0873T — Revj Subq Prtl Asct Pmp Sys
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Revj subq prtl asct pmp sys (HCPCS 0873T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0873T?code_type=HCPCS
MLA (9th ed.)
“Revj subq prtl asct pmp sys (HCPCS 0873T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0873T?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Revj subq prtl asct pmp sys (HCPCS 0873T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0873T?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,086–$8,440 (25th–75th percentile) across 651 hospitals · 264 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0873T — 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 |
|---|---|---|---|---|---|---|---|
| ST BERNARD PARISH HOSPITAL Outpatient | None | — | — | — | — | 2026-04-01 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | 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 | Sheet Metal Workers Union(Smw) | 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 | 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 Calpers | $111.72 | — | — | 2026-04-01 | 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 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 ↗ |
| 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 SAINT JOSEPH MEDICAL CTR 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | Aetna | Commercial | $615.00 | — | — | 2026-01-30 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | United Healthcare | Commercial | $650.00 | — | — | 2026-01-30 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Options Ppo | $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 ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR 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 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 ↗ |
| 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 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 ↗ |
| 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 ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Magnacare | Commercial PPO | $962.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Magnacare | Commercial HMO | $962.00 | — | — | 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 CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $964.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $965.00 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Unitedhealthcare - Asc | All Commercial Plans | $990.00 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Unitedhealthcare - Asc | All Commercial Plans | $990.00 | — | — | 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 ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | United | SmallGroup | $1,017.00 | — | — | 2026-03-01 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | None | — | — | — | — | 2026-04-11 | 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 ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Aetna | EPO/HMO/POS/PPO/Choice/NAP | $1,100.00 | — | — | 2025-03-17 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,178.65 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,178.65 | — | — | 2026-04-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Bcbs Blueplus Of Mn | Medicaid Managed Care Plan | $1,178.74 | — | — | 2026-03-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Hmo/Ppo | $1,188.00 | — | — | 2026-04-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Hmo/Ppo | $1,188.00 | — | — | 2026-04-01 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | Network Health Plan | ACA | $1,272.28 | — | — | 2025-12-31 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | QHPExchange | $1,290.00 | — | — | 2026-03-01 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Aetna | All Commercial Plans | $1,305.00 | — | — | 2026-03-31 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Aetna | All Commercial Plans | $1,305.00 | — | — | 2026-03-31 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Ppo/Epo | $1,309.24 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Ppo/Epo | $1,309.24 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Hmo | $1,309.24 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Hmo | $1,309.24 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Blue Shield | Epn Exchange | $1,310.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Blue Shield | Epn Exchange | $1,310.00 | — | — | 2026-04-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna Whole Health | Commercial | $1,353.92 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna Whole Health | Commercial | $1,353.92 | — | — | 2025-10-28 | MRF ↗ |
| BERGER HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $1,382.00 | — | — | 2026-04-01 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Centrus Health Direct | Non-Exclusive | $1,403.00 | — | — | 2026-05-26 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | Network Health Plan | All Contracted Commercial Payers | $1,413.64 | — | — | 2025-12-31 | MRF ↗ |
| Centura Health-porter Adventist Hospital 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 ↗ |
| AdventHealth Parker OutpatientFacility | Aetna | Medical Rental Other Commercial Plan | $1,425.00 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Select Health | Individual Colorado Option | $1,426.00 | — | — | 2025-11-01 | MRF ↗ |
| UCHEALTH GRANDVIEW HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $1,426.00 | — | — | 2025-11-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $1,436.00 | — | — | 2024-10-01 | MRF ↗ |
| University Of Toledo Medical Center BothFacility | None | — | — | — | — | 2026-03-31 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Aetna | QHPHIX | $1,452.00 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Aetna | QHPHIX | $1,452.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | QHPHIX | $1,452.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Aetna | QHPHIX | $1,452.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | QHPHIX | $1,452.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | QHPHIX | $1,452.00 | — | — | 2025-01-01 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Options PPO | $1,459.00 | — | — | 2025-12-31 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Nexus | $1,459.00 | — | — | 2025-12-31 | MRF ↗ |
| OSF LITTLE COMPANY OF MARY MEDICAL CENTER OutpatientFacility | Aetna | All Commercial Plans | $1,471.00 | — | — | 2026-03-31 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Select Health | Individual Colorado Option | $1,473.00 | — | — | 2025-11-01 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $1,473.00 | — | — | 2025-11-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Magnacare | Magnacare | $1,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Centivo | Centivo Network | — | — | — | 2026-04-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $1,526.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $1,526.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $1,526.00 | — | — | 2026-03-01 | 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 ↗ |
| SENTARA MARTHA JEFFERSON HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $1,547.00 | — | — | 2026-04-01 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | HMO | $1,547.00 | — | — | 2026-05-12 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Aetna | QHPHIX | $1,548.00 | — | — | 2026-03-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Select Health | Individual Colorado Option | $1,549.00 | — | — | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Select Health | Individual Colorado Option | $1,549.00 | — | — | 2025-11-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $1,559.25 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $1,559.25 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $1,559.25 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $1,559.25 | — | — | 2025-07-22 | MRF ↗ |
| SWEDISH HOSPITAL 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 ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | QHPExchange | $1,579.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Aetna | QHPExchange | $1,579.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Aetna | QHPExchange | $1,579.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | QHPExchange | $1,579.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | QHPExchange | $1,579.00 | — | — | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Aetna | QHPExchange | $1,579.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | QHPExchange | $1,579.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | QHPExchange | $1,579.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Aetna | QHPExchange | $1,579.00 | — | — | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | QHPExchange | $1,579.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | QHPExchange | $1,579.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | QHPExchange | $1,579.00 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Select Health | Individual ACA | $1,583.00 | — | — | 2025-11-01 | MRF ↗ |
| UCHEALTH GRANDVIEW HOSPITAL OutpatientFacility | Select Health | Individual ACA | $1,583.00 | — | — | 2025-11-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $1,590.44 | — | — | 2025-07-22 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | LocalPreferred | $1,595.00 | — | — | 2026-03-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $1,597.00 | — | — | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | Network Health Plan | ACA | $1,597.36 | — | — | 2025-12-31 | MRF ↗ |
| HOLY FAMILY MEMORIAL OutpatientFacility | Network Health Plan | ACA | $1,597.36 | — | — | 2025-12-31 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | Network Health Plan | ACA | $1,597.36 | — | — | 2025-12-31 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo | $1,599.00 | — | — | 2026-04-01 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $1,604.00 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $1,604.00 | — | — | 2025-08-08 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | NarrowNetwork | $1,605.00 | — | — | 2024-10-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Aetna | Metrohealth Other Commercial Plan | $1,612.00 | — | — | 2026-04-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $1,616.74 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $1,616.74 | — | — | 2025-10-28 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | Select Health | Individual ACA | $1,626.00 | — | — | 2025-11-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Select Health | Individual ACA | $1,626.00 | — | — | 2025-11-01 | MRF ↗ |
| UCHEALTH HIGHLANDS RANCH HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $1,628.00 | — | — | 2025-11-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Unitedhealthcare | Hmo, Navigate, Select, Select Plus Hmo | $1,631.00 | — | — | 2026-04-01 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | BCBS | INDIVIDUAL EXCHANGE | $1,641.82 | — | — | 2025-06-28 | 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 ↗ |
| LONGS PEAK HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $1,650.00 | — | — | 2025-11-01 | MRF ↗ |
| ALOMERE HEALTH OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | $1,654.33 | — | — | 2026-04-01 | MRF ↗ |
| UCHEALTH GREELEY HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $1,680.00 | — | — | 2025-11-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Aetna | All Commercial Plans | $1,694.00 | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $1,694.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo | $1,695.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo | $1,695.00 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $1,699.58 | — | — | 2025-07-22 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Centrus Health Direct | Exclusive | $1,700.00 | — | — | 2026-05-26 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | Sheboygan Employers Health Network | All Contracted Commercial Payers | $1,712.00 | — | — | 2025-12-31 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Select Health | Individual ACA | $1,713.00 | — | — | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Select Health | Individual ACA | $1,713.00 | — | — | 2025-11-01 | MRF ↗ |
| FROEDTERT COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Choice Plus/Navigate | $1,716.00 | — | — | 2025-12-31 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | NarrowNetwork | $1,725.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | NarrowNetwork | $1,725.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | NarrowNetwork | $1,725.00 | — | — | 2026-03-01 | 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 ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | NewBusiness | $1,730.00 | — | — | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Aetna | NewBusiness | $1,730.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Aetna | NewBusiness | $1,730.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Aetna | NewBusiness | $1,730.00 | — | — | 2024-10-01 | MRF ↗ |
| PINEWOOD SPRINGS Outpatient | Aetna | NewBusiness | $1,730.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Aetna | NewBusiness | $1,730.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Aetna | NewBusiness | $1,730.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Aetna | NewBusiness | $1,730.00 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Outpatient | Aetna | NewBusiness | $1,730.00 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Aetna | NewBusiness | $1,730.00 | — | — | 2024-10-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Medicaid | $1,737.42 | — | — | 2026-04-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | Meritain | $1,743.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | CommercialBaseNetwork | $1,743.00 | — | — | 2024-10-01 | 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 ↗ |
| ST JOSEPH'S HOSPITAL - SAVANNAH OutpatientFacility | Aetna | Coventry Hmo | $1,771.00 | — | — | 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.