0628T — Perq Njx Algc Fluor Lmbr Ea
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PERQ NJX ALGC FLUOR LMBR EA (CPT 0628T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0628T?code_type=CPT
MLA (9th ed.)
“PERQ NJX ALGC FLUOR LMBR EA (CPT 0628T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0628T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PERQ NJX ALGC FLUOR LMBR EA (CPT 0628T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0628T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,181–$4,473 (25th–75th percentile) across 563 hospitals · 485 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0628T — 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 |
|---|---|---|---|---|---|---|---|
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Ppo | All Payor | $0.03 | — | — | 2026-08-17 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $24.97 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $24.97 | — | — | 2026-03-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $28.80 | — | — | 2026-07-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | Medciare Advantage (MMG) | $28.85 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | HealthOptions (MMG) | $29.32 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | NetworkBlue (MMG) | $29.32 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $29.32 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Humana | HMO/PPO | $29.94 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $30.44 | — | — | 2025-10-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $31.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $31.06 | — | — | 2026-05-14 | 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 ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Commercial | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Managed Medicaid | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Multiplan/PHCS | PPO | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $44.10 | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Cigna | PPO | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $45.09 | — | — | 2026-03-01 | MRF ↗ |
| PEARL RIVER COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $46.62 | — | — | 2026-01-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $48.26 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $48.26 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Medicare Advantage | $48.26 | — | — | 2026-06-30 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $48.58 | — | — | 2025-10-28 | 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 ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $54.05 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Commercial | $54.05 | — | — | 2026-06-30 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $54.63 | — | — | 2026-07-18 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $58.98 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $58.98 | — | — | 2026-05-23 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Aetna | Commercial | $62.16 | — | — | 2026-01-30 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Commercial | $63.35 | — | — | 2026-04-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Aetna 6/1/ | Aetna 6/1/ | $63.35 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Aetna | Aetna | $63.35 | — | — | 2026-08-30 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | BCBS | NetworkP | $65.34 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | BCBS | NetworkP | $65.34 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | BCBS | NetworkP | $65.34 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Outpatient | BCBS | NetworkP | $65.34 | — | — | 2026-03-01 | MRF ↗ |
| Centennial Medical Transplant Center Outpatient | BCBS | NetworkP | $65.34 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | BCBS | NetworkP | $65.34 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | BCBS | NetworkP | $65.34 | — | — | 2026-03-12 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | VA | Other | $66.94 | — | — | 2026-07-13 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Triwest Va | Medicare Advantage | $68.14 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $68.22 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $68.22 | — | — | 2026-04-23 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Aetna | Medicare Advantage | $69.69 | — | — | 2026-02-13 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Medicare Advantage | $70.25 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Choicecare Network | Medicare Advantage Ppo+ | $70.25 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Wellcare | Medicare Advantage HMO | — | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $70.43 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $70.43 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $70.43 | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $70.43 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $70.43 | — | — | 2026-04-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Managed Medicaid | $70.81 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Unicare Health Plan Of West Virginia Inc. | Managed Medicaid | $70.81 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Better Health Of West Virginia | Chip | $70.81 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $71.05 | — | — | 2026-04-01 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $71.81 | — | — | 2026-04-14 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Medica | Commercial | $72.29 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Medica | Commercial | $72.29 | — | — | 2026-04-23 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | United Healthcare | Medicare Advantage | $72.36 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $72.54 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $72.54 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $72.54 | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $72.54 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $72.54 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $72.54 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $72.54 | — | — | 2026-04-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Aetna] | [Ppo Hmo Indemnity Healthreach Beechstreet International Asea Electchoice Alliedbenefitsystems Meritain] | $72.85 | — | — | 2026-07-15 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $73.01 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $73.36 | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $73.39 | — | — | 2026-07-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | All Commercial Plans | $73.43 | — | — | 2026-03-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | NetworkBlue (MMG) | $73.65 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $73.65 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $73.65 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | HealthOptions (MMG) | $73.65 | — | — | 2025-10-24 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | West Virginia Senior Advantage Inc. | Medicare Advantage | $73.76 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Medicare Advantage | $73.76 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Choicecare Network | Medicare Advantage | $73.76 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $75.23 | — | — | 2026-02-12 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $75.63 | — | — | 2026-07-15 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of Surprise OutpatientFacility | Aetna | PPO/HMO/EPO | $75.79 | — | — | 2025-09-11 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Medicare Advantage | $76.76 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology UPW | Medicare Advantage | $76.76 | — | — | 2026-06-30 | MRF ↗ |
| Baton Rouge Rehab Hospital Both | FIRST HEALTH | FIRST HEALTH | $77.14 | $27,123.70 | $18,986.59 | 2026-03-26 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage PPO | $77.56 | — | — | 2026-04-15 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER OutpatientFacility | Aetna | MCR Advantage | $77.96 | — | — | 2026-02-03 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $78.61 | $45,929.00 | $27,557.40 | 2026-03-06 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Health Inc. | Commercial | $78.68 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Health Inc. | Medicare Advantage | $78.68 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Exchange (MMG) | $78.83 | — | — | 2025-10-24 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $79.12 | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $79.15 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $79.15 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $79.88 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage - Dhp | $79.88 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $79.88 | — | — | 2026-07-18 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Commercial | $81.92 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology UPW | Commercial | $81.92 | — | — | 2026-06-30 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $85.27 | — | — | 2026-04-01 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $87.41 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $87.41 | — | — | 2026-05-23 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $87.88 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $88.11 | — | — | 2026-04-01 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $88.20 | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Managed Medicaid | $88.20 | $441.00 | $441.00 | 2026-04-15 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $89.59 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $89.59 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Together Blue | $89.83 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Together Blue | $89.83 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Together Blue | $89.83 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark | Highmark Together Blue | $89.83 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Highmark | Highmark Together Blue | $89.83 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Highmark | Highmark Together Blue | $89.83 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark | Highmark Together Blue | $89.83 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Together Blue | $89.83 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark Together Blue | $89.83 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Highmark | Highmark Together Blue | $89.83 | — | — | 2026-04-14 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | City Of Charleston | Commercial | $91.33 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicare Advantage | $92.11 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology UPW | Medicare Advantage | $92.11 | — | — | 2026-06-30 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $95.78 | — | — | 2026-05-23 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Naphcare | Commercial | $96.24 | $281.00 | $281.00 | 2026-10-22 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Blue High Performance | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Indemnity | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark My Blue Access | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Managed Care | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Indemnity | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Social Mission Indemnity | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Connect Blue | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Community Blue | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark My Direct Blue | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Social Mission Managed Care | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Connect Blue | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Highmark | Highmark Community Blue | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Community Blue | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Performance Blue | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Social Mission Managed Care | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Social Mission Managed Care | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Performance Blue | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Indemnity | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Social Mission Indemnity | $96.95 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Blue High Performance | $96.95 | — | — | 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.