0421T — Waterjet Prostate Abltj Cmpl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Waterjet prostate abltj cmpl (CPT 0421T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0421T?code_type=CPT
MLA (9th ed.)
“Waterjet prostate abltj cmpl (CPT 0421T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0421T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Waterjet prostate abltj cmpl (CPT 0421T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0421T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,978–$11,255 (25th–75th percentile) across 1,100 hospitals · 1,390 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0421T — 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 |
|---|---|---|---|---|---|---|---|
| MORRISTOWN MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | MMC HORIZON NJ HEALTH | — | $45,834.52 | $12,339.10 | 2026-04-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial | — | $5,361.00 | $3,216.60 | 2026-05-22 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $4.63 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $4.63 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $4.63 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $4.72 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| ROPER HOSPITAL Outpatient | UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $4.76 | — | — | 2026-04-01 | MRF ↗ |
| ROPER HOSPITAL Outpatient | UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $4.76 | — | — | 2026-04-01 | MRF ↗ |
| ROPER HOSPITAL Outpatient | UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $4.76 | — | — | 2026-04-01 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | ACCESS HEALTH | ACCESS HEALTH | $5.92 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 3&4 | $7.44 | $25,232.40 | $16,401.06 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $7.44 | $25,232.40 | $16,401.06 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $7.44 | $25,232.40 | $16,401.06 | 2024-12-30 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans | $7.46 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $7.95 | $25,232.40 | $16,401.06 | 2024-12-30 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | BLUE CARE NETWORK ADVANTAGE | BCN MEDICARE ADVANTAGE | $8.29 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | PRIORITY HEALTH MEDICARE ADVANTAGE | PRIORITY HEALTH MEDICARE ADVANTAGE | $8.29 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | BLUE CROSS - MI MEDICARE ADVANTAGE | BCBS MEDICARE ADVANTAGE | $8.29 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | CORRECTIONAL RECOVERY | CORRECTIONAL RECOVERY | $8.46 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | HOSPICE FAITH | HOSPICE FAITH | $8.46 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | HOSPICE OF HOLLAND | HOSPICE OF HOLLAND | $8.46 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $8.71 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans | $9.33 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP | LONGEVITY IPA MEDICARE ADVANTAGE | $9.53 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care OutpatientFacility | VITALCORE | VITALCORE PHYSICIANS GROUP | $13.11 | — | $28,491.07 | 2026-03-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $20.34 | $11,301.00 | $9,395.48 | 2024-12-31 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY CARE IPA [1131] | Community Care IPA Medi-Cal Managed Care | $26.13 | $62,280.30 | $34,254.17 | 2026-04-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $28.54 | — | $29,692.72 | 2026-03-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $29.11 | — | $29,692.72 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $29.11 | — | $29,692.72 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $29.11 | — | $29,692.72 | 2026-03-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS CHILD HEALTH PLUS [35005802] | $33.73 | $42,357.96 | $25,414.78 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS CHILD HEALTH PLUS [35005802] | $33.73 | $42,357.96 | $25,414.78 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS HMO MEDICAID [35005801] | $33.73 | $42,357.96 | $25,414.78 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS ALTERNATE - FSLH [350060] | FIDELIS ALTERNATE - FSLH [35006001] | $33.73 | $42,357.96 | $25,414.78 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS HMO MEDICAID [35005801] | $33.73 | $42,357.96 | $25,414.78 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS ALTERNATE - FSLH [350060] | FIDELIS ALTERNATE - FSLH [35006001] | $33.73 | $42,357.96 | $25,414.78 | 2025-01-17 | 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 ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| HENRY COUNTY MEMORIAL HOSPITAL Outpatient | ENCORE WORKERS COMP-ALL PLANS | ENCORE WORKERS COMP-ALL PLANS | $48.00 | $9,345.00 | $6,541.50 | 2026-04-21 | 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 ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | HAP MEDICARE ADVANTAGE | HAP MEDICARE ADVANTAGE | $50.89 | — | $29,692.72 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | PRIORITY HEALTH MEDICARE ADVANTAGE | PRIORITY HEALTH MEDICARE ADVANTAGE | $50.89 | — | $29,692.72 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | BLUE CROSS - MI MEDICARE ADVANTAGE | BCBS MEDICARE ADVANTAGE | $50.89 | — | $29,692.72 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | BLUE CARE NETWORK ADVANTAGE | BCN MEDICARE ADVANTAGE | $50.89 | — | $29,692.72 | 2026-03-31 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | FIRST CHOICE ADMIN | FIRST CHOICE ADMIN | $51.00 | $1,691.00 | $1,437.35 | 2026-01-16 | MRF ↗ |
| PULLMAN REGIONAL HOSPITAL Outpatient | FIRST CHOICE - ALL OTHER PLANS | FIRST CHOICE - ALL OTHER PLANS | $51.00 | $1,691.00 | $1,437.35 | 2026-01-16 | MRF ↗ |
| MARY IMMACULATE HOSPITAL Outpatient | HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $51.86 | — | — | 2026-04-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | HOSPICE ADVANTAGE | HOSPICE ADVANTAGE | $51.92 | — | $29,692.72 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $53.48 | — | $29,692.72 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | LONGEVITY IPA OF MICHIGAN LLC HEALTH PLAN ISNP | LONGEVITY IPA MEDICARE ADVANTAGE | $58.52 | — | $29,692.72 | 2026-03-31 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE IP SPLITS [5471] | CMC UNITED MEDICARE | $62.00 | $52,582.68 | $12,339.10 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE BEHAVIORAL [5409] | CMC UNITED MEDICARE | $62.00 | $52,582.68 | $12,339.10 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AARP MEDICARE COMP [5039] | CMC UNITED MEDICARE | $62.00 | $52,582.68 | $12,339.10 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE [5035] | CMC UNITED MEDICARE | $62.00 | $52,582.68 | $12,339.10 | 2026-01-01 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | TUFTS DUAL [10111] | All TUFTS UNIFY UM [230] Plans | $62.45 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | MEDICAID [20301] | All MEDICAID OF CT [28] Plans | $62.45 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | TUFTS US FAMILY [11203] | All TUFTS US FAMILY UM [290] Plans | $62.45 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE FORT DEVENS UM [161] Plans | $62.45 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE STATE UM [94] Plans | $62.45 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | INSTITUTION [10406] | All HOSPICE GENERIC [237] Plans | $62.45 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | UHC MCR SUPP AARP [20211] | All MEDICARE ADVANTAGE (MINUS IME) UM [133] Plans | $62.45 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | MEDICARE [20206] | All MEDICARE/ MEDICARE ADV PLANS/ INST UM [67] Plans | $62.45 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | INSTITUTION [10406] | All HOSPICE UM [288] Plans | $62.45 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | BCBS MCR SUPP [20201] | All BC MCR UM [63] Plans | $64.53 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | HARVARD PILGRIM MCR SUPP [20203] | All HARVARD PILGRIM MCR UM [140] Plans | $65.58 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | TUFTS MCR SUPP [20209] | All TUFTS MCR UM [241] Plans | $65.58 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | FALLON MCR [10105] | All FALLON SENIOR UM [137] Plans | $65.58 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | UHC DUAL [10118] | All UHC COMMUNITY CARE SCO (EVERCARE) UM [228] Plans | $65.58 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | UHC MCR REPLACE AARP [10114] | All UHC MCR UM [317] Plans | $66.82 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | VITALCORE | VITALCORE PHYSICIANS GROUP | $80.48 | — | $29,692.72 | 2026-03-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | TUFTS CONNECTORCARE [10507] | All TUFTS CONNECTORCARE/DIRECT QHP UM [148] Plans | $106.23 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | LASSO HEALTHCARE [503999926] | Lasso HealthCare | $124.22 | $77,536.25 | $15,507.25 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | KU ATHLETICS [503200094] | University of Kansas Athletics | $124.22 | $77,536.25 | $15,507.25 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | HUMANA MEDICARE [50311206] | Humana Medicare Adv Community HMO | $124.22 | $77,536.25 | $15,507.25 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | HUMANA MEDICARE [50311206] | Humana Medicare Adv | $126.70 | $77,536.25 | $15,507.25 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | MEDICA MEDICARE [503999929] | Medica | $126.70 | $77,536.25 | $15,507.25 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | ALLWELL [503200078] | Wellcare Medicare Adv | $127.94 | $77,536.25 | $15,507.25 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | BCBS MEDICARE [50311204] | Healthy Blue KS Medicare Adv | $127.94 | $77,536.25 | $15,507.25 | 2026-04-08 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | AETNA MEDICARE [1003] | AETNA MEDICARE-ADVANTAGE PPO [103002] | $129.66 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $129.66 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $129.66 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Outpatient | UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $129.66 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | AMERICAN HEALTH PLANS [503200968] | American Health Plans | $130.43 | $77,536.25 | $15,507.25 | 2026-04-08 | 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 ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | UHC MEDICARE [50311207] | UHC Medicare Adv | $132.91 | $77,536.25 | $15,507.25 | 2026-04-08 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CALIFORNIA HEALTH & WELLNESS MEDI-CAL [1122] | CALIFORNIA HEALTH AND WELLNESS MEDI-CAL (no longer Medi-Cal plan as of 1/1/24) | $134.70 | $62,280.30 | $34,254.17 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CMS - COUNTY MEDICAL SERVICES [1025] | COUNTY MEDICAL SERVICES | $134.70 | $62,280.30 | $34,254.17 | 2026-04-01 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $134.91 | — | — | 2026-04-01 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $134.91 | — | — | 2026-04-01 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $134.91 | — | — | 2026-04-01 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | HARVARD PILGRIM [10701] | All HARVARD PILGRIM HMO UM [113] Plans | $146.31 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | TUFTS [11201] | All TUFTS HMO UM [175] Plans | $160.86 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | HARVARD PILGRIM [10701] | All HARVARD PILGRIM PPO UM [114] Plans | $168.23 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | HARVARD PILGRIM [10701] | All HARVARD PILGRIM BETH ISRAEL LAHEY UM [260] Plans | $175.88 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | UNITED HEALTHCARE MEDICARE [10507] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | VA CCN [99926] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | MEDICARE REPLACEMENT GENERIC [10500] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | CIGNA HEALTHSPRING MEDICARE [10519] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | VETERANS ADMINISTRATION [99910] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | LIFEWORKS MEDICARE [10515] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | HUMANA MEDICARE [10505] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | KAISER PERMANENTE MEDICARE [10513] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | ANTHEM MEDICARE [10503] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | SENTARA MEDICARE [10506] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | VIRGINIA PREMIER MEDICARE [10508] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | VA CCN [99927] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | MOLINA COMPLETE CARE MEDICARE [10517] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | AETNA MEDICARE [10501] | UVACMH - Managed Medicare (various) | $176.26 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | TUFTS [11201] | All TUFTS PPO/CARELINK UM [176] Plans | $176.96 | $45,242.81 | $45,242.81 | 2026-03-26 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $177.90 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $177.90 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | UHC [50310103] | UHC Exchange | $198.75 | $77,536.25 | $15,507.25 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | AMBETTER [503200087] | Ambetter Exchange (Sunflower) | $211.17 | $77,536.25 | $15,507.25 | 2026-04-08 | MRF ↗ |
| SALINA SURGICAL HOSPITAL BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $245.00 | $8,910.39 | $6,237.27 | 2026-01-15 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | ALT WPPA [5032000964] | WPPA ProviDRS Care - CHSEK & Flint Hills | $248.44 | $77,536.25 | $15,507.25 | 2026-04-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | HMO_POS | $277.67 | $504.86 | $252.43 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | Medicare | $277.67 | $504.86 | $252.43 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | Indemnity_PPO | $277.67 | $504.86 | $252.43 | 2025-12-31 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Molina Healthcare | Benefit Exchange | $300.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Emblem | Medicare Advantage | $302.92 | $504.86 | $252.43 | 2025-12-31 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $313.00 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $313.00 | — | — | 2026-03-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | 1199SEIU National Benefit Funds | Commercial | $333.00 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | 1199SEIU National Benefit Funds | Commercial | $333.00 | — | — | 2025-10-28 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Local 1199 | PPO | $341.00 | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Local 1199 | PPO | $341.00 | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient | Local 1199 | PPO | $341.00 | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Outpatient | Local 1199 | PPO | $341.00 | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Outpatient | Local 1199 | PPO | $341.00 | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Outpatient | Local 1199 | PPO | $341.00 | — | — | 2024-12-13 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Humana | KY Medicaid | $343.90 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $343.90 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $345.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Kentucky WC | Medicaid | $347.40 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicaid | $350.80 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $352.70 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $352.70 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| NorthBay VacaValley Hospital OutpatientFacility | Blue Shield - Asc | All Commercial Plans | $355.95 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $369.00 | — | — | 2026-04-01 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $371.00 | — | — | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $371.00 | — | — | 2025-06-26 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Outpatient | ADVANCED MEDICAL PRICING SOLUTIONS [503301513] | AMPS | $372.65 | $77,536.25 | $15,507.25 | 2026-04-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MVP Commercial | CIGNA All Products | $378.65 | $504.86 | $252.43 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | All Products | $378.65 | $504.86 | $252.43 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student Health Plan | $378.65 | $504.86 | $252.43 | 2025-12-31 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Both | Empire | Blue Access | $380.00 | $7,605.00 | $7,605.00 | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Both | Empire | Connections | $380.00 | $7,605.00 | $7,605.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | Empire | Connections | $380.00 | $7,605.00 | $7,605.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | Empire | Blue Access | $380.00 | $7,605.00 | $7,605.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | Empire | Connections | $380.00 | $7,605.00 | $7,605.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | Empire | Blue Access | $380.00 | $7,605.00 | $7,605.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | Empire | Connections | $380.00 | $7,605.00 | $7,605.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | Empire | Blue Access | $380.00 | $7,605.00 | $7,605.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | Empire | Connections | $380.00 | $7,605.00 | $7,605.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | Empire | Blue Access | $380.00 | $7,605.00 | $7,605.00 | 2025-12-01 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | ANTHEM [30001] | UVACMH - Anthem Exchange | $393.35 | $32,301.79 | $16,150.89 | 2026-03-24 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | HMO_POS | $396.00 | $720.00 | $360.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | Indemnity_PPO | $396.00 | $720.00 | $360.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | Medicare | $396.00 | $720.00 | $360.00 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $403.89 | $504.86 | $252.43 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Emblem | SelectCare | $403.89 | $504.86 | $252.43 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | All Products | $403.89 | $504.86 | $252.43 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products-Transplant | $403.89 | $504.86 | $252.43 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Emblem_GHI | Commercial_All Products | $403.89 | $504.86 | $252.43 | 2025-12-31 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $20,533.62 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $20,533.62 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $20,533.62 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $20,533.62 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $20,533.62 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 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.