0870T — Imp Subq Prtl Ascts Pmp Sys
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Imp subq prtl ascts pmp sys (OTHER 0870T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0870T?code_type=OTHER
MLA (9th ed.)
“Imp subq prtl ascts pmp sys (OTHER 0870T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0870T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Imp subq prtl ascts pmp sys (OTHER 0870T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0870T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,204–$36,133 (25th–75th percentile) across 325 hospitals · 204 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0870T — 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 |
|---|---|---|---|---|---|---|---|
| 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 | 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 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 ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER 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 ↗ |
| 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 CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | Rite Care Other Commercial Plan | $480.00 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | Rite Care Other Commercial Plan | $480.00 | — | — | 2026-04-01 | MRF ↗ |
| CROOK COUNTY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $507.00 | — | — | 2026-04-01 | MRF ↗ |
| CROOK COUNTY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $507.00 | — | — | 2026-04-01 | 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 ↗ |
| NORTHBAY MEDICAL CENTER 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 ↗ |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER OutpatientFacility | UnitedHealthCare | All Commercial Plans | $785.00 | — | — | 2026-03-31 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $787.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $810.00 | — | — | 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 CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $867.00 | — | — | 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 ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | Ppo/Epo | $917.00 | — | — | 2026-04-01 | MRF ↗ |
| LIVINGSTON REGIONAL HOSPITAL OutpatientFacility | BCBS | TennCare Select Medicaid Managed Care Plan | $933.99 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Magnacare | Commercial HMO | $962.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Magnacare | Commercial PPO | $962.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $964.00 | — | — | 2026-04-01 | MRF ↗ |
| LIVINGSTON REGIONAL HOSPITAL OutpatientFacility | BCBS | BlueCare Medicaid Managed Care Plan | $985.17 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $993.00 | — | — | 2026-04-01 | MRF ↗ |
| OKLAHOMA STATE UNIVERSITY MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $996.00 | — | — | 2026-04-01 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | PPO | $1,065.92 | — | — | 2026-05-12 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | Blue Shield | HMO | $1,065.92 | — | — | 2026-05-12 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | BCBS | INDIVIDUAL EXCHANGE | $1,226.02 | — | — | 2025-06-28 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Aetna | All Commercial Plans | $1,305.00 | — | — | 2026-03-31 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | BCBS | ALL PRODUCTS | $1,362.24 | — | — | 2025-06-28 | MRF ↗ |
| BERGER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $1,382.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CASTLE ROCK OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $1,425.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH AVISTA OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $1,425.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $1,425.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $1,425.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $1,425.00 | — | — | 2026-04-01 | MRF ↗ |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER OutpatientFacility | Aetna | All Commercial Plans | $1,471.00 | — | — | 2026-03-31 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Centivo | Centivo Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Magnacare | Magnacare | $1,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $1,535.00 | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Unitedhealthcare | Core/Navigate Other Commercial Plan | $1,546.00 | — | — | 2026-04-01 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | HMO | $1,547.00 | — | — | 2026-05-12 | MRF ↗ |
| SENTARA MARTHA JEFFERSON HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,547.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,566.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,566.00 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,568.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $1,597.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo | $1,599.00 | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Aetna | Metrohealth Other Commercial Plan | $1,612.00 | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Unitedhealthcare | Hmo, Navigate, Select, Select Plus Hmo | $1,631.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Carelink All Commercial Plans | $1,642.00 | — | — | 2026-04-01 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | PPO | $1,643.00 | — | — | 2026-05-12 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,649.00 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,649.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Aetna | All Commercial Plans | $1,694.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Aetna | All Commercial Plans | $1,694.00 | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Shield | Epn Exchange | $1,726.45 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Blue Shield | Epn Exchange | $1,727.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Blue Shield | Epn Exchange | $1,727.00 | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,729.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Aetna | Whole Health Hmo | $1,754.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Aetna | Whole Health Hmo | $1,754.00 | — | — | 2026-04-01 | MRF ↗ |
| OSF SAINT KATHARINE MEDICAL CENTER OutpatientFacility | UnitedHealthCare | All Commercial Plans | $1,757.00 | — | — | 2026-03-31 | MRF ↗ |
| NEW ENGLAND BAPTIST HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,759.00 | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH OutpatientFacility | Aetna | All Commercial Plans | $1,764.31 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $1,775.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo | $1,778.00 | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,789.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $1,802.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $1,802.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $1,818.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $1,821.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $1,821.00 | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Unitedhealthcare | All Payer Appendix Choice All Commercial Plans | $1,836.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $1,847.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $1,847.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Shield | Tandem Ppo | $1,903.00 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $1,961.32 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORTHERN VIRGINIA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,972.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Shield | Tandem Ppo | $1,984.00 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $1,999.50 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $1,999.50 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $1,999.50 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Bcbs | All Commercial Plans | $1,999.50 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $1,999.50 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Bcbs | All Commercial Plans | $1,999.50 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $1,999.50 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $1,999.50 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $1,999.50 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $1,999.50 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $1,999.50 | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Shield | All Commercial Plans | $2,002.73 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,009.00 | — | — | 2026-04-01 | MRF ↗ |
| TAMPA GENERAL HOSPITAL CRYSTAL RIVER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,018.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,060.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Unitedhealthcare | Employee | $2,061.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,064.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,064.00 | — | — | 2026-04-01 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | BCBS | WORKERS COMP | $2,064.00 | — | — | 2025-06-28 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,073.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $2,104.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Pos/Ppo | $2,104.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $2,109.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Shield | Hmo/Ppo | $2,114.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Shield | Hmo/Ppo | $2,206.00 | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Covered California Other Commercial Plan | $2,207.00 | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Epn/Ifp Other Commercial Plan | $2,207.00 | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Epn/Ifp Other Commercial Plan | $2,207.00 | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Covered California Other Commercial Plan | $2,207.00 | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH EDMONDS HOSPITAL OutpatientFacility | Aetna | Whole Health Other Commercial Plan | $2,225.00 | — | — | 2026-04-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | $2,272.56 | — | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | $2,272.56 | — | — | 2025-05-02 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Unitedhealthcare | St. Louis University Employee | $2,275.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Unitedhealthcare | St. Louis University Employee | $2,275.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | UnitedHealthCare | St. Louis University Employee | $2,275.00 | — | — | 2026-04-01 | MRF ↗ |
| AFFILIATE OF VITRUVIAN HEALTH OutpatientFacility | UnitedHealthCare | All Commercial Plans | $2,278.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | HARP | $2,288.36 | $6,268.99 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | CHP | $2,288.36 | $6,268.99 | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Managed Medicaid | $2,288.36 | $6,268.99 | — | 2026-09-05 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $2,354.68 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $2,354.68 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $2,354.68 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $2,354.68 | — | — | 2025-07-22 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Aetna - Wchob | All Commercial Plans | $2,373.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Unitedhealthcare | Preferred Hmo | $2,379.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Preferred Hmo | $2,379.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Preferred Hmo | $2,379.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Preferred Hmo | $2,392.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Preferred Hmo | $2,392.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,397.00 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $2,401.77 | — | — | 2025-07-22 | MRF ↗ |
| NICKLAUS CHILDREN'S HOSPITAL OutpatientFacility | Cigna | Surfit/Local Plus | $2,408.00 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH REDMOND OutpatientFacility | Aetna | Exchange | $2,434.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Unitedhealthcare | Core/Navigate Other Commercial Plan | $2,435.00 | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Unitedhealthcare | Core/Navigate Other Commercial Plan | $2,435.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Unitedhealthcare | Core/Navigate Other Commercial Plan | $2,435.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | UnitedHealthCare | Core/Navigate Other Commercial Plan | $2,435.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL OutpatientFacility | Unitedhealthcare | Core/Navigate Other Commercial Plan | $2,435.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | UnitedHealthCare | Core/Navigate Other Commercial Plan | $2,435.00 | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Aetna | Other Commercial Plan | $2,459.00 | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Aetna | Other Commercial Plan | $2,459.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | United Healthcare - Surest | Commercial HMO | $2,462.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | United Healthcare | Commercial HMO | $2,462.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | United Healthcare | Commercial | $2,462.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | United Healthcare | Commercial PPO | $2,462.00 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,467.00 | — | — | 2026-04-01 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Icircle | All Products | $2,499.83 | — | — | 2026-03-27 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Excellus BCBS | Managed Medicaid | $2,499.83 | — | — | 2026-03-27 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and CHP | $2,499.83 | — | — | 2026-03-27 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | $2,499.83 | — | — | 2026-03-27 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | $2,499.83 | — | — | 2026-03-27 | MRF ↗ |
| CAYUGA MEDICAL CENTER AT ITHACA OutpatientFacility | Molina | Managed Medicaid _HARP - CHP | $2,499.83 | — | — | 2026-03-27 | MRF ↗ |
| St. Joseph's Hospital OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and CHP | $2,499.83 | — | — | 2026-03-27 | MRF ↗ |
| CAYUGA MEDICAL CENTER AT ITHACA OutpatientFacility | Excellus | Managed Medicaid | $2,499.83 | — | — | 2026-03-27 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Geisinger | Managed Medicaid | $2,499.83 | — | — | 2026-03-27 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | UHC | Managed Medicaid | $2,499.83 | — | — | 2026-03-27 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $2,499.83 | — | — | 2026-03-27 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $2,507.60 | $6,268.99 | — | 2026-09-05 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | UnitedHealthCare | All Commercial Plans | $2,520.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,520.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,520.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $2,535.00 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Aetna | Cincinnati Preferred Other Commercial Plan | $2,537.00 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $2,566.60 | — | — | 2025-07-22 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,577.00 | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,577.00 | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Ppo/Epo | $2,596.00 | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Hmo/Pos | $2,596.00 | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Hmo/Pos | $2,596.00 | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Blue Shield | Ppo/Epo | $2,596.00 | — | — | 2026-04-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $2,619.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $2,619.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $2,619.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $2,619.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $2,619.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $2,619.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $2,619.50 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $2,619.50 | — | — | 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 | $2,619.50 | — | — | 2026-01-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Aetna | ALL PRODUCTS | $2,626.00 | $6,268.99 | — | 2026-09-05 | MRF ↗ |
| UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS OutpatientFacility | Unitedhealthcare | Hmo/Ppo | $2,648.00 | — | — | 2026-04-01 | MRF ↗ |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE OutpatientFacility | Unitedhealthcare | Hmo/Ppo | $2,648.00 | — | — | 2026-04-01 | MRF ↗ |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE OutpatientFacility | Unitedhealthcare | Hmo/Ppo | $2,648.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,664.00 | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,664.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital OutpatientFacility | UnitedHealthCare | All Commercial Plans | $2,664.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,664.00 | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital OutpatientFacility | UnitedHealthCare | All Commercial Plans | $2,664.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $2,664.00 | — | — | 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.