Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV

11982 — Remove Drug Implant Device

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $455

Usually $243–$814 (25th–75th percentile) across 2,979 hospitals · 8,210 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11982 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What the whole episode might cost

Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$243 $455 typical $814

The middle 50% of negotiated facility rates for this procedure, measured across 2,979 hospitals. The the surgeon's fee are modeled estimates added on top.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $455
Surgeon (professional fee) Estimate national typical Medicare $63 × 1.22 commercial. $77
Likely subtotal $532
Surgical episode (typical) ~$532

Not included in this estimate:

  • Rehab, physical therapy, and other post-acute care after discharge
  • Complications, revisions, or readmissions
  • Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)

The biggest swing: which insurer's rate applies — negotiated prices here run $243–$814.

How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Surgeon (professional fee) (estimate)
rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

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
O U MEDICAL CENTER Outpatient Humana Healthy Horizons Medicaid — $474.54 $47.45 2026-07-18 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility HEALTHSMART HEALTHSMART WORKERS COMP $0.17 — — 2026-05-20 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility AETNA AETNA WORKERS COMPENSATION $0.20 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility HEALTHSMART HEALTHSMART WORKERS COMP $0.22 $1,099.00 $824.25 2026-09-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Carolina Complete Health Managed Medicaid — $3,458.00 $2,074.80 2026-07-15 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Carolina Complete Health Managed Medicaid $0.24 $143.00 $85.80 2026-08-01 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Carolina Complete Health Managed Medicaid $0.24 $143.00 $85.80 2026-08-01 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Carolina Complete Health Managed Medicaid $0.24 $143.00 $85.80 2026-08-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 — — 2026-09-01 MRF ↗
HANCOCK COUNTY HEALTH SYSTEM Outpatient WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $0.43 $100.00 $75.00 2026-03-26 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.49 — — 2026-09-01 MRF ↗
James Cancer Hospital & Solove Research Institute Outpatient Cigna Cigna - Transplant $0.62 $661.00 — 2026-07-01 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Nc Commercial — $3,458.00 $2,074.80 2026-07-15 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 — — 2026-02-28 MRF ↗
NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient Alliant Health Commercial|All Plans $0.65 — — 2026-02-28 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 — — 2026-02-28 MRF ↗
PRINCETON BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanHMO $1.00 — — 2024-12-11 MRF ↗
CITIZENS BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanHMO $1.00 — — 2024-12-11 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-05-20 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Aetna Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM NON UHRIP $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-01 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Medico Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Midlands Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
CITIZENS BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanPPO $1.00 — — 2024-12-11 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NON OPTIONS PPO $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE COMMERCIAL $1.00 $1,099.00 $824.25 2026-09-02 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Wellpoint Medicaid $1.00 $1.00 $0.90 2026-07-17 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS PPO $1.00 — — 2026-09-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage — $739.73 $480.82 2025-11-26 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Uhc Medicare $1.00 $1.00 $0.90 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Auxiant Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility SCOTT AND WHITE HEALTH PLAN SCOTT AND WHITE HEALTH PLAN MEDICAID STAR PLUS $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-05-20 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Meritain Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-05-20 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility SCOTT AND WHITE HEALTH PLAN SCOTT AND WHITE HEALTH PLAN MEDICAID $1.00 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA EXCHANGE $1.00 — — 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage — $2,443.00 $2,003.26 2025-11-26 MRF ↗
PRINCETON BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanPPO $1.00 — — 2024-12-11 MRF ↗
METROWEST MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-06-05 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $1,099.00 $824.25 2026-09-02 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility SCOTT AND WHITE HEALTH PLAN SCOTT AND WHITE HEALTH PLAN MEDICAID STAR KIDS $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECHOICE - MEDICAID $1.00 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA PPO $1.00 — — 2026-09-01 MRF ↗
SHELBY BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanPPO $1.00 — — 2024-12-11 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage — $2,443.00 $2,003.26 2025-11-26 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-09-01 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Blue Cross Medicare $1.00 $1.00 $0.90 2026-07-17 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $1,099.00 $824.25 2026-09-02 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID NON UHRIP $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE CHARTER $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 — — 2026-05-20 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage — $2,443.00 $2,003.26 2025-11-26 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-05-20 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Phcs Nippon Life Benefits Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $1,099.00 $824.25 2026-09-02 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Mutual Of Omaha Medicare $1.00 $1.00 $0.90 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Uhc Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE - OPTIONS $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $1,099.00 $824.25 2026-09-02 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Molina Medicare $1.00 $1.00 $0.90 2026-07-17 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE SHIELD PROMISE MEDICARE $1.00 — — 2026-09-02 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-02 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Securehorizons Direct Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility HUMANA HUMANA MEDICAID $1.00 — — 2026-09-01 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Health Partners Medicare $1.00 $1.00 $0.90 2026-07-17 MRF ↗
SHELBY BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanHMO $1.00 — — 2024-12-11 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Trustmark Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW BUSINESS $1.00 $1,099.00 $824.25 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-05-20 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage — $739.73 $480.82 2025-11-26 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW BUSINESS $1.00 — — 2026-05-20 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE SHIELD PROMISE MEDICARE $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-05-20 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Iowa Total Care Medicaid $1.00 $1.00 $0.90 2026-07-17 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA HMO $1.00 — — 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility CARE1ST MEDICARE ADVANTAGE CARE1ST MEDICARE ADVANTAGE $1.00 — — 2026-09-02 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility CARE1ST MEDICARE ADVANTAGE CARE1ST MEDICARE ADVANTAGE $1.00 — — 2026-09-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE - OPTIONS $1.00 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-01 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Humana Medicare $1.00 $1.00 $0.90 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Admin Concepts Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Midlands Choice Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. HMO — $2,443.00 $2,003.26 2025-11-26 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA EXCHANGE $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 — — 2026-05-20 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Cigna Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Geha Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Golden Rule Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 $1,099.00 $824.25 2026-09-02 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage — $2,443.00 $2,003.26 2025-11-26 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $1,099.00 $824.25 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $1.00 — — 2026-05-20 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE CHARTER $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $1.00 $1,099.00 $824.25 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-09-01 MRF ↗
METROWEST MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $1.00 — — 2026-06-05 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA PPO $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NON OPTIONS $1.00 — — 2026-09-01 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Health Partners Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR PLUS $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS PPO $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility AETNA AETNA WORKERS COMPENSATION $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility AETNA AETNA WORKERS COMPENSATION $1.00 — — 2026-09-01 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Molina Medicaid $1.00 $1.00 $0.90 2026-07-17 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR PLUS $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage — $2,443.00 $2,003.26 2025-11-26 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Humana Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR KIDS $1.00 — — 2026-09-01 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Aetna Medicare $1.00 $1.00 $0.90 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Coventry Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
LUCAS COUNTY HEALTH CENTER Outpatient Physicians Mutual Commercial $1.00 $1.00 $0.90 2026-07-17 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 $1,099.00 $824.25 2026-09-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA HMO $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $1,099.00 $824.25 2026-09-02 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Medicaid Medicaid $1.00 $1,213.00 $606.50 2026-07-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE COMMERCIAL $1.00 — — 2026-05-20 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR KIDS $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility SCOTT AND WHITE HEALTH PLAN SCOTT AND WHITE HEALTH PLAN MEDICAID STAR $1.00 — — 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE $1.00 — — 2026-09-02 MRF ↗
HI-DESERT MEDICAL CENTER OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.06 — — 2026-09-02 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Geisinger Family Plan Geisinger Family Plan - Managed Medicaid $1.07 $1,213.00 $606.50 2026-07-01 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.10 $296.00 $281.20 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.10 $296.00 $281.20 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.10 $296.00 $281.20 2026-02-20 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient AmeriHealth AmeriHealth Cartias - Managed Medicaid $1.10 $1,213.00 $606.50 2026-07-01 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.12 $296.00 $281.20 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.15 $296.00 $281.20 2026-02-20 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $1.15 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $1.16 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $1.16 — — 2026-03-18 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.18 $296.00 $281.20 2026-02-20 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient UPMC For You UPMC For You - Managed Medicaid $1.18 $1,213.00 $606.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Jefferson Health Plan Jefferson Health Plan - Managed Medicaid $1.20 $1,213.00 $606.50 2026-07-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility AETNA AETNA WORKERS COMPENSATION $1.30 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility AETNA AETNA WORKERS COMPENSATION $1.30 — — 2026-09-01 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $1.32 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $1.33 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $1.33 — — 2026-03-18 MRF ↗
BAYSTATE WING HOSPITAL Both Serenity Pace Medicare Managed Care $1.36 $273.00 $273.00 2026-06-05 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $1.44 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $1.45 — — 2026-03-18 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.45 $296.00 $281.20 2026-02-20 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $1.45 — — 2026-03-18 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.45 $296.00 $281.20 2026-02-20 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - Managed Medicaid $1.47 $1,213.00 $606.50 2026-07-01 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.48 $296.00 $281.20 2026-02-20 MRF ↗
UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient CIGNA HEALTH PLAN [11104] All CIGNA HA [46] Plans $1.54 $954.35 $954.35 2026-03-26 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.54 $296.00 $281.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.60 $296.00 $281.20 2026-02-20 MRF ↗
BAYSTATE WING HOSPITAL Both Wellpoint All Commercial $1.77 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Serenity Pace Medicare Managed Care $1.88 $376.65 $376.65 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Multiplan All Commercial Plans $1.91 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS HMO Commercial $2.09 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS PPO Commercial $2.10 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS Indemnity Commercial $2.10 $273.00 $273.00 2026-06-05 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $2.18 $1,209.00 $414.54 2024-12-31 MRF ↗
OTTAWA COUNTY HEALTH CENTER Outpatient CHOICECARE MCR ADV - ALL PLANS CHOICECARE MCR ADV - ALL PLANS $2.19 $160.00 $160.00 2026-03-09 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $2.19 $179.00 $34.01 2026-01-25 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $2.19 $244.00 $46.36 2026-05-20 MRF ↗
BAYSTATE WING HOSPITAL Both Aetna All Commercial Plans $2.28 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both First Health PPO $2.32 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Connecticare CBI Other Commercial Plan $2.34 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Connecticare All Commercial Plans $2.34 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Health New England Connector Other Commercial Plan $2.39 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Wellpoint All Commercial $2.45 $376.65 $376.65 2026-06-05 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - CHIP - Managed Medicare $2.50 $1,213.00 $606.50 2026-07-01 MRF ↗
BAYSTATE WING HOSPITAL Both Multiplan All Commercial Plans $2.64 $376.65 $376.65 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Health New England Fully Insured Other Commercial Plan $2.67 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Health New England Self Funded Employer Sponsored Other Commercial Plan $2.67 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Health New England ASO GIC Other Commercial Plan $2.67 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Coventry Health Care Workers Comp $2.68 $273.00 $273.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both United Healthcare All Commercial Plans $2.78 $376.65 $376.65 2026-06-05 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient AETNA [100] AETNA|AETNA DENTAL|MERITAIN HEALTH — $740.84 $481.55 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient FIDELIS MEDICARE [176] FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE — $740.84 $481.55 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 — $740.84 $481.55 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient INDEPENDENT HEALTH ASSOCIATION,IN [138] INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA — $740.84 $481.55 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP GOLD PPO — $740.84 $481.55 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 3&4 $2.79 $740.84 $481.55 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 $2.79 $740.84 $481.55 2024-12-30 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP OPTION|MVP CHILD HEALTH PLUS $2.79 $740.84 $481.55 2024-12-30 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS HMO Commercial $2.88 $376.65 $376.65 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS PPO Commercial $2.90 $376.65 $376.65 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS Indemnity Commercial $2.90 $376.65 $376.65 2026-06-05 MRF ↗
NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient MVP [109] MVP EXCHANGE-INDIVIDUAL $2.98 $740.84 $481.55 2024-12-30 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.