0202T — Post Vert Arthrplst 1 Lumbar
Cite this view
HANK Price Transparency. (n.d.). Post vert arthrplst 1 lumbar (OTHER 0202T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0202T?code_type=OTHER
“Post vert arthrplst 1 lumbar (OTHER 0202T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0202T?code_type=OTHER. Accessed .
“Post vert arthrplst 1 lumbar (OTHER 0202T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0202T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,240–$16,662 (25th–75th percentile) across 562 hospitals · 419 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0202T — 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 |
|---|---|---|---|---|---|---|---|
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $93.88 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $93.88 | — | — | 2025-06-27 | MRF ↗ |
| ALOMERE HEALTH OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | $126.08 | — | — | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Medicaid | $132.41 | — | — | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota State Employee Plan | $321.87 | — | — | 2026-04-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | All Products | $452.42 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | All Products | $452.42 | — | — | 2025-06-27 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Federal Employee Program | $529.87 | — | — | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Commercial Plans | $529.87 | — | — | 2026-04-01 | MRF ↗ |
| ALOMERE HEALTH OutpatientFacility | Blue Cross Of Mn | Commercial | $600.83 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | $825.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $864.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $864.86 | — | — | 2026-01-01 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | Humana | PPO | $975.00 | $43,732.00 | — | 2025-10-31 | MRF ↗ |
| PALESTINE REGIONAL WEST CAMPUS OutpatientFacility | BCBS | All Commercial Plans | $1,013.00 | — | — | 2026-04-01 | MRF ↗ |
| PALESTINE REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | All Commercial Plans | $1,013.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS ADVANTAGE HMO | 871_BLUE CROSS BLUE SHIELD ADVANTAGE HMO 20250101 | $1,081.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS ADVANTAGE HMO | 871_BLUE CROSS BLUE SHIELD ADVANTAGE HMO 20250101 | $1,081.04 | — | — | 2026-01-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,087.76 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $1,087.76 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,087.76 | — | — | 2026-04-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,113.47 | — | — | 2026-01-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access Choice PPO | $1,117.76 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $1,117.76 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $1,117.76 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,123.07 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,123.07 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Preferred HMO/POS | $1,123.07 | — | — | 2026-04-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH OutpatientFacility | Bcbs | Blue Advantage Hmo | $1,141.58 | — | — | 2026-04-01 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | PHYS ASSOC OP ONLY- ALL PLANS | PHYS ASSOC OP ONLY- ALL PLANS | $1,200.00 | $28,443.00 | $4,266.45 | 2026-07-30 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $1,211.30 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $1,211.30 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access PPO | $1,211.30 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,249.01 | — | — | 2026-04-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,264.82 | — | — | 2026-01-01 | MRF ↗ |
| ADVENTHEALTH GORDON OutpatientFacility | Bcbs | Hmo | $1,266.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,275.67 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | $1,275.67 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $1,277.51 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,305.36 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,305.36 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $1,305.36 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Access Other Commercial Plan | $1,315.84 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $1,315.84 | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Cross - Asc | All Commercial Plans | $1,340.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $1,348.90 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,348.90 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,348.90 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK OutpatientFacility | Bcbs | Hmo | $1,351.30 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS OutpatientFacility | Bcbs | Hmo | $1,351.30 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,371.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,371.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,371.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,371.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,371.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $1,375.04 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $1,436.00 | — | — | 2026-01-01 | 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.