Price Transparencybeta Hospital negotiated rates

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

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0275T — Perq Lamot/lam Lumbar

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

Typical negotiated price $7,816

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.