0569T — Ttvr Perq Appr 1st Prosth
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ttvr perq appr 1st prosth (CPT 0569T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0569T?code_type=CPT
MLA (9th ed.)
“Ttvr perq appr 1st prosth (CPT 0569T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0569T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Ttvr perq appr 1st prosth (CPT 0569T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0569T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,499–$19,726 (25th–75th percentile) across 853 hospitals · 1,817 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0569T — 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 |
|---|---|---|---|---|---|---|---|
| SUMMIT MEDICAL CENTER Outpatient | HealthChoice | HealthChoice | $0.60 | — | — | 2026-08-30 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $16,361.00 | — | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $75,161.77 | $48,855.15 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $75,161.77 | $48,855.15 | 2025-11-26 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | 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 ↗ |
| 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 ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Molina | Molina Medi-Cal | $62.14 | $25,000.00 | $18,750.00 | 2026-04-01 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $75,161.77 | $48,855.15 | 2025-11-26 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Local Individual | $110.42 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $129.72 | $22,747.00 | $22,747.00 | 2026-07-31 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $129.72 | $22,746.78 | $22,746.78 | 2026-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | MedCost | Employee Managed Care | $130.68 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Uhc Comm Care | Medicaid | $132.00 | — | — | 2026-07-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Uhc | Ppo | $132.00 | — | — | 2026-07-17 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Complete Care | Magellan Complete Care | $138.80 | $22,746.78 | $22,746.78 | 2026-08-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Complete Care | Magellan Complete Care | $138.80 | $22,747.00 | $22,747.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Partners | Medicaid Tailored Plan | $149.16 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Carolina Complete | Medicaid Managed Care | $149.16 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Amerihealth | Medicaid Managed Care | $149.16 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Health Blue | Medicaid Managed Care | $149.16 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Vaya | Medicaid Tailored Plan | $150.68 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | HPN | $151.01 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Wellcare | Medicaid Managed Care | $151.07 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | United Healthcare | Medicaid Managed Care | $151.07 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Alliance | Medicaid Tailored Plan | $152.13 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Trillium | Medicaid Tailored Plan | $153.65 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-18 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-17 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $930.00 | $520.80 | 2026-07-18 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Aetna | IVL Exchange | $156.42 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $163.64 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $163.64 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | COVENTRY MEDICARE [50311205] | Aetna/Coventry Medicare Adv HMO PPO | $164.60 | $1,247.00 | $249.40 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | AETNA MEDICARE [50311203] | Aetna/Coventry Medicare Adv HMO PPO | $164.60 | $1,247.00 | $249.40 | 2026-04-08 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $169.69 | $31,897.00 | $31,897.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $169.69 | $31,897.00 | $31,897.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $169.69 | $31,897.00 | $31,897.00 | 2026-07-15 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Value | $170.28 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Amerihealth | Managed Care | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare | Managed Care | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Alignment Medicare | Medicare Advantage | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna | Transplant Services | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna Evernorth | Behavioral Health | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Health Blue | Medicaid Managed Care | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare | IEX Individual Managed Care | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna | Behavioral Health | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO/PPO | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Vaya | Medicaid Tailored Plan | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna Healthsprings | Medicare Advantage | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna | IVL Exchange | $174.90 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna Whole Health | Behavioral Health | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Carolina Behavioral Health | Behavioral Health | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Apex | Medicare Advantage | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare/Optum Behavioral Health | Behavioral Health | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna LifeSource | Transplant Services | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Devoted | Medicare Advantage | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | HealthTeam | Medicare Advantage | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Alliance | Medicaid Tailored Plan | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna | Managed Care (Adult) | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Local Individual | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Amerihealth | Medicaid Managed Care | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Wellcare | Medicaid Managed Care | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare | Medicaid Managed Care | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna | Managed Care (Pediatrics) | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Humana | Transplant Services | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Value | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Trillium | Medicaid Tailored Plan | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna North Carolina Preferred | Behavioral Health | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | HPN | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Magellan | Behavioral Health | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Liberty | Medicare Advantage | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Partners | Medicaid Tailored Plan | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna Healthsprings | Behavioral Health | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Ambetter | Managed Care | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Wellcare | Medicare Advantage | — | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Amerihealth | Managed Care | $177.87 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Ambetter | Managed Care | $178.20 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | HMO/PPO | $179.72 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL OutpatientFacility | Denver Health Medical Plan | Medicaid Choice | $186.59 | — | — | 2025-11-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $186.88 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Medicare Advantage | $186.88 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $186.88 | — | — | 2025-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | MedCost | Ultra Managed Care | $190.74 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Aetna Whole Health | Managed Care | $193.38 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Aetna Better Health Ky | Managed Care Medicaid Plan | $195.25 | $781.00 | $398.31 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Humana Ky | Managed Care Medicaid Plan | $195.25 | $781.00 | $398.31 | 2026-07-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $195.56 | $19,556.15 | $14,667.11 | 2026-07-31 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Oscar | Managed Care | $198.00 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | MedCost | Employee Managed Care | $201.96 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Cigna | Managed Care (Pediatrics) | $201.96 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Passport Ky | Managed Care Medicaid Plan | $203.06 | $781.00 | $398.31 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Wellcare Ky | Managed Care Medicaid Plan | $205.40 | $781.00 | $398.31 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | United Health Care Ky | Managed Care Medicaid Plan | $206.18 | $781.00 | $398.31 | 2026-07-18 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $209.31 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Commercial | $209.31 | — | — | 2026-06-30 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna Whole Health | Managed Care | $211.86 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna North Carolina Preferred | Managed Care | $215.16 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | MedCost | MBS Managed Care | $218.46 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $219.35 | $40,846.00 | $20,423.00 | 2025-12-23 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Cigna | Managed Care (Adult) | $231.00 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $234.67 | $19,556.15 | $14,667.11 | 2026-07-17 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Oscar | Managed Care | $237.60 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $238.76 | — | — | 2026-07-15 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | MedCost | Ultra Managed Care | $238.92 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $254.23 | $19,556.15 | $14,667.11 | 2026-08-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | CareSource | Medicaid | $257.50 | $42,904.00 | $6,435.60 | 2026-02-27 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $26,693.00 | $18,685.10 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $26,693.00 | $18,685.10 | 2026-07-15 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Aetna | Broad Network | $264.66 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna | Broad Network | $270.60 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $273.79 | $19,556.15 | $14,667.11 | 2026-08-01 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $274.26 | — | — | 2026-07-15 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | STAR+PLUS | $277.04 | — | — | 2025-10-14 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology UPW | Medicare Advantage | $301.09 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Medicare Advantage | $301.09 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology UPW | Commercial | $306.50 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Commercial | $306.50 | — | — | 2025-08-01 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | ALT CENPATICO KS MCAID BEHAVIORAL [503201518] | Cenpatico - Sunflower BH (KS Medicaid) | $311.75 | $1,247.00 | $249.40 | 2026-04-08 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | HMO/PPO/Traditional | $315.50 | — | — | 2026-02-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $324.37 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $324.37 | — | — | 2026-05-23 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $333.38 | $42,904.00 | $6,435.60 | 2026-02-27 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | HOME STATE HEALTH PLAN [503201507] | Medicaid MO Home State Health Plan | $336.69 | $1,247.00 | $249.40 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | BCBS MEDICAID OOS [503999920] | Medicaid MO Healthy Blue MO | $346.79 | $1,247.00 | $249.40 | 2026-04-08 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $352.70 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Humana ChoiceCare | Managed Care | $361.02 | $660.00 | $330.00 | 2025-10-08 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology UPW | Medicare Advantage | $361.31 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicare Advantage | $361.31 | — | — | 2025-08-01 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICARE [1002] | ANTHEM MEDIBLUE MEDICARE [100205] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICARE [2184] | MOLINA MYCARE DUAL [218401] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICARE [1003] | HUMANA MEDICARE [100303] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICARE [1002] | ANTHEM MEDIBLUE MEDICARE [100205] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MEDIGOLD PPO [2204] | MEDIGOLD/MT CARMEL MEDICARE [220401] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICARE [2184] | MOLINA MYCARE DUAL [218401] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MEDIGOLD PPO [2204] | MEDIGOLD/MT CARMEL MEDICARE [220401] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | OPTUM VA [3091] | VA COMMUNITY CARE/OPTUM [309101] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | OPTUM VA [3091] | VA COMMUNITY CARE/OPTUM [309101] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MEDICAL MUTUAL MEDICARE [1006] | MEDICAL MUTUAL MEDICARE [100601] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA MEDICARE [1001] | AETNA MEDICARE [100101] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC MEDICARE [1004] | UHC MEDICARE [100403] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA MEDICARE [1001] | AETNA MEDICARE [100101] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICARE [1003] | HUMANA MEDICARE [100303] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC MEDICARE [1004] | UHC MEDICARE [100403] | $365.54 | $4,615.00 | $2,769.00 | 2025-12-19 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | LARNED STATE HOSPITAL [503200090] | Larned State Hospital | $367.87 | $1,247.00 | $249.40 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | OSCAR [503201609] | Oscar Commercial | $374.10 | $1,247.00 | $249.40 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | AETNA [503200004] | Aetna Exchange | $374.10 | $1,247.00 | $249.40 | 2026-04-08 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Cigna Health Care Insurance | All Commericial Plans | $374.88 | $781.00 | $398.31 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource Oh Insurance | All Exchange Plans | $374.88 | $781.00 | $398.31 | 2026-07-18 | 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.