0680T — Insj/rplcmt Pg Only Isdss
Cite this view
HANK Price Transparency. (n.d.). INSJ/RPLCMT PG ONLY ISDSS (CPT 0680T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0680T?code_type=CPT
“INSJ/RPLCMT PG ONLY ISDSS (CPT 0680T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0680T?code_type=CPT. Accessed .
“INSJ/RPLCMT PG ONLY ISDSS (CPT 0680T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0680T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,720–$24,848 (25th–75th percentile) across 1,041 hospitals · 927 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0680T — 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 |
|---|---|---|---|---|---|---|---|
| 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 | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL OutpatientFacility | Denver Health Medical Plan | Medicaid Choice | $186.59 | — | — | 2025-11-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Independence Blue Cross | Traditional | $211.00 | $11,128.00 | $6,309.58 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Independence Blue Cross | HMO_PPO | $211.00 | $11,128.00 | $6,598.90 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Independence Blue Cross | HMO_PPO | $211.00 | $11,128.00 | $6,309.58 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Independence Blue Cross | Traditional | $211.00 | $11,128.00 | $7,678.32 | 2025-01-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $219.35 | — | — | 2025-12-23 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | STAR+PLUS | $277.04 | — | — | 2025-10-14 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $352.70 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $352.70 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | $403.00 | $2,600.00 | $1,820.00 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | $403.00 | $2,600.00 | $1,820.00 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | $403.00 | $2,600.00 | $1,820.00 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | $403.00 | $2,600.00 | $1,820.00 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | $403.00 | $2,600.00 | $1,820.00 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | $403.00 | $2,600.00 | $1,820.00 | 2025-10-28 | MRF ↗ |
| Shepherd Center Outpatient | United Healthcare | Commercial | $424.00 | — | — | 2026-05-06 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $426.00 | — | — | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $426.00 | — | — | 2025-06-26 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $448.00 | $2,600.00 | $1,820.00 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $448.00 | $2,600.00 | $1,820.00 | 2025-10-28 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $593.00 | — | — | 2026-04-01 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $593.00 | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $596.00 | — | — | 2026-04-30 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $600.00 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $600.00 | — | — | 2026-03-01 | MRF ↗ |
| HOUSTON METHODIST CLEAR LAKE HOSPITAL OutpatientFacility | Bcbs | Blue Advantage Exchange | $627.00 | — | — | 2026-04-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $650.00 | $2,600.00 | $1,820.00 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $650.00 | $2,600.00 | $1,820.00 | 2025-10-28 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | PPO/Commercial | $657.00 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $657.00 | — | — | 2026-04-30 | MRF ↗ |
| Riverside Community Hospital Outpatient | Aetna Senior Health Plan | MCR | $663.00 | — | — | 2026-03-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna Senior Health Plan | MCR | $663.00 | — | — | 2024-10-01 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $671.00 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-06 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-05 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $691.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $691.00 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | UHC | Compass | $695.00 | — | — | 2026-04-01 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | Aetna | Commercial | $710.00 | — | — | 2026-01-30 | MRF ↗ |
| ORTONVILLE AREA HEALTH SERVICES OutpatientFacility | Medica ChoiceCare/Accessibility Solution/MinnesotaCare | Commercial | $711.00 | — | — | 2025-07-07 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | Minnesota Health Care Programs | $711.00 | — | — | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | Choice Care | $711.00 | — | — | 2026-02-12 | MRF ↗ |
| ORTONVILLE AREA HEALTH SERVICES OutpatientFacility | Medica ChoiceCare/Accessibility Solution/MinnesotaCare | Commercial | $711.00 | — | — | 2025-07-07 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | MHSO Medicare Cost & Select | $711.00 | — | — | 2026-02-12 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $721.00 | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $721.00 | — | — | 2026-04-01 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES OutpatientFacility | Medica | Managed Medicaid | $722.00 | — | — | 2026-03-17 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | PPO/Commercial | $723.00 | — | — | 2026-04-30 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $724.00 | — | — | 2026-04-01 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $724.00 | — | — | 2026-04-01 | MRF ↗ |
| NorthBay VacaValley Hospital OutpatientFacility | Unitedhealthcare - Asc | All Commercial Plans | $728.00 | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Ppo | $741.00 | — | — | 2026-04-01 | MRF ↗ |
| HEALDSBURG HOSPITAL OutpatientFacility | Blue Shield | Ppo | $741.00 | — | — | 2026-04-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $746.00 | — | — | 2026-03-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Blue Shield | EPN | $763.00 | — | — | 2024-10-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $764.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 2026-01-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $787.00 | — | — | 2026-04-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Blue Shield | EPN | $803.00 | — | — | 2026-03-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $811.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $811.00 | — | — | 2026-04-01 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | Exchange | $813.12 | — | — | 2026-05-12 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $829.00 | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $837.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $842.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $842.00 | — | — | 2026-04-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | EPN/IFP | $860.31 | — | — | 2025-11-26 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $864.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE Outpatient | BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $864.86 | — | — | 2026-01-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $867.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $868.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $883.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $885.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $885.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $894.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $905.00 | — | — | 2026-04-01 | MRF ↗ |
| Centura Health-porter Adventist Hospital OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $905.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $905.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $911.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $911.00 | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Ppo/Epo | $917.00 | — | — | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $938.00 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $938.00 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $938.00 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $938.00 | — | — | 2026-02-05 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $940.00 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $940.00 | — | — | 2025-08-08 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Hmo | $951.00 | — | — | 2026-04-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $964.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $964.00 | — | — | 2026-04-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $964.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $965.00 | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | United Healthcare | All Other HMO/PPO/EPO/POS Commercial Plans | $970.00 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | United Healthcare | All Other HMO/PPO/EPO/POS Commercial Plans | $970.00 | — | — | 2026-04-28 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Ppo/Epo | $980.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Ppo/Epo | $982.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Ppo/Epo | $982.00 | — | — | 2026-04-01 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $989.00 | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $989.00 | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $989.00 | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $989.00 | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $993.00 | — | — | 2026-04-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Oxford Benefit Plan | Commercial | $1,000.00 | $55,501.00 | $55,501.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Oxford Benefit Plan | Commercial | $1,000.00 | $55,501.00 | $55,501.00 | 2026-04-30 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | BCBS | MBH | $1,016.18 | — | — | 2025-01-01 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $1,030.00 | — | — | 2026-02-06 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $1,037.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $1,037.80 | — | — | 2026-01-01 | 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.