175 — Level Iii Bladder And Ureteral Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LEVEL III BLADDER AND URETERAL PROCEDURES (EAPG 175) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/175?code_type=EAPG
MLA (9th ed.)
“LEVEL III BLADDER AND URETERAL PROCEDURES (EAPG 175) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/175?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“LEVEL III BLADDER AND URETERAL PROCEDURES (EAPG 175) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/175?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,307–$9,960 (25th–75th percentile) across 57 hospitals · 67 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 175 — 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 |
|---|---|---|---|---|---|---|---|
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Advantage | $443.52 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Qhp | $443.52 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Ppo | $566.80 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Choice | Managed Care | $643.81 | — | — | 2026-07-15 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $939.36 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $939.36 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $939.36 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $939.36 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Anthem BCBS | Managed Medicaid | $939.36 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | GHC | Managed Medicaid | $939.36 | — | — | 2026-01-29 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $2,122.86 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $2,165.31 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $2,313.91 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $2,313.91 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID TRILOGY | $2,377.60 | — | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | United Healthcare Medicaid | Mco United Healthcare | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | My Choice Medicaid | Mco Hmo My Choice | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Mercy Care Medicaid | Mco Mercycare | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Icare Medicaid | Mco Icare | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Anthem Medicaid | Mco Anthem | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Dean Health Plan Medicaid | Mco Deancare | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Community Care Medicaid | Mco Community Care Family Care | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $2,391.33 | — | — | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $2,441.29 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $2,597.06 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | United Healthcare Insurance Company | WI MEDICAID UHC COMMUNITY PLAN | $2,597.06 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $2,649.00 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | ICare | WI Medicaid I Care - CFV | $2,653.57 | — | — | 2026-03-24 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Outpatient | Molina | Molina Medicaid Managed Care (Op) | $2,692.64 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Outpatient | Meridian | Meridian Medicaid Managed Care Op) | $2,692.64 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid Managed Care (Op) | $2,692.64 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Outpatient | Bcbs | Bcbs Medicaid Managed Care (Op) | $2,692.64 | — | — | 2026-10-09 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $2,830.79 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MY CHOICE | $2,908.70 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $2,908.70 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $2,986.62 | — | — | 2026-03-23 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | MeridianHealth (IL) | Managed Medicaid | $3,210.58 | — | — | 2026-02-11 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $3,210.58 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Molina IL | Managed Medicaid | $3,210.58 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Aetna Better Health IL | Managed Medicaid | $3,210.58 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Meridian Health IL | Managed Medicaid | $3,210.58 | — | — | 2026-02-13 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $3,210.58 | — | — | 2026-02-11 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Wellcare (IL) Medicaid | Managed Medicaid | $3,210.58 | — | — | 2026-02-11 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient | Blue Cross Blue Shield | Medicaid- Aca, Fhp, Icp | $3,210.58 | — | — | 2026-09-20 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $3,215.94 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $3,215.94 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicaid | $3,215.94 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid | $3,215.94 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $3,215.94 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $3,216.00 | — | — | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | ICare | WI MEDICAID I CARE | $3,246.32 | — | — | 2026-03-23 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient | Meridian | Medicaid | $3,306.90 | — | — | 2026-09-20 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $3,344.58 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Humana | Medicaid | $3,376.74 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Staywell | Wellcare Medicaid | $3,376.74 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Staywell | Wellcare Medicaid | $3,377.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Humana | Medicaid | $3,377.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Vivada | Medicaid | $3,441.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Vivada | Medicaid | $3,441.06 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Aetna | Medicaid | $3,473.22 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Aetna | Medicaid | $3,473.22 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid | $3,473.22 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | $3,537.54 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Sunshine State Health | Medicaid | $3,537.54 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $3,538.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $3,859.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Simply | Medicaid | $3,859.00 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Prestigehealth | Medicaid | $3,859.13 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Simply | Medicaid | $3,859.13 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $3,859.13 | — | — | 2026-07-15 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | County Care | Medicaid All Plans | $4,040.37 | — | — | 2026-03-27 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | Meridian | Medicaid All Plans | $4,040.37 | — | — | 2026-03-27 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $4,204.71 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $4,204.71 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Meridian Health Plan | Managed Medicaid | $4,204.71 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $4,204.71 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $4,204.71 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $4,204.71 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $4,204.71 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Meridian Health Plan | Managed Medicaid | $4,204.71 | — | — | 2025-11-12 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Florida Community Care | Medicaid | $4,845.35 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Medicaid | Medicaid | $4,845.35 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Sunshine | Medicaid | $4,845.35 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Lighthouse | Medicaid | $4,845.35 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Wellcare | Medicaid | $4,990.71 | — | — | 2026-07-15 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Colorado Access | CHP+ | $5,403.24 | — | — | 2025-12-23 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $5,732.95 | — | — | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Naphcare | Managed Medicaid | $5,732.95 | — | — | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Kaiser | Managed Medicaid | $5,732.95 | — | — | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $5,732.95 | — | — | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $5,732.95 | — | — | 2026-02-04 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Mass Health | Medicaid | $5,783.15 | — | — | 2026-07-15 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Boston Medical Center /Wellsense- | Non-Metals (Baco) | $5,783.15 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Tufts Health Together | Medicaid | $5,824.06 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Fallon 365 / Wellforce | Medicaid | $5,824.06 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Masshealth | — | $5,824.06 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bmc | Healthnet Plan | $5,999.18 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Hne | Medicaid | $5,999.18 | — | — | 2026-07-15 | MRF ↗ |
| UW HEALTH OutpatientFacility | BCBS of IL Medicaid | MCO BCBS Community | $6,135.92 | — | — | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Meridian Medicaid | MCO Meridian Health Plan | $6,135.92 | — | — | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Aetna Better Health Medicaid | MCO IL Aetna Better Health | $6,135.92 | — | — | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | MercyCare Medicaid | MCO Mercycare | $6,135.92 | — | — | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Community Care Medicaid | MCO Comm Care Family Care | $6,135.92 | — | — | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Molina Medicaid | MCO Molina Health Care | $6,135.92 | — | — | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Quartz Medicaid | MCO Quartz | $6,135.92 | — | — | 2026-04-01 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Boston Medical Center /Wellsense | Silver | $6,939.78 | — | — | 2026-07-15 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | BCBS ND | Medicaid | $6,996.88 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | BCBS ND | Medicaid | $6,996.88 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | BCBS ND | Medicaid | $6,996.88 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | BCBS ND | Medicaid | $6,996.88 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS ND | Medicaid | $6,996.88 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | BCBS ND | Medicaid | $6,996.88 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | BCBS ND | Medicaid | $6,996.88 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | BCBS ND | Medicaid | $6,996.88 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BCBS ND | Medicaid | $6,996.88 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL OutpatientFacility | BCBS ND | Medicaid | $6,996.88 | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR OutpatientFacility | BCBS ND | Medicaid | $6,996.88 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BCBS ND | Medicaid | $6,996.88 | — | — | 2026-01-01 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicaid | All Plans | $7,112.51 | — | — | 2026-07-15 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Medicaid | All Plans | $7,112.51 | — | — | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Uhc Medicaid | All Plans | $7,112.51 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Medicaid | All Plans | $7,112.51 | — | — | 2026-07-15 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Molina Healthcare Medicaid | All Plans | $7,112.51 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicaid | All Plans | $7,112.51 | — | — | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | United | Medicaid | $8,486.60 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid Managed Care (Op) | $8,512.01 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Meridian | Meridian Medicaid Managed Care Op) | $8,512.01 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Molina | Molina Medicaid Managed Care (Op) | $8,512.01 | — | — | 2026-07-15 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Bcbs Managed Care | All Plans | $8,600.37 | — | — | 2026-07-15 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Bcbs Managed Care | All Plans | $8,600.37 | — | — | 2026-07-18 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | BCBS ND | Commercial | $9,119.23 | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR OutpatientFacility | BCBS ND | Commercial | $9,119.23 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | BCBS ND | Commercial | $9,119.23 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | BCBS ND | Commercial | $9,119.23 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | BCBS ND | Commercial | $9,119.23 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS ND | Commercial | $9,119.23 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BCBS ND | Commercial | $9,119.23 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | BCBS ND | Commercial | $9,119.23 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | BCBS ND | Commercial | $9,119.23 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | BCBS ND | Commercial | $9,119.23 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL OutpatientFacility | BCBS ND | Commercial | $9,119.23 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BCBS ND | Commercial | $9,119.23 | — | — | 2026-01-01 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK OutpatientFacility | Blue Cross Blue Shield of North Dakota | Commercial | $9,607.76 | — | — | 2026-03-04 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $9,608.40 | — | — | 2026-01-28 | MRF ↗ |
| MOSAIC LIFE CARE AT ST JOSEPH OutpatientFacility | United Healthcare of Nebraska | Managed Medicaid | $9,759.96 | — | — | 2025-09-26 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Trusted Health | Medicaid | $9,841.53 | — | — | 2026-09-11 | MRF ↗ |
| HOWARD UNIVERSITY HOSPITAL CORP Outpatient | HSCSN - Adult | Medicaid MCO | $9,841.53 | — | — | 2025-12-31 | MRF ↗ |
| HOWARD UNIVERSITY HOSPITAL CORP Outpatient | DS Medicaid FFS - Adult | Medicaid FFS | $9,841.53 | — | — | 2025-12-31 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Amerigroup | Medicaid | $9,841.53 | — | — | 2026-09-11 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Carefirst Healthy Dc Qhp | Medicaid | $9,841.53 | — | — | 2026-09-11 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| FINLEY HOSPITAL OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Wellmark UHP Self-Funded | Commercial | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Wellmark UHP Self-Funded | Commercial | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| FINLEY HOSPITAL OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $9,960.30 | — | — | 2026-01-28 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Molina | Mychoice | $10,079.90 | — | — | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Medicaid | Medicaid | $10,079.90 | — | — | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Chorus | Medicaid | $10,079.90 | — | — | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Badgercare | Medicaid | $10,079.90 | — | — | 2026-07-15 | MRF ↗ |
| HOWARD UNIVERSITY HOSPITAL CORP Outpatient | Amerigroup - Adult | Medicaid MCO | $10,333.60 | — | — | 2025-12-31 | MRF ↗ |
| HOWARD UNIVERSITY HOSPITAL CORP Outpatient | Amerihealth - Adult | Medicaid MCO | $10,628.85 | — | — | 2025-12-31 | MRF ↗ |
| HOWARD UNIVERSITY HOSPITAL CORP Outpatient | MedStar - Pediatrics | Medicaid MCO | $10,825.68 | — | — | 2025-12-31 | MRF ↗ |
| HOWARD UNIVERSITY HOSPITAL CORP Outpatient | MedStar - Adult | Medicaid MCO | $10,825.68 | — | — | 2025-12-31 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Amerihealth | Alliance Medicaid | $10,825.68 | — | — | 2026-09-11 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | $10,970.10 | — | — | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | $10,970.10 | — | — | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | $10,970.10 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | $10,970.10 | — | — | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | $10,970.10 | — | — | 2026-01-28 | MRF ↗ |
| FINLEY HOSPITAL OutpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | $10,970.10 | — | — | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | $10,970.10 | — | — | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | $10,970.10 | — | — | 2026-01-28 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Boston Medical Center /Wellsense - | All Other Metals | $10,987.99 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Outpatient | Wellmark Insurance | Hmo | $11,303.59 | — | — | 2026-07-15 | MRF ↗ |
| SANFORD SHELDON MEDICAL CENTER OutpatientFacility | Wellmark | HMO | $11,429.10 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN OutpatientFacility | Wellmark | HMO | $11,689.20 | — | — | 2026-03-04 | MRF ↗ |
| GRINNELL REGIONAL MEDICAL CENTER OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $11,704.50 | — | — | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $11,704.50 | — | — | 2026-01-28 | MRF ↗ |
| GRINNELL REGIONAL MEDICAL CENTER OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $11,704.50 | — | — | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $11,704.50 | — | — | 2026-01-28 | MRF ↗ |
| TRINITY REGIONAL MEDICAL CENTER OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $11,704.50 | — | — | 2026-01-28 | MRF ↗ |
| TRINITY REGIONAL MEDICAL CENTER OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $11,704.50 | — | — | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MARSHALLTOWN OutpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | $11,704.50 | — | — | 2026-01-28 | 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.