Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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0266T — Implt/rpl Crtd Sns Dev Total

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $39,035

Usually $14,793–$50,465 (25th–75th percentile) across 496 hospitals · 463 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0266T — 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
OSS ORTHOPAEDIC HOSPITAL OutpatientFacility Aetna F8101_Aetna - Medicare Advantage $95.92 — — 2026-04-01 MRF ↗
OSS ORTHOPAEDIC HOSPITAL OutpatientFacility Aetna F8101_Aetna - Medicare Advantage $95.92 — — 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility Metroplus Metroplus Medicare Adv - Brook $107.38 — — 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility Metroplus Metroplus Exchange - Brook $107.38 — — 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility Metroplus Metroplus Medicaid - Brook $107.38 — — 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility Metroplus Metroplus Ep 3-4 - Brook $107.38 — — 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility Metroplus Metroplus Ep 1-2 - Brook $107.38 — — 2026-04-01 MRF ↗
ST VINCENT'S ST CLAIR Outpatient AETNA 2911_AETNA HEALTH PLAN SCAL 20230101 $108.74 — — 2024-06-17 MRF ↗
FORT MEMORIAL HOSPITAL OutpatientFacility Molina Managed Medicaid $114.92 — — 2025-07-22 MRF ↗
MOUNT SINAI SOUTH NASSAU OutpatientFacility United Healthcare United Healthcare - Essential Plan - Snch $117.00 — — 2026-04-01 MRF ↗
ST JAMES PARISH HOSPITAL OutpatientFacility Aetna All Commercial Plans $119.63 — — 2026-04-01 MRF ↗
OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility Humana All Commercial Plans $124.08 — — 2026-03-31 MRF ↗
SAINT FRANCIS MEDICAL CENTER OutpatientFacility Humana HMO/POS $124.08 — — 2026-03-31 MRF ↗
SAINT FRANCIS MEDICAL CENTER OutpatientFacility Humana PPO $124.08 — — 2026-03-31 MRF ↗
NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility AETNA ALL PRODUCTS $124.67 — — 2025-12-27 MRF ↗
NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility AETNA ALL PRODUCTS $124.67 — — 2025-12-27 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Both HAP PREFERRED 2171_HAP PREFERRED (PHP) 20241001 $132.49 — — 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient PPOM 934_PPOM 20191001 — — — 2026-01-01 MRF ↗
HENRY FORD HEALTH ST JOHN HOSPITAL Both HAP PREFERRED 2171_HAP PREFERRED (PHP) 20241001 $132.49 — — 2026-01-01 MRF ↗
Henry Ford Health Warren Hospital Both HAP PREFERRED 2172_SJMA HAP PREFERRED (PHP) 20241001 $132.49 — — 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient HAP HMO POS 1217_SJPK,SJPR HAP HMO 20241001 $132.49 — — 2026-01-01 MRF ↗
ASCENSION RIVER DISTRICT HOSPITAL Both AHLIC 2163_AHLIC 20241001 $132.49 — — 2026-01-01 MRF ↗
ASCENSION RIVER DISTRICT HOSPITAL Both HAP HMO 2174_SJMA HEALTH ALLIANCE HMO 20241001 $132.49 — — 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Both HAP HMO 2174_SJMA HEALTH ALLIANCE HMO 20241001 $132.49 — — 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Both HAP HMO 2166_HEALTH ALLIANCE HMO 20241001 $132.49 — — 2026-01-01 MRF ↗
HENRY FORD HEALTH ST JOHN HOSPITAL Both AHLIC 2163_AHLIC 20241001 $132.49 — — 2026-01-01 MRF ↗
Henry Ford Health Warren Hospital Both HAP PREFERRED 2171_HAP PREFERRED (PHP) 20241001 $132.49 — — 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient HAP ALLIANCE HEALTH 1212_SJPK,SJPR AHLIC 20241001 $132.49 — — 2026-01-01 MRF ↗
HENRY FORD HEALTH ST JOHN HOSPITAL Outpatient PPOM 934_PPOM 20191001 — — — 2026-01-01 MRF ↗
Henry Ford Health Warren Hospital Both HAP HMO 2166_HEALTH ALLIANCE HMO 20241001 $132.49 — — 2026-01-01 MRF ↗
ASCENSION RIVER DISTRICT HOSPITAL Both HAP PREFERRED 2171_HAP PREFERRED (PHP) 20241001 $132.49 — — 2026-01-01 MRF ↗
Henry Ford Health Warren Hospital Both AHLIC 2163_AHLIC 20241001 $132.49 — — 2026-01-01 MRF ↗
Henry Ford Health Warren Hospital Both HAP HMO 2174_SJMA HEALTH ALLIANCE HMO 20241001 $132.49 — — 2026-01-01 MRF ↗
ASCENSION RIVER DISTRICT HOSPITAL Both HAP HMO 2166_HEALTH ALLIANCE HMO 20241001 $132.49 — — 2026-01-01 MRF ↗
HENRY FORD HEALTH ST JOHN HOSPITAL Both HAP HMO 2174_SJMA HEALTH ALLIANCE HMO 20241001 $132.49 — — 2026-01-01 MRF ↗
ASCENSION RIVER DISTRICT HOSPITAL Outpatient PPOM 934_PPOM 20191001 — — — 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient HAP HMO POS 1217_SJPK,SJPR HAP HMO 20241001 $132.49 — — 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient HAP ALLIANCE HEALTH 1212_SJPK,SJPR AHLIC 20241001 $132.49 — — 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Both AHLIC 2163_AHLIC 20241001 $132.49 — — 2026-01-01 MRF ↗
HENRY FORD HEALTH ST JOHN HOSPITAL Both HAP HMO 2166_HEALTH ALLIANCE HMO 20241001 $132.49 — — 2026-01-01 MRF ↗
Henry Ford Health Warren Hospital Outpatient PPOM 934_PPOM 20191001 — — — 2026-01-01 MRF ↗
FORT MEMORIAL HOSPITAL OutpatientFacility United Healthcare All Products Facility $132.62 — — 2025-07-22 MRF ↗
JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility UNITED HEALTH CARE Managed Medicare $143.83 — — 2025-07-01 MRF ↗
COMMUNITY HOSPITAL ASSOCIATION OutpatientFacility United Healthcare All Products $145.45 — — 2026-08-21 MRF ↗
BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility Health Alliance Plan Exchange $145.69 — — 2026-04-01 MRF ↗
BEAUMONT HOSPITAL - DEARBORN OutpatientFacility Health Alliance Plan Hmo $145.69 — — 2026-04-01 MRF ↗
BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility Health Alliance Plan Ahlic Ppo $145.69 — — 2026-04-01 MRF ↗
BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility Health Alliance Plan Hmo $145.69 — — 2026-04-01 MRF ↗
BEAUMONT HOSPITAL - DEARBORN OutpatientFacility Health Alliance Plan Exchange $145.69 — — 2026-04-01 MRF ↗
BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility Health Alliance Plan Varipro Other Commercial Plan $145.69 — — 2026-04-01 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $151.71 $84,284.00 $32,233.26 2024-12-31 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient HAP PREFERRED 1210_SJPK,SJPR HAP PREFERRED 20241001 $156.21 — — 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient HAP PREFERRED 1210_SJPK,SJPR HAP PREFERRED 20241001 $156.21 — — 2026-01-01 MRF ↗
BEAUMONT HOSPITAL, TROY OutpatientFacility Health Alliance Plan Hmo $162.79 — — 2026-04-01 MRF ↗
BEAUMONT HOSPITAL, TROY OutpatientFacility Health Alliance Plan Exchange $162.79 — — 2026-04-01 MRF ↗
BEAUMONT HOSPITAL, TROY OutpatientFacility Health Alliance Plan Ahlic Ppo $162.79 — — 2026-04-01 MRF ↗
ERLANGER MEDICAL CENTER OutpatientFacility HUMANA HUMANACHOICE $174.69 — — 2026-01-25 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility HAP Fully Insured $178.20 — — 2025-06-28 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $207.78 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $207.78 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $207.78 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $207.78 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 $207.78 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $207.78 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $207.78 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $207.78 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $207.78 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $207.78 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $207.78 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $207.78 — — 2026-01-01 MRF ↗
KINGS COUNTY HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
JACOBI MEDICAL CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
QUEENS HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
JACOBI MEDICAL CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
North Central Bronx Hospital OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
KINGS COUNTY HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
BELLEVUE HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
QUEENS HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
North Central Bronx Hospital OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
ELMHURST HOSPITAL CENTER OutpatientFacility Aetna ALL PRODUCTS $221.48 — — 2025-09-05 MRF ↗
ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility UNITEDHEALTHCARE ALL PRODUCTS $229.54 — — 2025-07-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ST VINCENT HEART CENTER Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT JENNINGS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT JENNINGS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ST VINCENT HEART CENTER Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $232.94 — — 2026-01-01 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility Aetna ALL PRODUCTS $233.56 — $53,251.79 2026-09-05 MRF ↗
The Queen's Medical Center Outpatient Alohacare Medicaid $257.71 $7,478.00 $5,234.60 2026-07-15 MRF ↗
Wahiawa General Hospital Outpatient Alohacare Medicaid $257.71 $7,478.00 $5,234.60 2026-07-15 MRF ↗
Ascension Via Christi Rehabilitation Hospital Outpatient HEALTHCHOICE OF OK 423_HEALTHCHOICE STKS, VWKS 20170101 — — — 2026-01-01 MRF ↗
Ascension Via Christi Rehabilitation Hospital Outpatient AETNA 1369_AETNA RHKS 20241101 $258.13 — — 2026-01-01 MRF ↗
HENRY COUNTY HEALTH CENTER OutpatientFacility UNITED HEALTHCARE ALL PRODUCTS $279.37 — — 2025-06-04 MRF ↗
HENRY COUNTY HEALTH CENTER OutpatientFacility UNITED HEALTHCARE ALL PRODUCTS $279.37 — — 2025-06-04 MRF ↗
UPLAND HILLS HEALTH OutpatientFacility UHC MEDICARE ADVANTAGE $298.69 — — 2026-03-20 MRF ↗
UPLAND HILLS HEALTH OutpatientFacility UHC MEDICARE ADVANTAGE $298.69 — — 2026-03-20 MRF ↗
EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL Both Highmark Advantage Freedom Blue Medicare $313.19 $66,271.00 $39,762.60 2026-07-15 MRF ↗
HENRY COUNTY HEALTH CENTER OutpatientFacility AETNA ALL PRODUCTS $377.28 — — 2025-06-04 MRF ↗
HENRY COUNTY HEALTH CENTER OutpatientFacility AETNA ALL PRODUCTS $377.28 — — 2025-06-04 MRF ↗
EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL Both Highmark Advantage Security Blue Medicare $382.80 $66,271.00 $39,762.60 2026-07-15 MRF ↗
ASCENSION NE WISCONSIN - ST ELIZABETH CAMPUS Outpatient CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $402.30 — — 2026-01-01 MRF ↗
ASCENSION NE WISCONSIN - ST ELIZABETH CAMPUS Outpatient CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $402.30 — — 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $402.30 — — 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $402.30 — — 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $402.30 — — 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $402.30 — — 2026-01-01 MRF ↗
Ascension NE Wisconsin - Mercy Campus Outpatient CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $402.30 — — 2026-01-01 MRF ↗
ASCENSION CALUMET HOSPITAL Outpatient CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $402.30 — — 2026-01-01 MRF ↗
ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient UHC NON OPTIONS PPO 1130_UNITED HEALTH CARE NONOPTIONS 20221001 $439.85 $95,382.00 $50,552.46 2026-01-01 MRF ↗
ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient HUMANA PREFERRED 1134_HUMANA PREFERRED 20221001 $439.85 $95,382.00 $50,552.46 2026-01-01 MRF ↗
ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient HUMANA HMO POS 1127_HUMANA 20221001 $439.85 $95,382.00 $50,552.46 2026-01-01 MRF ↗
ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient HUMANA PPO 1133_HUMANA PPO 20221001 $439.85 $95,382.00 $50,552.46 2026-01-01 MRF ↗
Ascension Columbia St. Mary's Hospital Ozaukee Outpatient UHC NON OPTIONS PPO 1130_UNITED HEALTH CARE NONOPTIONS 20221001 $439.85 — — 2026-01-01 MRF ↗
Ascension Columbia St. Mary's Hospital Ozaukee Outpatient HUMANA PREFERRED 1134_HUMANA PREFERRED 20221001 $439.85 — — 2026-01-01 MRF ↗
Ascension Columbia St. Mary's Hospital Ozaukee Outpatient HUMANA PPO 1133_HUMANA PPO 20221001 $439.85 — — 2026-01-01 MRF ↗
Ascension Columbia St. Mary's Hospital Ozaukee Outpatient HUMANA HMO POS 1127_HUMANA 20221001 $439.85 — — 2026-01-01 MRF ↗
Ascension Sacred Heart Rehabilitation Hospital Outpatient HUMANA PPO 1133_HUMANA PPO 20221001 $439.85 — — 2026-01-01 MRF ↗
Ascension Sacred Heart Rehabilitation Hospital Outpatient HUMANA HMO POS 1127_HUMANA 20221001 $439.85 — — 2026-01-01 MRF ↗
Ascension Sacred Heart Rehabilitation Hospital Outpatient UHC NON OPTIONS PPO 1130_UNITED HEALTH CARE NONOPTIONS 20221001 $439.85 — — 2026-01-01 MRF ↗
Ascension Sacred Heart Rehabilitation Hospital Outpatient HUMANA PREFERRED 1134_HUMANA PREFERRED 20221001 $439.85 — — 2026-01-01 MRF ↗
GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility Aetna All Commercial Plans $446.99 — — 2026-04-01 MRF ↗
GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility Local 1199 All Commercial Plans $446.99 — — 2026-04-01 MRF ↗
FORT MEMORIAL HOSPITAL OutpatientFacility Humana All Products $467.93 — — 2025-07-22 MRF ↗
BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility Univera Medicare Managed Care Plan $483.02 — — 2026-04-01 MRF ↗
Bradford Regional Medical Center OutpatientFacility Univera All Commercial Plans $483.02 — — 2026-04-01 MRF ↗
Bradford Regional Medical Center OutpatientFacility Univera Essential Other Commercial Plan $483.02 — — 2026-04-01 MRF ↗
BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility Univera All Commercial Plans $483.02 — — 2026-04-01 MRF ↗
Bradford Regional Medical Center OutpatientFacility Univera Medicare Managed Care Plan $483.02 — — 2026-04-01 MRF ↗
GARNET HEALTH MEDICAL CENTER OutpatientFacility Aetna All Commercial Plans $488.60 — — 2026-04-01 MRF ↗
GARNET HEALTH MEDICAL CENTER OutpatientFacility Local 1199 All Commercial Plans $488.60 — — 2026-04-01 MRF ↗
VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility AETNA MEDICARE ADVANTAGE $498.69 — — 2025-06-28 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility FIDELIS CARE MANAGED MEDICAID $506.80 $3,500.00 $56,557.17 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE MANAGED MEDICAID $506.80 $3,500.00 $56,557.17 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility AETNA BETTER HEALTH $506.80 $3,500.00 $56,557.17 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility HORIZON HORIZON NJ HEALTH $506.80 $3,500.00 $56,557.17 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility FIDELIS CARE MANAGED MEDICAID $506.80 $3,500.00 $56,557.17 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility AETNA BETTER HEALTH $506.80 $3,500.00 $56,557.17 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE MANAGED MEDICAID $506.80 $3,500.00 $56,557.17 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility HORIZON HORIZON NJ HEALTH $506.80 $3,500.00 $56,557.17 2025-08-30 MRF ↗
ASPIRUS WAUSAU HOSPITAL United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) — $573.53 $5,080.00 $3,302.00 2026-07-31 MRF ↗
SSM ST JOSEPH HOSPITAL WEST OutpatientFacility BCBS Anthem Pathway Exchange $633.50 — — 2026-04-01 MRF ↗
SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility Bcbs Anthem Pathway Exchange $633.50 — — 2026-04-01 MRF ↗
SSM ST CLARE HEALTH CENTER OutpatientFacility Bcbs Anthem Pathway Exchange $633.50 — — 2026-04-01 MRF ↗
JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient TRICARE TRICARE $647.24 $1,383.00 $1,383.00 2025-07-29 MRF ↗
SSM ST JOSEPH HOSPITAL WEST OutpatientFacility BCBS Anthem Blue Access Choice PPO $650.97 — — 2026-04-01 MRF ↗
SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility Bcbs Anthem Blue Access Choice Ppo $650.97 — — 2026-04-01 MRF ↗
SSM ST CLARE HEALTH CENTER OutpatientFacility Bcbs Anthem Blue Access Choice Ppo $650.97 — — 2026-04-01 MRF ↗
SSM ST JOSEPH HOSPITAL WEST OutpatientFacility BCBS Anthem Blue Preferred HMO/POS $654.07 — — 2026-04-01 MRF ↗
SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility Bcbs Anthem Blue Preferred Hmo/Pos $654.07 — — 2026-04-01 MRF ↗
SSM ST CLARE HEALTH CENTER OutpatientFacility Bcbs Anthem Blue Preferred Hmo/Pos $654.07 — — 2026-04-01 MRF ↗
SSM ST JOSEPH HOSPITAL WEST OutpatientFacility BCBS Anthem Blue Access PPO $705.45 — — 2026-04-01 MRF ↗
SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility Bcbs Anthem Blue Access Ppo $705.45 — — 2026-04-01 MRF ↗
SSM ST CLARE HEALTH CENTER OutpatientFacility Bcbs Anthem Blue Access Ppo $705.45 — — 2026-04-01 MRF ↗
SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility Bcbs Anthem Pathway Exchange $727.41 — — 2026-04-01 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility MetroPlus Essential Plan 3-4 $730.88 — — 2025-09-05 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility MetroPlus Essential Plan 1-2 $730.88 — — 2025-09-05 MRF ↗
North Central Bronx Hospital OutpatientFacility MetroPlus Essential Plan 1-2 $730.88 — — 2025-09-05 MRF ↗
WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility MetroPlus Essential Plan 200-250 $730.88 — — 2025-09-05 MRF ↗
BELLEVUE HOSPITAL CENTER OutpatientFacility MetroPlus Essential Plan 1-2 $730.88 — — 2025-09-05 MRF ↗
North Central Bronx Hospital OutpatientFacility MetroPlus Essential Plan 1-2 $730.88 — — 2025-09-05 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility MetroPlus Essential Plan 200-250 $730.88 — — 2025-09-05 MRF ↗
KINGS COUNTY HOSPITAL CENTER OutpatientFacility MetroPlus Essential Plan 3-4 $730.88 — — 2025-09-05 MRF ↗
KINGS COUNTY HOSPITAL CENTER OutpatientFacility MetroPlus Essential Plan 1-2 $730.88 — — 2025-09-05 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.