0923T — Rmvl&rplcmt Perm Ccm-d Pg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Rmvl&rplcmt perm ccm-d pg (CPT 0923T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0923T?code_type=CPT
MLA (9th ed.)
“Rmvl&rplcmt perm ccm-d pg (CPT 0923T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0923T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Rmvl&rplcmt perm ccm-d pg (CPT 0923T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0923T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,447–$32,515 (25th–75th percentile) across 985 hospitals · 1,413 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0923T — 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 |
|---|---|---|---|---|---|---|---|
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $100.00 | $72,600.00 | $10,890.00 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|Surefit | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|Surefit | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|PPO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $100.00 | $72,600.00 | $10,890.00 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|HMO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN Outpatient | Cigna | Commercial|All Plans | $100.00 | $72,600.00 | $10,890.00 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|HMO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|HMO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE Outpatient | Cigna | Commercial|All Plans | $100.00 | $72,600.00 | $10,890.00 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|PPO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|Surefit | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|PPO | $100.00 | $56,115.00 | $19,640.25 | 2026-02-28 | 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 | 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 CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | VISTA | COVENTRY MEDICAID | $167.89 | $95,172.00 | $61,861.80 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $95,172.00 | $61,861.80 | 2026-03-30 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Traditional | $320.30 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Ppo | $320.30 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem - Westfield Hmo | $320.30 | — | — | 2026-04-01 | 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 HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE 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 ↗ |
| ST CHARLES MADRAS Both | AGERIGHT ADVANTAGE [142] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | PYRAMID MEDICARE [128] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | HEALTH NET MED ADV [135] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | LAW ENFORCEMENT [701] | SCHS SMH HB LAW ENFORCEMENT | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | HUMANA MEDICARE [130] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | UHC MEDICARE ADVANTAGE [127] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | WELLCARE [132] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | INDIAN HEALTH [704] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | MEDICARE [100] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | ATRIO HEALTH MEDICARE [138] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | MEDICARE VACCINE [999100100] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | VETERANS [706] | Veteran Affairs | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | KAISER PERMANENTE MED ADV [136] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AETNA MEDICARE [131] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | COVID-19 MEDICARE ALT PAYOR [805] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | UNICARE [133] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | MEDICARE ADVANTAGE GENERIC [199] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | DEVOTED HEALTH INC [145] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | HEALTH MARKET CARE ASSURED [134] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | SAMARITAN HEALTH PLAN MED ADV [141] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | CIGNA MEDICARE [143] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | HUMANA MC AB REBILL [176] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | MEDICARE AB REBILL ALT PAYER [175] | Medicare | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | CHAMP VA [700] | Veteran Affairs | $404.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $426.88 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $39,981.00 | $17,991.45 | 2026-03-13 | MRF ↗ |
| ST CHARLES MADRAS Both | BLUE CROSS MED ADV [125] | Blue Cross Medicare | $445.44 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $77,440.00 | $7,744.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $77,440.00 | $7,744.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $77,440.00 | $7,744.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $77,440.00 | $7,744.00 | 2026-05-06 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicare | $454.50 | $1,515.00 | $990.81 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials Midlevels | $454.50 | $1,515.00 | $990.81 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicare Advantage | $454.50 | $1,515.00 | $990.81 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicare Advantage - OB/GYN | $454.50 | $1,515.00 | $990.81 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials | $454.50 | $1,515.00 | $990.81 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicaid | $454.50 | $1,515.00 | $990.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $469.73 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | HUMANA MEDICARE [130] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | LAW ENFORCEMENT [701] | SCHS SPH HB LAW ENFORCEMENT | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | UHC MEDICARE ADVANTAGE [127] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | HEALTH MARKET CARE ASSURED [134] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | CHAMP VA [700] | Veteran Affairs | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | MEDICARE [100] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | DEVOTED HEALTH INC [145] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | PYRAMID MEDICARE [128] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | MEDICARE ADVANTAGE GENERIC [199] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | AGERIGHT ADVANTAGE [142] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | ATRIO HEALTH MEDICARE [138] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | MEDICARE VACCINE [999100100] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | HUMANA MC AB REBILL [176] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | COVID-19 MEDICARE ALT PAYOR [805] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | MEDICARE AB REBILL ALT PAYER [175] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | INDIAN HEALTH [704] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | WELLCARE [132] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | HEALTH NET MED ADV [135] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | KAISER PERMANENTE MED ADV [136] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | VETERANS [706] | Veteran Affairs | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | UNICARE [133] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | SAMARITAN HEALTH PLAN MED ADV [141] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | CIGNA MEDICARE [143] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | AETNA MEDICARE [131] | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | Medicare | $472.43 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $497.94 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $507.28 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $507.28 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $507.28 | — | — | 2026-03-18 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | TRICARE [705] | Tricare | $514.82 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Partners | Managed Medicaid | $518.96 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Partners | Managed Medicaid | $518.96 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | BLUE CROSS MED ADV [125] | Blue Cross Medicare | $519.68 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | TRICARE [705] | Tricare | $526.58 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $526.74 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Behavioral Health | $531.93 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $531.93 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Healthy Blue | Managed Medicaid | $536.60 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Wellcare | Managed Medicaid | $536.60 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Carolina Complete Health | Managed Medicaid | $536.60 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Behavioral Health | $537.12 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Carolina Complete Health | Managed Medicaid | $541.79 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Wellcare | Managed Medicaid | $541.79 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Healthy Blue | Managed Medicaid | $541.79 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Vaya | Managed Medicaid | $541.79 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Vaya | Managed Medicaid | $546.98 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $548.02 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Managed Medicaid | $550.10 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Managed Medicaid | $552.69 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Trillium | Managed Medicaid | $552.69 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Trillium | Managed Medicaid | $557.88 | $5,189.60 | $2,594.80 | 2025-12-05 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem Ppo | $560.53 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem Hmo | $560.53 | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW HEALTH OutpatientFacility | Bcbs | Anthem Traditional | $560.53 | — | — | 2026-04-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Blue Shield of California | EPN | $570.02 | $61,298.00 | $27,584.10 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Blue Shield of California | EPN | $570.02 | $61,298.00 | $27,584.10 | 2026-02-19 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Humana | Medicare Midlevels | $575.70 | $1,515.00 | $990.81 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Humana | Medicare | $575.70 | $1,515.00 | $990.81 | 2026-04-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $581.36 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $581.36 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $581.36 | — | — | 2026-03-18 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ CHARTIS CLAIMS [650] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ CORVEL [676] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | GENERIC WORKERS COMP [699] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ CITY COUNTY INS SERVICES [662] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ ESIS WEST WC CLAIMS [653] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ SEDGWICK CMS [660] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ BROADSPIRE SERVICES [670] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ TRAVELERS INSURANCE [672] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ TRISTAR [673] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ CITY COUNTY INS SERVICES [662] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ ESIS WEST WC CLAIMS [653] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ INTERMOUNTAIN CLAIMS INC [666] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ SAIF [659] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | GENERIC WORKERS COMP [699] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ SEDGWICK CMS [660] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ SAIF [667] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ SEDGWICK CMS [660] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ LIBERTY MUTUAL WAUSAU UNDERWRITERS [671] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ TRAVELERS INSURANCE [672] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ TRISTAR [673] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ LIBERTY MUTUAL WAUSAU UNDERWRITERS [671] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ PENSER NO AMERICAN [663] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ BROADSPIRE SERVICES [670] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ CITY COUNTY INS SERVICES [662] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ SEDGWICK [668] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ GALLAGHER BASSETT [654] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | GENERIC WORKERS COMP [699] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ CHARTIS CLAIMS [650] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ CCMSI [618] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ CCMSI [618] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ HARTFORD [655] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ HARTFORD [655] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ TRISTAR [673] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ GALLAGHER BASSETT [654] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ PINNACLE RISK MGMT [661] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ CHARTIS CLAIMS [650] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ SAIF [667] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ CORVEL [676] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ BROADSPIRE SERVICES [670] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ CORVEL [676] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ SAIF [659] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ CCMSI [618] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ PINNACLE RISK MGMT [661] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ SEDGWICK [668] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ INTERMOUNTAIN CLAIMS INC [666] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ PINNACLE RISK MGMT [661] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | OTJ SEDGWICK [668] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ PENSER NO AMERICAN [663] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ SAIF [659] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ ESIS WEST WC CLAIMS [653] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ SAIF [667] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ GALLAGHER BASSETT [654] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | OTJ LIBERTY MUTUAL WAUSAU UNDERWRITERS [671] | Oregon Workers Compensation | $583.79 | $1,687.26 | $1,349.81 | 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.