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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

$90.3 – $9,368

Negotiated median

$150.74

CPT 99221 Initial hospital care, low complexity · Showing 200 of 776 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
NEW HANOVER REGIONAL MEDICAL CENTER	NC	UnitedHealthcare	Commercial	outpatient	negotiated	$9,368
NEW HANOVER REGIONAL MEDICAL CENTER	NC	UnitedHealthcare	Oxford Commercial	outpatient	negotiated	$8,327
NEW HANOVER REGIONAL MEDICAL CENTER	NC	UnitedHealthcare	Nexus	outpatient	negotiated	$7,963
NEW HANOVER REGIONAL MEDICAL CENTER	NC	UnitedHealthcare	Oxford Metro	outpatient	negotiated	$7,078
NEW HANOVER REGIONAL MEDICAL CENTER	NC	Aetna	PPO	outpatient	negotiated	$4,135
NEW HANOVER REGIONAL MEDICAL CENTER	NC	Aetna	HMO	outpatient	negotiated	$4,135
NEW HANOVER REGIONAL MEDICAL CENTER	NC	amerihealth	Regional Preferred	outpatient	negotiated	$2,024
NEW HANOVER REGIONAL MEDICAL CENTER	NC	amerihealth	Local Value	outpatient	negotiated	$2,024
NEW HANOVER REGIONAL MEDICAL CENTER	NC	Blue Cross Blue Shield	NJ Health	outpatient	negotiated	$1,917.84
NEW HANOVER REGIONAL MEDICAL CENTER	NC	wellpoint	NJ Family Care	outpatient	negotiated	$1,136
NEW HANOVER REGIONAL MEDICAL CENTER	NC	qualcare inc	HMO/POS/PPO/WC	outpatient	negotiated	$800.95
ATRIUM HEALTH LINCOLN	NC	medcost	Ultra	both	negotiated	$211.13
ATRIUM HEALTH STANLY	NC	medcost	PPO	both	negotiated	$211.13
ATRIUM HEALTH UNION	NC	medcost	Ultra	both	negotiated	$211.13
ATRIUM HEALTH PINEVILLE	NC	medcost	Ultra	both	negotiated	$211.13
ATRIUM HEALTH ANSON	NC	medcost	Ultra	both	negotiated	$211.13
ATRIUM HEALTH LINCOLN	NC	medcost	PPO	both	negotiated	$211.13
ATRIUM HEALTH PINEVILLE	NC	medcost	PPO	both	negotiated	$211.13
ATRIUM HEALTH KINGS MOUNTAIN	NC	medcost	PPO	both	negotiated	$211.13
CAROLINAS MEDICAL CENTER	NC	medcost	Ultra	both	negotiated	$211.13
ATRIUM HEALTH CLEVELAND	NC	medcost	Ultra	both	negotiated	$211.13
ATRIUM HEALTH CABARRUS	NC	medcost	PPO	both	negotiated	$211.13
ATRIUM HEALTH KINGS MOUNTAIN	NC	medcost	Ultra	both	negotiated	$211.13
ATRIUM HEALTH CABARRUS	NC	medcost	Ultra	both	negotiated	$211.13
ATRIUM HEALTH CLEVELAND	NC	medcost	PPO	both	negotiated	$211.13
ATRIUM HEALTH STANLY	NC	medcost	Ultra	both	negotiated	$211.13
CAROLINAS MEDICAL CENTER	NC	medcost	PPO	both	negotiated	$211.13
ATRIUM HEALTH UNION	NC	medcost	PPO	both	negotiated	$211.13
ATRIUM HEALTH ANSON	NC	medcost	PPO	both	negotiated	$211.13
CAROLINAS MEDICAL CENTER	NC	Aetna	Broad Network	both	negotiated	$205.62
ATRIUM HEALTH ANSON	NC	Aetna	Broad Network	both	negotiated	$205.62
ATRIUM HEALTH STANLY	NC	Aetna	Broad Network	both	negotiated	$205.62
ATRIUM HEALTH PINEVILLE	NC	Aetna	Broad Network	both	negotiated	$205.62
ATRIUM HEALTH CLEVELAND	NC	Aetna	Broad Network	both	negotiated	$205.62
ATRIUM HEALTH UNION	NC	Aetna	Broad Network	both	negotiated	$205.62
ATRIUM HEALTH LINCOLN	NC	Aetna	Broad Network	both	negotiated	$205.62
ATRIUM HEALTH CABARRUS	NC	Aetna	Broad Network	both	negotiated	$205.62
ATRIUM HEALTH KINGS MOUNTAIN	NC	Aetna	Broad Network	both	negotiated	$205.62
ATRIUM HEALTH ANSON	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$199.83
ATRIUM HEALTH CABARRUS	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$199.83
ATRIUM HEALTH KINGS MOUNTAIN	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$199.83
ATRIUM HEALTH LINCOLN	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$199.83
CAROLINAS MEDICAL CENTER	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$199.83
ATRIUM HEALTH STANLY	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$199.83
ATRIUM HEALTH STANLY	NC	Blue Cross Blue Shield	Local Individual Commercial	both	negotiated	$199.83
ATRIUM HEALTH STANLY	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$199.83
ATRIUM HEALTH UNION	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$199.83
ATRIUM HEALTH CLEVELAND	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$199.83
ATRIUM HEALTH PINEVILLE	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$199.83
ATRIUM HEALTH ANSON	NC	UnitedHealthcare	HMO-PPO Managed Care	both	negotiated	$196.11
CAROLINAS MEDICAL CENTER	NC	UnitedHealthcare	HMO-PPO Managed Care	both	negotiated	$196.11
ATRIUM HEALTH CLEVELAND	NC	UnitedHealthcare	HMO-PPO Managed Care	both	negotiated	$196.11
ATRIUM HEALTH UNION	NC	UnitedHealthcare	HMO-PPO Managed Care	both	negotiated	$196.11
ATRIUM HEALTH CABARRUS	NC	UnitedHealthcare	HMO-PPO Managed Care	both	negotiated	$196.11
ATRIUM HEALTH LINCOLN	NC	UnitedHealthcare	HMO-PPO Managed Care	both	negotiated	$196.11
ATRIUM HEALTH PINEVILLE	NC	UnitedHealthcare	HMO-PPO Managed Care	both	negotiated	$196.11
ATRIUM HEALTH STANLY	NC	UnitedHealthcare	HMO-PPO Managed Care	both	negotiated	$196.11
ATRIUM HEALTH KINGS MOUNTAIN	NC	UnitedHealthcare	HMO-PPO Managed Care	both	negotiated	$196.11
GASTON MEMORIAL HOSPITAL	NC	corporate benefits service	Commercial	outpatient	negotiated	$191.73
ATRIUM HEALTH LINCOLN	NC	Aetna	North Carolina Preferred Plus	both	negotiated	$186.13
ATRIUM HEALTH ANSON	NC	Aetna	North Carolina Preferred Plus	both	negotiated	$186.13
ATRIUM HEALTH CLEVELAND	NC	Aetna	North Carolina Preferred Plus Commercial	both	negotiated	$186.13
ATRIUM HEALTH UNION	NC	Aetna	North Carolina Preferred Plus Commercial	both	negotiated	$186.13
CAROLINAS MEDICAL CENTER	NC	Aetna	North Carolina Preferred Plus Commercial	both	negotiated	$186.13
ATRIUM HEALTH PINEVILLE	NC	Aetna	North Carolina Preferred Plus Commercial	both	negotiated	$186.13
ATRIUM HEALTH STANLY	NC	Aetna	North Carolina Preferred Plus	both	negotiated	$186.13
ATRIUM HEALTH CABARRUS	NC	Aetna	North Carolina Preferred Plus Commercial	both	negotiated	$186.13
ATRIUM HEALTH KINGS MOUNTAIN	NC	Aetna	North Carolina Preferred Plus Commercial	both	negotiated	$186.13
GASTON MEMORIAL HOSPITAL	NC	carolina caring	Commercial	outpatient	negotiated	$178.19
ATRIUM HEALTH STANLY	NC	Ambetter	Individual Commercial	both	negotiated	$171.19
ATRIUM HEALTH ANSON	NC	Ambetter	Individual Commercial	both	negotiated	$171.19
ATRIUM HEALTH LINCOLN	NC	Ambetter	Individual Commercial	both	negotiated	$171.19
ATRIUM HEALTH KINGS MOUNTAIN	NC	choicecare	Commercial	both	negotiated	$160.48
ATRIUM HEALTH KINGS MOUNTAIN	NC	Blue Cross Blue Shield	Local Individual Commercial	both	negotiated	$160.48
ATRIUM HEALTH PINEVILLE	NC	choicecare	Commercial	both	negotiated	$160.48
ATRIUM HEALTH LINCOLN	NC	choicecare	Commercial	both	negotiated	$160.48
ATRIUM HEALTH UNION	NC	Blue Cross Blue Shield	Local Individual Commercial	both	negotiated	$160.48
ATRIUM HEALTH ANSON	NC	Blue Cross Blue Shield	Local Individual Commercial	both	negotiated	$160.48
ATRIUM HEALTH ANSON	NC	choicecare	Commercial	both	negotiated	$160.48
ATRIUM HEALTH CLEVELAND	NC	choicecare	Commercial	both	negotiated	$160.48
ATRIUM HEALTH CLEVELAND	NC	Blue Cross Blue Shield	Local Individual Commercial	both	negotiated	$160.48
ATRIUM HEALTH CABARRUS	NC	choicecare	Commercial	both	negotiated	$160.48
CAROLINAS MEDICAL CENTER	NC	Blue Cross Blue Shield	Local Individual Commercial	both	negotiated	$160.48
ATRIUM HEALTH STANLY	NC	choicecare	Commercial	both	negotiated	$160.48
ATRIUM HEALTH CABARRUS	NC	Blue Cross Blue Shield	Local Individual Commercial	both	negotiated	$160.48
CAROLINAS MEDICAL CENTER	NC	choicecare	Commercial	both	negotiated	$160.48
ATRIUM HEALTH PINEVILLE	NC	Blue Cross Blue Shield	Local Individual Commercial	both	negotiated	$160.48
ATRIUM HEALTH UNION	NC	choicecare	Commercial	both	negotiated	$160.48
ATRIUM HEALTH LINCOLN	NC	Blue Cross Blue Shield	Local Individual Commercial	both	negotiated	$160.48
ATRIUM HEALTH ANSON	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$151.87
ATRIUM HEALTH KINGS MOUNTAIN	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$151.87
ATRIUM HEALTH PINEVILLE	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$151.87
ATRIUM HEALTH CABARRUS	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$151.87
ATRIUM HEALTH CLEVELAND	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$151.87
ATRIUM HEALTH LINCOLN	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$151.87
ATRIUM HEALTH UNION	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$151.87
CAROLINAS MEDICAL CENTER	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$151.87
ATRIUM HEALTH ANSON	NC	UnitedHealthcare	IEX Commercial	both	negotiated	$150.74
ATRIUM HEALTH UNION	NC	UnitedHealthcare	IEX Commercial	both	negotiated	$150.74
ATRIUM HEALTH LINCOLN	NC	UnitedHealthcare	IEX Commercial	both	negotiated	$150.74
ATRIUM HEALTH CABARRUS	NC	UnitedHealthcare	IEX Commercial	both	negotiated	$150.74
ATRIUM HEALTH PINEVILLE	NC	UnitedHealthcare	IEX Commercial	both	negotiated	$150.74
ATRIUM HEALTH STANLY	NC	UnitedHealthcare	IEX Commercial	both	negotiated	$150.74
CAROLINAS MEDICAL CENTER	NC	UnitedHealthcare	IEX Commercial	both	negotiated	$150.74
ATRIUM HEALTH CLEVELAND	NC	UnitedHealthcare	IEX Commercial	both	negotiated	$150.74
ATRIUM HEALTH KINGS MOUNTAIN	NC	UnitedHealthcare	IEX Commercial	both	negotiated	$150.74
GASTON MEMORIAL HOSPITAL	NC	Cigna	Individual Family Plan	outpatient	negotiated	$132.57
GASTON MEMORIAL HOSPITAL	NC	surgery plus	Commercial	outpatient	negotiated	$124.73
FORSYTH MEMORIAL HOSPITAL INC	NC	employers choice network	All Plans	outpatient	negotiated	$97
PRESBYTERIAN HOSPITAL MATTHEWS	NC	employers choice network	All Plans	outpatient	negotiated	$97
BRUNSWICK COMMUNITY HOSPITAL	NC	three rivers provider network	All Plans	outpatient	negotiated	$97
FORSYTH MEMORIAL HOSPITAL INC	NC	three rivers provider network	All Plans	outpatient	negotiated	$97
PRESBYTERIAN HOSPITAL HUNTERSVILLE	NC	employers choice network	All Plans	outpatient	negotiated	$97
PRESBYTERIAN HOSPITAL	NC	employers choice network	All Plans	outpatient	negotiated	$97
PRESBYTERIAN HOSPITAL	NC	three rivers provider network	All Plans	outpatient	negotiated	$97
MEDICAL PARK HOSPITAL	NC	three rivers provider network	All Plans	outpatient	negotiated	$97
PRESBYTERIAN HOSPITAL MATTHEWS	NC	three rivers provider network	All Plans	outpatient	negotiated	$97
THOMASVILLE MEDICAL CENTER	NC	three rivers provider network	All Plans	outpatient	negotiated	$97
MEDICAL PARK HOSPITAL	NC	employers choice network	All Plans	outpatient	negotiated	$97
THOMASVILLE MEDICAL CENTER	NC	employers choice network	All Plans	outpatient	negotiated	$97
NOVANT HEALTH BALLANTYNE MEDICAL CTR	NC	three rivers provider network	All Plans	outpatient	negotiated	$97
NOVANT HEALTH BALLANTYNE MEDICAL CTR	NC	employers choice network	All Plans	outpatient	negotiated	$97
PRESBYTERIAN HOSPITAL HUNTERSVILLE	NC	three rivers provider network	All Plans	outpatient	negotiated	$97
NOVANT HEALTH MINT HILL MEDICAL CTR	NC	employers choice network	All Plans	outpatient	negotiated	$97
NOVANT HEALTH MINT HILL MEDICAL CTR	NC	three rivers provider network	All Plans	outpatient	negotiated	$97
BRUNSWICK COMMUNITY HOSPITAL	NC	employers choice network	All Plans	outpatient	negotiated	$97
ATRIUM HEALTH UNION	NC	ortho carolina	Commercial	both	negotiated	$95.19
CAROLINAS MEDICAL CENTER	NC	ortho carolina	Commercial	outpatient	negotiated	$95.19
ATRIUM HEALTH PINEVILLE	NC	ortho carolina	Commercial	both	negotiated	$95.19
ATRIUM HEALTH LINCOLN	NC	orthocarolina	Commercial	outpatient	negotiated	$95.19
ATRIUM HEALTH CABARRUS	NC	ortho carolina	Commercial	outpatient	negotiated	$95.19
MEDICAL PARK HOSPITAL	NC	medcost	non-MBS	outpatient	negotiated	$94
THOMASVILLE MEDICAL CENTER	NC	medcost	non-MBS	outpatient	negotiated	$94
FORSYTH MEMORIAL HOSPITAL INC	NC	medcost	non-MBS	outpatient	negotiated	$94
ATRIUM HEALTH KINGS MOUNTAIN	NC	alliance	Managed Medicaid	both	negotiated	$91.2
ATRIUM HEALTH LINCOLN	NC	alliance	Managed Medicaid	both	negotiated	$91.2
ATRIUM HEALTH UNION	NC	alliance	Managed Medicaid	both	negotiated	$91.2
ATRIUM HEALTH CABARRUS	NC	alliance	Managed Medicaid	both	negotiated	$91.2
ATRIUM HEALTH CLEVELAND	NC	alliance	Managed Medicaid	both	negotiated	$91.2
CAROLINAS MEDICAL CENTER	NC	alliance	Managed Medicaid	both	negotiated	$91.2
ATRIUM HEALTH PINEVILLE	NC	alliance	Managed Medicaid	both	negotiated	$91.2
ATRIUM HEALTH ANSON	NC	alliance	Managed Medicaid	both	negotiated	$91.2
ATRIUM HEALTH STANLY	NC	alliance	Managed Medicaid	both	negotiated	$91.2
NEW HANOVER REGIONAL MEDICAL CENTER	NC	Blue Cross Blue Shield	State Benefit Plan	outpatient	negotiated	$91.18
ATRIUM HEALTH KINGS MOUNTAIN	NC	healthy blue	Managed Medicaid	both	negotiated	$90.3
CAROLINAS MEDICAL CENTER	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH KINGS MOUNTAIN	NC	carolina complete health	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH ANSON	NC	carolina complete health	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH LINCOLN	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH KINGS MOUNTAIN	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH UNION	NC	healthy blue	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH LINCOLN	NC	WellCare	Managed Medicaid	both	negotiated	$90.3
CAROLINAS MEDICAL CENTER	NC	WellCare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH UNION	NC	partners	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH STANLY	NC	WellCare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CABARRUS	NC	WellCare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH PINEVILLE	NC	vaya	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH STANLY	NC	healthy blue	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CABARRUS	NC	healthy blue	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH ANSON	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CLEVELAND	NC	WellCare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CLEVELAND	NC	vaya	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH STANLY	NC	partners	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH UNION	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CLEVELAND	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH UNION	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH ANSON	NC	healthy blue	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CABARRUS	NC	vaya	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH STANLY	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$90.3
CAROLINAS MEDICAL CENTER	NC	trillium	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CABARRUS	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH PINEVILLE	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH STANLY	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CLEVELAND	NC	healthy blue	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH ANSON	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH PINEVILLE	NC	partners	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH ANSON	NC	vaya	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CLEVELAND	NC	carolina complete health	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH UNION	NC	WellCare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CABARRUS	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CLEVELAND	NC	partners	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CLEVELAND	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$90.3
CAROLINAS MEDICAL CENTER	NC	healthy blue	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH LINCOLN	NC	partners	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH LINCOLN	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$90.3
CAROLINAS MEDICAL CENTER	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH PINEVILLE	NC	healthy blue	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH PINEVILLE	NC	WellCare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH PINEVILLE	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$90.3
CAROLINAS MEDICAL CENTER	NC	vaya	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH ANSON	NC	partners	Managed Medicaid	both	negotiated	$90.3
CAROLINAS MEDICAL CENTER	NC	carolina complete health	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH PINEVILLE	NC	carolina complete health	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH UNION	NC	vaya	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH UNION	NC	carolina complete health	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH KINGS MOUNTAIN	NC	WellCare	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH KINGS MOUNTAIN	NC	vaya	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH LINCOLN	NC	healthy blue	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH CABARRUS	NC	carolina complete health	Managed Medicaid	both	negotiated	$90.3
ATRIUM HEALTH KINGS MOUNTAIN	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$90.3

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).