0253T — Insert Aqueous Drain Device
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INSERT AQUEOUS DRAIN DEVICE (CPT 0253T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0253T?code_type=CPT
MLA (9th ed.)
“INSERT AQUEOUS DRAIN DEVICE (CPT 0253T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0253T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“INSERT AQUEOUS DRAIN DEVICE (CPT 0253T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0253T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,895–$8,170 (25th–75th percentile) across 1,119 hospitals · 1,038 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0253T — 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 |
|---|---|---|---|---|---|---|---|
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $17.98 | $9,991.00 | $4,386.83 | 2024-12-31 | MRF ↗ |
| 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 ↗ |
| 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 | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 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 ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $73.63 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $74.09 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $74.09 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $84.38 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $84.91 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $84.91 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $91.87 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $92.45 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $92.45 | — | — | 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 ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $137.75 | $382.64 | $241.06 | 2026-01-27 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $234.12 | — | — | 2026-03-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Aetna | Aetna | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Priority Health | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Bcbs Of Mi | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Aetna | Aetna Medicare | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Humana | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Cofinity | Cofinity | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Advantra | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Secure Horizons | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Wausua | Wausua | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Uhc | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Secure Horizons | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Uphp | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Network Health | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Todays Options | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Advocare | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Plus Blue | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Aetna | Aetna Medicare | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Managed Medicare 100% | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Humana | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Great West | Great West | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Aetna | Aetna | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Alliance | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Pyramid | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Umr | Umr | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Plus Blue | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Optimum | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Health Eos | Health Eos | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Assurant Health | Assurant | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Essence | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Todays Options | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Healthplus | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Wea | Wea | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Consumers Mutual | Consumers Mutual | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Chippewa Indian | Chippewa Indian | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Bcbs Of Mi | Bcbs Of Mi | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Consumers Mutual | Consumers Mutual | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Chippewa Indian | Chippewa Indian | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Umr | Umr | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Multiplan | Multiplan | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Freedom Health | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Tricare | Tricare | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Pyramid | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Advantra | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Priority Health | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Network Health | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Uhc | Uhc | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Managed Medicare 100% | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Wausua | Wausua | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Great West | Great West | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Wea | Wea | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Alliance | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Assurant Health | Assurant | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Unicare | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Fiserv | Fiserv Health | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Tricare | Tricare | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Cofinity | Cofinity | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Uhc | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Uphp | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Optimum | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Ucare | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Uhc | Uhc | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Cigna | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Multiplan | Multiplan | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Kaiser | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Healthplus | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Fiserv | Fiserv Health | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Bcbs Of Mi | Bcbs Of Mi | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Unicare | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Cigna | Cigna | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Health Eos | Health Eos | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Essence | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Bcbs Of Mi | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Cigna | Cigna | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Cigna | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Advocare | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| BELL HOSPITAL Outpatient | Ucare | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Kaiser | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-08 | MRF ↗ |
| BELL HOSPITAL Outpatient | Freedom Health | Managed Medicare 100% | — | $727.95 | $436.77 | 2026-05-18 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $320.48 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $320.48 | — | — | 2026-03-01 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | AETNA FUND ADV | AETNA FUND ADV | $344.38 | $382.64 | $241.06 | 2026-01-27 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | UPHG TPA - ALL PLANS | UPHG TPA - ALL PLANS | $344.38 | $382.64 | $241.06 | 2026-01-27 | 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 | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $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 ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $363.51 | $382.64 | $241.06 | 2026-01-27 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | HEALTH ALLIANCE - ALL PLANS | HEALTH ALLIANCE - ALL PLANS | $371.16 | $382.64 | $241.06 | 2026-01-27 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $371.16 | $382.64 | $241.06 | 2026-01-27 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | VITAL CORE - ALL PLANS | VITAL CORE - ALL PLANS | $371.24 | $382.64 | $241.06 | 2026-01-27 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | UPHP MCAID - ALL PLANS | UPHP MCAID - ALL PLANS | $382.64 | $382.64 | $241.06 | 2026-01-27 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $382.64 | $382.64 | $241.06 | 2026-01-27 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | UHC COMM - ALL PLANS | UHC COMM - ALL PLANS | $382.64 | $382.64 | $241.06 | 2026-01-27 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | PRIORITY HEALTH - ALL PLANS | PRIORITY HEALTH - ALL PLANS | $382.64 | $382.64 | $241.06 | 2026-01-27 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | HEALTHEOS - ALL PLANS | HEALTHEOS - ALL PLANS | $382.64 | $382.64 | $241.06 | 2026-01-27 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | PPOM/COFINITY - ALL PLANS | PPOM/COFINITY - ALL PLANS | $382.64 | $382.64 | $241.06 | 2026-01-27 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Aetna | Commercial | $577.60 | — | — | 2026-01-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $577.60 | — | — | 2026-04-01 | MRF ↗ |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL OutpatientFacility | Aetna | All Plans | $577.60 | — | — | 2026-01-28 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $577.60 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $577.60 | — | — | 2025-10-24 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | UNITED HEALTH CARE | Managed Medicare | $577.60 | — | — | 2025-07-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $577.60 | — | — | 2026-04-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $578.74 | — | — | 2026-03-01 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | STAR+PLUS | $598.24 | — | — | 2025-10-14 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $646.91 | — | — | 2025-08-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $662.11 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $662.11 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $662.11 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $662.11 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $662.11 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $680.37 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $680.37 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $680.37 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $680.37 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $680.37 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $683.60 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $683.60 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $683.60 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $683.60 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $683.60 | — | — | 2026-04-01 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | UnitedHealthcare | Quest | $694.00 | — | — | 2026-02-12 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Commercial | $702.00 | — | — | 2025-01-28 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $708.14 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $708.14 | — | — | 2025-12-27 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $720.60 | — | — | 2026-04-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $721.28 | — | — | 2026-03-31 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $737.30 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $737.30 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $737.30 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $737.30 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $737.30 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Access Other Commercial Plan | $742.22 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $742.22 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera | Access Other Commercial Plan | $742.22 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $742.22 | — | — | 2026-04-01 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | UnitedHealthcare | Quest | $759.00 | — | — | 2026-02-12 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $760.25 | — | — | 2026-04-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $765.17 | — | — | 2025-01-31 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $776.48 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | $776.48 | — | — | 2026-04-01 | MRF ↗ |
| University Of Toledo Medical Center BothFacility | — | — | — | — | — | 2026-03-31 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Community First Health Plan | Commercial | $794.00 | — | — | 2025-10-14 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $794.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $794.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $794.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $794.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $794.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $821.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $821.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $821.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $821.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $821.06 | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | $825.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS TRADITIONAL | 1147_SJPK BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $828.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BC METRO DETROIT EPO | 1139_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT EPO 20220401 | $828.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CARE NETWORK | 1143_SJPK BLUE CROSS BLUE SHIELD BCN 20220401 | $828.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BC METRO DETROIT HMO | 1141_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT HMO 20220401 | $828.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS PPO | 1145_SJPK BLUE CROSS BLUE SHIELD PPO 20220401 | $828.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BCN LOCAL NETWORK SOUTHEAST | 1149_SJPK BLUE CROSS BLUE SHIELD BCN LOCAL NETWORK SE 20220401 | $828.90 | — | — | 2026-01-01 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $834.27 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $834.27 | — | — | 2026-04-23 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $836.97 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $847.77 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | All Commercial Plans | $847.77 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $847.77 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $847.77 | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $855.73 | $2,528.40 | $1,643.46 | 2025-12-29 | MRF ↗ |
| THE NEBRASKA MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $855.73 | $2,528.40 | $1,643.46 | 2026-01-05 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $873.01 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $873.01 | — | — | 2025-06-04 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | All Commercial Plans | $873.20 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera | Other Commercial Plan | $873.20 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $873.20 | — | — | 2026-04-01 | 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.