0627T — Perq Njx Algc Fluor Lmbr 1st
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PERQ NJX ALGC FLUOR LMBR 1ST (CPT 0627T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0627T?code_type=CPT
MLA (9th ed.)
“PERQ NJX ALGC FLUOR LMBR 1ST (CPT 0627T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0627T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PERQ NJX ALGC FLUOR LMBR 1ST (CPT 0627T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0627T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,982–$16,833 (25th–75th percentile) across 838 hospitals · 1,217 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0627T — 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 |
|---|---|---|---|---|---|---|---|
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| WALKER BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| WALKER 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 ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $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 | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $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 ↗ |
| 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Triwest Va | Medicare Advantage | $68.14 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Choicecare Network | Medicare Advantage Ppo+ | $70.25 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Medicare Advantage | $70.25 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Better Health Of West Virginia | Chip | $70.81 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Managed Medicaid | $70.81 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Unicare Health Plan Of West Virginia Inc. | Managed Medicaid | $70.81 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | United Healthcare | Medicare Advantage | $72.36 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Medicare Advantage | $73.76 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Choicecare Network | Medicare Advantage | $73.76 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | West Virginia Senior Advantage Inc. | Medicare Advantage | $73.76 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Health Inc. | Medicare Advantage | $78.68 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Health Inc. | Commercial | $78.68 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $83.80 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $83.80 | — | — | 2026-03-01 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | City Of Charleston | Commercial | $91.33 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $96.02 | — | — | 2026-07-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | Medciare Advantage (MMG) | $96.19 | — | — | 2025-10-24 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Naphcare | Commercial | $96.24 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | NetworkBlue (MMG) | $97.75 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $97.75 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | HealthOptions (MMG) | $97.75 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Humana | HMO/PPO | $99.79 | — | — | 2025-10-24 | MRF ↗ |
| EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $100.00 | $28,964.75 | — | 2026-02-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $101.46 | — | — | 2025-10-24 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Integrated Medical Solutions | Commercial | $101.86 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $103.55 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $103.55 | — | — | 2026-05-14 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Caresource | Commercial | $105.38 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Commercial | $112.40 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Optimum Choice Inc. | Va Community Care Network | $112.40 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Commercial | $126.67 | — | — | 2026-04-30 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $151.34 | — | — | 2026-03-01 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $151.43 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $151.43 | — | — | 2026-05-23 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO | — | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Multiplan/PHCS | PPO | — | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $154.40 | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Wellcare | Medicare Advantage HMO | — | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Commercial | — | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Cigna | PPO | — | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $155.97 | $45,929.00 | $27,557.40 | 2026-03-06 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $160.71 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $160.71 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Medicare Advantage | $160.71 | — | — | 2026-06-30 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $161.75 | — | — | 2025-10-28 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Tricare | Commercial | $168.60 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $175.72 | — | — | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $176.00 | $220.00 | $220.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $176.00 | $220.00 | $220.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $176.00 | $220.00 | $220.00 | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $179.14 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $179.14 | — | — | 2026-04-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Commercial | $180.00 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $180.00 | — | — | 2025-08-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $183.41 | — | — | 2026-07-18 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $208.93 | $45,929.00 | $27,557.40 | 2026-03-06 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Aetna | Aetna | $210.90 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Aetna 6/1/ | Aetna 6/1/ | $210.90 | — | — | 2026-08-30 | MRF ↗ |
| Centennial Medical Transplant Center Outpatient | BCBS | NetworkP | $219.45 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | BCBS | NetworkP | $219.45 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | BCBS | NetworkP | $219.45 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | BCBS | NetworkP | $219.45 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | BCBS | NetworkP | $219.45 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Outpatient | BCBS | NetworkP | $219.45 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | BCBS | NetworkP | $219.45 | — | — | 2026-03-12 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Ppo Aca | $226.29 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Ppo | $230.95 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Hmo | $230.95 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Traditional | $230.95 | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $235.35 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $235.35 | — | — | 2026-05-14 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $237.83 | $3,477.00 | $1,043.10 | 2026-07-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $237.83 | $3,477.00 | $1,043.10 | 2026-07-01 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Ppo Aca | $239.59 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Ppo/Pos | $239.59 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Traditional | $239.59 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $244.64 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Aetna] | [Ppo Hmo Indemnity Healthreach Beechstreet International Asea Electchoice Alliedbenefitsystems Meritain] | $244.90 | — | — | 2026-07-15 | MRF ↗ |
| STERLING SURGICAL HOSPITAL Outpatient | MEDICARE ADV | PEOPLES HEALTH UHC MC | $245.00 | $57,495.49 | $245.00 | 2025-05-06 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | NetworkBlue (MMG) | $245.49 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $245.49 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | HealthOptions (MMG) | $245.49 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $245.49 | — | — | 2025-10-24 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | All Commercial Plans | $246.48 | — | — | 2026-03-01 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of Surprise OutpatientFacility | Aetna | PPO/HMO/EPO | $252.33 | — | — | 2025-09-11 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $253.87 | — | — | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Medicare Advantage | $255.86 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology UPW | Medicare Advantage | $255.86 | — | — | 2026-06-30 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Ppo/Pos | $256.24 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Traditional | $256.24 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| Baton Rouge Rehab Hospital Both | FIRST HEALTH | FIRST HEALTH | $256.87 | $54,247.40 | $37,973.18 | 2026-03-26 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $261.02 | — | — | 2026-07-18 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $261.90 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $261.90 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $261.90 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $261.90 | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $261.90 | — | — | 2026-04-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Exchange (MMG) | $262.52 | — | — | 2025-10-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $263.82 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $263.82 | — | — | 2026-05-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $265.77 | — | — | 2026-04-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $266.05 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage - Dhp | $266.05 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $266.05 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $268.30 | — | — | 2026-07-18 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $269.76 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $269.76 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $269.76 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $269.76 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $269.76 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $269.76 | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $269.76 | — | — | 2026-04-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $269.79 | — | — | 2026-07-18 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Three Rivers Providers Network | Workers Compensation | $272.57 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Three Rivers Providers Network | Commercial | $272.57 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Commercial | $272.84 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology UPW | Commercial | $272.84 | — | — | 2026-06-30 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Tricare | Champus VA | $274.18 | — | $11,909.59 | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Humana | Veterans | $274.18 | — | $11,909.59 | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Tricare | VeteransAdministration | $274.18 | — | $11,909.59 | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Tricare | Triwest | $274.18 | — | $11,909.59 | 2024-11-14 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Choicecare Network | Commercial | $275.38 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Healthsmart | Commercial | $275.38 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | United Healthcare | Commercial | $275.38 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Multiplan | Commercial | $275.38 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $277.00 | — | — | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $277.00 | — | — | 2025-06-26 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Cigna Health And Life Insurance Company | Commercial | $278.19 | $281.00 | $281.00 | 2026-07-15 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $278.31 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $278.31 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $278.31 | — | — | 2026-03-18 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $292.73 | — | — | 2026-04-01 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $293.41 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $293.41 | — | — | 2026-05-23 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $294.85 | $3,477.00 | $1,043.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $294.85 | $3,477.00 | $1,043.10 | 2026-04-01 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | $297.35 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN | $297.35 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN | $297.35 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | $297.35 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | United Healthcare (UHC) | VA CCN/Optum | $297.35 | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $298.79 | — | — | 2026-07-18 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Highmark | Highmark Together Blue | $299.14 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Highmark | Highmark Together Blue | $299.14 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Together Blue | $299.14 | — | — | 2026-04-14 | 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.