0268T — Implt/rpl Crtd Sns Dev Gen
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). IMPLT/RPL CRTD SNS DEV GEN (HCPCS 0268T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0268T?code_type=HCPCS
MLA (9th ed.)
“IMPLT/RPL CRTD SNS DEV GEN (HCPCS 0268T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0268T?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“IMPLT/RPL CRTD SNS DEV GEN (HCPCS 0268T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0268T?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,893–$37,336 (25th–75th percentile) across 1,080 hospitals · 1,093 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0268T — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| 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 ↗ |
| 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 ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $75.88 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $75.88 | — | — | 2026-03-01 | 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 ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $104.22 | $57,901.00 | $32,233.26 | 2024-12-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| DEACONESS HOSPITAL INC OutpatientFacility | Aetna | Commercial | $125.32 | — | — | 2026-02-11 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $137.04 | — | — | 2026-03-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $140.04 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $140.04 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $140.04 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $140.04 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $140.04 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $143.90 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $143.90 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $143.90 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $143.90 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $143.90 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $144.59 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $144.59 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $144.59 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $144.59 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $144.59 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $155.94 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $155.94 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $155.94 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $155.94 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $155.94 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $160.80 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $164.23 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | $164.23 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $168.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $168.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $168.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $168.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $168.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $173.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $173.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $173.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $173.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $173.66 | — | — | 2026-04-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $175.06 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $175.06 | — | — | 2026-03-20 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $177.03 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $200.55 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $200.55 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | American Postal Workers | APWU Health Plan | $200.55 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payer | $200.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $208.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $208.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $208.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $208.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $208.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $209.65 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $209.65 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $209.65 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $209.65 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $209.65 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $216.88 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $216.88 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $216.88 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $216.88 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $216.88 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $223.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $223.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $223.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $223.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $223.05 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payers | $223.19 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $223.19 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $223.19 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payers | $223.19 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $223.19 | — | — | 2025-06-27 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | All Commercial Plans | $223.19 | — | — | 2026-03-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $223.19 | — | — | 2025-06-27 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | $240.77 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | $240.77 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $245.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $245.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $245.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $245.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $245.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $251.35 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $251.35 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $258.42 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $265.60 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $268.31 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $268.31 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $269.82 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | $269.82 | — | — | 2026-04-01 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $270.05 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $270.05 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $270.05 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $270.05 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $270.05 | — | — | 2026-04-15 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $271.28 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | $271.28 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $273.72 | $1,063.00 | $233.86 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $273.72 | $1,063.00 | $233.86 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $273.72 | $1,063.00 | $233.86 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $273.72 | $1,063.00 | $233.86 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $273.72 | $1,063.00 | $233.86 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $273.72 | $1,063.00 | $233.86 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $273.72 | $1,063.00 | $233.86 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $273.72 | $1,063.00 | $233.86 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $273.72 | — | — | 2026-04-14 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $278.15 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $278.15 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $278.15 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $278.15 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $278.15 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $278.15 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $278.15 | — | — | 2026-04-15 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $287.98 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $287.98 | — | — | 2026-04-23 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $299.36 | — | — | 2025-07-22 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $301.56 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $301.56 | — | — | 2025-06-04 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Medica | Commercial | $303.38 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Medica | Commercial | $303.38 | — | — | 2026-04-23 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $305.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $305.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $305.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $305.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $305.06 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $306.53 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $306.53 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $306.53 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $306.53 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $306.53 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $308.20 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | All Commercial Plans | $308.59 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $308.59 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $308.59 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Essential Other Commercial Plan | $308.59 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $308.59 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $315.85 | — | — | 2026-04-01 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of Surprise OutpatientFacility | Aetna | PPO/HMO/EPO | $319.10 | — | — | 2025-09-11 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $319.10 | — | — | 2025-06-28 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $319.31 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $319.31 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $319.31 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $319.31 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $319.31 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $322.62 | — | — | 2026-04-01 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage PPO | $326.59 | — | — | 2026-04-15 | MRF ↗ |
| UCHEALTH GRANDVIEW HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $331.84 | — | — | 2025-11-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | Medciare Advantage (MMG) | $333.63 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $339.05 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | HealthOptions (MMG) | $339.05 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | NetworkBlue (MMG) | $339.05 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Commercial | $345.02 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Humana | HMO/PPO | $348.12 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $348.12 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Medicare Advantage | $351.60 | — | — | 2025-08-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $355.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $355.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $355.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $355.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $355.55 | — | — | 2026-04-01 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Align Networks | Work Comp | $358.29 | — | — | 2026-01-01 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Align Networks | Work Comp | $358.29 | — | — | 2026-01-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $361.01 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $361.01 | — | — | 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.