0613T — Perq Tcat Intratrl Septl Sht
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PERQ TCAT INTRATRL SEPTL SHT (CPT 0613T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0613T?code_type=CPT
MLA (9th ed.)
“PERQ TCAT INTRATRL SEPTL SHT (CPT 0613T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0613T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PERQ TCAT INTRATRL SEPTL SHT (CPT 0613T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0613T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,729–$14,182 (25th–75th percentile) across 596 hospitals · 508 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0613T — 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 |
|---|---|---|---|---|---|---|---|
| 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 | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Social Mission | — | — | — | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Community Blue | — | — | — | 2026-07-15 | 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 ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Bc State | — | — | — | 2026-09-21 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Sc Preferred | — | — | — | 2026-09-21 | MRF ↗ |
| HILTON HEAD REGIONAL 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 ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Choice | — | — | — | 2026-09-21 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Hmo Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Hmo Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Aetna | Aetnacommercial | — | — | — | 2026-07-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Highmark | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Highmark | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Highmark | Chip | — | — | — | 2026-07-15 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | 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 ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $890.00 | $498.40 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL OutpatientFacility | Denver Health Medical Plan | Medicaid Choice | $186.59 | — | — | 2025-11-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $219.35 | — | — | 2025-12-23 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | STAR+PLUS | $277.04 | — | — | 2025-10-14 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | UNITED | Medicaid|All Other Plans | $315.55 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $315.55 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | UNITED | Medicaid|All Other Plans | $315.55 | $3,867.00 | $676.73 | 2026-02-28 | 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 ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $405.71 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $405.71 | — | — | 2026-03-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-18 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $890.00 | $498.40 | 2026-07-17 | MRF ↗ |
| Shepherd Center Outpatient | United Healthcare | Commercial | $424.00 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | United Healthcare | Commercial | $424.00 | — | — | 2026-05-06 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | — | — | — | $1,108.00 | $277.00 | 2025-06-20 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $492.66 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $492.66 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $502.71 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $502.71 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $502.71 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $502.71 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $512.77 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $512.77 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $517.80 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $517.80 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $537.90 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $537.90 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $593.00 | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $596.00 | — | — | 2026-04-30 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $600.00 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $600.00 | — | — | 2026-03-01 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $648.00 | — | — | 2026-05-08 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | United Healthcare | Commercial | $650.00 | — | — | 2026-01-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | PPO/Commercial | $657.00 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $657.00 | — | — | 2026-04-30 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Cigna | PPO | — | $6,615.00 | $6,615.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Multiplan/PHCS | PPO | — | $6,615.00 | $6,615.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $6,615.00 | $6,615.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $6,615.00 | $6,615.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $6,615.00 | $6,615.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO | — | $6,615.00 | $6,615.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Commercial | — | $6,615.00 | $6,615.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $661.50 | $6,615.00 | $6,615.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $6,615.00 | $6,615.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $6,615.00 | $6,615.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $6,615.00 | $6,615.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $6,615.00 | $6,615.00 | 2026-04-15 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $671.00 | — | — | 2026-02-06 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-06 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $691.00 | — | — | 2026-04-01 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | UNITED | Medicaid|STARPLUS | $696.06 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | UNITED | Medicaid|STARPLUS | $696.06 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | UNITED | Medicaid|STARPLUS | $696.06 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | MHSO Medicare Cost & Select | $711.00 | — | — | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | Choice Care | $711.00 | — | — | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | Minnesota Health Care Programs | $711.00 | — | — | 2026-02-12 | MRF ↗ |
| ORTONVILLE AREA HEALTH SERVICES OutpatientFacility | Medica ChoiceCare/Accessibility Solution/MinnesotaCare | Commercial | $711.00 | — | — | 2025-07-07 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC OutpatientFacility | Medica | Managed Medicaid | $711.00 | — | — | 2026-05-21 | MRF ↗ |
| ORTONVILLE AREA HEALTH SERVICES OutpatientFacility | Medica ChoiceCare/Accessibility Solution/MinnesotaCare | Commercial | $711.00 | — | — | 2025-07-07 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES OutpatientFacility | Medica | Managed Medicaid | $722.00 | — | — | 2026-03-17 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | PPO/Commercial | $723.00 | — | — | 2026-04-30 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $724.00 | — | — | 2026-04-01 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Ambetter | Commercial|All Plans | $728.93 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Ambetter | Commercial|All Plans | $728.93 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMBLEM] | [GHI] | $729.00 | $1,620.00 | $1,620.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMBLEM] | [HIP] | $729.00 | $1,620.00 | $1,620.00 | 2024-09-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $732.66 | — | — | 2026-03-01 | MRF ↗ |
| University Of Toledo Medical Center Both | [Anthem] | [Pathway Exchange] | $741.00 | — | — | 2026-07-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $746.00 | — | — | 2026-03-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Medicare Advantage | $746.04 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $746.04 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $746.04 | — | — | 2025-10-24 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Commercial|Exchange | $754.07 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Commercial|Exchange | $754.07 | $3,867.00 | $676.73 | 2026-02-28 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Traditional | $760.22 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Ppo | $760.22 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Hmo | $760.22 | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Blue Shield | EPN | $763.00 | — | — | 2024-10-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $764.00 | — | — | 2026-01-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Tiered Freedom Plan | $775.00 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan - Dhp | $775.00 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $781.66 | $43,904.00 | $17,561.60 | 2026-07-18 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Nebraska Total Care | Managed Medicaid | $801.19 | $3,081.51 | $2,465.21 | 2026-01-28 | MRF ↗ |
| Riverside Community Hospital Outpatient | Blue Shield | EPN | $803.00 | — | — | 2026-03-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [Aetna] | [Whole Health/APCN+, Premier Care Network, and NY Preferred] | $826.20 | $1,620.00 | $1,620.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [Aetna] | [Gatekeeper & Non-Gatekeeper] | $826.20 | $1,620.00 | $1,620.00 | 2024-09-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare - Commercial Hmo Ppo | All Payor | $834.00 | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Ppo | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Ochsner Health Plan | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Optum Va Ccn | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Peoples Health Network � Medicare Advantage | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Triwest Military - Tricare | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Health Inc. Ppo/Pos | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Health Inc. - Medicare Advantage | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Verity Commercial And First Choice Network | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Wellcare Of Louisiana | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Zelis | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Cigna Healthcare | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Medicare Advantage | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare - Medicare Advantage | All Payor | — | — | — | 2026-08-17 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $835.56 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Commercial | $835.56 | — | — | 2026-06-30 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $842.00 | — | — | 2026-04-01 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $850.74 | $3,867.00 | $676.73 | 2026-02-28 | 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.