0620T — Evasc Ven Artlz Tibl/prnl Vn
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EVASC VEN ARTLZ TIBL/PRNL VN (CPT 0620T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0620T?code_type=CPT
MLA (9th ed.)
“EVASC VEN ARTLZ TIBL/PRNL VN (CPT 0620T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0620T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“EVASC VEN ARTLZ TIBL/PRNL VN (CPT 0620T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0620T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,988–$41,617 (25th–75th percentile) across 899 hospitals · 1,943 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0620T — 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 |
|---|---|---|---|---|---|---|---|
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | 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 ↗ |
| EAST COOPER 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 ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | VISTA | COVENTRY MEDICAID | $167.89 | $148,402.00 | $96,461.30 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $148,402.00 | $96,461.30 | 2026-03-30 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $17,727.00 | $11,522.55 | 2026-03-13 | 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 ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $363.05 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $363.05 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $363.05 | — | — | 2026-03-18 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $377.19 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $377.19 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $377.19 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $377.19 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $392.00 | $29,762.00 | $19,345.30 | 2026-03-31 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $416.06 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $416.06 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $416.06 | — | — | 2026-03-18 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $36,543.00 | $16,444.35 | 2026-03-13 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $453.00 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $453.00 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $453.00 | — | — | 2026-03-18 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $456.08 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $456.08 | — | — | 2026-03-01 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $525.00 | — | — | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $525.00 | — | — | 2025-06-26 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Blue Shield of California | EPN | $570.02 | $48,430.00 | $21,793.50 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Blue Shield of California | EPN | $570.02 | $48,430.00 | $21,793.50 | 2026-02-19 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $593.00 | — | — | 2026-04-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPN | $639.21 | $40,008.00 | $18,003.60 | 2026-02-19 | MRF ↗ |
| Utmb Galveston Transplant Both | Veteran'S Administration | Triwest | $665.04 | $22,050.00 | $9,040.50 | 2026-07-15 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $17,727.00 | $11,522.55 | 2026-03-13 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $691.00 | — | — | 2026-04-01 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Humana | Medicare | $707.11 | $22,050.00 | $7,089.42 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | United Healthcare | Medicare | $707.11 | $22,050.00 | $7,089.42 | 2026-07-15 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $724.00 | — | — | 2026-04-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $743.34 | — | — | 2025-10-24 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Blue Shield | EPN | $763.00 | — | — | 2024-10-01 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Molina | Managed Medicaid | $778.87 | $40,630.95 | $20,315.48 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Molina | Managed Medicaid | $778.87 | $40,630.95 | $20,315.48 | 2025-12-04 | 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 ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna Senior Health Plan | MCR | $818.00 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Aetna Senior Health Plan | MCR | $818.00 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $823.63 | — | — | 2026-03-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $842.00 | — | — | 2026-04-01 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | Aetna | Commercial | $850.00 | — | — | 2026-01-30 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | EPN/IFP | $860.31 | — | — | 2025-11-26 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $868.00 | — | — | 2026-04-01 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Inpatient | Employee Health Plan | Employee Health Plan | $926.33 | $1,942.00 | $1,942.00 | 2026-07-20 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldHIX | $946.73 | — | — | 2025-01-31 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield | HMO/POS | $949.72 | — | — | 2026-06-18 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $951.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $951.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $951.00 | — | — | 2026-09-21 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $951.00 | — | — | 2026-09-21 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $951.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $951.00 | — | — | 2026-05-22 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Both | BLUE SHIELD [30102] | BS COV CA OCDC - FKA EPMG [3010206] | $954.42 | $47,617.00 | $15,713.61 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Both | BLUE SHIELD [30102] | BLUE SHIELD COVERED CALIFORNIA [3010202] | $954.42 | $47,617.00 | $15,713.61 | 2026-04-02 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $964.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $965.00 | — | — | 2026-04-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Shield of California | Commercial | $979.68 | $40,008.00 | $18,003.60 | 2026-02-19 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Aetna | Ppo | $993.00 | — | — | 2026-07-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Aetna | Ppo | $993.00 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $998.15 | — | — | 2026-07-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1,005.69 | — | — | 2026-03-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,050.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,050.00 | — | — | 2026-05-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield | EPO/PPO | $1,083.74 | — | — | 2026-06-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Community First Health Plan | Commercial | $1,103.00 | — | — | 2025-10-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $1,111.05 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $1,111.05 | — | — | 2026-05-23 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | PPO | $1,119.33 | $3,803.43 | $2,472.23 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | POS | $1,119.33 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | EPO | $1,119.33 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | HMO | $1,119.33 | — | — | 2025-11-26 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | UnitedHealthcare | Quest | $1,140.00 | — | — | 2026-02-12 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Self-Pay(Using Community Rates) | Self-Pay(Using Community Rates) | $1,165.20 | $1,942.00 | $1,942.00 | 2026-07-20 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Aetna | Aetna | $1,176.85 | $1,942.00 | $1,942.00 | 2026-08-01 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Aetna | Aetna | $1,176.85 | $1,942.00 | $1,942.00 | 2026-07-20 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,178.65 | — | — | 2026-04-01 | MRF ↗ |
| HCA HEALTHONE MOUNTAIN RIDGE Outpatient | Cigna | Connect-SBP | $1,187.00 | — | — | 2026-03-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Hmo/Ppo | $1,188.00 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $1,188.86 | $10,493.00 | $3,210.86 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF ALABAMA HOSPITAL OutpatientFacility | TriWest | Qualifying Choice Program | $1,209.16 | — | — | 2026-02-19 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $1,224.94 | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Blue Shield | Comm | $1,229.00 | — | — | 2024-10-01 | MRF ↗ |
| Shepherd Center Outpatient | United Healthcare | Commercial | $1,265.00 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | United Healthcare | Commercial | $1,265.00 | — | — | 2026-09-21 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $36,959.15 | $14,783.66 | 2024-12-02 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $29,830.81 | $11,932.33 | 2026-02-03 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $36,907.97 | $14,763.19 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $36,959.15 | $14,783.66 | 2024-12-02 | MRF ↗ |
| Bob Wilson Memorial Hospital OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $28,074.61 | $11,229.84 | 2024-12-02 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $29,830.81 | $11,932.33 | 2026-02-03 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $36,959.15 | $14,783.66 | 2024-12-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $32,438.44 | $12,975.38 | 2024-12-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $36,959.15 | $14,783.66 | 2024-12-02 | MRF ↗ |
| ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $36,959.15 | $14,783.66 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $36,959.15 | $14,783.66 | 2024-12-02 | MRF ↗ |
| Bob Wilson Memorial Hospital OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $28,074.61 | $11,229.84 | 2024-12-02 | MRF ↗ |
| ST. CATHERINE HOSPITAL - GARDEN CITY OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $28,074.61 | $11,229.84 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $1,267.00 | $36,959.15 | $14,783.66 | 2024-12-02 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $1,281.20 | $10,493.00 | $3,210.86 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $1,281.20 | $10,493.00 | $3,210.86 | 2026-07-18 | MRF ↗ |
| Riverside Community Hospital Outpatient | Blue Shield | COMM | $1,294.00 | — | — | 2026-03-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $1,294.46 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Hmo | $1,309.24 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Ppo/Epo | $1,309.24 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Blue Shield | Epn Exchange | $1,310.00 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $1,321.07 | $10,493.00 | $3,210.86 | 2026-07-18 | MRF ↗ |
| University Of Toledo Medical Center Both | [Aetna] | [Ppo Hmo Indemnity Healthreach Beechstreet International Asea Electchoice Alliedbenefitsystems Meritain] | $1,331.08 | — | — | 2026-07-15 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-SBP | $1,333.00 | — | — | 2026-03-01 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Triwest Va | Medicare Advantage | $1,333.75 | $5,500.00 | $5,500.00 | 2026-07-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | All Commercial Plans | $1,341.41 | — | — | 2026-03-01 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Both | BLUE SHIELD [30102] | ALPHA CARE MED GROUP - BS [3010209] | $1,348.71 | $47,617.00 | $15,713.61 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Both | BLUE SHIELD [30102] | LASALLE MED GROUP - BS [3010208] | $1,348.71 | $47,617.00 | $15,713.61 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Both | BLUE SHIELD [30102] | BLUE SHIELD PPO [3010203] | $1,348.71 | $47,617.00 | $15,713.61 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Both | BLUE SHIELD [30102] | BLUE SHIELD HMO OCDC - FKA EPMG [3010204] | $1,348.71 | $47,617.00 | $15,713.61 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Both | BLUE SHIELD [30102] | PHYSMETRICS [3010207] | $1,348.71 | $47,617.00 | $15,713.61 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Both | BLUE SHIELD [30102] | BCBS BLUE CARD OUT OF STATE [3010205] | $1,348.71 | $47,617.00 | $15,713.61 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Both | BLUE SHIELD [30102] | BLUE SHIELD HMO [3010201] | $1,348.71 | $47,617.00 | $15,713.61 | 2026-04-02 | MRF ↗ |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO OutpatientFacility | Humana | Commercial | $1,350.00 | — | — | 2025-12-03 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo Other Commercial Plan | $1,365.09 | — | — | 2026-04-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldofCA | $1,371.78 | — | — | 2025-01-31 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | California Physicians' Service, dba Blue Shield of California | HMO | $1,372.22 | $65,738.20 | $42,729.83 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | California Physicians' Service, dba Blue Shield of California | PPO | $1,372.22 | $65,738.20 | $42,729.83 | 2025-11-26 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Medicare Advantage | $1,375.00 | $5,500.00 | $5,500.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Choicecare Network | Medicare Advantage Ppo+ | $1,375.00 | $5,500.00 | $5,500.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Unicare Health Plan Of West Virginia Inc. | Managed Medicaid | $1,386.00 | $5,500.00 | $5,500.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Managed Medicaid | $1,386.00 | $5,500.00 | $5,500.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Better Health Of West Virginia | Chip | $1,386.00 | $5,500.00 | $5,500.00 | 2026-07-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | Medciare Advantage (MMG) | $1,391.59 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | NetworkBlue (MMG) | $1,414.22 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $1,414.22 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | HealthOptions (MMG) | $1,414.22 | — | — | 2025-10-24 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | United Healthcare | Medicare Advantage | $1,416.25 | $5,500.00 | $5,500.00 | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | PPO | $1,418.60 | $8,792.00 | $7,209.44 | 2025-11-26 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Hmo | $1,439.02 | $1,942.00 | $1,942.00 | 2026-08-01 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield Hmo | Blue Shield Hmo | $1,439.02 | $1,942.00 | $1,942.00 | 2026-07-20 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Connect-SBP | $1,442.00 | — | — | 2026-03-01 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Medicare Advantage | $1,443.75 | $5,500.00 | $5,500.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | West Virginia Senior Advantage Inc. | Medicare Advantage | $1,443.75 | $5,500.00 | $5,500.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Choicecare Network | Medicare Advantage | $1,443.75 | $5,500.00 | $5,500.00 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | $1,456.50 | $1,942.00 | $1,942.00 | 2026-08-01 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Cigna Hmo | Cigna Hmo | $1,456.50 | $1,942.00 | $1,942.00 | 2026-07-20 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | Connect-SBP | $1,467.00 | — | — | 2026-03-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Pos | $1,480.96 | — | — | 2026-04-01 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Commercial | $1,482.89 | — | — | 2026-07-15 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | $67,996.00 | $23,798.60 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | $67,996.00 | $23,798.60 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Aetna|Kelseycare | — | $1,528.00 | $28,350.00 | $9,922.50 | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Aetna|Kelseycare | — | $1,528.00 | $28,350.00 | $9,922.50 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | $67,996.00 | $23,798.60 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | $67,996.00 | $23,798.60 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | $67,996.00 | $23,798.60 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | $67,996.00 | $23,798.60 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Aetna|Kelseycare | — | $1,528.00 | $28,350.00 | $9,922.50 | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Aetna|Kelseycare | — | $1,528.00 | $28,350.00 | $9,922.50 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | $67,996.00 | $23,798.60 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | $67,996.00 | $23,798.60 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | $67,996.00 | $23,798.60 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | $67,996.00 | $23,798.60 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $23,573.00 | $15,322.45 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $23,573.00 | $15,322.45 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $1,532.25 | $23,573.00 | $15,322.45 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,532.25 | $23,573.00 | $15,322.45 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,532.25 | $23,573.00 | $15,322.45 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,532.25 | $23,573.00 | $15,322.45 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $23,573.00 | $15,322.45 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $23,573.00 | $15,322.45 | 2026-06-04 | 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.