0275T — Perq Lamot/lam Lumbar
Cite this view
HANK Price Transparency. (n.d.). Perq lamot/lam lumbar (OTHER 0275T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0275T?code_type=OTHER
“Perq lamot/lam lumbar (OTHER 0275T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0275T?code_type=OTHER. Accessed .
“Perq lamot/lam lumbar (OTHER 0275T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0275T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,955–$12,144 (25th–75th percentile) across 596 hospitals · 834 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| BACON COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $8.09 | $3,581.00 | $2,864.80 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $25.06 | $13,923.00 | $7,262.33 | 2024-12-31 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $1,260.00 | $1,260.00 | 2025-03-18 | 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 ↗ |
| ISLAND HOSPITAL Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $51.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | PREMERA COMM - ALL OTHER PLANS | PREMERA COMM - ALL OTHER PLANS | $53.50 | $1,260.00 | $1,260.00 | 2025-03-18 | 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 ↗ |
| MADISON COUNTY HEALTH CARE SYSTEM Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $63.50 | $2,367.00 | $1,893.60 | 2026-06-05 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA ELEVATE | MEDICA ELEVATE | $73.60 | $5,302.65 | $3,446.72 | 2026-08-10 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | ARBOR HEALTH PLAN MCAID-ALL PLANS | ARBOR HEALTH PLAN MCAID-ALL PLANS | $76.83 | $16,611.00 | $11,627.70 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | WELLCARE OF NEBRASKA MCAID-ALL PLANS | WELLCARE OF NEBRASKA MCAID-ALL PLANS | $76.83 | $16,611.00 | $11,627.70 | 2025-07-17 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $5,302.65 | $3,446.72 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA COMM - ALL OTHER PLANS | MEDICA COMM - ALL OTHER PLANS | $80.00 | $5,302.65 | $3,446.72 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MIDLANDS CHOICE STANDARD | MIDLANDS CHOICE STANDARD | $80.89 | $5,302.65 | $3,446.72 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MIDLANDS CHOICE PREMIER-ALL OTHER PLANS | MIDLANDS CHOICE PREMIER-ALL OTHER PLANS | $80.89 | $5,302.65 | $3,446.72 | 2026-08-10 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $158.00 | $1,200.00 | $840.00 | 2026-03-16 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Both | Medica | Medicaid Replacement | $310.30 | $1,373.00 | $466.82 | 2026-03-31 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Both | Medica | Medicare Advantage | $322.93 | $1,373.00 | $466.82 | 2026-03-31 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $21,297.00 | $13,843.05 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $21,297.00 | $13,843.05 | 2025-01-01 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Both | Medicare B MN J6 | Default | — | $1,373.00 | $466.82 | 2025-02-24 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of MN | Medicare Advantage | — | $1,373.00 | $466.82 | 2025-02-24 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Both | Medicaid Minnesota | Default | $345.71 | $1,373.00 | $466.82 | 2025-02-24 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Both | Ucare | Medicare Advantage | $349.84 | $1,373.00 | $466.82 | 2025-02-24 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Both | Humana Health Plan | Medicare Advantage | $349.84 | $1,373.00 | $466.82 | 2025-02-24 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Essential Other Commercial Plan | $355.00 | — | — | 2026-04-01 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Both | HealthPartners | Medicare Advantage | $356.98 | $1,373.00 | $466.82 | 2025-02-24 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | AETNA RENTAL PRODUCTS | AETNA RENTAL PRODUCTS | $394.70 | $1,200.00 | $840.00 | 2026-03-16 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $394.70 | $1,200.00 | $840.00 | 2026-03-16 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $402.00 | — | — | 2026-04-01 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Both | Ucare | Default | $410.53 | $1,373.00 | $466.82 | 2025-02-24 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of MN | Default | $451.05 | $1,373.00 | $466.82 | 2025-02-24 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $475.00 | — | — | 2026-04-01 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Both | HealthPartners | Medicaid Replacement | $494.28 | $1,373.00 | $466.82 | 2025-02-24 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | All Commercial Plans | $512.00 | — | — | 2026-04-01 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | SELECT HEALTH MCR ADV | SELECT HEALTH MCR ADV | $528.00 | $1,200.00 | $840.00 | 2026-03-16 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $545.00 | — | — | 2026-04-01 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | BANNER CHOICE - ALL PLANS | BANNER CHOICE - ALL PLANS | $572.94 | $2,122.00 | $2,015.90 | 2026-02-17 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $600.00 | $1,200.00 | $840.00 | 2026-03-16 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $611.82 | $14,907.80 | $8,505.00 | 2024-12-19 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $644.02 | $14,907.80 | $8,505.00 | 2024-12-19 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | KAISER COMM - ALL OTHER PLANS | KAISER COMM - ALL OTHER PLANS | $705.60 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | United | Empire Plan - Midlevels | $766.25 | $4,198.27 | $2,745.67 | 2026-04-01 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Both | Medica | Default | $770.25 | $1,373.00 | $466.82 | 2026-03-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $811.00 | $7,995.00 | $3,997.00 | 2025-02-03 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | Cofinity Group Health | New Business All Products | $841.25 | $2,286.00 | — | 2025-06-28 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBSNE BLUE PRINT | BCBSNE BLUE PRINT | $855.00 | $1,800.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Inpatient | Commercial [1028] | Va Triwest Ccn [1028345] | $875.45 | $14,143.00 | $14,143.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Inpatient | Commercial [1028] | Va Idaho Medical Center [1028062] | $875.45 | $14,143.00 | $14,143.00 | 2026-07-15 | MRF ↗ |
| ST LUKE'S WOOD RIVER MEDICAL CENTER Inpatient | Commercial [1028] | Va Out Of State [1028332] | $875.45 | $14,143.00 | $14,143.00 | 2026-07-15 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $883.25 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $883.25 | — | — | 2025-06-04 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | United | Empire Plan MD/Dos | $898.69 | $4,198.27 | $2,745.67 | 2026-04-01 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MEDICA COMM-ALL OTHER PLANS | MEDICA COMM-ALL OTHER PLANS | $900.00 | $1,800.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $900.00 | $1,800.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | SELECT HEALTH-ALL OTHER PLANS | SELECT HEALTH-ALL OTHER PLANS | $900.00 | $1,200.00 | $840.00 | 2026-03-16 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA HMO/PPO PROFEE ONLY-ALL OTHER PLANS | AETNA HMO/PPO PROFEE ONLY-ALL OTHER PLANS | $900.00 | $1,800.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA WHOLE HEALTH ACO PROFEE ONLY | AETNA WHOLE HEALTH ACO PROFEE ONLY | $900.00 | $1,800.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $904.00 | $7,995.00 | $3,997.00 | 2025-02-03 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Fully Insured | $911.20 | $2,286.00 | — | 2025-06-28 | MRF ↗ |
| LANDMARK MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $923.88 | $24,846.30 | $7,823.00 | 2026-03-17 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | UHC/Oxford | Medicaid | $945.99 | $4,198.27 | $2,745.67 | 2026-04-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $945.99 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $945.99 | — | — | 2026-03-20 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren Health | Health Advantage PPO | $969.49 | $2,286.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren Health | Commercial HMO | $969.49 | $2,286.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Cofinity Group Health | New Business All Products | $985.27 | $2,286.00 | — | 2025-06-28 | MRF ↗ |
| SAINT JOSEPH MEDICAL CENTER Outpatient | UHC | UHC VA | $987.91 | $6,590.42 | $7,456.00 | 2026-03-17 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | HUMANA HMO | 2668_HUMANA HMO 20230701 | $995.12 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | HUMANA HMO | 2668_HUMANA HMO 20230701 | $995.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | HUMANA HMO | 2668_HUMANA HMO 20230701 | $995.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | HUMANA HMO | 2668_HUMANA HMO 20230701 | $995.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA HMO | 2668_HUMANA HMO 20230701 | $995.12 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | HUMANA HMO | 2668_HUMANA HMO 20230701 | $995.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | HUMANA HMO | 2668_HUMANA HMO 20230701 | $995.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HUMANA HMO | 2668_HUMANA HMO 20230701 | $995.12 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HUMANA HMO | 2668_HUMANA HMO 20230701 | $995.12 | — | — | 2026-01-01 | MRF ↗ |
| LANDMARK MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $996.34 | $24,846.30 | $9,591.00 | 2024-12-19 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | AETNA | New Business Discount | $998.98 | $2,286.00 | — | 2025-06-28 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $1,008.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| DOOR COUNTY MEDICAL CENTER BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $1,012.26 | $17,397.00 | $13,047.75 | 2025-12-15 | MRF ↗ |
| PALESTINE REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | All Commercial Plans | $1,013.00 | — | — | 2026-04-01 | MRF ↗ |
| PALESTINE REGIONAL WEST CAMPUS OutpatientFacility | BCBS | All Commercial Plans | $1,013.00 | — | — | 2026-04-01 | MRF ↗ |
| Saint Francis Hospital Outpatient | UHC | UHC VA | $1,015.35 | $11,097.00 | $7,456.00 | 2026-09-01 | MRF ↗ |
| Saint Francis Hospital Outpatient | UHC | UHC VA | $1,015.35 | $11,097.00 | $7,456.00 | 2026-03-17 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Aetna | All Commercial Plans | $1,017.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Aetna | All Commercial Plans | $1,017.00 | — | — | 2026-04-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | AETNA | New Business Discount | $1,037.84 | $2,286.00 | — | 2025-06-28 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | WORKER'S COMP | $1,049.00 | $13,426.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $1,060.57 | $13,257.14 | $7,954.28 | 2026-02-21 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $1,071.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $1,075.00 | $7,995.00 | $3,997.00 | 2025-02-03 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,079.85 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,079.85 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $1,079.85 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $1,079.96 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $1,079.96 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $1,079.96 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $1,079.96 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $1,079.96 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $1,079.96 | — | — | 2026-04-01 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | FIRST CHOICE HEALTH-ALL PLANS | FIRST CHOICE HEALTH-ALL PLANS | $1,080.00 | $1,200.00 | $840.00 | 2026-03-16 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $1,097.00 | $13,923.00 | $7,807.24 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $1,097.00 | $13,923.00 | $7,907.11 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $1,097.00 | $13,923.00 | $7,907.11 | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $1,097.00 | $13,923.00 | $7,807.24 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $1,097.00 | $13,923.00 | $7,907.11 | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $1,097.00 | $13,923.00 | $7,807.24 | 2025-12-31 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | UHC COMM - ALL OTHER PLANS | UHC COMM - ALL OTHER PLANS | $1,100.91 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIRST HEALTH | FIRST HEALTH | $1,101.00 | $13,426.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $1,109.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $1,109.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access Choice PPO | $1,109.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,114.90 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Preferred HMO/POS | $1,114.90 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,114.90 | — | — | 2026-04-01 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $1,120.17 | $13,923.00 | $8,412.89 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $1,120.17 | $13,923.00 | $7,913.97 | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $1,120.17 | $13,923.00 | $7,143.73 | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $1,120.17 | $13,923.00 | $7,143.73 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $1,120.17 | $13,923.00 | $8,412.89 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $1,120.17 | $13,923.00 | $7,913.97 | 2025-12-31 | MRF ↗ |
| COMMUNITY HOSPITAL ASSOCIATION OutpatientFacility | United Healthcare | All Products | $1,125.25 | — | — | 2026-08-21 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | UNITEDHEALTHCARE | ALL PRODUCTS | $1,135.19 | — | — | 2025-07-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $1,148.00 | $7,995.00 | $3,997.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1,162.00 | $7,995.00 | $3,997.00 | 2025-02-03 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | PACIFIC SOURCE-ALL OTHER PLANS | PACIFIC SOURCE-ALL OTHER PLANS | $1,164.00 | $1,200.00 | $840.00 | 2026-03-16 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $1,167.00 | $7,995.00 | $3,997.00 | 2025-02-03 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Products Facility | $1,169.47 | — | — | 2025-07-22 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | BCBS MCR ADV | BCBS MCR ADV | $1,170.00 | $1,800.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Cross - Asc | All Commercial Plans | $1,173.00 | — | — | 2026-04-01 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $1,176.00 | $1,200.00 | $840.00 | 2026-03-16 | MRF ↗ |
| MADISON COUNTY HEALTH CARE SYSTEM Outpatient | MADISON COUNTY SHERIFF-ALL PLANS | MADISON COUNTY SHERIFF-ALL PLANS | $1,183.50 | $2,367.00 | $1,893.60 | 2026-06-05 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $1,188.49 | $2,286.00 | — | 2025-06-28 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Aetna | Medicare Midlevels | $1,199.54 | $4,198.27 | $2,745.67 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Aetna | Commercial Midlevels | $1,199.54 | $4,198.27 | $2,745.67 | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $1,202.49 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $1,202.49 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access PPO | $1,202.49 | — | — | 2026-04-01 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Parkland Medicaid | Parkland Community Health Plan Star Medicaid | $1,204.31 | $14,907.80 | $8,505.00 | 2024-12-19 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,239.92 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1,246.00 | $7,995.00 | $3,997.00 | 2025-02-03 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials Midlevels | $1,259.40 | $4,198.00 | $2,728.70 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicare | $1,259.40 | $4,198.00 | $2,728.70 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicaid | $1,259.40 | $4,198.00 | $2,728.70 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicare Advantage | $1,259.40 | $4,198.00 | $2,728.70 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials | $1,259.40 | $4,198.00 | $2,728.70 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicare Advantage - OB/GYN | $1,259.40 | $4,198.00 | $2,728.70 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicare Advantage | $1,259.49 | $4,198.27 | $2,745.67 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicaid | $1,259.49 | $4,198.27 | $2,745.67 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials | $1,259.49 | $4,198.27 | $2,745.67 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicare | $1,259.49 | $4,198.27 | $2,745.67 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicare Advantage - OB/GYN | $1,259.49 | $4,198.27 | $2,745.67 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials Midlevels | $1,259.49 | $4,198.27 | $2,745.67 | 2026-04-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $1,259.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $1,259.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $1,259.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $1,259.75 | — | — | 2026-01-01 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $1,260.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $1,260.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $1,260.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | SAMISH INDIAN HEALTH - ALL PLANS | SAMISH INDIAN HEALTH - ALL PLANS | $1,260.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | SWINOMISH INDIAN HEALTH - ALL PLANS | SWINOMISH INDIAN HEALTH - ALL PLANS | $1,260.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $1,260.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $1,260.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | KAISER MCR ADV | KAISER MCR ADV | $1,260.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | CHPW MCAID - ALL PLANS | CHPW MCAID - ALL PLANS | $1,260.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | AARP MCR ADV - ALL PLANS | AARP MCR ADV - ALL PLANS | $1,260.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | $1,266.39 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,266.39 | — | — | 2026-04-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $1,280.84 | — | — | 2026-03-31 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $1,295.86 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,295.86 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,295.86 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $1,307.00 | $7,995.00 | $3,997.00 | 2025-02-03 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | HUMANA | HUMANACHOICE | $1,310.40 | — | — | 2026-01-25 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | PREMERA MCR ADV | PREMERA MCR ADV | $1,323.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $1,323.00 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | REGENCE MCR ADV | REGENCE MCR ADV | $1,335.60 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $1,335.60 | $1,260.00 | $1,260.00 | 2025-03-18 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,339.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,339.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $1,339.08 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | AETNA RENTAL PROFEE ONLY | AETNA RENTAL PROFEE ONLY | $1,350.00 | $1,800.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $1,350.00 | $1,800.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $1,350.00 | $1,800.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc Advantage � Premium Network (Bronze/Silver/Gold/Platinum) | $1,357.13 | $20,353.18 | $5,049.62 | 2026-09-21 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc Total Advantage | $1,357.13 | $20,353.18 | $5,049.62 | 2026-09-21 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc Health Plan (Individual/Employer Provided) | $1,357.13 | $20,353.18 | $5,049.62 | 2026-09-21 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc My Care Advantage | $1,357.13 | $20,353.18 | $5,049.62 | 2026-09-21 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc First Care | $1,357.13 | $20,353.18 | $5,049.62 | 2026-09-21 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,362.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $1,362.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1,362.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $1,362.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,362.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1,362.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $1,362.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,362.24 | — | — | 2026-01-01 | 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.