0632T — Perq Tcat US Abltj Nrv P-art
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PERQ TCAT US ABLTJ NRV P-ART (CPT 0632T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0632T?code_type=CPT
MLA (9th ed.)
“PERQ TCAT US ABLTJ NRV P-ART (CPT 0632T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0632T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PERQ TCAT US ABLTJ NRV P-ART (CPT 0632T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0632T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,212–$20,806 (25th–75th percentile) across 817 hospitals · 894 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0632T — 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 |
|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $6.24 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $6.24 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $6.24 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $6.24 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $6.24 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $14.40 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $14.40 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICA CONTRACTED [320239] | HB STLO MEDICA EXCHANGE | $25.06 | $96.00 | $62.40 | 2026-06-04 | 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 ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA CONTRACTED [320008] | HB STLO AETNA COMMERCIAL NEW 070123 | $33.60 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC TOWN AND COUNTRY SUPERMARKETS-NEW 7.1.24 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB STLO SAMC WW WOOD DEC | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC ASI DEC NEW 010124 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | EBMS CONTRACTED [320493] | HB STLO SAMC CRADER DISTRIBUTING DEC NEW 090125 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB STLO SAMC DEC ROBINSON CONTRUCTION NEW 1.1.25 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC WOODARD DEC NEW 040124 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC BUCHHEIT DEC NEW 070122 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC TALL TREE DEC NEW 040125 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC DEC HYDROMAT | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC LEVEL HEALTH DEC | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC BARTEL COMMUNICATION DEC NEW 010125 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC WOODARD DEC NEW 040124 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC FCB BANKS DEC | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC LACLEDE CHAIN DEC NEW 07.01.25 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CLAYCO DEC | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC EASTER SEALS DEC NEW 010125 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC QUICK TRIP | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC CLAYCO DEC | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AITHER HEALTH [20449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $41.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $43.20 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH | $43.20 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $43.20 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $45.60 | $96.00 | $62.40 | 2026-06-04 | 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 ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HEALTH CHOICES CONTRACTED [320448] | HB STLO WASH JEFN LINC SAMC HEALTH CHOICE NEW 010121 | $57.60 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HEALTH CHOICES [20448] | HB STLO WASH JEFN LINC SAMC HEALTH CHOICE NEW 010121 | $57.60 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] | HB STLO WASH JEFN LINC SAMC HEALTH CHOICE NEW 010121 | $57.60 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | INSURANCE SYSTEM INC CONTRACTED [320465] | HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT | $62.40 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | POINT C CONTRACTED [320238] | HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT | $62.40 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB STLO DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $62.40 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT | $62.40 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT | $62.40 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB STLO HEALTHLINK PPO/WC | $65.28 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PREFERRED HEALTH PLAN CONTRACTED [320522] | HB STLO CITY OF CAPE DEC 175% MCR W/O SEQ | $67.20 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HOPE TRUST CONTRACTED [320488] | HB STLO HOPE TRUST DEC IP 200% OP 225% W/O SEQ NEW 080125 | $67.20 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN SAMC FIRST HEALTH / NETWORK ACCESS | $68.16 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN LINC MULTIPLAN COMPLEMENTARY | $72.00 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | WORKERS COMP [20426] | HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT | $72.00 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | WORKERS COMP [20426] | HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP | $76.80 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY MANAGED BH MEDICARE CONTRACTED [320499] | HB STLO WASH JEFF LINC SAMC PCMH MERCY MNGD BEHAVIORAL HEALTH MEDICARE | $96.00 | $96.00 | $62.40 | 2026-06-04 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO | — | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Wellcare | Medicare Advantage HMO | — | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $143.30 | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Commercial | — | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Cigna | PPO | — | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Multiplan/PHCS | PPO | — | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $194.33 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $194.33 | — | — | 2026-03-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $250.00 | $5,774.00 | $1,097.06 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | CareSource | Medicaid | $257.50 | $5,774.00 | $866.10 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | CareSource | Medicaid | $257.50 | $5,774.00 | $1,097.06 | 2026-02-27 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $284.95 | $4,166.00 | $1,249.80 | 2026-07-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $284.95 | $4,166.00 | $1,249.80 | 2026-07-01 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $286.60 | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $286.60 | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $333.38 | $5,774.00 | $866.10 | 2026-02-27 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $350.94 | — | — | 2026-03-01 | 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 ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $353.28 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $353.28 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PEARL RIVER COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $362.72 | — | — | 2026-01-30 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $370.77 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $370.77 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $371.19 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $371.19 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $373.09 | $3,208.00 | $962.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $373.69 | $4,166.00 | $1,249.80 | 2026-07-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Medicare Advantage | $375.35 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $375.35 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $375.35 | — | — | 2025-10-24 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $380.15 | $3,208.00 | $962.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $380.15 | $3,208.00 | $962.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $383.27 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $383.27 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $383.69 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $383.69 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $392.44 | $4,166.00 | $1,249.80 | 2026-07-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $392.44 | $4,166.00 | $1,249.80 | 2026-07-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $392.44 | $4,166.00 | $1,249.80 | 2026-07-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMBLEM] | [GHI] | $400.50 | $890.00 | $890.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMBLEM] | [HIP] | $400.50 | $890.00 | $890.00 | 2024-09-15 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $402.85 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $402.85 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $402.85 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $402.85 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $407.02 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $407.02 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $412.02 | $4,166.00 | $1,249.80 | 2026-07-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $412.02 | $4,166.00 | $1,249.80 | 2026-07-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Commercial | $420.39 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $420.39 | — | — | 2025-08-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $425.30 | — | — | 2026-07-18 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $427.43 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $427.43 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $427.43 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $427.43 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $443.26 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $452.43 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [Aetna] | [Whole Health/APCN+, Premier Care Network, and NY Preferred] | $453.90 | $890.00 | $890.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [Aetna] | [Gatekeeper & Non-Gatekeeper] | $453.90 | $890.00 | $890.00 | 2024-09-15 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $459.03 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $459.03 | — | — | 2026-05-23 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $463.88 | $3,208.00 | $962.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $463.88 | $3,208.00 | $962.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $465.34 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $465.76 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $472.86 | $3,208.00 | $962.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $472.86 | $3,208.00 | $962.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $472.86 | $3,208.00 | $962.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $472.86 | $3,208.00 | $962.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $475.34 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $475.34 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $475.34 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Aetna | Commercial | $483.63 | — | — | 2026-01-30 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $490.75 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $490.75 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $490.75 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $490.75 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Aetna | Aetna | $493.00 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Aetna 6/1/ | Aetna 6/1/ | $493.00 | — | — | 2026-08-30 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $499.09 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $499.09 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $501.59 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $501.59 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $511.58 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $511.58 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $511.58 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $511.58 | $4,166.00 | $1,249.80 | 2026-04-01 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $532.62 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $532.62 | — | — | 2026-04-23 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $550.96 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $550.96 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $550.96 | $1,433.00 | $1,433.00 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $550.96 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $550.96 | — | — | 2026-04-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $551.15 | — | — | 2026-07-15 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $559.14 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $559.14 | — | — | 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.