0275T — Perq Lamot/lam Lumbar
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PERQ LAMOT/LAM LUMBAR (HCPCS 0275T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0275T?code_type=HCPCS
MLA (9th ed.)
“PERQ LAMOT/LAM LUMBAR (HCPCS 0275T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0275T?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PERQ LAMOT/LAM LUMBAR (HCPCS 0275T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0275T?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,241–$11,962 (25th–75th percentile) across 1,300 hospitals · 2,230 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0275T — 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 |
|---|---|---|---|---|---|---|---|
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716,UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601,UNITED HEALTHCARE ESSENTIAL 3-4 171602,UNITED HEALTHCARE ESSENTIAL 1-2 515812, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $0.35 | — | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON NJ HEALTH [5021] | HMC HORIZON NJ HEALTH | $1.19 | $48,718.61 | $9,532.36 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | MMC HORIZON NJ HEALTH | $1.19 | $48,721.20 | $9,532.36 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CMC HORIZON NJ HEALTH | $1.19 | $48,718.61 | $9,532.36 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON NJ HEALTH [5021] | HMC HORIZON NJ HEALTH | $1.19 | $48,718.61 | $9,532.36 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | NMC HORIZON NJ HEALTH | $1.33 | $48,718.61 | $8,289.01 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | NMC HORIZON NJ HEALTH | $1.33 | $48,718.61 | $8,289.01 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CSMC HORIZON NJ HEALTH | $2.86 | $48,718.61 | $9,532.36 | 2026-01-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Outpatient | UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $3.28 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Outpatient | AETNA MEDICARE [1003] | AETNA MEDICARE-ADVANTAGE PPO [103002] | $3.28 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Outpatient | UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $3.28 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Outpatient | AETNA MEDICARE [1003] | AETNA MEDICARE ADVANTAGE HMO [103003] | $3.28 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Outpatient | HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $3.28 | — | — | 2026-04-01 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | HUMANA MEDICARE [228] | BJC HB MEDICARE HUMANA PHC | $3.34 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | HUMANA MEDICARE ALT [672] | BJC HB MEDICARE HUMANA PHC | $3.34 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [251] | BJC HB MEDICARE UHC BJH | $3.35 | $31,643.44 | $18,986.06 | 2025-12-15 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Outpatient | CARESOURCE MYCARE OHIO [4236] | CARESOURCE MYCARE OHIO DUAL [4236001] | $3.35 | — | — | 2026-04-01 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | UNITED HEALTHCARE MEDICARE [251] | BJC HB MEDICARE UHC PHC | $3.35 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | ESSENCE HEALTHCARE [221] | BJC HB MEDICARE ESSENCE PHC | $3.38 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | MEDICA [662] | BJC HB MEDICARE WELLFIRST PHC | $3.44 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | DEVOTED HEALTH PLAN [847] | BJC HB MEDICARE DEVOTED PHC | $3.44 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | COX HEALTH [757] | BJC HB MEDICARE COXHEALTH PHC | $3.44 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | BCBS MEDICARE OOS [611] | BJC HB MEDICARE ANTHEM ADVANTAGE PHC | $3.48 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | BCBS MEDICARE ALT [649] | BJC HB MEDICARE ANTHEM ADVANTAGE PHC | $3.48 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | BCBS MEDICARE OOS IL [612] | BJC HB MEDICARE ANTHEM ADVANTAGE PHC | $3.48 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | BLUE CROSS BLUE SHIELD MEDICARE [263] | BJC HB MEDICARE ANTHEM ADVANTAGE PHC | $3.48 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.54 | $14,242.93 | $8,545.76 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.54 | $14,242.93 | $8,545.76 | 2025-08-11 | MRF ↗ |
| ST CHARLES HOSPITAL Outpatient | AETNA MEDICARE [1003] | AETNA MEDICARE-ADVANTAGE PPO [103002] | $3.93 | — | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL Outpatient | UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $3.93 | — | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL Outpatient | HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $3.93 | — | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL Outpatient | UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $3.93 | — | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL Outpatient | UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $3.93 | — | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL Outpatient | AETNA MEDICARE [1003] | AETNA MEDICARE ADVANTAGE HMO [103003] | $3.93 | — | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL Outpatient | CARESOURCE MYCARE OHIO [4236] | CARESOURCE MYCARE OHIO DUAL [4236001] | $4.01 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Outpatient | HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $4.29 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Outpatient | HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $4.29 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Outpatient | UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $4.29 | — | — | 2026-04-01 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE ALT [672] | BJC HB MEDICARE HUMANA AMH | $4.84 | $10,957.00 | $6,574.20 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE [228] | BJC HB MEDICARE HUMANA AMH | $4.84 | $10,957.00 | $6,574.20 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [251] | BJC HB MEDICARE UHC AMH | $4.86 | $10,957.00 | $6,574.20 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | ESSENCE HEALTHCARE [221] | BJC HB MEDICARE ESSENCE AMH | $4.90 | $10,957.00 | $6,574.20 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | MEDICA [662] | BJC HB MEDICARE WELLFIRST AMH | $5.00 | $10,957.00 | $6,574.20 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | DEVOTED HEALTH PLAN [847] | BJC HB MEDICARE DEVOTED AMH | $5.00 | $10,957.00 | $6,574.20 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | COX HEALTH [757] | BJC HB MEDICARE COXHEALTH AMH | $5.00 | $10,957.00 | $6,574.20 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | BCBS MEDICARE OOS [611] | BJC HB MEDICARE ANTHEM ADVANTAGE AMH | $5.05 | $10,957.00 | $6,574.20 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | BCBS MEDICARE ALT [649] | BJC HB MEDICARE ANTHEM ADVANTAGE AMH | $5.05 | $10,957.00 | $6,574.20 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD MEDICARE [263] | BJC HB MEDICARE ANTHEM ADVANTAGE AMH | $5.05 | $10,957.00 | $6,574.20 | 2025-12-15 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MI | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - KS | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - FEDERAL | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MN | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - CA | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ME (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CARE NETWORK | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CO (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ID | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NC | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NE | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - HI | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CA (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OR (REGENCE) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - GA (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (EXCELLUS) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AZ | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - UT (REGENCE) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - RI | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS DOMESTIC | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WV (HIGHMARK) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE DISTINCTION TRANSPLANT | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VT | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - DE (HIGHMARK) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | KAISER DOMESTIC | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MT | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - FL | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CT (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MA | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - DC (CAREFIRST) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | PRE-EMPLOYMENT | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - SD (WELLMARK) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NH (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NV (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AL | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MS | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OH (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ND | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - WA (REGENCE) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - SC | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - PA (CAPITAL) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - TX | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - PA (HIGHMARK) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - TN | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WY | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NJ (HORIZON) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BCN DOMESTIC | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - PA (INDEPENDENCE) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (CAREFIRST) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BCBS GENERIC | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL ALTERNATE | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AR | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK HMO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AK (PREMERA) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - LA | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IN (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NM | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OK | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | WC DOMESTIC | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WI (ANTHEM) | WELLMARK PPO | $5.30 | — | $23,912.75 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | HEALTHSCOPE BENEFITS [258] | BJC HB HEALTHSCOPE EGYPTIAN TRUST MHS PHC BJH | — | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | UNITED HEALTHCARE [201] | BJC HB FIRST HEALTH RURAL | — | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | HEALTHSCOPE BENEFITS [258] | BJC HB UNITED HEALTH CARE RURAL | $25.00 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| PARKLAND HEALTH CENTER Outpatient | UNITED HEALTHCARE [201] | BJC HB UNITED HEALTH CARE RURAL | $25.00 | $30,539.66 | $18,323.80 | 2025-12-15 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $25.06 | $13,923.00 | $7,262.33 | 2024-12-31 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $28.46 | $29,745.54 | $17,847.32 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $28.46 | $29,745.54 | $17,847.32 | 2026-03-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | $21,534.75 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | $21,534.75 | 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 ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CSMC HORIZON NJ HEALTH | $33.81 | $48,409.58 | $9,532.36 | 2026-04-01 | 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 ↗ |
| CARIBOU MEDICAL CENTER Outpatient | REGENCE BLUE SHIELD-ALL OTHER PLANS | REGENCE BLUE SHIELD-ALL OTHER PLANS | $47.00 | $1,200.00 | $840.00 | 2026-03-16 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CMC HORIZON NJ HEALTH | $47.40 | $48,409.58 | $9,532.36 | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $21,534.75 | 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 ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | United Healthcare | Default | — | $17,571.00 | $12,826.83 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Aetna | Default | $55.00 | $17,571.00 | $12,826.83 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Dean Health Plan | Dual Eligible | — | $17,571.00 | $12,826.83 | 2026-05-09 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | BCBS PPO - ALL OTHER PLANS | BCBS PPO - ALL OTHER PLANS | $59.74 | $26,355.00 | $18,448.50 | 2026-01-22 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | MONTANA HEALTH CO-OP-ALL PLANS | MONTANA HEALTH CO-OP-ALL PLANS | $62.00 | $1,200.00 | $840.00 | 2026-03-16 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | $62.49 | $49,822.86 | $9,532.36 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | $62.49 | $49,821.24 | $9,532.36 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | $62.49 | $49,821.24 | $9,532.36 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | MMC HORIZON NJ HEALTH | $64.30 | $47,989.02 | $9,532.36 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | NMC HORIZON NJ HEALTH | $66.12 | $48,409.58 | $8,289.01 | 2026-04-01 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Blue Cross Blue Shield Of Wi Anthem | Default | $74.00 | $17,571.00 | $12,826.83 | 2026-05-09 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $80.09 | $5,302.65 | $3,446.72 | 2025-12-29 | MRF ↗ |
| THE NEBRASKA MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $80.09 | $5,302.65 | $3,446.72 | 2026-01-05 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $84.78 | — | $24,867.99 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $84.78 | — | $24,867.99 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $85.63 | — | $24,867.99 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $86.47 | — | $24,867.99 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $87.37 | — | $24,867.99 | 2026-03-31 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Quartz | Default | $88.00 | $17,571.00 | $12,826.83 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Alliance Healthplans Of Wi | Default | $88.01 | $17,571.00 | $12,826.83 | 2026-05-09 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $88.24 | — | $24,867.99 | 2026-03-31 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON NJ HEALTH [5021] | HMC HORIZON NJ HEALTH | $89.36 | $48,409.58 | $9,532.36 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $90.02 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $90.59 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $90.59 | — | — | 2026-03-18 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Outpatient | MEDICARE [1099] | MEDICARE-CIR-INDIANAPOLIS | $92.07 | $38,122.36 | $8,806.27 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Outpatient | MEDICARE REPLACEMENT [2003] | MEDICARE-CIR-INDIANAPOLIS | $92.07 | $38,122.36 | $8,806.27 | 2026-01-01 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Outpatient | MEDICARE REPLACEMENT [2003] | MEDICARE-CIR-INDIANAPOLIS | $101.28 | $38,122.36 | $8,806.27 | 2026-01-01 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $101.88 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $101.88 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $101.88 | — | — | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $103.17 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $103.82 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $103.82 | — | — | 2026-03-18 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | CARESOURCE MYCARE OHIO [4236] | CARESOURCE MYCARE OHIO DUAL [4236001] | $103.92 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | CARESOURCE MYCARE OHIO [4236] | CARESOURCE MYCARE OHIO DUAL [4236001] | $103.92 | — | — | 2026-04-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE Outpatient | MEDICARE REPLACEMENT [2003] | MEDICARE-WIR-LAFAYETTE | $110.61 | $75,318.76 | $16,645.45 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE Outpatient | MEDICARE [1099] | MEDICARE-WIR-LAFAYETTE | $110.61 | $75,318.76 | $16,645.45 | 2026-01-01 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | BCBS MEDICARE ALT [649] | BJC HB MEDICARE ANTHEM ADVANTAGE AMH | $112.03 | $32,075.20 | $19,245.12 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD MEDICARE [263] | BJC HB MEDICARE ANTHEM ADVANTAGE AMH | $112.03 | $32,075.20 | $19,245.12 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | BCBS MEDICARE OOS [611] | BJC HB MEDICARE ANTHEM ADVANTAGE AMH | $112.03 | $32,075.20 | $19,245.12 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE [228] | BJC HB MEDICARE HUMANA AMH | $112.03 | $32,075.20 | $19,245.12 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [251] | BJC HB MEDICARE UHC AMH | $112.03 | $32,075.20 | $19,245.12 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE ALT [672] | BJC HB MEDICARE HUMANA AMH | $112.03 | $32,075.20 | $19,245.12 | 2025-12-15 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $112.33 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $113.04 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $113.04 | — | — | 2026-03-18 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | AMISH HOSPITAL AID | AMISH HOSPITAL AID | $115.06 | — | $24,867.99 | 2026-03-31 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | ESSENCE HEALTHCARE [221] | BJC HB MEDICARE ESSENCE AMH | $115.39 | $32,075.20 | $19,245.12 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | DEVOTED HEALTH PLAN [847] | BJC HB MEDICARE DEVOTED AMH | $117.63 | $32,075.20 | $19,245.12 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | COX HEALTH [757] | BJC HB MEDICARE COXHEALTH AMH | $117.63 | $32,075.20 | $19,245.12 | 2025-12-15 | MRF ↗ |
| ALTON MEMORIAL HOSPITAL Outpatient | MEDICA [662] | BJC HB MEDICARE WELLFIRST AMH | $117.63 | $32,075.20 | $19,245.12 | 2025-12-15 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $132.26 | — | — | 2026-04-01 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $132.26 | — | — | 2026-04-01 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | AETNA MEDICARE [1003] | AETNA MEDICARE ADVANTAGE HMO [103003] | $132.26 | — | — | 2026-04-01 | MRF ↗ |
| BARNES-JEWISH ST PETERS HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD MEDICARE [263] | BJC HB MEDICARE ANTHEM ADVANTAGE BSP | $133.26 | $52,246.28 | $31,347.77 | 2025-12-15 | MRF ↗ |
| BARNES-JEWISH ST PETERS HOSPITAL Outpatient | HUMANA MEDICARE ALT [672] | BJC HB MEDICARE HUMANA BSP | $133.26 | $52,246.28 | $31,347.77 | 2025-12-15 | MRF ↗ |
| Memorial Hospital Shiloh Outpatient | BCBS MEDICARE OOS IL [612] | BJC HB MEDICARE ANTHEM ADVANTAGE BSP | $133.26 | $52,245.38 | $31,347.23 | 2025-12-15 | MRF ↗ |
| BARNES-JEWISH ST PETERS HOSPITAL Outpatient | BCBS MEDICARE ALT [649] | BJC HB MEDICARE ANTHEM ADVANTAGE BSP | $133.26 | $52,246.28 | $31,347.77 | 2025-12-15 | MRF ↗ |
| Memorial Hospital Shiloh Outpatient | BLUE CROSS BLUE SHIELD MEDICARE [263] | BJC HB MEDICARE ANTHEM ADVANTAGE BSP | $133.26 | $52,245.38 | $31,347.23 | 2025-12-15 | 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.