated	$225.97
MCLAREN FLINT	MI	cofinity - ppom op rate	—	—	negotiated	$219.13
MCLAREN FLINT	MI	cofinity wc op rate	—	—	negotiated	$219.13
MCLAREN LAPEER REGION	MI	hap - ppo op rate	—	—	negotiated	$216.9
MCLAREN LAPEER REGION	MI	hp - ppo op rate	—	—	negotiated	$216.9
MCLAREN FLINT	MI	Aetna	—	—	negotiated	$210.45
MCLAREN LAPEER REGION	MI	cofinity-ppom op rate	—	—	negotiated	$204.93
MCLAREN LAPEER REGION	MI	cofinity - wc op rate	—	—	negotiated	$204.59
MCLAREN FLINT	MI	Blue Cross Blue Shield	—	—	negotiated	$201.64
MCLAREN LAPEER REGION	MI	Aetna	—	—	negotiated	$197.29
MCLAREN FLINT	MI	UnitedHealthcare	—	—	negotiated	$195.3
MCLAREN FLINT	MI	hp - hmo op rate	—	—	negotiated	$191.31
MCLAREN FLINT	MI	hap preferred op rate	—	—	negotiated	$183.35
MCLAREN LAPEER REGION	MI	Blue Cross Blue Shield	—	—	negotiated	$177.33
TAWAS ST. JOSEPH HOSPITAL	MI	Blue Cross Blue Shield	2832_JCIL BLUE CROSS BLUE SHIELD BCS 20241001	outpatient	negotiated	$174.9
TAWAS ST. JOSEPH HOSPITAL	MI	Blue Cross Blue Shield	2879_JCIL BLUE CROSS BLUE SHIELD BCE 20241001	outpatient	negotiated	$174.9
MCLAREN LAPEER REGION	MI	priority health op rate	—	—	negotiated	$168.3
MCLAREN FLINT	MI	hap/ahl op rate	—	—	negotiated	$164.7
MCLAREN FLINT	MI	hap - hmo op rate	—	—	negotiated	$164.7
MCLAREN LAPEER REGION	MI	hp - hmo op rate	—	—	negotiated	$162.84
MCLAREN FLINT	MI	hp - ppo op rate	—	—	negotiated	$158.83
MCLAREN FLINT	MI	cofinity - auto op rate	—	—	negotiated	$158.14
MCLAREN FLINT	MI	cofinity - wc/auto op rate	—	—	negotiated	$158.14
MCLAREN LAPEER REGION	MI	hap preferred op rate	—	—	negotiated	$150.68
MCLAREN FLINT	MI	health advantage - ppo op rate	—	—	negotiated	$143.69
MCLAREN FLINT	MI	mhp - hmo op rate	—	—	negotiated	$143.69
MCLAREN FLINT	MI	priority health op rate	—	—	negotiated	$140.98
MCLAREN FLINT	MI	cofinity wc op rate	—	—	negotiated	$136.71
MCLAREN FLINT	MI	cofinity - ppom op rate	—	—	negotiated	$136.71
MCLAREN FLINT	MI	Aetna	—	—	negotiated	$131.3
MCLAREN LAPEER REGION	MI	hap - hmo op rate	—	—	negotiated	$129.44
MCLAREN FLINT	MI	Blue Cross Blue Shield	—	—	negotiated	$125.8
MCLAREN FLINT	MI	hurley medical center op rate	—	—	negotiated	$125.22
MCLAREN FLINT	MI	hp - hmo op rate	—	—	negotiated	$119.36
MCLAREN FLINT	MI	hap preferred op rate	—	—	negotiated	$114.39
MCLAREN THUMB REGION	MI	UnitedHealthcare	United Healthcare	outpatient	negotiated	$113.01
MCLAREN FLINT	MI	UnitedHealthcare	United Healthcare	outpatient	negotiated	$113.01
MCLAREN LAPEER REGION	MI	UnitedHealthcare	United Healthcare	outpatient	negotiated	$113.01
MCLAREN NORTHERN MICHIGAN	MI	UnitedHealthcare	United Healthcare	outpatient	negotiated	$113.01
BAY REGIONAL MEDICAL CENTER	MI	UnitedHealthcare	United Healthcare	outpatient	negotiated	$113.01
MCLAREN GREATER LANSING	MI	UnitedHealthcare	United Healthcare	outpatient	negotiated	$113.01
MCLAREN CENTRAL MICHIGAN	MI	UnitedHealthcare	United Healthcare	outpatient	negotiated	$113.01
MCLAREN PORT HURON	MI	UnitedHealthcare	United Healthcare	outpatient	negotiated	$113.01
ASCENSION ST JOHN HOSPITAL	MI	Aetna	2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001	both	negotiated	$112.48
ASCENSION ST JOHN HOSPITAL	MI	First Health	2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001	both	negotiated	$111.73
MCLAREN LAPEER REGION	MI	mhp - hmo op rate	—	—	negotiated	$110.73
MCLAREN LAPEER REGION	MI	health advantage - ppo op rate	—	—	negotiated	$110.73
MCLAREN LAPEER REGION	MI	priority health	Priority Health	outpatient	negotiated	$108.19
BAY REGIONAL MEDICAL CENTER	MI	priority health	Priority Health	outpatient	negotiated	$108.19
MCLAREN PORT HURON	MI	priority health	Priority Health	outpatient	negotiated	$108.19
MCLAREN CENTRAL MICHIGAN	MI	priority health	Priority Health	outpatient	negotiated	$108.19
MCLAREN GREATER LANSING	MI	priority health	Priority Health	outpatient	negotiated	$108.19
MCLAREN NORTHERN MICHIGAN	MI	priority health	Priority Health	outpatient	negotiated	$108.19
MCLAREN FLINT	MI	priority health	Priority Health	outpatient	negotiated	$108.19
MCLAREN THUMB REGION	MI	priority health	Priority Health	outpatient	negotiated	$108.19
MCLAREN FLINT	MI	hap/ahl op rate	—	—	negotiated	$102.76
MCLAREN FLINT	MI	hap - hmo op rate	—	—	negotiated	$102.76
KARMANOS CANCER HOSPITAL	MI	cofinity ppom op rate	—	—	negotiated	$100.74
KARMANOS CANCER HOSPITAL	MI	Aetna	—	—	negotiated	$100.74
MCLAREN FLINT	MI	mclaren commercial ins	McLaren Commercial Ins	outpatient	negotiated	$97
MCLAREN THUMB REGION	MI	mclaren commercial ins	McLaren Commercial Ins	outpatient	negotiated	$97
MCLAREN NORTHERN MICHIGAN	MI	mclaren commercial ins	McLaren Commercial Ins	outpatient	negotiated	$97
MCLAREN GREATER LANSING	MI	mclaren commercial ins	McLaren Commercial Ins	outpatient	negotiated	$97
MCLAREN PORT HURON	MI	mclaren commercial ins	McLaren Commercial Ins	outpatient	negotiated	$97
MCLAREN CENTRAL MICHIGAN	MI	mclaren commercial ins	McLaren Commercial Ins	outpatient	negotiated	$97
BAY REGIONAL MEDICAL CENTER	MI	mclaren commercial ins	McLaren Commercial Ins	outpatient	negotiated	$97
MCLAREN LAPEER REGION	MI	mclaren commercial ins	McLaren Commercial Ins	outpatient	negotiated	$97
MCLAREN GREATER LANSING	MI	Blue Cross Blue Shield	Blue Cross Blue Shield	outpatient	negotiated	$95.57
MCLAREN NORTHERN MICHIGAN	MI	Blue Cross Blue Shield	Blue Cross Blue Shield	outpatient	negotiated	$95.57
BAY REGIONAL MEDICAL CENTER	MI	Blue Cross Blue Shield	Blue Cross Blue Shield	outpatient	negotiated	$95.57
MCLAREN PORT HURON	MI	Blue Cross Blue Shield	Blue Cross Blue Shield	outpatient	negotiated	$95.57
MCLAREN CENTRAL MICHIGAN	MI	Blue Cross Blue Shield	Blue Cross Blue Shield	outpatient	negotiated	$95.57
MCLAREN FLINT	MI	Blue Cross Blue Shield	Blue Cross Blue Shield	outpatient	negotiated	$95.57
MCLAREN LAPEER REGION	MI	Blue Cross Blue Shield	Blue Cross Blue Shield	outpatient	negotiated	$95.57
MCLAREN THUMB REGION	MI	Blue Cross Blue Shield	Blue Cross Blue Shield	outpatient	negotiated	$95.57
KARMANOS CANCER HOSPITAL	MI	health plus hmo op rate	—	—	negotiated	$91.52
HEALTHSOURCE SAGINAW INC.	MI	priority health	HMO and PPO	outpatient	negotiated	$90
MCLAREN FLINT	MI	health advantage - ppo op rate	—	—	negotiated	$89.64
MCLAREN FLINT	MI	mhp - hmo op rate	—	—	negotiated	$89.64
KARMANOS CANCER HOSPITAL	MI	UnitedHealthcare	—	—	negotiated	$87.94
MCLAREN PORT HURON	MI	Aetna	Cofinity Aetna	outpatient	negotiated	$85.96
BAY REGIONAL MEDICAL CENTER	MI	Aetna	Cofinity Aetna	outpatient	negotiated	$85.96
MCLAREN CENTRAL MICHIGAN	MI	Aetna	Cofinity Aetna	outpatient	negotiated	$85.96
MCLAREN NORTHERN MICHIGAN	MI	Aetna	Cofinity Aetna	outpatient	negotiated	$85.96
MCLAREN THUMB REGION	MI	Aetna	Cofinity Aetna	outpatient	negotiated	$85.96
MCLAREN FLINT	MI	Aetna	Cofinity Aetna	outpatient	negotiated	$85.96
MCLAREN GREATER LANSING	MI	Aetna	Cofinity Aetna	outpatient	negotiated	$85.96
MCLAREN LAPEER REGION	MI	Aetna	Cofinity Aetna	outpatient	negotiated	$85.96
MCLAREN FLINT	MI	u of m health plan	U of M Health Plan	outpatient	negotiated	$85.23
MCLAREN PORT HURON	MI	u of m health plan	U of M Health Plan	outpatient	negotiated	$85.23
MCLAREN THUMB REGION	MI	u of m health plan	U of M Health Plan	outpatient	negotiated	$85.23
MCLAREN CENTRAL MICHIGAN	MI	u of m health plan	U of M Health Plan	outpatient	negotiated	$85.23
MCLAREN GREATER LANSING	MI	u of m health plan	U of M Health Plan	outpatient	negotiated	$85.23
MCLAREN NORTHERN MICHIGAN	MI	u of m health plan	U of M Health Plan	outpatient	negotiated	$85.23
MCLAREN LAPEER REGION	MI	u of m health plan	U of M Health Plan	outpatient	negotiated	$85.23
BAY REGIONAL MEDICAL CENTER	MI	u of m health plan	U of M Health Plan	outpatient	negotiated	$85.23
KARMANOS CANCER HOSPITAL	MI	bsbs bcn op rate	—	—	negotiated	$84.08
KARMANOS CANCER HOSPITAL	MI	Blue Cross Blue Shield	—	—	negotiated	$84.08
KARMANOS CANCER HOSPITAL	MI	hap ahl op rate	—	—	negotiated	$82.75
KARMANOS CANCER HOSPITAL	MI	hap preferred op rate	—	—	negotiated	$82.75
MCLAREN FLINT	MI	hurley medical center op rate	—	—	negotiated	$78.12
KARMANOS CANCER HOSPITAL	MI	priority health op rate	—	—	negotiated	$77.85
KARMANOS CANCER HOSPITAL	MI	Cigna	—	—	negotiated	$76.8
MCLAREN FLINT	MI	UnitedHealthcare	Medicare - United	outpatient	negotiated	$76.33
MCLAREN PORT HURON	MI	UnitedHealthcare	Medicare - United	outpatient	negotiated	$76.33
BAY REGIONAL MEDICAL CENTER	MI	UnitedHealthcare	Medicare - United	outpatient	negotiated	$76.33
MCLAREN GREATER LANSING	MI	UnitedHealthcare	Medicare - United	outpatient	negotiated	$76.33
MCLAREN NORTHERN MICHIGAN	MI	UnitedHealthcare	Medicare - United	outpatient	negotiated	$76.33
MCLAREN CENTRAL MICHIGAN	MI	UnitedHealthcare	Medicare - United	outpatient	negotiated	$76.33
MCLAREN LAPEER REGION	MI	UnitedHealthcare	Medicare - United	outpatient	negotiated	$76.33
MCLAREN THUMB REGION	MI	UnitedHealthcare	Medicare - United	outpatient	negotiated	$76.33
KARMANOS CANCER HOSPITAL	MI	hap hmo op rate	—	—	negotiated	$76.21
MCLAREN PORT HURON	MI	Medicare	Medicare - Molina	outpatient	negotiated	$75.59
MCLAREN LAPEER REGION	MI	Medicare	Medicare - Molina	outpatient	negotiated	$75.59
MCLAREN THUMB REGION	MI	Medicare	Medicare - Molina	outpatient	negotiated	$75.59
MCLAREN CENTRAL MICHIGAN	MI	Medicare	Medicare - Molina	outpatient	negotiated	$75.59
MCLAREN NORTHERN MICHIGAN	MI	Medicare	Medicare - Molina	outpatient	negotiated	$75.59
MCLAREN GREATER LANSING	MI	Medicare	Medicare - Molina	outpatient	negotiated	$75.59
BAY REGIONAL MEDICAL CENTER	MI	Medicare	Medicare - Molina	outpatient	negotiated	$75.59
MCLAREN FLINT	MI	Medicare	Medicare - Molina	outpatient	negotiated	$75.59
MCLAREN GREATER LANSING	MI	Medicare	Medicare - Priority Health	outpatient	negotiated	$74.11
MCLAREN FLINT	MI	Medicare	Medicare - Priority Health	outpatient	negotiated	$74.11
MCLAREN FLINT	MI	Medicare	Traditional Medicare HMO/PPO	outpatient	negotiated	$74.11
MCLAREN THUMB REGION	MI	Medicare	Traditional Medicare HMO/PPO	outpatient	negotiated	$74.11
MCLAREN THUMB REGION	MI	Medicare	Medicare - Priority Health	outpatient	negotiated	$74.11
MCLAREN THUMB REGION	MI	Humana	Medicare - Humana	outpatient	negotiated	$74.11
MCLAREN NORTHERN MICHIGAN	MI	Medicare	Traditional Medicare HMO/PPO	outpatient	negotiated	$74.11
MCLAREN NORTHERN MICHIGAN	MI	Medicare	Medicare - Priority Health	outpatient	negotiated	$74.11
MCLAREN NORTHERN MICHIGAN	MI	Humana	Medicare - Humana	outpatient	negotiated	$74.11
MCLAREN GREATER LANSING	MI	Humana	Medicare - Humana	outpatient	negotiated	$74.11
MCLAREN GREATER LANSING	MI	Medicare	Traditional Medicare HMO/PPO	outpatient	negotiated	$74.11
MCLAREN CENTRAL MICHIGAN	MI	Medicare	Traditional Medicare HMO/PPO	outpatient	negotiated	$74.11
MCLAREN CENTRAL MICHIGAN	MI	Medicare	Medicare - Priority Health	outpatient	negotiated	$74.11
MCLAREN PORT HURON	MI	Medicare	Traditional Medicare HMO/PPO	outpatient	negotiated	$74.11
MCLAREN PORT HURON	MI	Medicare	Medicare - Priority Health	outpatient	negotiated	$74.11
MCLAREN PORT HURON	MI	Humana	Medicare - Humana	outpatient	negotiated	$74.11
MCLAREN CENTRAL MICHIGAN	MI	Humana	Medicare - Humana	outpatient	negotiated	$74.11
BAY REGIONAL MEDICAL CENTER	MI	Medicare	Traditional Medicare HMO/PPO	outpatient	negotiated	$74.11
BAY REGIONAL MEDICAL CENTER	MI	Medicare	Medicare - Priority Health	outpatient	negotiated	$74.11
MCLAREN LAPEER REGION	MI	Humana	Medicare - Humana	outpatient	negotiated	$74.11
BAY REGIONAL MEDICAL CENTER	MI	Humana	Medicare - Humana	outpatient	negotiated	$74.11
MCLAREN LAPEER REGION	MI	Medicare	Medicare - Priority Health	outpatient	negotiated	$74.11
MCLAREN LAPEER REGION	MI	Medicare	Traditional Medicare HMO/PPO	outpatient	negotiated	$74.11
MCLAREN FLINT	MI	Humana	Medicare - Humana	outpatient	negotiated	$74.11
HEALTHSOURCE SAGINAW INC.	MI	meridian health plan	Medicare	inpatient	negotiated	$69.52
HEALTHSOURCE SAGINAW INC.	MI	priority health	Medicare Advantage	inpatient	negotiated	$69.52
HEALTHSOURCE SAGINAW INC.	MI	Molina	Medicare Advantage	inpatient	negotiated	$69.52
HEALTHSOURCE SAGINAW INC.	MI	priority health	HMO and PPO	inpatient	negotiated	$69.52

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).