12015 — Rpr F/e/e/n/l/m 7.6-12.5 Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RPR F/E/E/N/L/M 7.6-12.5 CM (CPT 12015) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/12015?code_type=CPT
MLA (9th ed.)
“RPR F/E/E/N/L/M 7.6-12.5 CM (CPT 12015) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/12015?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RPR F/E/E/N/L/M 7.6-12.5 CM (CPT 12015) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/12015?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $204–$673 (25th–75th percentile) across 2,682 hospitals · 8,953 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 12015 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$204
$362 typical
$673
The middle 50% of negotiated facility rates for this procedure, measured across 2,682 hospitals. Surgeon & anesthesia fees 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. | $362 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $90 × 1.22 commercial. | $110 |
| Likely subtotal | $472 |
Surgical episode (typical)
~$472
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,257
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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $2,031.63 | $1,320.56 | 2025-11-26 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.43 | $532.00 | $399.00 | 2025-03-07 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $674.00 | $199.51 | 2026-02-28 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.84 | $158.00 | $118.50 | 2026-03-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1,562.80 | $1,015.82 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,562.80 | $1,015.82 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.12 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.12 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.12 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.15 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.18 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.21 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Community Health Group | Community Health Group - Medi-Cal | $1.41 | $2,609.00 | $1,956.75 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.45 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.45 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.48 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.48 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.48 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.48 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.51 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.54 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.57 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.63 | $302.00 | $286.90 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.11 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.13 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.13 | — | — | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.19 | $826.50 | $495.90 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.19 | $826.50 | $495.90 | 2025-08-11 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $2.42 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $2.44 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $2.44 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.64 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.65 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.65 | — | — | 2026-03-18 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $2.78 | $240.00 | $240.00 | 2026-03-09 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $3.06 | $310.00 | $201.50 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $3.06 | $247.00 | $160.55 | 2026-05-07 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.33 | $319.75 | $319.75 | 2026-04-24 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.92 | $826.50 | $495.90 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.92 | $826.50 | $495.90 | 2025-08-11 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $4.13 | $396.90 | $396.90 | 2026-04-24 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $4.50 | $225.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $4.50 | $225.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $4.50 | $225.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $4.50 | $225.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $4.50 | $225.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $4.50 | $225.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $4.50 | $225.00 | — | 2026-03-31 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.94 | $826.50 | $495.90 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.94 | $826.50 | $495.90 | 2025-08-11 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $4.98 | $1,014.00 | $375.18 | 2026-03-31 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $5.56 | $240.00 | $240.00 | 2026-02-13 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | Hennepin Health | PMAP | — | $644.00 | $258.25 | 2026-02-06 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $7.81 | $826.50 | $495.90 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $7.81 | $826.50 | $495.90 | 2025-08-11 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $14.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $14.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $14.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $14.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $14.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $14.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $14.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $14.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $14.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $14.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $14.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC REHAB IP | $15.13 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC NB | $15.13 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC IP | $15.13 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC 2ND OP | $15.13 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC PSYCH | $15.13 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC OP | $15.13 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC 2ND IP | $15.13 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC REHAB OP | $15.13 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $18.00 | $422.00 | $422.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $18.00 | $422.00 | $422.00 | 2025-10-04 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | LA CARE MEDI-CAL-ALL OTHER PLANS | LA CARE MEDI-CAL-ALL OTHER PLANS | $18.00 | $237.00 | $165.90 | 2026-03-17 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $18.00 | $237.00 | $165.90 | 2026-03-17 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $18.00 | $422.00 | $422.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $18.00 | $422.00 | $422.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $18.36 | $422.00 | $422.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $18.36 | $422.00 | $422.00 | 2025-10-04 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $18.75 | $125.00 | $18.75 | 2025-12-23 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | MOLINA MEDICAID-ALL OTHER PLANS | MOLINA MEDICAID-ALL OTHER PLANS | $20.70 | $237.00 | $165.90 | 2026-03-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $21.78 | $678.00 | $271.20 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $21.78 | $678.00 | $271.20 | 2026-05-22 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $23.00 | $933.00 | $933.00 | 2025-12-03 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $23.40 | $422.00 | $422.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $23.40 | $422.00 | $422.00 | 2025-10-04 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Blue Cross Blue Shield | Blue Local Individual | $23.68 | $145.00 | $72.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna | Behavioral Health | — | $145.00 | $72.50 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna North Carolina Preferred | Behavioral Health | — | $145.00 | $72.50 | 2025-10-21 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $24.57 | $182.00 | $136.50 | 2026-01-16 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Local Individual | $24.98 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $493.00 | $246.50 | 2026-05-14 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Humana Medicare Advantage | All Plans | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Better Health | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Aetna | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Geisinger Pa Medicare Advantage | All Plans | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $493.00 | $246.50 | 2026-05-22 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Student Health | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Caresource | Caresource | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna Medicare Advantage | All Plans | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mc | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Peak Health Medicare Advantage | All Plans | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Cigna | Cigna | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Senior Life Medicare Advantage | All Plans | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Maryland Physician Care | Maryland Physician Care | — | $572.00 | $286.00 | 2026-05-13 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Local Individual | $25.77 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Health Net Of California - Medi | Cal | — | $1,118.00 | $1,118.00 | 2026-05-24 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $27.05 | $92.00 | $55.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Medicare A Ky J15 | Default | $27.05 | $92.00 | $55.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Humana | Default | — | $92.00 | $55.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $27.05 | $92.00 | $55.20 | 2026-05-22 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $27.10 | $84.70 | $50.82 | 2026-05-05 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | PH MCAID | PH MCAID | $27.10 | $84.70 | $50.82 | 2026-05-05 | MRF ↗ |
| UNION GENERAL HOSPITAL Outpatient | CARESOURCE NETWORK PARTNERS, LLC. | CARE SOURCE MEDICAID | $27.22 | $178.00 | $89.00 | 2026-03-23 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Both | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $27.41 | $203.00 | $152.25 | 2026-01-16 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO LA CARE | MCD AMERIHEALTH IP | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MEDICAID | MEDICAID IP | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | LOCAL STATE NON-MEDICAID | CORRECT CARE IP | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MEDICAID | MEDICAID REHAB | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MDMC AETNA BETTER HEALTH | MCD AETNA OP | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MANAGED MEDICAID | DEACTIVATE MDMC HEALTHY B | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MEDICAID | MEDICAID PSYCH | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO LA HLTH CR CONNCT | MCD LHC IP | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO LA HLTH CR CONNCT | MCD LHC OP | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MEDICAID | MEDICAID OP | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MDMC AETNA BETTER HEALTH | MCD AETNA IP | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MEDICAID | DEACTIVATE MEDICAID MCARE | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | LOCAL STATE NON-MEDICAID | CORRECT CARE OP | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO LA CARE | MCD AMERIHEALTH OP | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO AMERIGROUP | MCD HEALTHY BLUE IP | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO AMERIGROUP | MCD HEALTHY BLUE OP | $27.74 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | Aetna | — | — | $340.00 | $27.85 | 2026-05-09 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $28.00 | $823.56 | $658.85 | 2026-03-24 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO UNITED HEALTHCARE | MCD UHC IP | $28.02 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO UNITED HEALTHCARE | MCD UHC OP | $28.02 | $229.50 | $68.85 | 2026-02-02 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Tricare | All | $28.14 | $469.00 | $469.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | UHC | Medicare Advantage | $28.14 | $469.00 | $469.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Humana | Medicare Advantage | $28.14 | $469.00 | $469.00 | 2026-03-28 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | AETNA | MEDICARE | $28.14 | $249.00 | $37.35 | 2025-12-23 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Blue Cross Blue Shield | Medicare Advantage | $28.14 | $469.00 | $469.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | VA Health | All | $28.14 | $469.00 | $469.00 | 2026-03-28 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD LA HLTH CONN | MCD LHC OP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD LA HLTH CONN | MCD LHC IP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD LA HLTH CONN | MCD LHC NB | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AMERIHEALTH | MCD AMERIHEALTH REHAB IP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AMERIHEALTH | MCD AMERIHEALTH REHAB OP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICAID | MEDICAID TEXAS OP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AMERIHEALTH | MCD AMERIHEALTH IP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AMERIHEALTH | DOWNGRADE AMERIHEALTH | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AMERIHEALTH | MCD AMERIHEALTH PSYCH | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICAID | MEDICAID REHAB IP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICAID | MEDICAID OUT OF STATE OP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AMERIHEALTH | MCD AMERIHEALTH OP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AMERIHEALTH | MCD AMERIHEALTH 2ND OP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICAID | MEDICAID SECONDARY | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICAID | MEDICAID TEXAS IP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AETNA MEDICAID | MCD AETNA PSYCH | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AMERIHEALTH | MCD AMERIHEALTH NB | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AMERIHEALTH | MCD AMERIHEALTH 2ND IP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD LA HLTH CONN | DOWNGRADE LHCC | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AETNA MEDICAID | MCD AETNA OP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AETNA MEDICAID | MCD AETNA IP | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AETNA MEDICAID | MCD AETNA NB | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICAID | MEDICAID LVL II | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICAID | MEDICAID BORDER | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD AETNA MEDICAID | MCD AETNA REHAB | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICAID | DOWNGRADE MEDICAID HMO | $28.16 | $198.50 | $59.55 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MEDICAID | MEDICAID ARKANSAS IP | $28.16 | $198.50 | $59.55 | 2025-12-04 | 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.