0100T — Prosth Retina Receive&gen
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PROSTH RETINA RECEIVE&GEN (HCPCS 0100T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0100T?code_type=HCPCS
MLA (9th ed.)
“PROSTH RETINA RECEIVE&GEN (HCPCS 0100T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0100T?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PROSTH RETINA RECEIVE&GEN (HCPCS 0100T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0100T?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,398–$20,524 (25th–75th percentile) across 925 hospitals · 345 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0100T — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Health First | Commercial (MMG) | $31.79 | — | — | 2025-10-24 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $68.00 | — | — | 2025-10-24 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $72.50 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $72.95 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $72.95 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $83.08 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $83.60 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $83.60 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $90.46 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $91.03 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $91.03 | — | — | 2026-03-18 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $95.01 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $95.01 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $95.01 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $95.01 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $95.01 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $97.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $97.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $97.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $97.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $97.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $98.09 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $98.09 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $98.09 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $98.09 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $98.09 | — | — | 2026-04-01 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $105.80 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $105.80 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $105.80 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $105.80 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $105.80 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $109.09 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | $111.42 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $111.42 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $114.02 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $114.02 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $114.02 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $114.02 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $114.02 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $117.82 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $117.82 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $117.82 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $117.82 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $117.82 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $120.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $141.56 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $141.56 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $141.56 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $141.56 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $141.56 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $142.24 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $142.24 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $142.24 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $142.24 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $142.24 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $147.14 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $147.14 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $147.14 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $147.14 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $147.14 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $151.33 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $151.33 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $151.33 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $151.33 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $151.33 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | $157.97 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | $157.97 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $164.91 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $164.91 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $166.28 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $166.28 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $166.28 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $166.28 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $166.28 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $175.33 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $176.03 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $176.03 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $180.19 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | $183.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $183.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | $184.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $184.05 | — | — | 2026-04-01 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL OutpatientFacility | Denver Health Medical Plan | Medicaid Choice | $186.59 | — | — | 2025-11-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $206.97 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $206.97 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $206.97 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $206.97 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $206.97 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $207.96 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $207.96 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $207.96 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $207.96 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $207.96 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $209.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $214.29 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $216.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $216.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $216.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $216.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $216.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $218.88 | — | — | 2026-04-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $219.35 | — | — | 2025-12-23 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $241.22 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $241.22 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $241.22 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $241.22 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $241.22 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | $243.36 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | $243.36 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | $248.73 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $254.04 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $254.04 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | $264.70 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | $264.70 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $268.48 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $268.48 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $268.48 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $268.48 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $268.48 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $269.76 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $269.76 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $269.76 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $269.76 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $269.76 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $275.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $275.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $275.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $275.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $275.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $276.32 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $276.32 | — | — | 2026-04-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $278.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $278.00 | — | — | 2024-12-08 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | $290.31 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | $290.31 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $303.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $303.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $316.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $316.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $321.70 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $330.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $330.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $340.91 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | $348.22 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $348.22 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $363.24 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $363.24 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $372.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $372.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $375.31 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $389.56 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $389.56 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $389.56 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $389.56 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $389.56 | — | — | 2026-04-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $442.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $442.00 | — | — | 2024-12-08 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $460.22 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $460.22 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $460.22 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $460.22 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $460.22 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $483.27 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $483.27 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $483.27 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $483.27 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $483.27 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $485.57 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $485.57 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $485.57 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $485.57 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $485.57 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $491.97 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $491.97 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $491.97 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $491.97 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $491.97 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $523.70 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $523.70 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $523.70 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $523.70 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $523.70 | — | — | 2026-04-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $598.06 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $598.06 | — | — | 2026-03-01 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Commercial | $702.00 | — | — | 2025-01-28 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $765.17 | — | — | 2025-01-31 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $830.00 | — | — | 2025-06-26 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.