12017 — Rpr Fe/e/en/l/m 20.1-30.0 Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RPR FE/E/EN/L/M 20.1-30.0 CM (HCPCS 12017) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/12017?code_type=HCPCS
MLA (9th ed.)
“RPR FE/E/EN/L/M 20.1-30.0 CM (HCPCS 12017) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/12017?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“RPR FE/E/EN/L/M 20.1-30.0 CM (HCPCS 12017) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/12017?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $370–$957 (25th–75th percentile) across 2,188 hospitals · 6,987 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 12017 — 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 |
|---|---|---|---|---|---|---|---|
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.75 | $868.00 | $651.00 | 2025-03-07 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.11 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.13 | — | — | 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 ↗ |
| 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 Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.65 | — | — | 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 ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $4.41 | $220.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $4.41 | $220.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $4.41 | $220.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $4.41 | $220.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $4.41 | $220.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $4.41 | $220.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $4.41 | $220.50 | — | 2026-03-31 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $4.48 | $210.00 | $210.00 | 2026-03-09 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $4.93 | $447.00 | $290.55 | 2026-05-07 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $8.96 | $468.00 | $468.00 | 2026-02-13 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $9.52 | $1,542.68 | $925.61 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $9.52 | $1,542.68 | $925.61 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $11.66 | $1,542.68 | $925.61 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $11.66 | $1,542.68 | $925.61 | 2025-08-11 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | BLUE CROSS-ALL PLANS | BLUE CROSS-ALL PLANS | $17.92 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | BLUE CROSS-ALL PLANS | BLUE CROSS-ALL PLANS | $17.92 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $21.20 | $157.00 | $117.75 | 2026-01-16 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 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 WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $24.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $24.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $24.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $24.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $24.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $24.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $24.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $24.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $24.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $24.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $24.29 | — | — | 2026-01-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Optum Transplant | Transplant Services | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Distinctions Transplant Services | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Cigna Healthsprings | Behavioral Health | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Devoted | Medicare Advantage | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Local Individual | $24.98 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | CHAMPVA -ALL PLANS | CHAMPVA -ALL PLANS | $25.20 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | CHAMPVA -ALL PLANS | CHAMPVA -ALL PLANS | $25.20 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $26.00 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $26.00 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $26.00 | $500.00 | $95.00 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $26.00 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $26.00 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $26.00 | $500.00 | $95.00 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $26.00 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $26.00 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $26.00 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $26.00 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $26.00 | $500.00 | $95.00 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $26.00 | $500.00 | $95.00 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $26.00 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $26.00 | $500.00 | $95.00 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $26.00 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $26.00 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $28.00 | $823.56 | $658.85 | 2026-03-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | EVERYSTEP HOSPICE-ALL PLANS | EVERYSTEP HOSPICE-ALL PLANS | $29.12 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | EVERYSTEP HOSPICE-ALL PLANS | EVERYSTEP HOSPICE-ALL PLANS | $29.12 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $30.12 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $30.12 | — | — | 2026-03-01 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | AETNA MCR ADV-ALL PLANS | AETNA MCR ADV-ALL PLANS | $30.24 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $30.24 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | AETNA MCR ADV-ALL PLANS | AETNA MCR ADV-ALL PLANS | $30.24 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $30.24 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | MedCost | Employee Managed Care | $30.29 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $30.97 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $31.20 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC REHAB OP | $31.30 | $410.50 | $123.15 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC OP | $31.30 | $410.50 | $123.15 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC IP | $31.30 | $410.50 | $123.15 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC 2ND OP | $31.30 | $410.50 | $123.15 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC NB | $31.30 | $410.50 | $123.15 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC PSYCH | $31.30 | $410.50 | $123.15 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC 2ND IP | $31.30 | $410.50 | $123.15 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC REHAB IP | $31.30 | $410.50 | $123.15 | 2025-12-04 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - ADULT | $31.68 | $108.00 | $64.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $31.68 | $108.00 | $64.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - PEDIATRIC | $31.68 | $108.00 | $64.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $31.68 | $108.00 | $64.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | OHANA | NON-ABD | $32.18 | $108.00 | $64.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | OHANA | QUEST - NON-ABD | $32.18 | $108.00 | $64.80 | 2026-02-12 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | ICARE | MEDICARE ADVANTAGE | $32.19 | $111.00 | $61.05 | 2026-04-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $32.58 | $157.00 | $117.75 | 2026-01-16 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Magee Health Partners | Medicaid | $33.08 | — | — | 2026-03-18 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $33.13 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $33.13 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $33.13 | — | — | 2026-03-01 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | OPTUM VA | OPTUM VA | $33.60 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | OPTUM VA | OPTUM VA | $33.60 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | United Healthcare | Medicare Advantage | $33.96 | $113.20 | $113.20 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Aetna | Medicare Advantage | $33.96 | $113.20 | $113.20 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Aetna | Medicare Advantage | $33.96 | $113.20 | $113.20 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Anthem | Medicare Advantage | $33.96 | $113.20 | $113.20 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Anthem | Medicare Advantage | $33.96 | $113.20 | $113.20 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | United Healthcare | Medicare Advantage | $33.96 | $113.20 | $113.20 | 2025-09-09 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | HPN | $34.23 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Health Blue | Medicaid Managed Care | $34.58 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Partners | Medicaid Tailored Plan | $34.58 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Carolina Complete | Medicaid Managed Care | $34.58 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Amerihealth | Medicaid Managed Care | $34.58 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Vaya | Medicaid Tailored Plan | $34.93 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Wellcare | Medicare Advantage | $34.98 | $113.20 | $113.20 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Wellcare | Medicare Advantage | $34.98 | $113.20 | $113.20 | 2025-09-09 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | United Healthcare | Medicaid Managed Care | $35.02 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Wellcare | Medicaid Managed Care | $35.02 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Alliance | Medicaid Tailored Plan | $35.27 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Trillium | Medicaid Tailored Plan | $35.62 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $35.81 | — | — | 2025-01-31 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD HEALTHY BLUE | MCD HEALTHY BLUE IP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD HEALTHY BLUE | MCD HEALTHY BLUE OP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD LA HLTH CONN | MCD LHC OP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD MISC | MCD MISC OP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD MISC | MCD MISC IP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD UHC | MCD UHC OP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD UHC | MCD UHC IP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICAID LA | MEDICAID IP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AETNA BETTER HLTH | MCD AETNA IP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AETNA BETTER HLTH | MCD AETNA OP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICAID LA | MEDICAID OP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD LA HLTH CONN | MCD LHC IP | $36.15 | $616.00 | $369.60 | 2025-12-04 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Aetna | IVL Exchange | $36.26 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | BENEFIT ADMIN SYSTEM-ALL PLANS | BENEFIT ADMIN SYSTEM-ALL PLANS | $36.40 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $36.40 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $36.40 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $36.40 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $36.40 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | BENEFIT ADMIN SYSTEM-ALL PLANS | BENEFIT ADMIN SYSTEM-ALL PLANS | $36.40 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $36.40 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $36.40 | $529.00 | $95.22 | 2026-01-30 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $37.06 | $823.56 | $658.85 | 2026-03-24 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | BCBS PPO - ALL PLANS | BCBS PPO - ALL PLANS | $38.00 | $2,430.71 | $2,066.10 | 2026-03-02 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Value | $38.71 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $39.46 | $288.00 | $230.40 | 2026-04-24 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | UHC COMM/MARKETPLACE - ALL OTHER PLANS | UHC COMM/MARKETPLACE - ALL OTHER PLANS | $40.00 | $633.50 | $380.10 | 2026-01-24 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare | Managed Care | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare | Medicaid Managed Care | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna Healthsprings | Medicare Advantage | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna North Carolina Preferred | Behavioral Health | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna Whole Health | Behavioral Health | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | HealthTeam | Medicare Advantage | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Apex | Medicare Advantage | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Carolina Behavioral Health | Behavioral Health | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Alignment Medicare | Medicare Advantage | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Health Blue | Medicaid Managed Care | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Partners | Medicaid Tailored Plan | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna Evernorth | Behavioral Health | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Liberty | Medicare Advantage | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Trillium | Medicaid Tailored Plan | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna LifeSource | Transplant Services | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | HPN | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Vaya | Medicaid Tailored Plan | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO/PPO | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare | IEX Individual Managed Care | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Value | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Alliance | Medicaid Tailored Plan | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Local Individual | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Wellcare | Medicaid Managed Care | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare/Optum Behavioral Health | Behavioral Health | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna | Managed Care (Adult) | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Humana | Transplant Services | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna | Managed Care (Pediatrics) | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Wellcare | Medicare Advantage | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna | Behavioral Health | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna | IVL Exchange | $40.55 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Magellan | Behavioral Health | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Ambetter | Managed Care | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Amerihealth | Managed Care | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Amerihealth | Medicaid Managed Care | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Aetna | Transplant Services | — | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | HMO/PPO | $40.73 | $153.00 | $76.50 | 2025-10-08 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | MISC COMMERCIAL-ALL PLANS | MISC COMMERCIAL-ALL PLANS | $40.88 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | MERITAIN HEALTH-ALL PLANS | MERITAIN HEALTH-ALL PLANS | $40.88 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | MISC COMMERCIAL-ALL PLANS | MISC COMMERCIAL-ALL PLANS | $40.88 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | MERITAIN HEALTH-ALL PLANS | MERITAIN HEALTH-ALL PLANS | $40.88 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $40.88 | $56.00 | $44.80 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $40.88 | $56.00 | $44.80 | 2026-03-04 | 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.