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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

$50.91 – $825

Negotiated median

$89.18

99281 · Showing 200 of 456 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Commercial	outpatient	negotiated	$825
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	outpatient	negotiated	$700
BAPTIST HEALTH LEXINGTON	KY	Aetna	Broad Network	outpatient	negotiated	$365.9
BAPTIST HEALTH LEXINGTON	KY	Multiplan	Managed Care	inpatient	negotiated	$356.4
BAPTIST HEALTH LEXINGTON	KY	national provider network	Commercial	inpatient	negotiated	$356.4
BAPTIST HEALTH LEXINGTON	KY	national provider network	Commercial	outpatient	negotiated	$356.4
BAPTIST HEALTH LEXINGTON	KY	Multiplan	Managed Care	outpatient	negotiated	$356.4
BAPTIST HEALTH LEXINGTON	KY	beechstreet	Managed Care	outpatient	negotiated	$348.48
BAPTIST HEALTH LEXINGTON	KY	Humana	Managed Care	outpatient	negotiated	$348.48
BAPTIST HEALTH LEXINGTON	KY	beechstreet	Managed Care	inpatient	negotiated	$348.48
BAPTIST HEALTH LEXINGTON	KY	Humana	Managed Care	inpatient	negotiated	$348.48
BAPTIST HEALTH LEXINGTON	KY	Aetna	Managed Care	inpatient	negotiated	$343.73
BAPTIST HEALTH LEXINGTON	KY	Aetna	Managed Care	outpatient	negotiated	$343.73
BAPTIST HEALTH LEXINGTON	KY	private healthcare systems	Managed Care	outpatient	negotiated	$324.72
BAPTIST HEALTH LEXINGTON	KY	private healthcare systems	Managed Care	inpatient	negotiated	$324.72
BAPTIST HEALTH LEXINGTON	KY	healthgram	Managed Care	inpatient	negotiated	$316.8
BAPTIST HEALTH LEXINGTON	KY	healthgram	Managed Care	outpatient	negotiated	$316.8
BAPTIST HEALTH LEXINGTON	KY	Aetna	NC+ Preferred	outpatient	negotiated	$300.17
BAPTIST HEALTH LEXINGTON	KY	healthgram lexington home brands	Managed Care	inpatient	negotiated	$285.12
BAPTIST HEALTH LEXINGTON	KY	healthgram lexington home brands	Managed Care	outpatient	negotiated	$285.12
BAPTIST HEALTH LEXINGTON	KY	medcost	MBS and Leased Managed Care	inpatient	negotiated	$264.92
BAPTIST HEALTH LEXINGTON	KY	medcost	MBS and Leased Managed Care	outpatient	negotiated	$257.4
BAPTIST HEALTH LEXINGTON	KY	Aetna	Whole Health	outpatient	negotiated	$256.61
BAPTIST HEALTH LEXINGTON	KY	directnet	Managed Care	inpatient	negotiated	$234.04
BAPTIST HEALTH LEXINGTON	KY	directnet	Managed Care	outpatient	negotiated	$234.04
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	outpatient	negotiated	$221.93
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	inpatient	negotiated	$221.93
JENNIE STUART MEDICAL CENTER	KY	commonwealth health alliance	Commercial	outpatient	negotiated	$209.7
JENNIE STUART MEDICAL CENTER	KY	commonwealth health alliance	Commercial	inpatient	negotiated	$209.7
MARY BRECKINRIDGE HOSPITAL	KY	Aetna	Commercial	both	negotiated	$207.68
BARBOURVILLE ARH HOSPITAL	KY	Aetna	Commercial	both	negotiated	$207.68
BARBOURVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$206.33
MARY BRECKINRIDGE HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$206.33
JENNIE STUART MEDICAL CENTER	KY	First Health	Commercial	inpatient	negotiated	$198.05
JENNIE STUART MEDICAL CENTER	KY	First Health	Commercial	outpatient	negotiated	$198.05
JENNIE STUART MEDICAL CENTER	KY	Multiplan	Commercial	inpatient	negotiated	$198.05
JENNIE STUART MEDICAL CENTER	KY	Multiplan	Commercial	outpatient	negotiated	$198.05
BARBOURVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$196.02
MARY BRECKINRIDGE HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$196.02
BAPTIST HEALTH LEXINGTON	KY	UnitedHealthcare	Managed Care	outpatient	negotiated	$177.41
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Traditional/PPO/HMO/HIC	inpatient	negotiated	$175.66
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Traditional/PPO/HMO/HIC	outpatient	negotiated	$175.66
JENNIE STUART MEDICAL CENTER	KY	Cigna	Commercial	inpatient	negotiated	$175.59
JENNIE STUART MEDICAL CENTER	KY	Aetna	Commercial	inpatient	negotiated	$175.59
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$175.59
JENNIE STUART MEDICAL CENTER	KY	center care	Commercial	outpatient	negotiated	$175.59
JENNIE STUART MEDICAL CENTER	KY	Aetna	Commercial	outpatient	negotiated	$175.59
JENNIE STUART MEDICAL CENTER	KY	Cigna	Commercial	outpatient	negotiated	$175.59
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Commercial	inpatient	negotiated	$175.59
JENNIE STUART MEDICAL CENTER	KY	center care	Commercial	inpatient	negotiated	$175.59
BAPTIST HEALTH LEXINGTON	KY	Cigna	Managed Care	inpatient	negotiated	$175.43
BAPTIST HEALTH LEXINGTON	KY	oscar	Managed Care	inpatient	negotiated	$174.24
BAPTIST HEALTH LEXINGTON	KY	Cigna	Managed Care	outpatient	negotiated	$172.26
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	HPN/HMO	inpatient	negotiated	$161.61
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	HPN/HMO	outpatient	negotiated	$161.61
BAPTIST HEALTH LEXINGTON	KY	UnitedHealthcare	IEX Individual	outpatient	negotiated	$155.63
MARY BRECKINRIDGE HOSPITAL	KY	caresoure kentucky	Commercial	outpatient	negotiated	$153.4
BARBOURVILLE ARH HOSPITAL	KY	caresoure kentucky	Commercial	outpatient	negotiated	$153.4
BAPTIST HEALTH LEXINGTON	KY	medcost	Ultra Managed Care	outpatient	negotiated	$148.5
BAPTIST HEALTH LEXINGTON	KY	Blue Cross Blue Shield	HMO/PPO	outpatient	negotiated	$135.67
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	outpatient	negotiated	$134.13
BAPTIST HEALTH LEXINGTON	KY	medcost	Ultra Managed Care	inpatient	negotiated	$133.85
BAPTIST HEALTH LEXINGTON	KY	Blue Cross Blue Shield	Blue Value	outpatient	negotiated	$129.06
MARY BRECKINRIDGE HOSPITAL	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$127.44
MARY BRECKINRIDGE HOSPITAL	KY	umr	Commercial	outpatient	negotiated	$127.44
BAPTIST HEALTH LEXINGTON	KY	oscar	Managed Care	outpatient	negotiated	$126.72
JENNIE STUART MEDICAL CENTER	KY	alliance coal	Commercial	outpatient	negotiated	$121.94
BAPTIST HEALTH LEXINGTON	KY	Aetna	IVL Exchange	outpatient	negotiated	$118.4
BAPTIST HEALTH LEXINGTON	KY	Blue Cross Blue Shield	HPN	outpatient	negotiated	$114.25
BAPTIST HEALTH LEXINGTON	KY	Ambetter	Managed Care	outpatient	negotiated	$113.65
BAPTIST HEALTH LEXINGTON	KY	Aetna	IVL Exchange	inpatient	negotiated	$112.46
BAPTIST HEALTH LEXINGTON	KY	medcost	Employee Managed Care	outpatient	negotiated	$110.09
JENNIE STUART MEDICAL CENTER	KY	CareSource	Medicare Advantage	outpatient	negotiated	$109.75
BAPTIST HEALTH LEXINGTON	KY	amerihealth	Managed Care	outpatient	negotiated	$108.82
BARBOURVILLE ARH HOSPITAL	KY	umr	Commercial	outpatient	negotiated	$105.26
BARBOURVILLE ARH HOSPITAL	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$105.26
HARLAN ARH	KY	Aetna	Commercial	inpatient	negotiated	$103.23
HAZARD ARH	KY	Aetna	Commercial	both	negotiated	$100.8
HARLAN ARH	KY	Aetna	Commercial	outpatient	negotiated	$99.9
MIDDLESBORO ARH	KY	Aetna	Commercial	inpatient	negotiated	$98.58
HAZARD ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$97.92
HARLAN ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$97.05
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Anthem BCBS	Commercial	outpatient	negotiated	$97.05
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$97.05
MIDDLESBORO ARH	KY	Aetna	Commercial	outpatient	negotiated	$95.4
WHITESBURG ARH	KY	Aetna	Commercial	inpatient	negotiated	$94.86
HAZARD ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$93.03
MIDDLESBORO ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$92.68
HARLAN ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$92.2
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$92.2
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Anthem BCBS	Commercial	outpatient	negotiated	$92.2
TUG VALLEY ARH	KY	Aetna	Commercial	both	negotiated	$91.8
WHITESBURG ARH	KY	Aetna	Commercial	outpatient	negotiated	$91.8
OUR LADY OF THE WAY	KY	Aetna	Commercial	both	negotiated	$89.76
MCDOWELL ARH	KY	Aetna	Commercial	both	negotiated	$89.76
MORGAN CO. ARH	KY	Aetna	Commercial	both	negotiated	$89.76
MORGAN CO. ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$89.18
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$89.18
TUG VALLEY ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$89.18
WHITESBURG ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$89.18
MIDDLESBORO ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$88.04
BAPTIST HEALTH LEXINGTON	KY	medcost	Employee Managed Care	inpatient	negotiated	$86.72
OUR LADY OF THE WAY	KY	Anthem BCBS	Commercial	outpatient	negotiated	$86.42
JENNIE STUART MEDICAL CENTER	KY	Aetna	Medicare Advantage	outpatient	negotiated	$85.36
WHITESBURG ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$84.72
TUG VALLEY ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$84.72
MORGAN CO. ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$84.72
OUR LADY OF THE WAY	KY	Anthem BCBS	Commercial	outpatient	negotiated	$84.72
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$84.72
BAPTIST HEALTH LEXINGTON	KY	Blue Cross Blue Shield	Blue Local Individual	outpatient	negotiated	$84.35
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Commercial	both	negotiated	$83.25
HAZARD ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$82.88
HAZARD ARH	KY	umr	Commercial	outpatient	negotiated	$82.88
HARLAN ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$82.81
HARLAN ARH	KY	umr	Commercial	outpatient	negotiated	$82.81
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	outpatient	negotiated	$81.29
JENNIE STUART MEDICAL CENTER	KY	va community care network	Medicare Advantage	outpatient	negotiated	$81.29
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$81.29
JENNIE STUART MEDICAL CENTER	KY	Humana	Medicare Advantage	outpatient	negotiated	$81.29
JENNIE STUART MEDICAL CENTER	KY	Cigna	Medicare Advantage	outpatient	negotiated	$81.29
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Medicare Advantage HMO/PPO	outpatient	negotiated	$81.29
JENNIE STUART MEDICAL CENTER	KY	amerigroup	Medicare Advantage	outpatient	negotiated	$81.29
MCDOWELL ARH	KY	Aetna	Commercial	both	negotiated	$80.96
HARLAN ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$80.87
HARLAN ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$80.87
HARLAN ARH	KY	Humana	Medicare	outpatient	negotiated	$80.87
HARLAN ARH	KY	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$80.87
HARLAN ARH	KY	Aetna	Medicare	outpatient	negotiated	$80.87
HARLAN ARH	KY	WellCare	Medicare	outpatient	negotiated	$80.87
HARLAN ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$80.87
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$80.44
MIDDLESBORO ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$78.97
MIDDLESBORO ARH	KY	umr	Commercial	outpatient	negotiated	$78.97
WHITESBURG ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$77.93
WHITESBURG ARH	KY	umr	Commercial	outpatient	negotiated	$77.93
BAPTIST HEALTH LEXINGTON	KY	trillium	Medicaid Tailored Plan	outpatient	negotiated	$76.86
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$76.42
MORGAN CO. ARH	KY	umr	Commercial	outpatient	negotiated	$76.3
MORGAN CO. ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$76.3
BAPTIST HEALTH LEXINGTON	KY	alliance	Medicaid Tailored Plan	outpatient	negotiated	$76.11
MCDOWELL ARH	KY	umr	Commercial	outpatient	negotiated	$75.89
MCDOWELL ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$75.89
BAPTIST HEALTH LEXINGTON	KY	UnitedHealthcare	Medicaid Managed Care	outpatient	negotiated	$75.36
BAPTIST HEALTH LEXINGTON	KY	WellCare	Medicaid Managed Care	outpatient	negotiated	$75.36
BAPTIST HEALTH LEXINGTON	KY	vaya	Medicaid Tailored Plan	outpatient	negotiated	$75.36
JENNIE STUART MEDICAL CENTER	KY	Humana	Government	outpatient	negotiated	$74.79
BAPTIST HEALTH LEXINGTON	KY	partners	Medicaid Tailored Plan	outpatient	negotiated	$74.61
BAPTIST HEALTH LEXINGTON	KY	amerihealth	Medicaid Managed Care	outpatient	negotiated	$74.61
BAPTIST HEALTH LEXINGTON	KY	healthy blue	Medicaid Managed Care	outpatient	negotiated	$74.61
BAPTIST HEALTH LEXINGTON	KY	carolina complete	Medicaid Managed Care	outpatient	negotiated	$74.61
TUG VALLEY ARH	KY	umr	Commercial	outpatient	negotiated	$73.13
TUG VALLEY ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$73.13
HAZARD ARH	KY	WellCare	Medicare	outpatient	negotiated	$71.56
HAZARD ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$71.56
HAZARD ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$71.56
HAZARD ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$71.56
HAZARD ARH	KY	Humana	Medicare	outpatient	negotiated	$71.56
HAZARD ARH	KY	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$71.56
HAZARD ARH	KY	Aetna	Medicare	outpatient	negotiated	$71.56
MCDOWELL ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$68.45
MCDOWELL ARH	KY	umr	Commercial	outpatient	negotiated	$68.45
BARBOURVILLE ARH HOSPITAL	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$68.44
HAZARD ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$67.2
HARLAN ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$66.6
HIGHLANDS REGIONAL MEDICAL CENTER	KY	caresoure kentucky	Commercial	outpatient	negotiated	$66.6
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	outpatient	negotiated	$66.41
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	inpatient	negotiated	$66.41
MCDOWELL ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$66.3
OUR LADY OF THE WAY	KY	caresoure kentucky	Commercial	outpatient	negotiated	$66.3
MORGAN CO. ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$66.3
HIGHLANDS REGIONAL MEDICAL CENTER	KY	WellCare	Medicare	outpatient	negotiated	$65.72
HIGHLANDS REGIONAL MEDICAL CENTER	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$65.72
HIGHLANDS REGIONAL MEDICAL CENTER	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$65.72
HIGHLANDS REGIONAL MEDICAL CENTER	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$65.72
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Humana	Medicare	outpatient	negotiated	$65.72
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$65.72
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Medicare	outpatient	negotiated	$65.72
MIDDLESBORO ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$63.6
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$61.2
WHITESBURG ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$61.2
PAINTSVILLE ARH HOSPITAL	KY	WellCare	Medicaid	outpatient	negotiated	$60.97
MIDDLESBORO ARH	KY	Aetna	Medicare	outpatient	negotiated	$60.36
MIDDLESBORO ARH	KY	WellCare	Medicare	outpatient	negotiated	$60.36
MIDDLESBORO ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$60.36
MIDDLESBORO ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$60.36
MIDDLESBORO ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$60.36
MIDDLESBORO ARH	KY	Humana	Medicare	outpatient	negotiated	$60.36
MIDDLESBORO ARH	KY	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$60.36
MCDOWELL ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$59.8
PAINTSVILLE ARH HOSPITAL	KY	umr	Commercial	outpatient	negotiated	$58.39
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$58.39
BARBOURVILLE ARH HOSPITAL	KY	Aetna	Medicare	outpatient	negotiated	$56.64
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Medicare	outpatient	negotiated	$55.43
PAINTSVILLE ARH HOSPITAL	KY	WellCare	Medicare	outpatient	negotiated	$55.43
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$55.43
PAINTSVILLE ARH HOSPITAL	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$55.43
PAINTSVILLE ARH HOSPITAL	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$55.43
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$55.43
PAINTSVILLE ARH HOSPITAL	KY	Humana	Medicare	outpatient	negotiated	$55.43
TUG VALLEY ARH	KY	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$50.91

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).