0201T — Perq Sacral Augmt Bilat Inj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Perq sacral augmt bilat inj (CPT 0201T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0201T?code_type=CPT
MLA (9th ed.)
“Perq sacral augmt bilat inj (CPT 0201T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0201T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Perq sacral augmt bilat inj (CPT 0201T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0201T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,091–$11,858 (25th–75th percentile) across 1,545 hospitals · 3,987 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0201T — 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 |
|---|---|---|---|---|---|---|---|
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | UHC | Medicaid | — | $13,633.00 | $11,315.39 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Managed Health Services | Medicaid | — | $13,633.00 | $11,315.39 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Caresource | Medicaid | — | $13,633.00 | $11,315.39 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $13,633.00 | $11,315.39 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Mdwise | Medicaid | — | $13,633.00 | $11,315.39 | 2025-01-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $3,287.00 | $972.96 | 2026-02-28 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON NJ HEALTH [5021] | HMC HORIZON NJ HEALTH | $1.26 | $50,653.54 | $9,532.36 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON NJ HEALTH [5021] | HMC HORIZON NJ HEALTH | $1.26 | $50,641.65 | $9,532.36 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | $1.26 | $50,653.54 | $9,532.36 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | $1.26 | $50,653.54 | $9,532.36 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CMC HORIZON NJ HEALTH | $1.26 | $50,653.54 | $9,532.36 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | MMC HORIZON NJ HEALTH | $1.26 | $50,653.54 | $9,532.36 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON NJ HEALTH [5021] | HMC HORIZON NJ HEALTH | $1.26 | $50,653.54 | $9,532.36 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | MMC HORIZON NJ HEALTH | $1.26 | $50,641.65 | $9,532.36 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | $1.26 | $50,641.65 | $9,532.36 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CMC HORIZON NJ HEALTH | $1.26 | $50,641.65 | $9,532.36 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | NMC HORIZON NJ HEALTH | $1.41 | $50,653.54 | $8,289.01 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | NMC HORIZON NJ HEALTH | $1.41 | $50,653.54 | $8,289.01 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | NMC HORIZON NJ HEALTH | $1.41 | $50,641.65 | $8,289.01 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CSMC HORIZON NJ HEALTH | $2.86 | $50,641.65 | $9,532.36 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CSMC HORIZON NJ HEALTH | $2.86 | $50,653.54 | $9,532.36 | 2026-01-01 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $20.20 | $101.00 | $75.75 | 2026-04-27 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $24.00 | $5,066.00 | $5,066.00 | 2026-02-09 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $29.61 | $16,448.00 | $7,262.33 | 2024-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | 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 ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER 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 ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $50.50 | $101.00 | $75.75 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | HEALTH NET | HEALTH NET | $50.50 | $101.00 | $75.75 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | PHCS-ALL PLANS | PHCS-ALL PLANS | $63.00 | $101.00 | $75.75 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | COVENTRY/FIRST HEALTH-ALL PLANS | COVENTRY/FIRST HEALTH-ALL PLANS | $70.70 | $101.00 | $75.75 | 2026-04-27 | MRF ↗ |
| UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER Both | None | — | — | $80.30 | $78.69 | 2025-11-05 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| HOLYOKE MEDICAL CENTER OutpatientFacility | Tufts Health Public Plans | Tufts Health Public Plans Connector | $144.03 | $365.00 | $292.00 | 2025-01-22 | MRF ↗ |
| HOLYOKE MEDICAL CENTER OutpatientFacility | Tufts Health Public Plans | Tufts Health Public Plans MassHealth ACO | $144.03 | $365.00 | $292.00 | 2025-01-22 | MRF ↗ |
| HOLYOKE MEDICAL CENTER OutpatientFacility | Tufts Health Public Plans | Tufts Health Public Plans Connector | $144.03 | $365.00 | $292.00 | 2025-01-22 | MRF ↗ |
| HOLYOKE MEDICAL CENTER OutpatientFacility | Tufts Health Public Plans | Tufts Health Public Plans MassHealth ACO | $144.03 | $365.00 | $292.00 | 2025-01-22 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC NEXUS | UHC NEXUS | $160.00 | $25,584.00 | $12,792.00 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC EXCHANGE | UHC EXCHANGE | $162.00 | $25,584.00 | $12,792.00 | 2026-01-17 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | $3,287.00 | $972.96 | 2026-02-28 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | VISTA | COVENTRY MEDICAID | $167.89 | $20,253.00 | $13,164.45 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $20,253.00 | $13,164.45 | 2026-03-30 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $178.00 | $25,584.00 | $12,792.00 | 2026-01-17 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network P | $217.00 | $3,287.00 | $972.96 | 2026-02-28 | MRF ↗ |
| Saint Francis Hospital Outpatient | Imagine Health Network, Inc. | Imagine Health Network Commercial | $232.00 | $10,890.00 | $7,737.00 | 2026-03-17 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Medicaid - United | Medicaid - United | $237.73 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $247.24 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $250.00 | $6,976.00 | $1,325.44 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | CareSource | Medicaid | $257.50 | $6,976.00 | $1,325.44 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | CareSource | Medicaid | $257.50 | $8,219.00 | $1,232.85 | 2026-02-27 | 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 ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Outpatient | CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $290.57 | $29,062.24 | $14,531.12 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Outpatient | TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $290.57 | $29,062.24 | $14,531.12 | 2026-03-24 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $19,026.00 | $12,366.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC ARK MEDICAID | $297.00 | $13,491.00 | $8,769.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $297.00 | $8,432.00 | $5,480.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $297.00 | $8,432.00 | $5,480.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $297.00 | $8,432.00 | $5,480.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $19,026.00 | $12,366.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $297.00 | $8,432.00 | $5,480.80 | 2026-03-13 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Arkansas Total Care | Managed Care | $297.00 | $13,635.00 | $8,862.75 | 2025-02-14 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | CareSource | Managed Care | $297.00 | $13,635.00 | $8,862.75 | 2025-02-14 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | Premier | $300.00 | $18,043.42 | $18,043.42 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $8,432.00 | $5,480.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $8,432.00 | $5,480.80 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $22,392.00 | $14,554.80 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $22,392.00 | $14,554.80 | 2025-01-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $333.38 | $8,219.00 | $1,232.85 | 2026-02-27 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Blue Cross of Idaho | All Commercial Plans | $347.79 | $7,130.00 | $5,347.50 | 2026-03-27 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | TCHP | Medicaid|All Plans | $348.21 | $5,236.20 | $1,832.67 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | TCHP | Medicaid|All Plans | $348.21 | $5,236.20 | $1,832.67 | 2026-02-28 | MRF ↗ |
| HOLYOKE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Cross Blue Shield PPO | $361.50 | $365.00 | $292.00 | 2025-01-22 | MRF ↗ |
| HOLYOKE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Cross Blue Shield Indemnity | $361.50 | $365.00 | $292.00 | 2025-01-22 | MRF ↗ |
| HOLYOKE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Cross Blue Shield PPO | $361.50 | $365.00 | $292.00 | 2025-01-22 | MRF ↗ |
| HOLYOKE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Cross Blue Shield Indemnity | $361.50 | $365.00 | $292.00 | 2025-01-22 | MRF ↗ |
| HOLYOKE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Cross Blue Shield HMO | $361.50 | $365.00 | $292.00 | 2025-01-22 | MRF ↗ |
| HOLYOKE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Cross Blue Shield HMO | $361.50 | $365.00 | $292.00 | 2025-01-22 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|All Other Plans | $373.87 | $5,236.20 | $1,832.67 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|All Other Plans | $373.87 | $5,236.20 | $1,832.67 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $377.19 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $377.19 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $377.19 | $8,432.00 | $5,480.80 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $377.19 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $377.19 | $10,752.00 | $6,988.80 | 2026-03-13 | MRF ↗ |
| DEACONESS HOSPITAL INC OutpatientFacility | Aetna | Commercial | $382.17 | — | — | 2026-02-11 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE-ALL OTHER PLANS | HUMANA CHOICE CARE-ALL OTHER PLANS | $382.17 | $101.00 | $75.75 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE ONE | HUMANA CHOICE CARE ONE | $382.17 | $101.00 | $75.75 | 2026-04-27 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $382.79 | $1,063.30 | $669.88 | 2026-01-27 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARPLUS | $387.03 | $5,528.96 | $5,528.96 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARHealth | $387.03 | $5,528.96 | $5,528.96 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARKids | $387.03 | $5,528.96 | $5,528.96 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | MCDSTAR | $387.03 | $5,528.96 | $5,528.96 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | CHIP | $387.03 | $5,528.96 | $5,528.96 | 2026-03-01 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $392.00 | $10,180.00 | $6,617.00 | 2026-03-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $397.00 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $397.00 | — | — | 2025-10-24 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $399.95 | $6,153.00 | $3,999.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $399.95 | $6,153.00 | $3,999.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $399.95 | $6,153.00 | $3,999.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SAMC PHCS PRIMARY | — | $6,153.00 | $3,999.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC PHCS PRIMARY | — | $6,153.00 | $3,999.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC PHCS PRIMARY | — | $6,153.00 | $3,999.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SAMC PHCS PRIMARY | — | $6,153.00 | $3,999.45 | 2026-03-12 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $400.63 | $649.90 | $325.00 | 2025-12-31 | 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.