0275 — Generator, Icd, Deca Luma
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GENERATOR, ICD, DECA LUMA (RC 0275) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0275?code_type=RC
MLA (9th ed.)
“GENERATOR, ICD, DECA LUMA (RC 0275) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0275?code_type=RC. Accessed .
Chicago (notes-bibliography)
“GENERATOR, ICD, DECA LUMA (RC 0275) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0275?code_type=RC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $584–$7,147 (25th–75th percentile) across 100 hospitals · 437 payers.
“Negotiated” is the hospital’s negotiated facility rate for this RC 0275 — 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 |
|---|---|---|---|---|---|---|---|
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL InpatientFacility | Aetna | Commercial | $0.64 | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MAYO HOSPITAL InpatientFacility | Aetna | Commercial | $0.66 | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER InpatientFacility | Aetna | Commercial | $0.66 | — | — | 2026-02-03 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility | Aetna | Commercial | $0.67 | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility | Aetna | Commercial | $0.67 | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MAINE COAST HOSPITAL InpatientFacility | Aetna | Commercial | $0.67 | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT C A DEAN HOSPITAL InpatientFacility | Aetna | Commercial | $0.68 | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL InpatientFacility | Aetna | Commercial | $0.69 | — | — | 2026-03-30 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Ambetter | Managed Care | $2.78 | $8.00 | $5.20 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Aetna | All Plans | $6.40 | $8.00 | $5.20 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | HealthLink | HMO/PPO | $7.44 | $8.00 | $5.20 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | $7.60 | $8.00 | $5.20 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | $7.60 | $8.00 | $5.20 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Arkansas FirstSource | PPO | $7.60 | $8.00 | $5.20 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Cigna | All Plans | $7.60 | $8.00 | $5.20 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Health Advantage | PHO | $7.60 | $8.00 | $5.20 | 2025-02-14 | MRF ↗ |
| RIVER CREST HOSP OutpatientFacility | City of San Angelo | PPO | $7.78 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $7.78 | $56.00 | $28.00 | 2026-04-08 | MRF ↗ |
| SHANNON MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $7.78 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP OutpatientFacility | City of San Angelo | PPO | $11.82 | $85.00 | $42.50 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $11.82 | $85.00 | $42.50 | 2026-04-08 | MRF ↗ |
| SHANNON MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $11.82 | $85.00 | $42.50 | 2025-12-08 | MRF ↗ |
| RIVERVIEW HOSPITAL InpatientFacility | Blue Cross Blue Shield/Minnesota Health Care Program (MHCP) | Commercial | $12.56 | $48.44 | $38.75 | 2025-01-16 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Ambetter | Managed Care | $16.66 | $48.00 | $31.20 | 2025-02-14 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | Scott & White | HMO/PPO | $16.80 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | Scott & White | HMO/PPO | $16.80 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | Scott & White | HMO/PPO | $16.80 | $56.00 | $28.00 | 2026-04-08 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | United Healthcare Community Plan | Medicaid Managed Care Plan | $18.66 | $105.00 | $105.00 | 2026-04-24 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Medica | Medicare Advantage | $19.38 | $48.44 | $41.17 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | United Healthcare | VA CCN | $19.38 | $48.44 | $41.17 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $19.38 | $48.44 | $41.17 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $19.57 | $48.44 | $41.17 | 2025-01-16 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | AmeriHealth | Medicare Advantage | $20.58 | $105.00 | $105.00 | 2026-04-24 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Wellpoint | Managed Medicaid | $20.62 | $105.00 | $105.00 | 2026-04-24 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Medica | Minnesota Health Care Program | $20.64 | $48.44 | $41.17 | 2025-01-16 | MRF ↗ |
| SHANNON MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $20.72 | $149.10 | $74.55 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $20.72 | $149.10 | $74.55 | 2026-04-08 | MRF ↗ |
| RIVER CREST HOSP OutpatientFacility | City of San Angelo | PPO | $20.72 | $149.10 | $74.55 | 2025-12-08 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Fidelis Care of New Jersey | Managed Medicaid | $21.01 | $105.00 | $105.00 | 2026-04-24 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | Managed Medicaid | $21.60 | $105.00 | $105.00 | 2026-04-24 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Ucare | Medicare Advantage | $22.28 | $48.44 | $41.17 | 2025-01-16 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $22.33 | $160.65 | $80.33 | 2026-04-08 | MRF ↗ |
| SHANNON MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $22.33 | $160.65 | $80.33 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP OutpatientFacility | City of San Angelo | PPO | $22.33 | $160.65 | $80.33 | 2025-12-08 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Horizon Blue Cross Blue Shield | Medicare and Braven Health | $22.47 | $105.00 | $105.00 | 2026-04-24 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $22.74 | $94.75 | $85.28 | 2025-06-26 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica Access | Medicaid | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica | IFB ACO | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Medica | Commercial-SI | — | — | — | 2026-01-01 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Superior Health Plan | Medicare Advantage | $23.19 | $94.75 | $85.28 | 2025-06-26 | MRF ↗ |
| RIVERVIEW HOSPITAL InpatientFacility | Ucare | Medicare Advantage | $24.22 | $48.44 | $38.75 | 2025-01-16 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | WEB TPA | PPO | $25.20 | $56.00 | $28.00 | 2026-04-08 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | WEB TPA | PPO | $25.20 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | WEB TPA | PPO | $25.20 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Medica | Minnesota Senior Health Options | $25.33 | $48.44 | $41.17 | 2025-01-16 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica Access | Medicaid | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica | IFB ACO | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | Medica | Commercial-SI | — | — | — | 2026-01-01 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | Scott & White | HMO/PPO | $25.50 | $85.00 | $42.50 | 2026-04-08 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | Scott & White | HMO/PPO | $25.50 | $85.00 | $42.50 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | Scott & White | HMO/PPO | $25.50 | $85.00 | $42.50 | 2025-12-08 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $26.77 | $111.53 | $100.38 | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Superior Health Plan | Managed Medicaid | — | $111.53 | $100.38 | 2025-06-26 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Cigna | Medicare Advantage | $27.30 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Devoted Health | Medicare Advantage | $27.30 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Superior Health Plan | Medicare Advantage | $27.30 | $111.53 | $100.38 | 2025-06-26 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Humana | Medicare Advantage | $27.30 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $27.30 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Primetime Health Plan | Medicare Advantage | $27.30 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | SummaCare | Medicare Advantage | $27.30 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Molina | Medicare Advantage | $27.30 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Aetna | Medicare Advantage | $27.30 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Anthem | Medicare Advantage | $27.30 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | The Health Plan | Medicare Advantage | $27.30 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | United Healthcare | Medicare Advantage | $27.30 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Wellcare by Allwell | Medicare Advantage | $27.30 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $303.41 | $303.41 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Humana | Medicare Advantage | — | $303.41 | $303.41 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Braven Health | Medicare Advantage | $27.58 | $303.41 | $303.41 | 2026-03-24 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Paramount | Medicare Advantage | $28.12 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Community First Health Plan | HIE | $28.43 | $94.75 | $85.28 | 2025-06-26 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $28.67 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Valor Health Plans | Medicare Advantage | $28.67 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $28.85 | $303.41 | $303.41 | 2026-03-24 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Humana ChoiceCare | Commercial | $29.82 | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Coventry | Commercial | $29.82 | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Aetna | Medicare Advantage | $30.87 | $105.00 | $105.00 | 2026-04-24 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Fidelis Care of New Jersey | Medicare Advantage/Dual Plan | $30.87 | $105.00 | $105.00 | 2026-04-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Braven Health | Medicare Advantage | $31.02 | $341.25 | $341.25 | 2026-03-24 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Amerivantage | Medicare Advantage | $31.27 | $94.75 | $85.28 | 2025-06-26 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | WellCare Ambetter of New Jersey | Medicare Advantage | $31.50 | $105.00 | $105.00 | 2026-04-24 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Medical Mutual of Ohio | Northern Ohio Commercial | $31.53 | $136.50 | $102.38 | 2025-05-15 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica | IFB ACO | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Medica Access | Medicaid | — | — | — | 2026-01-01 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $32.45 | $341.25 | $341.25 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Braven Health | Medicare Advantage | $32.66 | $359.27 | $359.27 | 2026-03-24 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Medical Mutual of Ohio | Northern Ohio Commercial | $32.76 | $136.50 | $102.38 | 2025-05-18 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Managed Medicaid | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Medicare Advantage | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Medicare Advantage | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Commercial | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Medicare Advantage | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Fidelis | Medicare Advantage | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Managed Medicaid | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Telemedicine Program | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Group Commercial | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Commercial | $32.80 | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Department of Correctional Services DOCCCS | Managed Medicaid | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Essential Medicaid 1-2/5-6 | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Essential Medicaid 3-4 | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Commercial | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Individual Commercial | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | St. Lawrence-Lewis Program/STLLC | School Employee Program | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Nascentia/VNA Homecare Options Inc. | Medicare Advantage/Medicaid Long Term Care | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Fidelis | Managed Medicaid | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Logistic Health Inc. | Commercial | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Beacon Health Options | Behavioral Health/All Products | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Emblem/GHI | Commercial | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Commercial | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Medicare Advantage | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Managed Medicaid | — | $149.09 | $119.27 | 2025-01-28 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $33.16 | $94.75 | $85.28 | 2025-06-26 | MRF ↗ |
| BEAUREGARD MEMORIAL HOSPITAL Outpatient | Medicaid Replacement | HMO | $33.36 | $132.55 | — | 2026-02-18 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Community First Health Plan | HIE | $33.46 | $111.53 | $100.38 | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $34.11 | $94.75 | $85.28 | 2025-06-26 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $34.17 | $359.27 | $359.27 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Braven Health | Medicare Advantage | $34.47 | $303.41 | $303.41 | 2026-03-24 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Medical Mutual of Ohio | Northern Ohio Commercial | $35.22 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $35.80 | $303.41 | $303.41 | 2026-03-24 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Superior Health Plan | Commercial HMO/EPO | $36.72 | $94.75 | $85.28 | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Amerivantage | Medicare Advantage | $36.80 | $111.53 | $100.38 | 2025-06-26 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | Assurant Health | PPO | $36.96 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | Aetna | PPO | $36.96 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | Assurant Health | PPO | $36.96 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | Aetna | PPO | $36.96 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | Assurant Health | PPO | $36.96 | $56.00 | $28.00 | 2026-04-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | Aetna | PPO | $36.96 | $56.00 | $28.00 | 2026-04-08 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Medical Mutual of Ohio | Northern Ohio Commercial | $37.13 | $136.50 | $102.38 | 2025-05-19 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | WEB TPA | PPO | $38.25 | $85.00 | $42.50 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | WEB TPA | PPO | $38.25 | $85.00 | $42.50 | 2026-04-08 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | WEB TPA | PPO | $38.25 | $85.00 | $42.50 | 2025-12-08 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Blue Cross Blue Shield/Blue Plus | Commercial | $38.33 | $48.44 | $41.17 | 2025-01-16 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Aetna | All Plans | $38.40 | $48.00 | $31.20 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Health Advantage | PHO | — | $48.00 | $31.20 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $48.00 | $31.20 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $48.00 | $31.20 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Arkansas FirstSource | PPO | — | $48.00 | $31.20 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Ambetter | Managed Care | — | $48.00 | $31.20 | 2025-02-14 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Medical Mutual of Ohio | Northern Ohio Commercial | $38.49 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Braven Health | Medicare Advantage | $38.77 | $341.25 | $341.25 | 2026-03-24 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $39.04 | $111.53 | $100.38 | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $40.15 | $111.53 | $100.38 | 2025-06-26 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $40.27 | $341.25 | $341.25 | 2026-03-24 | MRF ↗ |
| RIVER CREST HOSP OutpatientFacility | Cigna | PPO | $40.32 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| SHANNON MEDICAL CENTER OutpatientFacility | Cigna | PPO | $40.32 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER OutpatientFacility | Cigna | PPO | $40.32 | $56.00 | $28.00 | 2026-04-08 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Braven Health | Medicare Advantage | $40.81 | $359.27 | $359.27 | 2026-03-24 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Medical Mutual of Ohio | Northern Ohio Commercial | $41.09 | $136.50 | $102.38 | 2025-05-17 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Medical Mutual of Ohio | MedFlex Commercial | $41.09 | $136.50 | $102.38 | 2025-05-19 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | Medica | IFB ACO | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | Medica Uplan | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | Medica | Commercial-SI | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | Medica Access | Medicaid | — | — | — | 2026-01-01 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Aetna Medicare | Medicare Advantage | $41.57 | $303.41 | $303.41 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $303.41 | $303.41 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Aetna Medicare | Medicare Advantage | $41.57 | $303.41 | $303.41 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Aetna Medicare | Medicare Advantage | $41.57 | $303.41 | $303.41 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $303.41 | $303.41 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna Medicare | Medicare Advantage | $41.57 | $303.41 | $303.41 | 2026-03-24 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | PPO | $42.00 | $56.00 | $28.00 | 2026-04-08 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | Blue Cross Blue Shield of Texas | BAV | $42.00 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | First Health | PPO | $42.00 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | Blue Cross Blue Shield of Texas | PPO | $42.00 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| RIVER CREST HOSP InpatientFacility | Blue Cross Blue Shield of Texas | HMO | $42.00 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | First Health | PPO | $42.00 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Aetna Whole Health | Commercial | $42.00 | $105.00 | $105.00 | 2026-04-24 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | HMO | $42.00 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | First Health | PPO | $42.00 | $56.00 | $28.00 | 2026-04-08 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | BAV | $42.00 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | BAV | $42.00 | $56.00 | $28.00 | 2026-04-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | HMO | $42.00 | $56.00 | $28.00 | 2026-04-08 | MRF ↗ |
| SHANNON MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | PPO | $42.00 | $56.00 | $28.00 | 2025-12-08 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $42.32 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Cigna | Medicare Advantage | $42.32 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | SummaCare | Medicare Advantage | $42.32 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | The Health Plan | Medicare Advantage | $42.32 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Primetime Health Plan | Medicare Advantage | $42.32 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | $42.32 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Devoted | Medicare Advantage | $42.32 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | $42.32 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Anthem | Medicare Advantage | $42.32 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $42.32 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $42.32 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | WellCare by Allwell | Medicare Advantage | $42.32 | $136.50 | $102.38 | 2025-05-16 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $42.39 | $359.27 | $359.27 | 2026-03-24 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Superior Health Plan | Commercial HMO/EPO | $43.22 | $111.53 | $100.38 | 2025-06-26 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Braven Health | Medicare Advantage | $43.27 | $303.41 | $303.41 | 2026-03-24 | 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.