0629T — Perq Njx Algc CT Lmbr 1st
Cite this view
HANK Price Transparency. (n.d.). PERQ NJX ALGC CT LMBR 1ST (CPT 0629T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0629T?code_type=CPT
“PERQ NJX ALGC CT LMBR 1ST (CPT 0629T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0629T?code_type=CPT. Accessed .
“PERQ NJX ALGC CT LMBR 1ST (CPT 0629T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0629T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,597–$16,349 (25th–75th percentile) across 779 hospitals · 778 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0629T — 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 ↗ |
| PRINCETON 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 | 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 | 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 ↗ |
| 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 ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $83.14 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $83.14 | — | — | 2026-03-01 | 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 ↗ |
| 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 | BlueCross | PHS/PPC/HMO (MMG) | $97.75 | — | — | 2025-10-24 | 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 | Humana | HMO/PPO | $99.79 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $101.46 | — | — | 2025-10-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $103.55 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $103.55 | — | — | 2026-05-23 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Commercial | $126.67 | — | — | 2026-04-30 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $134.25 | $537.00 | $537.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $134.25 | $537.00 | $537.00 | 2026-03-27 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $150.15 | — | — | 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 | Aetna | Medicare Advantage | — | $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 | 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 | United Healthcare (UHC) | Medicare Advantage | — | $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 | Meridian | Medicare-Medicaid (D-SNP) | $154.40 | $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 ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $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 | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $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 | Blue Cross Blue Shield | HMO | — | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| PEARL RIVER COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $155.16 | — | — | 2026-01-30 | 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 UPW | Medicare Advantage | $160.71 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $160.71 | — | — | 2025-08-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $161.75 | — | — | 2025-10-28 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $175.72 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $179.14 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $179.14 | — | — | 2026-04-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $180.00 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Commercial | $180.00 | — | — | 2026-06-30 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $181.96 | — | — | 2026-07-18 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $183.35 | $11,193.00 | $3,167.62 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $183.35 | $11,193.00 | $3,167.62 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $195.57 | $11,193.00 | $3,167.62 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $195.57 | $11,193.00 | $3,167.62 | 2026-03-02 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $196.38 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $196.38 | — | — | 2026-05-23 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $205.35 | $11,193.00 | $3,167.62 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $205.35 | $11,193.00 | $3,167.62 | 2026-03-02 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Aetna | Commercial | $206.88 | — | — | 2026-01-30 | 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 ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | BCBS | NetworkP | $217.80 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | BCBS | NetworkP | $217.80 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | BCBS | NetworkP | $217.80 | — | — | 2026-03-01 | MRF ↗ |
| Centennial Medical Transplant Center Outpatient | BCBS | NetworkP | $217.80 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Outpatient | BCBS | NetworkP | $217.80 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | BCBS | NetworkP | $217.80 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | BCBS | NetworkP | $217.80 | — | — | 2026-03-12 | MRF ↗ |
| BANNER BAYWOOD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $218.64 | $11,193.00 | $3,828.01 | 2026-03-02 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $227.85 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $227.85 | — | — | 2026-04-23 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Traditional | $230.95 | — | — | 2026-04-01 | 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 ↗ |
| BANNER BAYWOOD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $233.22 | $11,193.00 | $3,828.01 | 2026-03-02 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $235.74 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $235.74 | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $235.74 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $235.74 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $235.74 | — | — | 2026-04-15 | 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 ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $239.24 | — | — | 2026-04-14 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Medica | Commercial | $240.22 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Medica | Commercial | $240.22 | — | — | 2026-04-23 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $241.65 | $537.00 | $537.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $241.65 | $537.00 | $537.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $241.65 | $537.00 | $537.00 | 2026-03-27 | MRF ↗ |
| University Of Toledo Medical Center Both | [Aetna] | [Ppo Hmo Indemnity Healthreach Beechstreet International Asea Electchoice Alliedbenefitsystems Meritain] | $242.65 | — | — | 2026-07-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $242.81 | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $242.81 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $242.81 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $242.81 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $242.81 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $242.81 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $242.81 | — | — | 2026-04-15 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $244.46 | $11,193.00 | $3,167.62 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $244.46 | $11,193.00 | $3,167.62 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arizona | Commercial | $244.46 | $11,193.00 | $3,167.62 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $244.46 | $11,193.00 | $3,167.62 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $244.46 | $11,193.00 | $3,167.62 | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arizona | Commercial | $244.46 | $11,193.00 | $3,167.62 | 2026-03-02 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | All Commercial Plans | $244.54 | — | — | 2026-03-01 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $244.64 | — | — | 2026-07-15 | MRF ↗ |
| BANNER BAYWOOD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $244.88 | $11,193.00 | $3,828.01 | 2026-03-02 | 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 | NetworkBlue (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 ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | HealthOptions (MMG) | $245.49 | — | — | 2025-10-24 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $251.88 | — | — | 2026-07-15 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of Surprise OutpatientFacility | Aetna | PPO/HMO/EPO | $252.33 | — | — | 2025-09-11 | 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 ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $257.76 | $537.00 | $537.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $257.76 | $537.00 | $537.00 | 2026-03-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $261.02 | — | — | 2026-07-18 | 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 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $263.82 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $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 | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $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 ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $268.50 | $537.00 | $537.00 | 2026-03-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $269.79 | — | — | 2026-07-18 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology UPW | Commercial | $272.84 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Commercial | $272.84 | — | — | 2025-08-01 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $277.00 | — | — | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $277.00 | — | — | 2025-06-26 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $278.31 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD 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 ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $291.10 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $291.10 | — | — | 2026-05-23 | MRF ↗ |
| BANNER BAYWOOD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $291.53 | $11,193.00 | $3,828.01 | 2026-03-02 | MRF ↗ |
| BANNER BAYWOOD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arizona | Commercial | $291.53 | $11,193.00 | $3,828.01 | 2026-03-02 | MRF ↗ |
| BANNER BAYWOOD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $291.53 | $11,193.00 | $3,828.01 | 2026-03-02 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $292.73 | — | — | 2026-04-01 | 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 ↗ |
| 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 ↗ |
| CANONSBURG GENERAL 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 ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark | Highmark Together Blue | $299.14 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY 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 ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Together Blue | $299.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Together Blue | $299.14 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Together Blue | $299.14 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Highmark | Highmark Together Blue | $299.14 | — | — | 2026-04-14 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $300.80 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $302.23 | — | — | 2026-04-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicare Advantage | $307.03 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology UPW | Medicare Advantage | $307.03 | — | — | 2026-06-30 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $308.80 | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $308.80 | $1,544.00 | $1,544.00 | 2026-04-15 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $309.45 | $3,477.00 | $1,043.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $309.45 | $3,477.00 | $1,043.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $309.80 | $3,477.00 | $1,043.10 | 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.