14301 — Tis Trnfr Any 30.1-60 Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TIS TRNFR ANY 30.1-60 SQ CM (CPT 14301) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/14301?code_type=CPT
MLA (9th ed.)
“TIS TRNFR ANY 30.1-60 SQ CM (CPT 14301) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/14301?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TIS TRNFR ANY 30.1-60 SQ CM (CPT 14301) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/14301?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,153–$6,697 (25th–75th percentile) across 1,943 hospitals · 5,586 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 14301 — 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 fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$2,153
$3,859 typical
$6,697
The middle 50% of negotiated facility rates for this procedure, measured across 1,943 hospitals. The surgeon and 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. | $3,859 |
| Surgeon (professional fee) Estimate national typical Medicare $768 × 1.22 commercial. | $937 |
| Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $708 |
| Likely subtotal | $5,504 |
Surgical episode (typical)
~$5,504
Your recovery plan — adjust to what your doctor told you
After your procedure, 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)
~$9,289
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
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
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk
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 | — | $27,058.54 | $2,705.85 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $27,058.54 | $2,705.85 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $27,058.54 | $2,705.85 | 2026-05-22 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL AETNA CARE [700912] | $4.22 | $37,376.69 | $37,376.69 | 2026-03-23 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $4.56 | — | $46,728.96 | 2026-03-31 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY OutpatientFacility | BLUE CROSS BLUE SHIELD NY [1022] | BCBS INDIVIDUAL NETWORK [102218] | $5.56 | — | $18,198.93 | 2026-04-01 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC OutpatientFacility | UCARE [91180041] | UCARE ESSENTIA CARE MEDICARE ADVANTAGE PLAN [777] | $5.63 | — | — | 2026-03-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.44 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.44 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $7.44 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $7.64 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.84 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $8.04 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $9.65 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $9.65 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $9.85 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $9.85 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $9.85 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $9.85 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $10.05 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $10.20 | $35,301.26 | $7,060.25 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $10.20 | $35,301.26 | $7,060.25 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $10.20 | $35,301.26 | $7,060.25 | 2026-03-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $10.25 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $10.38 | $35,301.26 | $7,060.25 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $10.38 | $35,301.26 | $7,060.25 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $10.38 | $35,301.26 | $7,060.25 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $10.39 | $35,301.26 | $7,060.25 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $10.39 | $35,301.26 | $7,060.25 | 2026-03-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $10.45 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $10.85 | $2,010.00 | $1,909.50 | 2026-02-20 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $12.64 | $7,020.00 | $3,571.58 | 2024-12-31 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $16.63 | $19,843.05 | $12,656.25 | 2025-12-19 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $25.45 | $31,116.77 | $6,223.35 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $25.45 | $31,116.77 | $6,223.35 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $25.45 | $31,116.77 | $6,223.35 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $25.90 | $31,116.77 | $6,223.35 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $25.90 | $31,116.77 | $6,223.35 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $25.90 | $31,116.77 | $6,223.35 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $25.94 | $31,116.77 | $6,223.35 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $25.94 | $31,116.77 | $6,223.35 | 2026-03-26 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | $40,236.00 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | $40,236.00 | 2024-12-08 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Molina | MCD | $34.00 | — | — | 2024-10-01 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $34.00 | $3,011.00 | $572.09 | 2026-01-31 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $34.00 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $34.00 | $3,011.00 | $572.09 | 2026-01-31 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $34.00 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $34.00 | $3,011.00 | $572.09 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $34.00 | $3,011.00 | $572.09 | 2026-01-31 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | LA Care Health | Medi-cal | $34.00 | — | — | 2024-10-01 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $34.00 | $3,011.00 | $572.09 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Physicians Medical Group | MCD | $34.00 | — | — | 2024-10-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | $8,266.05 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | $8,266.05 | 2024-12-08 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medi-Cal | $37.40 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Brand New Day | MCD | $37.40 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Gold Coast Health Plan | MCD | $37.40 | — | — | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $37.40 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $37.40 | — | — | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Brand New Day | MCD | $37.40 | — | — | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $37.40 | — | — | 2026-03-01 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $38.53 | — | $27,622.54 | 2026-03-31 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $39.78 | $3,629.00 | $3,629.00 | 2025-10-04 | MRF ↗ |
| Unm Sandoval Regional Medical Center Outpatient | United Healthcare | Commercial | $46.00 | $2,710.00 | $1,490.50 | 2026-05-09 | MRF ↗ |
| Unm Sandoval Regional Medical Center Outpatient | United Healthcare | Commercial | $46.00 | $2,710.00 | $1,490.50 | 2026-05-09 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $49.30 | — | — | 2026-03-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $49.30 | — | — | 2024-10-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $40,236.00 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $8,266.05 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BRAND NEW DAY [1089] | MEDI-CAL | $64.00 | $67,841.21 | $37,312.67 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA MEDI-CAL | $64.00 | $67,841.21 | $37,312.67 | 2026-04-01 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $64.00 | — | — | 2026-05-06 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $64.00 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $64.00 | — | — | 2026-03-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MEDI-CAL [1048] | MEDI-CAL | $64.00 | $67,841.21 | $37,312.67 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MEDI-CAL [2001] | MEDI-CAL | $64.00 | $67,841.21 | $37,312.67 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] | $64.00 | $67,841.21 | $37,312.67 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | VANTAGE [1092] | PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL | $64.00 | $67,841.21 | $37,312.67 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | MEDI-CAL | $64.00 | $67,841.21 | $37,312.67 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD PROMISE [1017] | BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) | $64.00 | $67,841.21 | $37,312.67 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY ELDERCARE [1027] | MEDI-CAL | $64.00 | $67,841.21 | $37,312.67 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | XIMED [2016] | MEDI-CAL | $64.00 | $67,841.21 | $37,312.67 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CAREMORE [2028] | MEDI-CAL | $64.00 | $67,841.21 | $37,312.67 | 2026-04-01 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS Blue Advantage | Blue Advantage | $69.92 | $1,087.00 | $760.90 | 2026-01-13 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $70.40 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $70.40 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $70.40 | — | — | 2026-03-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $70.51 | — | — | 2026-04-14 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | UHC Commercial | PPO | $74.50 | $1,087.00 | $760.90 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | Baylor Scott And White Commercial | UNKNOWN | $75.00 | $1,087.00 | $760.90 | 2026-01-13 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | UHC/NHP COMM | UHC/NHP COMM | $75.00 | $4,284.00 | $2,998.80 | 2025-12-10 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS HMO | HMO | $76.00 | $1,087.00 | $760.90 | 2026-01-13 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WELLPATH [500030] | WELLPATH [50003002] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS MEDICARE [450117] | FIDELIS MEDICARE ADVANTAGE [45011701] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | VACCN OPTUM [600009] | VACCN OPTUM [60000903] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE SHIELD NY NORTHEASTERN NEW YORK [200043] | BCBS NORTHEASTERN NEW YORK [20004301] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS OUT OF STATE [209999] | BCBS ANTHEM [20999901] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS OUT OF STATE [209999] | BCBS OUT OF STATE [20999902] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS CHILD HEALTH PLUS [35005802] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | US FAMILY HEALTH PLAN [600002] | US FAMILY HEALTH PLAN [60000201] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS FEDERAL [200063] | BCBS FEDERAL PROGRAM [20006301] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS ESSENTIAL 1+2 [35005803] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WELLCARE MEDICAID [350022] | WELLCARE HMO MEDICAID [35002201] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY WESTERN NEW YORK [200042] | BCBS WESTERN NEW YORK [20004201] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE ADVANTAGE MISC. [459999] | MEDICARE ADVANTAGE [45999901] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID NY [300033] | MEDICAID [30003301] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID PENDING [309998] | MEDICAID PENDING [30999801] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PROGRESSIVE AUTO INSURANCE [800005] | NF PROGRESSIVE AUTO INSURANCE [80000501] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 3+4 [35001306] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC HMO MEDICAID / COMMUNITY [35001303] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MARTINS POINT US FAMILY HEALTH [600006] | MARTINS POINT US FAMILY HEALTH [60000601] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | BCBS MVHS EMPLOYEES [20004103] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 1+2 [35001305] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EMBLEM HEALTH MEDICAID [350059] | EMBLEM HMO MEDICAID [35005901] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HUMANA MEDICARE ADVANTAGE [450013] | HUMANA MEDICARE ADVANTAGE [45001301] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC CHILD HEALTH PLUS [35001304] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NY CTRL MUTUAL NF [800004] | NF NY CTRL MUTUAL [80000401] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP [100257] | MVP PPO [10025703] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE [400001] | MEDICARE PART B ONLY [40000103] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | UNIVERA HEALTHCARE [20004106] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE [400001] | MEDICARE PART A [40000102] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS WORK COMP [700028] | WC TRAVELERS [70002801] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS HEALTHY NY EPO [20004107] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS NO FAULT [800006] | NF TRAVELERS [80000601] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HUMANA [100052] | HUMANA [10005201] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ESIS WORK COMP [700010] | WC ESIS [70001001] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GALLAGHER BASSETT WORK COMP [700013] | WC GALLAGHER BASSETT [70001301] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CIGNA [100009] | CIGNA [10000901] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE [400001] | MEDICARE RAILROAD [40000104] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | BCBS CENTRAL NY [20004102] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDIGOLD [450050] | MEDIGOLD [45005001] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE [400001] | MEDICARE PART A & B [40000101] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MERITAIN [100063] | MERITAIN [10006301] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ADAP PLUS [500010] | ADAP PLUS [50001001] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRICARE [600001] | TRICARE FOR LIFE [60000103] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WELLCARE MEDICARE [450023] | WELLCARE MEDICARE ADVANTAGE [45002301] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID OUT OF STATE [309999] | MEDICAID OUT OF STATE [30999901] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ONEIDA COUNTY HEALTH DEPARTMENT [500019] | ONEIDA COUNTY HEALTH [50001901] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CANCER SERVICES PROGRAM [500011] | CANCER SERVICES PROGRAM [50001101] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CARELON BEHAVIORIAL HEALTH MEDICARE [450115] | CARELON BEHAVIORAL MEDICARE [45011501] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | VOUCHER [500013] | VOUCHER [50001301] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NYS DEPARTMENT OF CORRECTIONS [500014] | NYS DEPARTMENT OF CORRECTIONS [50001401] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICARE [450021] | UHC MEDICARE ADVANTAGE [45002107] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS ESSENTIAL [350062] | FIDELIS ESSENTIAL PLAN 3&4 [35006204] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HERKIMER COUNTY JAIL [500017] | HERKIMER COUNTY JAIL [50001701] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ONEIDA COUNTY HEALTH RABIES CLINIC [500020] | ONEIDA COUNTY RABIES CLINIC [50002001] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S SEMC EMPLOYEE [70005904] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CARELON BEHAVIORAL HEALTH [100023] | CARELON BEHAVIORAL HEALTH [10002302] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA SEMC EMPLOYEE [70005902] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S MVHS EMPLOYEE [70005903] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STRATEGIC COMP SERVICES [700061] | WC STRATEGIC COMP SERVICES [70006101] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WC MISC. [709999] | WC MISC. [70999901] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ALLSTATE AUTO INSURANCE [800001] | NF ALLSTATE [80000101] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ERIE INS NF [800002] | NF ERIE INS [80000201] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE ALTERNATE [400002] | MEDICARE PART B ALTERNATE [40000201] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GEICO AUTO INSURANCE [800003] | NF GEICO AUTO INSURANCE [80000301] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL NO FAULT [800007] | NF UTICA NATIONAL INS [80000701] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS EXCHANGE [20004105] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL AUTO INSURANCE [800008] | NF LIBERTY MUTUAL AUTO INS [80000801] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MET LIFE AUTO INSURANCE [800009] | NF MET LIFE AUTO INS [80000901] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EMPIRE [200040] | BCBS EMPIRE NYS [20004001] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CDPHP [100253] | CDPHP EXCHANGE [10025302] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CDPHP [100253] | CDPHP [10025301] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA FSLH EMPLOYEE [70005901] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS EXCHANGE [100254] | FIDELIS EXCHANGE [10025401] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EMPIRE [200040] | BCBS EMPIRE NON NYS [20004002] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ACCESS COMPLIANCE [109956] | ACCESS COMPLIANCE [10995601] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NYSIF [700058] | WC NY STATE INSURANCE FUND [70005801] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STATE FARM AUTO INSURANCE NF [800026] | NF STATE FARM AUTO INSURANCE [80002601] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS ESSENTIAL PLAN APG [35008202] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | BCBS SEMC EMPLOYEES [20004104] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | AETNA MEDICARE ADVANTAGE [450001] | AETNA MEDICARE ADVANTAGE [45000105] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP [100257] | MVP HMO [10025702] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | AETNA [100001] | AETNA [10000101] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CIGNA [100009] | NALC HEALTH BENEFIT PLAN [10000902] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CDPHP MEDICARE ADVANTAGE [450116] | CDPHP MEDICARE ADVANTAGE [45011601] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NF MISC. [809999] | NF MISC. [80999901] | — | $1,449.00 | $869.40 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP [100257] | MVP EXCHANGE [10025701] | — | $1,449.00 | $869.40 | 2025-01-17 | 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.