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 →

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11983 — Remove/insert Drug Implant

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 $456

Usually $261–$778 (25th–75th percentile) across 2,560 hospitals · 6,205 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11983 — 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
$261 $456 typical $778

The middle 50% of negotiated facility rates for this procedure, measured across 2,560 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. $456
Surgeon (professional fee) Estimate national typical Medicare $89 × 1.22 commercial. $108
Likely subtotal $565
Surgical episode (typical) ~$565

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 $261–$778.

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
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 $1,206.00 $904.50 2026-09-02 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 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 $151.00 $113.25 2026-03-26 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.49 — — 2026-09-01 MRF ↗
MCLEOD HEALTH CHERAW Both Cigna Commercial $0.52 $599.00 $425.29 2026-11-03 MRF ↗
James Cancer Hospital & Solove Research Institute Outpatient Cigna Cigna - Transplant $0.62 $661.00 — 2026-07-01 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 ↗
DESERT REGIONAL MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE SHIELD 65/CAREAMERICA SR $0.65 — — 2026-09-02 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 — — 2026-02-28 MRF ↗
DESERT REGIONAL MEDICAL CENTER OutpatientFacility AETNA AETNA HEALTH PLANS HMO/POS/EPO $0.70 — — 2026-09-02 MRF ↗
MCLEOD HEALTH CHERAW Both Bcbs Preferred $0.75 $599.00 $425.29 2026-11-03 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE COMMERCIAL $1.00 — — 2026-05-20 MRF ↗
SAN RAMON REGIONAL MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE DOCTORS PLAN $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $1,206.00 $904.50 2026-09-02 MRF ↗
METROWEST MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $1.00 — — 2026-06-05 MRF ↗
PRINCETON BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanPPO $1.00 — — 2024-12-11 MRF ↗
PRINCETON BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanHMO $1.00 — — 2024-12-11 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE COMMERCIAL $1.00 $1,206.00 $904.50 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE CHARTER $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $1,206.00 $904.50 2026-09-02 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW BUSINESS $1.00 $1,206.00 $904.50 2026-09-02 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR PLUS $1.00 — — 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility CARE1ST MEDICARE ADVANTAGE CARE1ST MEDICARE ADVANTAGE $1.00 — — 2026-09-02 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $1,206.00 $904.50 2026-09-02 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility HUMANA HUMANA MEDICAID $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW BUSINESS $1.00 — — 2026-05-20 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NON OPTIONS $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE - OPTIONS $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR $1.00 — — 2026-09-01 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility CARE1ST MEDICARE ADVANTAGE CARE1ST MEDICARE ADVANTAGE $1.00 — — 2026-09-02 MRF ↗
SHELBY BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanPPO $1.00 — — 2024-12-11 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-05-20 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Medicaid Medicaid $1.00 $1,213.00 $606.50 2026-07-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility AETNA AETNA WORKERS COMPENSATION $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage — $739.73 $480.82 2025-11-26 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR KIDS $1.00 — — 2026-09-01 MRF ↗
SHELBY BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanHMO $1.00 — — 2024-12-11 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-05-20 MRF ↗
CITIZENS BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanHMO $1.00 — — 2024-12-11 MRF ↗
METROWEST MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-06-05 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $1,206.00 $904.50 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility AETNA AETNA WORKERS COMPENSATION $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR PLUS $1.00 — — 2026-09-01 MRF ↗
SAN RAMON REGIONAL MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE CROSS EXCHANGE HIX $1.00 — — 2026-09-01 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 STAR KIDS $1.00 — — 2026-09-01 MRF ↗
DESERT REGIONAL MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE CROSS EXCHANGE HIX $1.00 — — 2026-09-02 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 $1,206.00 $904.50 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 — — 2026-05-20 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA EXCHANGE $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NON OPTIONS PPO $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-05-20 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 ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM NON UHRIP $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $1.00 — — 2026-05-20 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS PPO $1.00 — — 2026-09-01 MRF ↗
SAN RAMON REGIONAL MEDICAL CENTER OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID NON UHRIP $1.00 — — 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-05-20 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility MOLINA MOLINA MANAGED MEDICAID STAR KIDS $1.00 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA PPO $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 $1,206.00 $904.50 2026-09-02 MRF ↗
CITIZENS BAPTIST MEDICAL CENTER Outpatient Cigna CignaHealthPlanPPO $1.00 — — 2024-12-11 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility SCOTT AND WHITE HEALTH PLAN SCOTT AND WHITE HEALTH PLAN MEDICAID $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $1.00 $1,206.00 $904.50 2026-09-02 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA HMO $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 ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $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 ↗
ST MARY'S MEDICAL CENTER OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECHOICE - MEDICAID $1.00 — — 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE NONOPTIONS $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE CHARTER $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility SCOTT AND WHITE HEALTH PLAN SCOTT AND WHITE HEALTH PLAN MEDICAID STAR PLUS $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $1,206.00 $904.50 2026-09-02 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OF FLORIDA HMO $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS PPO $1.00 — — 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE SHIELD PROMISE MEDICARE $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility UNITED HEALTHCARE UNITED HEALTHCARE EXCHANGE $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 MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE SHIELD PROMISE MEDICARE $1.00 — — 2026-09-02 MRF ↗
SIERRA MEDICAL CENTER 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 $1,206.00 $904.50 2026-09-02 MRF ↗
DESERT REGIONAL MEDICAL CENTER OutpatientFacility MOLINA MOLINA MANAGED MEDICAID PROGRAM $1.06 — — 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 ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient AmeriHealth AmeriHealth Cartias - Managed Medicaid $1.10 $1,213.00 $606.50 2026-07-01 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 ↗
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 HOLLYWOOD OutpatientFacility Blue Shield of California HMO $1.33 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $1.33 — — 2026-03-18 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 ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $1.45 — — 2026-03-18 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - Managed Medicaid $1.47 $1,213.00 $606.50 2026-07-01 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.54 $416.00 $395.20 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.54 $416.00 $395.20 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.54 $416.00 $395.20 2026-02-20 MRF ↗
SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE CARE TENNCARE $1.55 — — 2026-09-01 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.58 $416.00 $395.20 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.62 $416.00 $395.20 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.66 $416.00 $395.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.04 $416.00 $395.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.04 $416.00 $395.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.08 $416.00 $395.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.16 $416.00 $395.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $2.25 $416.00 $395.20 2026-02-20 MRF ↗
BAYSTATE WING HOSPITAL Both Serenity Pace Medicare Managed Care $2.43 $486.00 $486.00 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 ↗
OTTAWA COUNTY HEALTH CENTER Outpatient CHOICECARE MCR ADV - ALL PLANS CHOICECARE MCR ADV - ALL PLANS $3.01 $200.00 $200.00 2026-03-09 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $3.01 $346.00 $65.74 2026-08-02 MRF ↗
BAYSTATE WING HOSPITAL Both Wellpoint All Commercial $3.16 $486.00 $486.00 2026-06-05 MRF ↗
SELF REGIONAL HEALTHCARE Outpatient Bcbs Of South Carolina Bcbs Blue Essentials-Exchange $3.39 $10.00 $6.00 2026-07-18 MRF ↗
SELF REGIONAL HEALTHCARE Outpatient Bluechoice Bluechoice Blue Option Exchange $3.39 $10.00 $6.00 2026-07-18 MRF ↗
ALLEGHANY MEMORIAL HOSPITAL OutpatientFacility Ambetter Individual Market $3.40 $10.00 $5.00 2025-08-12 MRF ↗
BAYSTATE WING HOSPITAL Both Multiplan All Commercial Plans $3.40 $486.00 $486.00 2026-06-05 MRF ↗
ALLEGHANY MEMORIAL HOSPITAL OutpatientFacility Amerihealth Caritas HMO $3.40 $10.00 $5.00 2025-08-12 MRF ↗
ALLEGHANY MEMORIAL HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $3.40 $10.00 $5.00 2025-08-12 MRF ↗
CASCADE MEDICAL CENTER Outpatient Tricare Federal $3.65 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient St. Luke's - Medicare Advantage Medicare Advantage $3.65 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient Saint Alphonsus - Regence Medicare Advantage Medicare Advantage $3.65 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient AARP-UHC Replacement Medicare Advantage $3.65 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient Triwest Federal $3.65 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient BC of Idaho - True Blue Medicare Advantage Medicare Advantage $3.69 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient Aetna - Medicare Advantage Medicare Advantage $3.69 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient MODA - Medicare Advantage Medicare Advantage $3.72 $5.00 $3.75 2026-01-22 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS HMO Commercial $3.72 $486.00 $486.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS Indemnity Commercial $3.74 $486.00 $486.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS PPO Commercial $3.74 $486.00 $486.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Aetna All Commercial Plans $4.06 $486.00 $486.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both First Health PPO $4.13 $486.00 $486.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Connecticare CBI Other Commercial Plan $4.17 $486.00 $486.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both Connecticare All Commercial Plans $4.17 $486.00 $486.00 2026-06-05 MRF ↗
ALLEGHANY MEMORIAL HOSPITAL OutpatientFacility Alliance Health Managed Medicaid $4.28 $10.00 $5.00 2025-08-12 MRF ↗
ALLEGHANY MEMORIAL HOSPITAL OutpatientFacility WellCare Managed Medicaid $4.28 $10.00 $5.00 2025-08-12 MRF ↗
ALLEGHANY MEMORIAL HOSPITAL OutpatientFacility Healthy Blue Managed Medicaid $4.28 $10.00 $5.00 2025-08-12 MRF ↗
ALLEGHANY MEMORIAL HOSPITAL OutpatientFacility United Healthcare Managed Medicaid $4.28 $10.00 $5.00 2025-08-12 MRF ↗
ALLEGHANY MEMORIAL HOSPITAL OutpatientFacility Vaya Health Managed Medicaid $4.28 $10.00 $5.00 2025-08-12 MRF ↗
WALLOWA MEMORIAL HOSPITAL Outpatient CIGNA - ALL PLANS CIGNA - ALL PLANS $4.37 $631.00 $631.00 2026-07-30 MRF ↗
CASCADE MEDICAL CENTER Outpatient Regence - Traditional/PPO PPO/Traditional $4.75 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient Saint Alphonsus - Micron PPO $4.75 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient BC of Idaho - Exchange/State Employer Plan PPO $4.75 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient St. Luke's - Connected Care BC of Idaho PPO $4.75 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient Saint Alphonsus - Connected Care BC of Idaho PPO $4.75 $5.00 $3.75 2026-01-22 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $4.75 $456.80 $456.80 2026-04-24 MRF ↗
CASCADE MEDICAL CENTER Outpatient Cigna PPO $4.75 $5.00 $3.75 2026-01-22 MRF ↗
BAYSTATE WING HOSPITAL Both Coventry Health Care Workers Comp $4.76 $486.00 $486.00 2026-06-05 MRF ↗
CASCADE MEDICAL CENTER Outpatient Aetna - PPO/POS/HMO PPO/POS/HMO $4.80 $5.00 $3.75 2026-01-22 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $4.88 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $4.88 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $4.88 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $4.88 — — 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $4.88 $1,206.00 $904.50 2026-09-02 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $4.88 $1,206.00 $904.50 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $4.88 — — 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $4.88 $1,206.00 $904.50 2026-09-02 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $4.88 $1,206.00 $904.50 2026-09-02 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $4.88 $1,206.00 $904.50 2026-09-02 MRF ↗
CASCADE MEDICAL CENTER Outpatient Aetna Trinity PPO $4.90 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient St. Lukes Mountain Health Coop PPO $4.90 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient St. Luke's - Pacific Source PPO $4.90 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient BC of Idaho - PPO/Traditional/Federal PPO/Traditional $4.90 $5.00 $3.75 2026-01-22 MRF ↗
CASCADE MEDICAL CENTER Outpatient St. Luke's - SelectHealth PPO $4.90 $5.00 $3.75 2026-01-22 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $5.02 $2,789.00 $414.54 2024-12-31 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $5.63 — — 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $5.63 $1,206.00 $904.50 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $5.63 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $5.63 — — 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $5.63 $1,206.00 $904.50 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $5.63 — — 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $5.63 $1,206.00 $904.50 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $5.63 — — 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $5.63 $1,206.00 $904.50 2026-09-02 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $5.63 $1,206.00 $904.50 2026-09-02 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.