0737T — Xenograft Impltj Artclr Surf
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Xenograft impltj artclr surf (CPT 0737T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0737T?code_type=CPT
MLA (9th ed.)
“Xenograft impltj artclr surf (CPT 0737T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0737T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Xenograft impltj artclr surf (CPT 0737T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0737T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,930–$16,347 (25th–75th percentile) across 1,095 hospitals · 944 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0737T — 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 |
|---|---|---|---|---|---|---|---|
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | 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 ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | 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 ↗ |
| MERCY MEDICAL CTR OutpatientFacility | CARELON HEALTH MEDICAID | CARELON MEDICAID | $80.37 | — | $18,285.53 | 2026-03-31 | MRF ↗ |
| MERCY MEDICAL CTR OutpatientFacility | WELLSENSE HEALTH PLAN | WELLSENSE SILVER | $88.02 | — | $18,285.53 | 2026-03-31 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $93.88 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $93.88 | — | — | 2025-06-27 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $104.52 | — | — | 2026-03-04 | 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 Ifp | $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 | Sheet Metal Workers Union(Smw) | 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 | Blue Shield | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| LAKE REGION HEALTHCARE CORPORATION OutpatientFacility | Blue Cross Blue Shield of Minnesota | Managed Medicaid | $149.71 | — | — | 2026-03-17 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BCBS MN | Medicaid | $155.04 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $155.04 | — | — | 2026-01-01 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $156.78 | — | — | 2026-03-04 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $157.78 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | BCBS MN | Medicaid | $157.78 | — | — | 2026-01-01 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $170.13 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $171.82 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WORTHINGTON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $173.80 | — | — | 2026-03-04 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $178.75 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $178.75 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Aetna | All Commercial Plans | $178.75 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $178.75 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Aetna | All Commercial Plans | $182.26 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $182.26 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $182.26 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $182.26 | — | — | 2026-04-01 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL OutpatientFacility | Denver Health Medical Plan | Medicaid Choice | $186.59 | — | — | 2025-11-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $219.35 | — | — | 2025-12-23 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $255.19 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WORTHINGTON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $260.71 | — | — | 2026-03-04 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | STAR+PLUS | $277.04 | — | — | 2025-10-14 | MRF ↗ |
| HENRY COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $279.68 | $1,398.40 | $978.88 | 2026-04-21 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | State Employees | $289.66 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | Commercial | $296.60 | — | — | 2026-03-04 | 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 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 HOLY CROSS 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 ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $370.96 | — | — | 2026-01-01 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $371.00 | — | — | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $371.00 | — | — | 2025-06-26 | MRF ↗ |
| MERCY MEDICAL CTR OutpatientFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $392.00 | — | $18,285.53 | 2026-03-31 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Blue Cross Blue Shield of Minnesota | Commercial | $416.42 | — | — | 2026-03-04 | MRF ↗ |
| Shepherd Center Outpatient | United Healthcare | Commercial | $424.00 | — | — | 2026-05-06 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | State Employees | $434.48 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | Commercial | $444.90 | — | — | 2026-03-04 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | All Products | $452.42 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | All Products | $452.42 | — | — | 2025-06-27 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $538.80 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $538.80 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $543.97 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $543.97 | — | — | 2026-01-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Aetna Senior Health Plan | MCR | $579.00 | — | — | 2026-03-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna Senior Health Plan | MCR | $579.00 | — | — | 2024-10-01 | 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 – Hmo | $600.00 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $600.00 | — | — | 2026-03-01 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | Aetna | Commercial | $615.00 | — | — | 2026-01-30 | MRF ↗ |
| HOUSTON METHODIST CLEAR LAKE HOSPITAL OutpatientFacility | Bcbs | Blue Advantage Exchange | $627.00 | — | — | 2026-04-01 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | Humana | PPO | $640.00 | $30,598.00 | — | 2025-10-31 | MRF ↗ |
| SANFORD WORTHINGTON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | Commercial/Federal | $642.12 | — | — | 2026-03-04 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | All Payor/Commercial | $657.00 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | PPO/Commercial | $657.00 | — | — | 2026-04-30 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $671.00 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-05 | 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 ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Medica | Managed Medicaid/AccessAbility | $673.00 | — | — | 2026-02-06 | 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 ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | UnitedHealthcare | Quest | $694.00 | — | — | 2026-02-12 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | UHC | Compass | $695.00 | — | — | 2026-04-01 | MRF ↗ |
| HENRY COUNTY MEMORIAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $699.20 | $1,398.40 | $978.88 | 2026-04-21 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BCBS MN | SHP | $699.28 | — | — | 2026-01-01 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | MHSO Medicare Cost & Select | $711.00 | — | — | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | Choice Care | $711.00 | — | — | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | Minnesota Health Care Programs | $711.00 | — | — | 2026-02-12 | MRF ↗ |
| ORTONVILLE AREA HEALTH SERVICES OutpatientFacility | Medica ChoiceCare/Accessibility Solution/MinnesotaCare | Commercial | $711.00 | — | — | 2025-07-07 | MRF ↗ |
| ORTONVILLE AREA HEALTH SERVICES OutpatientFacility | Medica ChoiceCare/Accessibility Solution/MinnesotaCare | Commercial | $711.00 | — | — | 2025-07-07 | 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 ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | UnitedHealthcare | Quest | $759.00 | — | — | 2026-02-12 | 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 ↗ |
| Centura Health-porter Adventist Hospital OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $777.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $777.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $777.00 | — | — | 2026-04-01 | 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 ↗ |
| 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 NORTHWEST Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $778.35 | — | — | 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 ↗ |
| 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 ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $784.57 | — | — | 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 CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | — | — | 2026-04-01 | 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 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 ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | MN BCBS Commercial | BCBS MN | $818.08 | — | — | 2026-01-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | $825.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $829.00 | — | — | 2026-04-01 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | Commercial/Federal | $833.74 | — | — | 2026-03-04 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos | $837.00 | — | — | 2026-04-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | MN BCBS Commercial | BCBS MN | $838.05 | — | — | 2026-01-01 | 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 | $1,765.84 | $1,147.80 | 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 ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $871.83 | — | — | 2026-01-01 | 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 ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $898.15 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $898.15 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $898.15 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $898.15 | — | — | 2025-07-22 | 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 ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $916.11 | — | — | 2025-07-22 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Ppo/Epo | $917.00 | — | — | 2026-04-01 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | UnitedHealthcare | Quest | $921.00 | — | — | 2026-02-12 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $934.72 | — | — | 2025-06-27 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $938.00 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Medica | MSHO/Medicare Advantage SNP | $938.00 | — | — | 2026-02-06 | 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 ↗ |
| 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 ↗ |
| SANFORD WORTHINGTON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | Commercial/Federal | $963.18 | — | — | 2026-03-04 | 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 ↗ |
| 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 ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $978.98 | — | — | 2025-07-22 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Ppo/Epo | $980.00 | — | — | 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.