0308T — Insj Ocular Telescope Prosth
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Insj ocular telescope prosth (OTHER 0308T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0308T?code_type=OTHER
MLA (9th ed.)
“Insj ocular telescope prosth (OTHER 0308T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0308T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Insj ocular telescope prosth (OTHER 0308T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0308T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,998–$22,167 (25th–75th percentile) across 535 hospitals · 520 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0308T — 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 |
|---|---|---|---|---|---|---|---|
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $657.43 | — | — | 2026-04-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $756.04 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $756.04 | — | — | 2026-01-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $777.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $777.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $777.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $777.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $777.00 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $850.80 | — | — | 2025-07-22 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $893.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $893.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $893.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $893.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $893.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $893.76 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $895.94 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $996.41 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $1,001.39 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $1,001.39 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $1,001.39 | — | — | 2026-04-01 | MRF ↗ |
| PALESTINE REGIONAL WEST CAMPUS OutpatientFacility | BCBS | All Commercial Plans | $1,013.00 | — | — | 2026-04-01 | MRF ↗ |
| PALESTINE REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | All Commercial Plans | $1,013.00 | — | — | 2026-04-01 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | UNITED HEALTH CARE | Managed Medicare | $1,059.20 | — | — | 2025-07-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $1,059.20 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $1,059.20 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Highmark All Commercial Plans | $1,073.10 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Medicare Managed Care Plan | $1,073.10 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Highmark Hmo/Pos | $1,104.02 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $1,108.99 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $1,108.99 | — | — | 2026-04-01 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $1,200.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | $1,215.71 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $1,215.71 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $1,215.71 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,215.71 | — | $19,426.56 | 2026-09-05 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $1,215.71 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $1,215.71 | — | — | 2026-04-01 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $1,215.71 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Bi | $1,215.71 | — | — | 2026-04-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS TENNCARE SELECT | 2414_BCBS BLUE CARE TENNCARE (RUTHERFORD) 20221001 | $1,249.17 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Outpatient | BCBS BLUE CARE (REGIONALS ONLY) | 2431_BCBS BLUE CARE (STONES RIVER) 20221001 | $1,249.17 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Saint Thomas Hospital Midtown Outpatient | BCBS BLUE CARE | 1015_BCBS BLUE CARE TENNCARE SELECT 20221001 | $1,249.17 | — | — | 2026-01-01 | MRF ↗ |
| DEKALB COMMUNITY HOSPITAL Outpatient | BCBS BLUE CARE (REGIONALS ONLY) | 2428_BCBS BLUE CARE (DEKALB) 20221001 | $1,249.17 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS MISSIONPOINT | 2410_STTN BLUE CROSS BLUE SHIELD MISSION POINT 20221001 | — | — | — | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS MISSIONPOINT | 2416_MTTN BLUE CROSS BLUE SHIELD MISSION POINT 20221001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Saint Thomas Hospital Midtown Outpatient | BCBS MISSIONPOINT | 1012_BLUE CROSS BLUE SHIELD MISSIONPOINT 20221001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Saint Thomas Hickman Outpatient | BCBS BLUE CARE (REGIONALS ONLY) | 2429_BCBS BLUE CARE (HIGHLAND) 20221001 | $1,249.17 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS TENNCARE SELECT | 2423_BCBS BLUE CARE TENNCARE (WEST) 20221001 | $1,249.17 | — | — | 2026-01-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Employers Health Network | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Centivo | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Centivo | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Denver Public Schools | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Denver Public Schools | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Employers Health Network | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Employers Health Network | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Employers Health Network | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Denver Public Schools | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Employers Health Network | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Centivo | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Centivo | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Centivo | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Denver Public Schools | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Denver Public Schools | All Commercial Plans | $1,296.00 | — | — | 2026-04-01 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Aetna | All Commercial Plans | $1,305.00 | — | — | 2026-03-31 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD CHOICE | 2723_SPOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $1,308.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD CHOICE | 2723_SPOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $1,308.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2738_SPOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $1,308.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2722_SPOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $1,308.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2738_SPOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $1,308.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD LINCS | 2728_SPOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $1,308.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2722_SPOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $1,308.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD PREFERRED | 2733_SPOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $1,308.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD PREFERRED | 2733_SPOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $1,308.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | BLUE CROSS BLUE SHIELD LINCS | 2728_SPOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $1,308.74 | — | — | 2026-01-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $1,312.94 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payers | $1,312.94 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $1,312.94 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payers | $1,312.94 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $1,312.94 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $1,312.94 | — | — | 2025-06-27 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | BCBS TN Medicaid | MANAGED MEDICAID | $1,350.35 | — | — | 2025-07-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $1,367.68 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Outpatient | BCBS TENNCARE SELECT | 2427_BCBS TENNCARE SELECT (STONES RIVER) 20221001 | $1,372.84 | — | — | 2026-01-01 | MRF ↗ |
| BERGER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $1,382.00 | — | — | 2026-04-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2739_OHOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $1,386.41 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD CHOICE | 2724_OHOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $1,386.41 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD PREFERRED | 2734_OHOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $1,386.41 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2721_OHOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $1,386.41 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD LINCS | 2729_OHOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $1,386.41 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD LINCS | 2729_OHOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $1,386.41 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD PREFERRED | 2734_OHOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $1,386.41 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2721_OHOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $1,386.41 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD TRADITIONAL | 2739_OHOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $1,386.41 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | BLUE CROSS BLUE SHIELD CHOICE | 2724_OHOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $1,386.41 | — | — | 2026-01-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 3-4 - Brook | $1,395.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 1-2 - Brook | $1,395.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Exchange - Brook | $1,395.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicare Adv - Brook | $1,395.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicaid - Brook | $1,395.47 | — | — | 2026-04-01 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $1,399.06 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $1,399.06 | — | — | 2025-06-04 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $1,406.39 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $1,406.39 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $1,406.39 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $1,406.39 | — | — | 2025-07-22 | MRF ↗ |
| ST VINCENT'S ST CLAIR Outpatient | AETNA | 2911_AETNA HEALTH PLAN SCAL 20230101 | $1,407.21 | — | — | 2024-06-17 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $1,408.37 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $1,408.37 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payer | $1,408.37 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | American Postal Workers | APWU Health Plan | $1,408.37 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $1,425.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $1,425.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $1,425.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $1,425.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $1,425.00 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Essential Other Commercial Plan | $1,425.84 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | All Commercial Plans | $1,425.84 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $1,425.84 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $1,434.52 | — | — | 2025-07-22 | MRF ↗ |
| Henry Ford Health Warren Hospital Both | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Both | AHLIC | 2163_AHLIC 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Both | AHLIC | 2163_AHLIC 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | AHLIC | 2163_AHLIC 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Both | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Both | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Both | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Both | AHLIC | 2163_AHLIC 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Both | HAP PREFERRED | 2172_SJMA HAP PREFERRED (PHP) 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Both | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Both | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Both | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Both | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Both | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $1,451.54 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HEALTH PARTNERS | $1,462.86 | — | — | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HPI | $1,462.86 | — | — | 2025-12-28 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Tenncare Select HMO | MANAGED MEDICAID | $1,466.53 | — | — | 2025-07-01 | MRF ↗ |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER OutpatientFacility | Aetna | All Commercial Plans | $1,471.00 | — | — | 2026-03-31 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1,480.66 | — | — | 2025-06-28 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $1,499.48 | — | — | 2026-03-20 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $1,499.48 | — | — | 2025-07-22 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $1,499.48 | — | — | 2026-03-20 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Magnacare | Magnacare | $1,500.00 | — | — | 2026-04-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $1,524.64 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $1,524.64 | — | — | 2025-09-05 | 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.