15115 — Epdrm Agrft F/s/n/h/f/g/m 1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EPDRM AGRFT F/S/N/H/F/G/M 1 (HCPCS 15115) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/15115?code_type=HCPCS
MLA (9th ed.)
“EPDRM AGRFT F/S/N/H/F/G/M 1 (HCPCS 15115) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/15115?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“EPDRM AGRFT F/S/N/H/F/G/M 1 (HCPCS 15115) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/15115?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,558–$3,354 (25th–75th percentile) across 1,748 hospitals · 3,917 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 15115 — 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
$1,558
$2,167 typical
$3,354
The middle 50% of negotiated facility rates for this procedure, measured across 1,748 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. | $2,167 |
| Surgeon (professional fee) Estimate national typical Medicare $651 × 1.22 commercial. | $794 |
| 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 | $3,669 |
Surgical episode (typical)
~$3,669
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)
~$7,454
- 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 |
|---|---|---|---|---|---|---|---|
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.79 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.85 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.85 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $10.07 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $10.14 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $10.14 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.97 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $11.04 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $11.04 | — | — | 2026-03-18 | 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 ↗ |
| Lowell General Hospital - Saints Campus Both | PALM MANOR [950005] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AVMED HEALTH PLAN [100247] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CARE ONE [950007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AMERIHEALTH CARITAS NH [350007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NATIONAL ELEVATOR IND HLTH BENEFITS [100273] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | D'YOUVILLE SENIOR CARE [950003] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CARECENTRIX ALTERNATE [100257] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SENIOR WHOLE HEALTH MEDICAID REPLACEMENT [350023] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | IBEW LOCAL 103 [100272] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | MUTUAL OF OMAHA [100074] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NORFOLK COUNTY [500013] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ALLIED NATIONAL GLOBAL CARE [100107] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ULTRA BENEFITS [100280] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SPECTERA [100291] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | PLYMOUTH COUNTY [500019] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GROUP AND PENSION ADMINISTRATORS [100043] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NOVA HEALTHCARE ADMINISTRATORS [100270] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | LOWELL COMM HEALTH CENTER [950009] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | TALL TREE ADMINISTRATORS [100271] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GEHA [100039] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AMERICAN POSTAL WORKERS [100089] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | COMPSYCH [100027] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ALLIED BENEFIT SYSTEMS [100015] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | COVERAGE DISCOVERY [100306] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NORTHWOOD REHABILITATION & HEALTH [950004] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ASSURANT [100020] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SUNNY ACRES NURSING HOME [950006] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | EMPLOYEE BENEFIT MANAGEMENT [100033] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | FIRST HEALTH [100278] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SENIOR WHOLE HEALTH MEDICARE REPLACEMENT [450111] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | EYEMED [100290] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CORESOURCE [100285] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $31.85 | $91.00 | $63.70 | 2026-04-01 | 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 ↗ |
| 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 ↗ |
| GREAT PLAINS OF SABETHA Outpatient | BCBS BLUE CHOICE | BCBS BLUE CHOICE | $36.10 | $3,245.00 | $2,920.50 | 2026-03-10 | MRF ↗ |
| GREAT PLAINS OF SABETHA Outpatient | BCBS KS CAP-ALL OTHER PLANS | BCBS KS CAP-ALL OTHER PLANS | $38.00 | $3,245.00 | $2,920.50 | 2026-03-10 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | BCBS PPO - ALL PLANS | BCBS PPO - ALL PLANS | $38.00 | $1,621.72 | $1,378.46 | 2026-03-02 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ALLARACARE [100163] | HB XR ALLARACARE LGH | $41.86 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC SELECTIVE INSURANCE CO [700118] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC VERMONT MUTUAL INSURANCE GROUP [700105] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC PLYMOUTH ROCK [700099] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF CHELSEA [700070] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ARROW MUTUAL LIABILITY [700063] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC BOSTON POLICE AND FIREFIGHTER [700061] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC BROADSPIRE [700043] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF CAMBRIDGE [700069] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC SUTTER HOUSE [700102] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ENERGY OF ENVIRONMENTAL AFFAIRS [700085] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC HARTFORD INSURANCE [700058] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF BOSTON [700111] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MASS NAHRO INSURANCE GROUP TRUST [700090] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF LOWELL [700062] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CCMSI [700055] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC TOWN OF ARLINGTON [700104] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC SENTRY [700036] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC HRD/WORKERS COMPENSATION UNIT [700087] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ONE CALL MEDICAL [700060] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC LIBERTY MUTUAL WORK COMP [700016] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CAREWORKS [700109] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC NORGUARD INS CO [700097] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC PLUMBERS UNION LOCAL NO 12 [700098] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF EVERETT [700071] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MASS STATE POLICE [700091] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF LYNN [700072] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF MELROSE [700113] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF SOMERVILLE [700077] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF MELROSE POLICE [700112] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CNA [700048] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC PMA WORK COMP [700031] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF REVERE [700076] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MBTA [700092] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC COMMONWEALTH OF MASS [700056] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF NEWTON [700074] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF PEABODY [700075] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CONSIGLY CONSTRUCTION [700079] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CONSTITUTION STATE SERVICES [700114] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF MEDFORD [700073] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CONTINENTAL INDEMNITY CO [700078] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC PROGRESSIVE DIRECT INSURANCE CO [700106] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC COVE RISK SERVICES [700080] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CREATIVE RISK SOLUTIONS [700081] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC FEDERATED WORK COMP [700012] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MIIA [700095] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MEDITROL [700093] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC US DEPARTMENT OF LABOR [700023] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CORVEL [700115] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC DEMOULAS SUPERMARKET [700083] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC EMC INSURANCE COMPANY [700084] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CBCS [700110] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC GEICO [700057] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MEMIC [700117] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ESIS [700010] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CHUBB GROUP [700067] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC FUTURE COMP [700116] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC GALLAGHER BASSETT WORK COMP [700013] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC GENERIC WORKERS' COMP [709999] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ATLANTIC CHARTER [700064] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CRUM & FORSTER [700082] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CIC/MCMC [700068] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ML HEALTHCARE SERVICES LLC [700119] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MAPFRE INSURANCE [700089] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC AMERITRUST [700066] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC TRAVELERS INSURANCE [700059] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC AIM MUTUAL INSURANCE [700054] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC TOWN OF ANDOVER FIRE DEPT [700103] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ALTERNATIVE SERVICE CONCEPT [700065] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC SEDGWICK [700027] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC METLIFE [700094] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC BERKSHIRE HATHAWAY [700046] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC RETAIL BUSINESS SERVICES LLC [700100] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC RISING MEDICAL SOLUTION [700101] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ACADIA INSURANCE COMPANY [700108] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ZURICH [700034] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC YORK RISK SERVICES [700049] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC NORFOLK & DEDHAM GROUP [700096] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC AIG [700029] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC GOWRY GROUP [700086] | HB XR WC LGH | $42.66 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $2,199.00 | $1,319.40 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $2,199.00 | $1,319.40 | 2026-05-18 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $56.68 | — | — | 2026-04-14 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | $63.68 | $7,010.00 | $4,907.00 | 2025-01-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $67.93 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $67.93 | — | — | 2026-04-01 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $68.82 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $68.82 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $68.82 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $68.82 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $68.82 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $68.82 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $68.82 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $68.82 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $68.82 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $74.77 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $74.77 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $74.77 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $74.77 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $74.77 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $74.77 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $74.77 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $74.77 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $74.77 | — | — | 2026-04-14 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | UNITED HEALTHCARE [100060] | HB XR UHC LGH | $75.52 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CLARITEV/MULTIPLAN [100275] | HB XR CLARITEV LGH | $75.76 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CYPRESS BENEFIT ADMINISTRATORS [100122] | HB XR CLARITEV LGH | $75.76 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | PATIENT ADVOCATES [100307] | HB XR CLARITEV LGH | $75.76 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | HEALTH NEW ENGLAND [100268] | HB XR CLARITEV LGH | $75.76 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WELLPOINT [100139] | HB XR WELLPOINT LGH | $75.85 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $76.98 | $2,073.00 | $2,073.00 | 2026-02-09 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $4,577.00 | $1,894.86 | 2024-12-31 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AETNA [100001] | HB XR AETNA HMO PPO LGH | $83.72 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | MERITAIN [100063] | HB XR AETNA HMO PPO LGH | $83.72 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| HSHS ST CLARE MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UHC ONEIDA NATION | $90.50 | $2,523.00 | $1,665.18 | 2026-01-15 | MRF ↗ |
| HSHS ST CLARE MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $90.50 | $2,523.00 | $1,665.18 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $90.50 | $2,523.00 | $1,665.18 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $90.50 | $2,523.00 | $1,665.18 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | UNITED HEALTHCARE | UHC ONEIDA NATION | $90.50 | $2,523.00 | $1,665.18 | 2026-01-15 | MRF ↗ |
| HSHS ST CLARE MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $90.50 | $2,523.00 | $1,665.18 | 2026-01-15 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Ip|Negotiated_Percentage | — | $91.00 | $2,199.00 | $1,319.40 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Ip|Negotiated_Percentage | — | $91.00 | $2,199.00 | $1,319.40 | 2026-05-18 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | $91.00 | $91.00 | $63.70 | 2026-04-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Op|Negotiated_Percentage | — | $93.00 | $2,199.00 | $1,319.40 | 2026-05-21 | 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.