0913T — Hc Prq Tcat Ther Rx Ntrac Balo1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC PRQ TCAT THER RX NTRAC BALO1 (CPT 0913T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0913T?code_type=CPT
MLA (9th ed.)
“HC PRQ TCAT THER RX NTRAC BALO1 (CPT 0913T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0913T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC PRQ TCAT THER RX NTRAC BALO1 (CPT 0913T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0913T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,333–$13,682 (25th–75th percentile) across 1,266 hospitals · 3,872 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0913T — 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 VIRGINIA MEDICAL CENTER Outpatient | VETERANS [99909] | UVA HB VETERANS CHOICE | $5.55 | $61,277.82 | $36,766.69 | 2026-03-24 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Aetna_Better_Health_Kids | All_Plans | $12.60 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $12.97 | — | $61,560.63 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $13.10 | — | $61,560.63 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $13.15 | — | $61,560.63 | 2026-03-31 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Geisinger_Medicaid | All_Plans | $28.00 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Blue_Cross | Capital_Blue_Performance_PPO | $38.91 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | Blue_Cross | Capital_Blue_Performance_PPO | $39.28 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | Blue_Cross | Capital_Blue_Performance_PPO | $39.28 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | Blue_Cross | Capital_Cares_4_kids | $39.29 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | Blue_Cross | Capital_Cares_4_kids | $39.29 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Blue_Cross | Capital_Cares_4_kids | $39.87 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| OKLAHOMA HEART HOSPITAL, LLC Outpatient | HUMANA HEALTHY HORIZONS IN OK | HUMANA MEDICAID | $41.23 | — | $20,687.69 | 2026-03-27 | MRF ↗ |
| OKLAHOMA HEART HOSPITAL SOUTH, LLC Outpatient | AETNA BETTER HEALTH OF OK | AETNA MEDICAID | $41.23 | — | $22,435.02 | 2026-03-27 | MRF ↗ |
| OKLAHOMA HEART HOSPITAL SOUTH, LLC Outpatient | HUMANA HEALTHY HORIZONS IN OK | HUMANA MEDICAID | $41.23 | — | $22,435.02 | 2026-03-27 | MRF ↗ |
| OKLAHOMA HEART HOSPITAL, LLC Outpatient | AETNA BETTER HEALTH OF OK | AETNA MEDICAID | $41.23 | — | $20,687.69 | 2026-03-27 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Blue_Cross | Capital_Cares_4_kids | $42.37 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Blue_Cross | Capital_Cares_4_kids | $42.37 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Blue_Cross | Capital_Cares_4_kids | $44.10 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Blue_Cross | Capital_Blue_Performance_PPO | $46.10 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Blue_Cross | Capital_Blue_Performance_PPO | $46.10 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Blue_Cross | Capital_Blue_Performance_PPO | $46.82 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | UPMC | UPMC_For_Kids | $56.00 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | PHC | All_Plans | $56.00 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | PHC | All_Plans | $56.00 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | UPMC | Employees_And_Dependents | $56.00 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | UPMC | Employees_And_Dependents | $56.00 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | UPMC | UPMC_For_Kids | $56.00 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | Blue_Cross | All_Other_Plans | $56.13 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | Blue_Cross | All_Other_Plans | $56.13 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Blue_Cross | All_Other_Plans | $56.96 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Blue_Cross | All_Other_Plans | $60.53 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Blue_Cross | All_Other_Plans | $60.53 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Aetna | All_Plans | $60.69 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | First_Health_Network | All_Plans | $60.69 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Cigna | All_Plans | $62.49 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | Cigna | All_Plans | $62.97 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | Cigna | All_Plans | $62.97 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Blue_Cross | All_Other_Plans | $62.99 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | PHC | All_Plans | $63.00 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | Aetna | All_Plans | $63.28 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | Aetna | All_Plans | $63.28 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Cigna | All_Plans | $63.52 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Aetna | All_Plans | $63.77 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | First_Health_Network | All_Plans | $63.77 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | First_Health_Network | All_Plans | $63.98 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Inpatient | First_Health_Network | All_Plans | $63.98 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Aetna | All_Plans | $64.05 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | First_Health_Network | All_Plans | $64.05 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | First_Health_Network | All_Plans | $64.05 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Aetna | All_Plans | $64.05 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | WellSpan_Capital_Blue_Cross | All_Plans | $64.40 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | WellSpan_Capital_Blue_Cross | All_Plans | $64.40 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | WellSpan_Capital_Blue_Cross | All_Plans | $64.40 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Cigna | All_Plans | $65.04 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Cigna | All_Plans | $65.04 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $65.10 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | UPMC | UPMC_For_Kids | $65.10 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | UPMC | UPMC_For_Kids | $65.10 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | UPMC | Employees_And_Dependents | $65.10 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $65.10 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | UPMC | Employees_And_Dependents | $65.10 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | United_Healthcare | All_Plans | $65.87 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | United_Healthcare | All_Plans | $66.29 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | United_Healthcare | All_Plans | $66.29 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Geisinger | All_Plans | $66.50 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Geisinger | All_Plans | $66.50 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| GETTYSBURG HOSPITAL Outpatient | Geisinger | All_Plans | $66.50 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $66.50 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | UPMC | Employees_And_Dependents | $66.50 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | UPMC | UPMC_For_Kids | $66.50 | $70.00 | $56.00 | 2026-01-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicare Advantage - OB/GYN | $73.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials | $73.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicare Advantage | $73.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials Midlevels | $73.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicare | $73.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicaid | $73.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $17,105.00 | $3,078.90 | 2026-01-30 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Humana | Medicare | $93.10 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Humana | Medicare Midlevels | $93.10 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Affinity | Medicaid - Specialists | $98.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|PPO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|PPO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|Surefit | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|Surefit | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|PPO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $100.00 | $57,003.00 | $8,550.45 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|HMO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE Outpatient | Cigna | Commercial|All Plans | $100.00 | $57,003.00 | $8,550.45 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN Outpatient | Cigna | Commercial|All Plans | $100.00 | $57,003.00 | $8,550.45 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|Surefit | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $100.00 | $57,003.00 | $8,550.45 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|HMO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|HMO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $29,949.00 | $10,482.15 | 2026-02-28 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Oscar | Medicare | $110.25 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Oscar | Commercial | $110.25 | $245.00 | $160.23 | 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 | Ufcw | 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 ↗ |
| 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 MISSISSIPPI MED CENTER Outpatient | ADVHEALTH | STATE OF MS BLUE CROSS | $111.75 | $14,254.00 | $5,701.60 | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MISSISSIPPI MED CENTER Outpatient | ADVHEALTH | STATE OF MS BLUE CROSS | $111.75 | $14,254.00 | $5,701.60 | 2026-03-24 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | UHC/Oxford | Essential Plan 3 & 4 | $122.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS Empire Healthplus | Essential 1 & 2 | $122.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Medicare | $122.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS Empire Healthplus | Essential 3 & 4 | $122.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBC Empre Healthplus | Medicaid & HARP | $122.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | VNS | Medicaid | $122.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Centerlight Healthcare | Centerlight Healthcare | $122.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $128.85 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $128.85 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $128.85 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Cigna | Local Plus Midlevels | $147.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | UHC/Oxford | Commercial Midlevels | $147.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | UHC/Oxford | Commercial | $147.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Amida Care | Amida Care | $147.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Commercial | $147.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Cigna | Cigna Employed Physicians | $147.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Cigna | Local Plus | $147.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Commercial Midlevels | $147.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Cigna | Cigna Paraprofessionals | $147.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $147.67 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $147.67 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $147.67 | — | — | 2026-03-18 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $11,403.04 | $9,122.43 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $11,403.04 | $9,122.43 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $11,403.04 | $9,122.43 | 2025-11-21 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | VNS Medicare | Medicare Midlevels | $159.25 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | VNS | Medicare | $159.25 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Northwell | Direct | $159.25 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $160.78 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $160.78 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $160.78 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | GHI | Medicare | $166.60 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP PT/OT Government | PT/OT Government & Select | $166.60 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP PT/OT Commercial | PT/OT Commercial | $166.60 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP | HMO/POS | $166.60 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP | Medicaid Essential Plan 1-4 | $166.60 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP | Medicare | $166.60 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | GHI | Medicare Midlevels | $166.60 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | GHI | Commercial | $166.60 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | GHI | Commercial Midlevels | $166.60 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP | Select Care Exchange Product | $166.60 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HIP | PPO/EPO | $166.60 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Multiplan | Multiplan | $171.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Centers Plan for Healthy Living - MD/DOs | Centers Plan for Healthy Living - MD/DOs | $171.50 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $27,874.00 | $18,118.10 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $27,874.00 | $18,118.10 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $27,874.00 | $18,118.10 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $27,874.00 | $18,118.10 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $27,874.00 | $18,118.10 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $27,874.00 | $18,118.10 | 2026-03-30 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Fidelis | Essential 3 & 4 (Medicaid) | $196.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Affinity | Health Exchange Plan | $196.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Fidelis | Medicaid and HARP | $196.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Fidelis | Medicare | $196.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Fidelis | Essential 1 & 2 (Medicaid) | $196.00 | $245.00 | $160.23 | 2026-04-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | Premier | $300.00 | $15,124.15 | $15,124.15 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | Premier | $300.00 | $15,124.15 | $15,124.15 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Athletic Network | Premier | $300.00 | $15,532.50 | $15,532.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Athletic Network | Premier | $300.00 | $15,532.50 | $15,532.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | Premier | $300.00 | $15,532.50 | $15,532.50 | 2026-03-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Empower | MANAGED MEDICAID | $320.00 | — | — | 2025-07-01 | 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 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 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 ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHIP | $382.47 | $7,649.46 | $7,649.46 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARKids | $382.47 | $7,649.46 | $7,649.46 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARPLUS | $382.47 | $7,649.46 | $7,649.46 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHPFC | $382.47 | $7,649.46 | $7,649.46 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STAR | $382.47 | $7,649.46 | $7,649.46 | 2026-03-01 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICARE [1002] | ANTHEM MEDIBLUE MEDICARE [100205] | $402.55 | $1,709.00 | $1,025.40 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICARE [1003] | HUMANA MEDICARE [100303] | $402.55 | $1,709.00 | $1,025.40 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UNITED HEALTHCARE [2069] | UHC CHOICE/CHOICE PLUS [206911] | $402.55 | $1,709.00 | $1,025.40 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA MEDICARE [1001] | AETNA MEDICARE [100101] | $402.55 | $1,709.00 | $1,025.40 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | TCH EMPLOYEE UMR [3007] | TCH EMPLOYEE UMR [300701] | $402.55 | $1,709.00 | $1,025.40 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM [2024] | ANTHEM HMO/PPO [202416] | $402.55 | $1,709.00 | $1,025.40 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC MEDICARE [1004] | UHC MEDICARE [100403] | $402.55 | $1,709.00 | $1,025.40 | 2025-12-19 | 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.