0617T — Insj Iris Prosth W/rmvl&insj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Insj iris prosth w/rmvl&insj (OTHER 0617T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0617T?code_type=OTHER
MLA (9th ed.)
“Insj iris prosth w/rmvl&insj (OTHER 0617T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0617T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Insj iris prosth w/rmvl&insj (OTHER 0617T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0617T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,633–$11,059 (25th–75th percentile) across 388 hospitals · 186 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0617T — 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 |
|---|---|---|---|---|---|---|---|
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Shield - Asc | All Commercial Plans | $355.95 | — | — | 2026-04-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $560.09 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $560.09 | — | — | 2026-03-20 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $572.22 | — | — | 2025-07-22 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $576.61 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $576.61 | — | — | 2025-06-04 | MRF ↗ |
| COMMUNITY HOSPITAL ASSOCIATION OutpatientFacility | United Healthcare | All Products | $577.85 | — | — | 2026-08-21 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $594.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $594.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $594.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $610.43 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access Choice PPO | $610.43 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $610.43 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $613.33 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Preferred HMO/POS | $613.33 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $613.33 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $620.14 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $620.14 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $648.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $648.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $648.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $648.04 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $649.92 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access PPO | $661.52 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $661.52 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $661.52 | — | — | 2026-04-01 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $670.64 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $670.64 | — | — | 2025-12-27 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Health Alliance Plan | Varipro Other Commercial Plan | $712.61 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Health Alliance Plan | Exchange | $712.61 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Health Alliance Plan | Ahlic Ppo | $712.61 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Health Alliance Plan | Hmo | $712.61 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Health Alliance Plan | Exchange | $712.61 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Health Alliance Plan | Hmo | $712.61 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $712.88 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $712.88 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $712.88 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $736.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $736.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $736.66 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Products Facility | $744.15 | — | — | 2025-07-22 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $754.97 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $754.97 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $754.97 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $754.97 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $754.97 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $754.97 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $754.97 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $754.97 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $754.97 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $754.97 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $754.97 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $754.97 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP PREFERRED | 1210_SJPK,SJPR HAP PREFERRED 20241001 | $764.06 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP PREFERRED | 1210_SJPK,SJPR HAP PREFERRED 20241001 | $764.06 | — | — | 2026-01-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Health Alliance Plan | Exchange | $796.26 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Health Alliance Plan | Hmo | $796.26 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Health Alliance Plan | Ahlic Ppo | $796.26 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO 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 ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Fully Insured | $871.65 | — | — | 2025-06-28 | 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 ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $885.13 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access Choice PPO | $885.13 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $885.13 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Preferred HMO/POS | $889.34 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $889.34 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $889.34 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 3-4 | $893.71 | — | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 1-2 | $893.71 | — | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 200-250 | $893.71 | — | — | 2026-09-05 | 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 ↗ |
| Alliancehealth Seminole OutpatientFacility | Medica | Exchange | $917.57 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE OutpatientFacility | Medica | Exchange | $917.57 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Preferred HMO/POS | $920.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $920.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $920.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $946.17 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $946.17 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access Choice PPO | $946.17 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Hmo | $951.00 | — | — | 2026-04-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Both | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $972.77 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Both | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $972.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Both | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $972.77 | — | — | 2026-01-01 | 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 ↗ |
| 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 ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,039.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,039.63 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $1,039.63 | — | — | 2026-04-01 | MRF ↗ |
| KADLEC REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Asuris All Commercial Plans | $1,048.17 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,193.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,193.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,193.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,193.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,193.00 | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $1,200.00 | $12,372.15 | — | 2025-09-05 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | QUARTZ | ALL PRODUCTS | $1,250.58 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | QUARTZ | ALL PRODUCTS | $1,250.58 | — | — | 2026-03-20 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Medicaid | $1,258.96 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Shield | Epn Exchange | $1,293.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $1,294.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $1,294.08 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access Choice PPO | $1,294.08 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $1,299.98 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $1,299.98 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,300.28 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,300.28 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Preferred HMO/POS | $1,300.28 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $1,303.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $1,303.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $1,303.66 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,354.49 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,354.49 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $1,354.49 | — | — | 2026-04-01 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $1,400.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH GORDON OutpatientFacility | Bcbs | Hmo | $1,402.00 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $1,406.39 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $1,406.39 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $1,406.39 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $1,406.39 | — | — | 2025-07-22 | MRF ↗ |
| Ascension Via Christi Rehabilitation Hospital Outpatient | AETNA | 1369_AETNA RHKS 20241101 | $1,424.12 | — | — | 2026-01-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $1,434.52 | — | — | 2025-07-22 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $1,453.38 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $1,453.38 | — | — | 2026-04-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $1,463.65 | — | — | 2025-06-27 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Pos | $1,487.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Pos | $1,487.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Ppo/Epo | $1,487.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Ppo/Epo | $1,487.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Pos | $1,488.94 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Shield | Hmo/Pos | $1,488.94 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Pos | $1,488.94 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $1,508.25 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $1,508.25 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access PPO | $1,508.25 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $1,532.97 | — | — | 2025-07-22 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $1,591.95 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $1,591.95 | — | — | 2025-01-01 | MRF ↗ |
| BERGER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $1,610.34 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo Other Commercial Plan | $1,617.80 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo Other Commercial Plan | $1,617.80 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative | Badgercare | $1,629.69 | — | — | 2025-07-22 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Cross - Asc | All Commercial Plans | $1,655.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $1,655.63 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $1,655.63 | — | — | 2025-01-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $1,657.48 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $1,657.48 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $1,657.48 | — | — | 2026-04-01 | MRF ↗ |
| Ascension Saint Thomas Hospital Midtown Outpatient | CIGNA LOCALPLUS | 1315_BHTN CIGNA LOCALPLUS 20250601 | $1,669.50 | — | — | 2026-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $1,671.55 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $1,671.55 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $1,671.55 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $1,671.55 | — | — | 2025-01-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $1,678.68 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $1,678.68 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access Choice PPO | $1,678.68 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,686.70 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,686.70 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Preferred HMO/POS | $1,686.70 | — | — | 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.