0421T — Waterjet Prostate Abltj Cmpl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Waterjet prostate abltj cmpl (OTHER 0421T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0421T?code_type=OTHER
MLA (9th ed.)
“Waterjet prostate abltj cmpl (OTHER 0421T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0421T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Waterjet prostate abltj cmpl (OTHER 0421T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0421T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,318–$10,692 (25th–75th percentile) across 503 hospitals · 434 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $20.34 | $11,301.00 | $9,395.48 | 2024-12-31 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $1,238.00 | $1,238.00 | 2025-03-18 | 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 ↗ |
| ISLAND HOSPITAL Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $51.00 | $1,238.00 | $1,238.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | PREMERA COMM - ALL OTHER PLANS | PREMERA COMM - ALL OTHER PLANS | $53.50 | $1,238.00 | $1,238.00 | 2025-03-18 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | WELLCARE OF NEBRASKA MCAID-ALL PLANS | WELLCARE OF NEBRASKA MCAID-ALL PLANS | $66.91 | $13,890.00 | $9,723.00 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | ARBOR HEALTH PLAN MCAID-ALL PLANS | ARBOR HEALTH PLAN MCAID-ALL PLANS | $66.91 | $13,890.00 | $9,723.00 | 2025-07-17 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-07-31 | 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 | Sheet Metal Workers Union(Smw) | 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 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 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 ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | PAMLICO CO JAIL-ALL PLANS | PAMLICO CO JAIL-ALL PLANS | $215.46 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| SALINA SURGICAL HOSPITAL BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $245.00 | $8,910.39 | $6,237.27 | 2026-01-15 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | UNITED HEALTHCARE-ALL PLANS | UNITED HEALTHCARE-ALL PLANS | $283.50 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Molina Healthcare | Benefit Exchange | $300.00 | $1,000.00 | $500.00 | 2026-01-23 | 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 ↗ |
| 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 ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO 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 HOLY CROSS MEDICAL CENTER 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 CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER 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 ↗ |
| JACOBI MEDICAL 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 ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $20,533.62 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $20,533.62 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 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 ↗ |
| 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 ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $22,998.54 | — | 2025-09-05 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $449.00 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $506.00 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $506.00 | — | — | 2025-06-27 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $506.80 | $3,500.00 | $11,621.93 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $506.80 | $3,500.00 | $11,621.93 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $506.80 | $3,500.00 | $11,621.93 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $506.80 | $3,500.00 | $11,621.93 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $506.80 | $3,500.00 | $11,621.93 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $506.80 | $3,500.00 | $11,621.93 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $506.80 | $3,500.00 | $11,621.93 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $506.80 | $3,500.00 | $11,621.93 | 2025-08-30 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | MEDCOST PPO EMPLOYEES AND RETIREES | MEDCOST PPO EMPLOYEES AND RETIREES | $531.85 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | MEDCOST PPO ULTRA (EMPLOYEES) | MEDCOST PPO ULTRA (EMPLOYEES) | $531.85 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | BCBS PPO/POS/HMO-ALL PLANS | BCBS PPO/POS/HMO-ALL PLANS | $565.54 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | MEDCOST PPO CITY EMPLOYEES | MEDCOST PPO CITY EMPLOYEES | $590.00 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $606.66 | — | — | 2026-04-01 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | MEDCOST PPO COUNTY EMPLOYEE | MEDCOST PPO COUNTY EMPLOYEE | $613.58 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| HENRY COUNTY MEMORIAL HOSPITAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $626.64 | $9,345.00 | $6,541.50 | 2026-04-21 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | Humana | PPO | $640.00 | $19,083.00 | — | 2025-10-31 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $642.62 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $644.57 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Access Other Commercial Plan | $663.91 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $663.91 | — | — | 2026-04-01 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | BENEFIT MGMT, SVCS-ALL PLANS | BENEFIT MGMT, SVCS-ALL PLANS | $688.50 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | PPO SOMC Employees | $690.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | KAISER COMM - ALL OTHER PLANS | KAISER COMM - ALL OTHER PLANS | $693.28 | $1,238.00 | $1,238.00 | 2025-03-18 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $697.66 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $697.66 | — | — | 2026-01-01 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | MEDCOST BENEFIT SVC-ALL OTHER PLANS | MEDCOST BENEFIT SVC-ALL OTHER PLANS | $715.88 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $717.66 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $721.00 | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $721.00 | — | — | 2026-04-01 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Humana | Humanamedicare | $725.09 | — | — | 2026-07-31 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | ACS CONSULT SVC INC-ALL PLANS | ACS CONSULT SVC INC-ALL PLANS | $731.59 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | MEDCOST PPO STANDARD | MEDCOST PPO STANDARD | $731.59 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $737.10 | $810.00 | $486.00 | 2026-07-17 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $737.15 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $737.15 | — | — | 2026-03-20 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $737.15 | — | — | 2025-07-22 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Medical Mutual Of Ohio | POS/PPO/Traditional | $738.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Ppo | $741.00 | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Ppo | $741.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | HMO | $750.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| LANDMARK MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $752.65 | $7,230.06 | $10,126.00 | 2026-03-17 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $757.56 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $757.56 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $757.56 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | All Commercial Plans | $757.56 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Essential Other Commercial Plan | $757.56 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $758.32 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $758.32 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $758.32 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | All Commercial Plans | $758.32 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $758.32 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Medicare Managed Care Plan | $769.69 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Highmark All Commercial Plans | $769.69 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Aetna | Commercial | $770.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| ADVENTHEALTH AVISTA 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 Parker 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 ↗ |
| AdventHealth Littleton OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $777.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Anthem | POS/PPO/Traditional | $780.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Medicare Managed Care Plan | $781.07 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | All Commercial Plans | $781.07 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Other Commercial Plan | $781.07 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Medicare Managed Care Plan | $781.07 | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $787.00 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Highmark Hmo/Pos | $791.87 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | PPO Differential | $800.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $804.46 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | American Postal Workers | APWU Health Plan | $804.46 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $804.46 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payer | $804.46 | — | — | 2026-04-01 | MRF ↗ |
| HENRY COUNTY MEMORIAL HOSPITAL Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $806.78 | $9,345.00 | $6,541.50 | 2026-04-21 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $811.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $811.00 | — | — | 2026-04-01 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | Exchange | $813.12 | — | — | 2026-10-06 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Medical Mutual Of Ohio | HMO | $820.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | $825.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $829.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Cigna | Commercial | $830.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $837.00 | — | — | 2026-04-01 | MRF ↗ |
| SPEARE MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $840.52 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Humana | Commercial | $850.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $867.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Group | PPO No Differential | $870.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| COMMUNITY HOSPITAL ASSOCIATION OutpatientFacility | United Healthcare | All Products | $872.20 | — | — | 2026-08-21 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | United Healthcare | All Payer | $880.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Ohio Health Choice | Commercial | $880.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $883.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $885.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $885.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $894.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $894.74 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $894.74 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $894.74 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $906.94 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Bi | $906.94 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | $906.94 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $906.94 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $906.94 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $906.94 | — | — | 2026-04-01 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $906.94 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $911.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $911.00 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Products Facility | $912.21 | — | — | 2025-07-22 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Ppo/Epo | $917.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access Choice PPO | $919.41 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $919.41 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $919.41 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $920.58 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $920.58 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $920.58 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $920.58 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payers | $920.58 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payers | $920.58 | — | — | 2025-06-27 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Preferred HMO/POS | $923.78 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $923.78 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $923.78 | — | — | 2026-04-01 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Frontpath | Frontpathcommercial | $942.62 | — | — | 2026-07-31 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | First Health | Commercial | $950.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Hmo | $951.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | PHCS | Commercial | $960.00 | $1,000.00 | $500.00 | 2026-01-23 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $964.00 | — | — | 2026-04-01 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Coresource | Coresource | $969.05 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | First Health | Firsthealthcommercial | $969.05 | — | — | 2026-07-31 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Ppo/Epo | $980.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Ppo/Epo | $982.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Ppo/Epo | $982.00 | — | — | 2026-04-01 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $990.40 | $1,238.00 | $1,238.00 | 2025-03-18 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $993.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $995.59 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $995.59 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $995.59 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $995.59 | — | — | 2026-01-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access PPO | $996.35 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $996.35 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $996.35 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,027.36 | — | — | 2026-04-01 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $1,045.33 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $1,045.33 | — | — | 2025-06-04 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,049.30 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Choice All Commercial Plans | $1,049.30 | — | — | 2026-04-01 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $1,052.30 | $1,238.00 | $1,238.00 | 2025-03-18 | MRF ↗ |
| MONADNOCK COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Fep Other Commercial Plan | $1,052.55 | — | — | 2026-04-01 | MRF ↗ |
| MONADNOCK COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Pos/Ppo | $1,052.55 | — | — | 2026-04-01 | MRF ↗ |
| MONADNOCK COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Pos/Ppo | $1,052.55 | — | — | 2026-04-01 | MRF ↗ |
| MONADNOCK COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem Fep Other Commercial Plan | $1,052.55 | — | — | 2026-04-01 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BCBS_TEXAS_HMO | BLUE CROSS BLUE SHIELD TX HMO | $1,061.00 | $53,231.03 | $8,033.81 | 2024-09-02 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | HMO | $1,065.92 | — | — | 2026-10-06 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | PPO | $1,065.92 | — | — | 2026-10-06 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $1,073.72 | — | — | 2026-04-01 | 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.