114 — Orbital Procedures Without Cc/mcc
Cite this view
HANK Price Transparency. (n.d.). ORBITAL PROCEDURES WITHOUT CC/MCC (OTHER 114) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/114?code_type=OTHER
“ORBITAL PROCEDURES WITHOUT CC/MCC (OTHER 114) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/114?code_type=OTHER. Accessed .
“ORBITAL PROCEDURES WITHOUT CC/MCC (OTHER 114) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/114?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,974–$15,086 (25th–75th percentile) across 360 hospitals · 641 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 114 — 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 |
|---|---|---|---|---|---|---|---|
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $12.48 | $185.49 | $46.37 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $12.48 | $185.49 | $46.37 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $12.48 | $185.49 | $46.37 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $12.48 | $185.49 | $46.37 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Managedmedicaid | $12.93 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Essentialplans1Thru4 | $12.93 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Managedmedicaid | $12.93 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Essentialplans1Thru4 | $12.93 | $153.49 | — | 2026-05-23 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Commercial | $16.46 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $22.47 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $22.47 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Medicareadvantage | $23.65 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Medicareadvantage | $23.65 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Medicareadvantage | $23.65 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Medicareadvantage | $23.65 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Medicareadvantage | $23.65 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Medicareadvantage | $23.65 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Medicareadvantage | $23.65 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Medicareadvantage | $23.65 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Medicareadvantage | $23.65 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Vaccn | — | $23.65 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $23.65 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $23.65 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Vaccn | — | $23.65 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aitherstregis | Hmo | $23.65 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Medicareadvantage | $23.65 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Medicareadvantage | $23.65 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aitherstregis | Hmo | $23.65 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Medicareadvantage | $23.65 | $153.49 | — | 2026-05-13 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Hmo Illinois | — | $24.40 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Hmo | — | $24.40 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Blue Advantage Hmo | — | $24.40 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Ingalls Provider Group | — | $24.40 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Essentialplans1Thru4 | $25.07 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Medicareadvantage | $25.07 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Essentialplans1Thru4 | $25.07 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Medicareadvantage | $25.07 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $27.06 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $27.06 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $27.06 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $27.06 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $27.06 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $27.06 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $27.06 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $27.06 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $27.57 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $27.57 | $153.49 | — | 2026-05-13 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Federal | — | $28.12 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Ppo | — | $28.12 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Bcbs Il Federal | — | $28.12 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Out Of State Blue Cross Il Out Of State | — | $28.12 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Blue Cross Blue Shield Il Ppo | — | $28.12 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $28.41 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $28.41 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Umassfciraybrook | — | $35.48 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Umassfciraybrook | — | $35.48 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Individual | $37.84 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Individual | $37.84 | $153.49 | — | 2026-05-23 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $40.71 | $145.38 | $36.34 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $40.71 | $145.38 | $36.34 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $40.71 | $145.38 | $36.34 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $40.71 | $145.38 | $36.34 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $40.71 | $145.38 | $36.34 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $40.71 | $145.38 | $36.34 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $42.36 | $125.70 | $32.56 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Localplus | — | $43.49 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Bcbs Il Blue Choice | — | $44.38 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $46.51 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $48.01 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $48.01 | $153.49 | — | 2026-05-13 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $49.71 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Php Medicare Advantage Op | — | $51.94 | $185.49 | $46.37 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Medicare Advantage Op | — | $51.94 | $185.49 | $46.37 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Humana Medicare Advantage Op | — | $51.94 | $185.49 | $46.37 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicare Op | — | $51.94 | $185.49 | $46.37 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcn Medicare Advantage Op | — | $51.94 | $185.49 | $46.37 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $51.94 | $185.49 | $46.37 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Cigna Cigna Localplus | — | $53.17 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $53.30 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid Advantage | Medicaid | $53.67 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $55.47 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $55.47 | $153.49 | — | 2026-05-13 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Medical Resources Umr-Wausau | — | $56.55 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Unitedhealthcare Shared Services | — | $56.55 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare Bind/Surest Insurance | — | $56.55 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Hmo | — | $56.55 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care All Savers | — | $56.55 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Core | — | $56.55 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Choice | — | $56.55 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Navigate | — | $56.55 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Golden Rule Insurance | — | $56.55 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Medical Resources United Medical Resources | — | $56.55 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Ppo | — | $57.06 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare | — | $57.06 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Humana Humana Choice Pos | — | $58.33 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Blueaccess | $59.81 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Blueaccess | $59.81 | $153.49 | — | 2026-05-13 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare | — | $60.28 | $185.49 | $46.37 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $60.89 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $60.89 | $153.49 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Commercial | $61.91 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Commercial | $61.91 | $153.49 | — | 2026-05-13 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Illinois St Anthony Healthnetwork Hmo | — | $62.85 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicare | — | $65.22 | $354.83 | $212.90 | 2026-07-17 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Oa Plus | — | $65.30 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care National Assoc Of Letter Carriers | — | $65.30 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Ppo | — | $65.30 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Hmo | — | $65.30 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $70.95 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $70.95 | $153.49 | — | 2026-05-13 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Marketplace | — | $70.97 | $354.83 | $212.90 | 2026-07-17 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Anthem Ppo | — | $71.79 | $227.85 | $68.13 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Anthem Federal | — | $71.79 | $227.85 | $68.13 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Federal | — | $71.79 | $209.45 | $57.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Hmo | — | $71.79 | $209.45 | $57.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Out Of State Blue Cross Il Out Of State | — | $71.79 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Anthem Healthsync | — | $71.79 | $227.85 | $68.13 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Anthem Ppo | — | $71.79 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Illinois Bcbs Il Blue Choice | — | $71.79 | $227.85 | $68.13 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Ppo | — | $71.79 | $209.45 | $57.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Healthsync | — | $71.79 | $227.85 | $59.47 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Anthem Healthsync | — | $71.79 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Federal | — | $71.79 | $227.85 | $59.47 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Out Of State Blue Cross Il Out Of State | — | $71.79 | $227.85 | $68.13 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Bcbs Us Steel Claims | — | $71.79 | $227.85 | $68.13 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Blue Cross Highmark Generic | — | $71.79 | $227.85 | $59.47 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Healthsync | — | $71.79 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Hmo | — | $71.79 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Ppo | — | $71.79 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Bcbs Il Blue Choice | — | $71.79 | $227.85 | $64.71 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Out Of State Blue Cross Il Out Of State | — | $71.79 | $227.85 | $64.71 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Federal | — | $71.79 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Traditional Indemnity | — | $71.79 | $209.45 | $57.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Anthem Federal | — | $71.79 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Out Of State Blue Cross In Out Of State | — | $71.79 | $227.85 | $68.13 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Out Of State Blue Cross In Out Of State | — | $71.79 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Out Of State Blue Cross In Out Of State | — | $71.79 | $209.45 | $57.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Highmark | — | $71.79 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Bcbs Us Steel Claims | — | $71.79 | $227.85 | $59.47 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Acordia National | — | $71.79 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Ppo | — | $71.79 | $227.85 | $64.71 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Out Of State Blue Cross In Out Of State | — | $71.79 | $227.85 | $64.71 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Ppo | — | $71.79 | $227.85 | $59.47 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Out Of State Blue Cross In Out Of State | — | $71.79 | $125.70 | $32.56 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Out Of State Blue Cross Il Out Of State | — | $71.79 | $227.85 | $59.47 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Federal | — | $71.79 | $227.85 | $64.71 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Healthsync | — | $71.79 | $125.70 | $32.56 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Out Of State Blue Cross In Out Of State | — | $71.79 | $227.85 | $59.47 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Ppo | — | $71.79 | $125.70 | $32.56 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Hmo | — | $71.79 | $125.70 | $32.56 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Federal | — | $71.79 | $125.70 | $32.56 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Healthsync | — | $71.79 | $209.45 | $57.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Out Of State Blue Cross In Out Of State | — | $71.79 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $72.68 | $209.45 | $57.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care United Medical Resources | — | $72.91 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care Unitedhealthcare Shared Services | — | $72.91 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Medical Resources Umr-Wausau | — | $72.91 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Medical Resources United Medical Resources | — | $72.91 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare | — | $72.91 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Ppo | — | $72.91 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Choice | — | $72.91 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Navigate | — | $72.91 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Core | — | $72.91 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Hmo | — | $72.91 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care All Savers | — | $72.91 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Humana Medicare Advantage Op | — | $75.50 | $198.69 | $49.67 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Medicare Op | — | $75.50 | $198.69 | $49.67 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Php Medicare Advantage Op | — | $75.50 | $198.69 | $49.67 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcn Medicare Advantage Op | — | $75.50 | $198.69 | $49.67 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Blue Cross Medicare Plus Blue Op | — | $75.50 | $198.69 | $49.67 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Medicare Advantage Op | — | $75.50 | $198.69 | $49.67 | 2026-07-31 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Ppo | Commercial | $76.20 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Hmo | Commercial | $76.20 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Epo | Commercial | $76.20 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Pos | Commercial | $76.20 | $381.00 | $190.50 | 2026-05-08 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Cross Blue Shield | — | $78.46 | $185.49 | $46.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Managed Care Unitedhealthcare Shared Services | — | $78.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | United Medical Resources Umr-Darden | — | $78.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | United Healthcare United Healthcare Choice | — | $78.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | United Healthcare United Healthcare | — | $78.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | United Healthcare United Healthcare Navigate | — | $78.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Managed Care Golden Rule Insurance | — | $78.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Managed Care All Savers | — | $78.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | United Healthcare United Healthcare Ppo | — | $78.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Managed Care Student Resources | — | $78.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | United Medical Resources Umr-Wausau | — | $78.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | United Medical Resources United Medical Resources | — | $78.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | United Healthcare Bind/Surest Insurance | — | $78.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcbs Op | — | $80.18 | $145.38 | $36.34 | 2026-07-30 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Marketplace | — | $80.98 | $354.83 | $212.90 | 2026-07-17 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care Phcs Generic | — | $81.33 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Phcs Generic | — | $82.42 | $126.80 | $38.91 | 2026-08-01 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Humana Medicare | — | $82.45 | $354.83 | $212.90 | 2026-07-17 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Humana Humana Choice Care | — | $82.96 | $125.70 | $33.94 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $84.42 | $153.49 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $84.42 | $153.49 | — | 2026-05-13 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Humana Humana Choice Pos | — | $84.81 | $125.70 | $39.72 | 2026-07-30 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicare | — | $84.92 | $354.83 | $212.90 | 2026-07-17 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Sagamore Plus | — | $86.36 | $125.70 | $32.56 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Cigna Cigna Ppo | — | $86.36 | $125.70 | $32.56 | 2026-07-31 | 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.