0484T — Tmvi Transthoracic Exposure
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tmvi transthoracic exposure (OTHER 0484T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0484T?code_type=OTHER
MLA (9th ed.)
“Tmvi transthoracic exposure (OTHER 0484T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0484T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Tmvi transthoracic exposure (OTHER 0484T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0484T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,281–$11,887 (25th–75th percentile) across 438 hospitals · 266 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0484T — 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 |
|---|---|---|---|---|---|---|---|
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $17,487.00 | — | 2025-06-28 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Aetna | Medicare Advantage | $117.50 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Aetna | Medicare Advantage | $117.50 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Aetna | Medicare Advantage | $117.50 | $235.00 | $117.50 | 2026-08-01 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Carefirst | Exchange Hmo | $129.25 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Carefirst | Hmo | $129.25 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Hmo | $129.25 | $235.00 | $117.50 | 2026-08-01 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Exchange Hmo | $129.25 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Hmo | $129.25 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Exchange Hmo | $129.25 | $235.00 | $117.50 | 2026-08-01 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Hmo | $135.85 | $247.00 | $123.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Carefirst | Hmo | $135.85 | $247.00 | $123.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Hmo | $135.85 | $247.00 | $123.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Carefirst | Ppo | $136.30 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Ppo | $136.30 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Exchange Ppo | $136.30 | $235.00 | $117.50 | 2026-08-01 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Ppo | $136.30 | $235.00 | $117.50 | 2026-08-01 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Exchange Ppo | $136.30 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Carefirst | Exchange Ppo | $136.30 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Ppo | $143.26 | $247.00 | $123.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Carefirst | Ppo | $143.26 | $247.00 | $123.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Ppo | $143.26 | $247.00 | $123.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Kaiser | Hmo | $183.30 | $235.00 | $117.50 | 2026-08-01 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Kaiser | Hmo | $183.30 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Kaiser | Ppo | $183.30 | $235.00 | $117.50 | 2026-08-01 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Kaiser | Ppo | $183.30 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Kaiser | Hmo | $183.30 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Kaiser | Ppo | $183.30 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Hmo | $192.66 | $247.00 | $123.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Kaiser | Hmo | $192.66 | $247.00 | $123.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Kaiser | Ppo | $192.66 | $247.00 | $123.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Kaiser | Hmo | $192.66 | $247.00 | $123.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Ppo | $192.66 | $247.00 | $123.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Kaiser | Ppo | $192.66 | $247.00 | $123.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Humana | Ppo | $199.75 | $235.00 | $117.50 | 2026-08-01 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Humana | Hmo | $199.75 | $235.00 | $117.50 | 2026-08-01 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Humana | Ppo | $199.75 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Humana | Ppo | $199.75 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Humana | Hmo | $199.75 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Humana | Hmo | $199.75 | $235.00 | $117.50 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | Rite Care Other Commercial Plan | $480.00 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | Rite Care Other Commercial Plan | $480.00 | — | — | 2026-04-01 | MRF ↗ |
| CROOK COUNTY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $507.00 | — | — | 2026-04-01 | MRF ↗ |
| CROOK COUNTY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $507.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Unitedhealthcare - Asc | All Commercial Plans | $728.00 | — | — | 2026-04-01 | MRF ↗ |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER OutpatientFacility | UnitedHealthCare | All Commercial Plans | $785.00 | — | — | 2026-03-31 | MRF ↗ |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $996.00 | — | — | 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 ↗ |
| 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 ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products Non MD | $1,080.54 | $21,777.00 | $4,355.40 | 2026-03-27 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $1,081.62 | — | — | 2026-04-01 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | United Healthcare | Commercial | — | $20,702.00 | $12,421.20 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $1,128.63 | $20,702.00 | $12,421.20 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | UPMC Work Partners | Workers Comp | — | $20,702.00 | $12,421.20 | 2026-03-06 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $1,142.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $1,142.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $1,142.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $1,142.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $1,142.00 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $1,145.76 | — | — | 2026-04-01 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products Non MD | $1,148.08 | $21,777.00 | $4,355.40 | 2026-03-27 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Shield - Asc | All Commercial Plans | $1,152.60 | — | — | 2026-04-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NAVIGATE | $1,185.00 | $0.01 | — | 2026-01-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE OutpatientFacility | Medica | Exchange | $1,189.00 | — | — | 2026-04-01 | MRF ↗ |
| Alliancehealth Seminole OutpatientFacility | Medica | Exchange | $1,189.00 | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $1,216.37 | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $1,216.37 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $1,216.37 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $1,216.37 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $1,216.37 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $1,216.37 | — | — | 2026-04-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $1,243.86 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $1,243.86 | — | — | 2026-01-01 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products MD | $1,283.15 | $21,777.00 | $4,355.40 | 2026-03-27 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Payor Other Commercial Plan | $1,306.00 | — | — | 2026-03-31 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products MD | $1,350.68 | $21,777.00 | $4,355.40 | 2026-03-27 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $1,350.68 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Essential Other Commercial Plan | $1,350.68 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $1,350.68 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | All Commercial Plans | $1,350.68 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $1,350.68 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | UHC | All Products | $1,354.00 | — | — | 2025-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NON OPTIONS | $1,354.00 | $0.01 | — | 2026-01-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Essential Plans | $1,358.08 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Essential Plans | $1,358.08 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Essential Plans | $1,358.08 | — | — | 2026-04-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $1,359.42 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $1,359.42 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $1,359.42 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $1,359.42 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $1,359.42 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $1,359.42 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $1,359.42 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $1,359.42 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $1,359.42 | — | — | 2026-01-01 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Work Partners | Workers Comp | — | $20,702.00 | $12,421.20 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $1,370.74 | $20,702.00 | $12,421.20 | 2026-03-06 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Highmark All Commercial Plans | $1,372.31 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Medicare Managed Care Plan | $1,372.31 | — | — | 2026-04-01 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Aetna | Medicare | $1,394.48 | $20,702.00 | $12,421.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | UPMC Work Partners | Workers Comp | — | $20,702.00 | $12,421.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Aetna | Medicare | $1,394.48 | $20,702.00 | $12,421.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | United Healthcare | Commercial | — | $20,702.00 | $12,421.20 | 2026-03-06 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $1,397.94 | $45,000.00 | $27,000.00 | 2026-03-06 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Highmark Hmo/Pos | $1,411.86 | — | — | 2026-04-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | $1,435.00 | — | — | 2026-09-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Magnacare | Magnacare | $1,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Centivo | Centivo Network | — | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $1,510.53 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $1,510.53 | — | — | 2026-01-01 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | Options Ppo | $1,511.00 | — | — | 2026-03-31 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $1,523.69 | — | — | 2025-07-22 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $1,523.69 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $1,523.69 | — | — | 2026-03-20 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Unitedhealthcare | Core/Navigate Other Commercial Plan | $1,546.00 | — | — | 2026-04-01 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | HMO | $1,547.00 | — | — | 2026-05-12 | MRF ↗ |
| SENTARA MARTHA JEFFERSON HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,547.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,566.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,566.00 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,568.00 | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Unitedhealthcare | Hmo, Navigate, Select, Select Plus Hmo | $1,631.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $1,635.45 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,635.45 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,635.45 | — | — | 2026-04-01 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | PPO | $1,643.00 | — | — | 2026-05-12 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,649.00 | — | — | 2026-04-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | United Healthcare | All Products | $1,649.00 | — | — | 2025-05-02 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,649.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH GORDON OutpatientFacility | Bcbs | Hmo | $1,665.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access Choice PPO | $1,680.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $1,680.55 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $1,680.55 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $1,685.98 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Preferred HMO/POS | $1,688.54 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,688.54 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,688.54 | — | — | 2026-04-01 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $1,693.67 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $1,693.67 | — | — | 2025-06-04 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,729.00 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $1,736.56 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Access Other Commercial Plan | $1,736.56 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payers | $1,736.68 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $1,736.68 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $1,736.68 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payer | $1,736.68 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $1,736.68 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $1,736.68 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | American Postal Workers | APWU Health Plan | $1,736.68 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payers | $1,736.68 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $1,736.68 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $1,736.68 | — | — | 2025-06-27 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $1,754.91 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $1,754.91 | — | — | 2026-04-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1,755.45 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1,755.45 | — | — | 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.