19357 — Tiss Xpndr Plmt Brst Rcnstj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TISS XPNDR PLMT BRST RCNSTJ (CPT 19357) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/19357?code_type=CPT
MLA (9th ed.)
“TISS XPNDR PLMT BRST RCNSTJ (CPT 19357) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/19357?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TISS XPNDR PLMT BRST RCNSTJ (CPT 19357) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/19357?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,788–$18,666 (25th–75th percentile) across 2,070 hospitals · 3,638 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 19357 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Also priced as a different code
The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the CPT/HCPCS 19357 table above — including hospitals that only publish the bundled version.
2,768 facilities · 971 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
2,747 facilities · 953 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
An MS-DRG / APR-DRG price is the hospital’s single bundled charge for the entire inpatient stay — operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies — so it’s a broader, usually higher figure than the CPT/HCPCS 19357 line above, which prices the procedure alone. Neither includes the surgeon’s or anesthesiologist’s professional fees, which 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
$4,788
$13,795 typical
$18,666
The middle 50% of negotiated facility rates for this procedure, measured across 2,070 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. | $13,795 |
| Surgeon (professional fee) Estimate national typical Medicare $1,073 × 1.22 commercial. | $1,309 |
| Anesthesia Estimate national typical 00402, ~90 min typical. Medicare $225 × 3.14 commercial. | $708 |
| Likely subtotal | $15,812 |
Surgical episode (typical)
~$15,812
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $4,788–$18,666.
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)
~$19,596
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
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 |
|---|---|---|---|---|---|---|---|
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial | — | $17,697.00 | $10,618.20 | 2026-07-15 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Compass | — | $17,697.00 | $10,618.20 | 2026-07-15 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | United | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | United | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $17,697.00 | $10,618.20 | 2026-07-15 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $15,374.33 | $1,537.43 | 2026-07-18 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Cigna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $5,010.00 | $3,757.50 | 2026-03-18 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Consumer Life | Commercial | — | $104.75 | $87.99 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Encore | Ppo | — | $104.75 | $87.99 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Anthem | Ppo Hmo Exchange | — | $104.75 | $87.99 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Humana Healthnet | Tricare | — | $104.75 | $87.99 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Coventry | Commercial | — | $104.75 | $87.99 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Aetna | Medicare Advantage | — | $104.75 | $87.99 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Care Improvement Plus | Medicare Advantage | — | $104.75 | $87.99 | 2026-05-09 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $41.60 | $23,111.00 | $18,317.44 | 2024-12-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $43.37 | $4,064.00 | $772.16 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $60.00 | $4,064.00 | $609.60 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | MEDI-CAL | MEDI-CAL | $60.00 | $4,064.00 | $609.60 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $60.00 | $4,064.00 | $609.60 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $65.00 | $4,064.00 | $772.16 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $65.00 | $4,064.00 | $772.16 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $65.00 | $4,064.00 | $772.16 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $65.00 | $4,064.00 | $772.16 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $65.00 | $4,064.00 | $772.16 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $4,064.00 | $812.80 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $4,064.00 | $812.80 | 2026-05-24 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $6,170.85 | $4,011.05 | 2026-08-10 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-07-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $84.60 | $4,064.00 | $609.60 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $90.00 | $4,064.00 | $772.16 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BC MCAL | BC MCAL | $90.00 | $4,064.00 | $772.16 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $90.00 | $4,064.00 | $772.16 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $90.00 | $4,064.00 | $812.80 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $90.00 | $4,064.00 | $772.16 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | MEDI-CAL | MEDI-CAL | $90.00 | $4,064.00 | $772.16 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $90.00 | $4,064.00 | $812.80 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $90.00 | $4,064.00 | $772.16 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $109.20 | $4,064.00 | $772.16 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $112.50 | $4,064.00 | $772.16 | 2026-05-20 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $114.20 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $114.20 | — | — | 2026-04-01 | MRF ↗ |
| Yavapai Regional Medical Center - East Outpatient | BCBS - AZ | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Outpatient | BCBS - AZ | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $135.00 | $4,064.00 | $772.16 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $135.00 | $4,064.00 | $772.16 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $141.85 | $4,064.00 | $690.88 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $141.85 | $4,064.00 | $690.88 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | MEDI-CAL | MEDI-CAL | $141.85 | $4,064.00 | $690.88 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $141.85 | $4,064.00 | $1,097.28 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $141.85 | $4,064.00 | $690.88 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCAL | BC MCAL | $141.85 | $4,064.00 | $690.88 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $141.85 | $4,064.00 | $1,097.28 | 2026-01-31 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | United Healthcare | Default | $158.76 | $868.50 | $521.10 | 2026-07-15 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | Umr United Medical Resources | Default | $158.76 | $868.50 | $521.10 | 2026-07-15 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | United Healthcare | Medicare Advantage | $158.76 | $868.50 | $521.10 | 2026-07-15 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | Blue Cross Blue Shield Of Sd Wellmark | Medicare Advantage | $160.35 | $868.50 | $521.10 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $180.00 | $4,064.00 | $772.16 | 2026-05-20 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $202.50 | $1,500.00 | $1,125.00 | 2026-01-16 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | MMC AETNA | — | $134,831.48 | $23,672.51 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $212.78 | $4,064.00 | $690.88 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $212.78 | $4,064.00 | $690.88 | 2026-05-23 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $216.99 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $216.99 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Medicare Advantage PPO | $225.00 | $32,471.10 | $20,588.51 | 2026-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $32,471.10 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $36,166.76 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $36,166.76 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $36,166.76 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $36,166.76 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $36,166.76 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $32,471.10 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $36,166.76 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $36,166.76 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $36,166.76 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $36,166.76 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $32,471.10 | $20,588.51 | 2026-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $32,471.10 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $36,166.76 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $36,166.76 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $32,471.10 | — | 2025-09-05 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Blue Select | $270.08 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Blue Select | $270.08 | — | — | 2026-06-30 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Exchange (MMG) | $271.24 | — | — | 2025-10-24 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $271.60 | — | — | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $271.60 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Encore Prime | Commercial | $273.35 | — | — | 2026-07-17 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $275.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $275.00 | — | — | 2024-12-11 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Inpatient | United Healthcare � Commercial Hmo Ppo | All Plans | $275.40 | $1,377.00 | $289.17 | 2026-07-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $278.00 | — | $9,958.71 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $278.00 | — | $9,958.71 | 2024-12-08 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $279.00 | — | — | 2024-12-11 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Cigna Oncology UPW | Commercial | $280.05 | — | — | 2026-06-30 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Health First | Commercial (MMG) | $281.02 | — | — | 2025-10-24 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | Health Partners | Medicaid & CHIP | $281.60 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Coventry | Commercial | $282.46 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Coventry | Commercial | $282.46 | — | — | 2026-05-06 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | WELLPOINT STAR [100700] | $283.63 | $386.00 | $154.40 | 2026-05-29 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $283.70 | $4,064.00 | $690.88 | 2026-05-23 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $284.86 | — | — | 2026-07-15 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $284.86 | — | — | 2026-07-15 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $284.86 | — | — | 2026-09-20 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $284.86 | — | — | 2026-09-20 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $284.86 | — | — | 2026-09-20 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $284.86 | — | — | 2026-09-20 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $284.86 | — | — | 2026-07-15 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $284.86 | — | — | 2026-07-15 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna | Aetna | $286.73 | $651.67 | $651.66 | 2026-07-15 | MRF ↗ |
| Shepherd Center Outpatient | Humana | Commercial | $288.11 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Humana | Commercial | $288.11 | — | — | 2026-05-06 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $289.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $289.00 | — | — | 2024-12-11 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | TRIWEST HEALTHCARE ALLIANCE [1409] | COMMUNITY CARE NETWORK [140900] | $289.50 | $386.00 | $154.40 | 2026-05-29 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bcbs | Commercial | $289.92 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Blue Cross | All Vermont Plans | $289.92 | $1,011.75 | $708.23 | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Health Options | $290.02 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Health Options | $290.02 | — | — | 2026-06-30 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $293.34 | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Highmark Blue Cross | Ppo/Pos | $293.34 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Other | $294.44 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Silver Bow County Employees | $294.44 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $294.44 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Other | $294.44 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $294.44 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Group Health | $294.44 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna - Commercial | $294.44 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Ppo | $294.44 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $294.44 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Marketplace | $294.45 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Marketplace | $294.45 | — | — | 2026-07-18 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $295.03 | — | — | 2026-07-15 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $295.03 | — | — | 2026-09-20 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $295.03 | — | — | 2026-09-20 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $295.03 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Other | $296.08 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Boon-Chapman | $296.08 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Healthcomp Tpa | $296.08 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $296.08 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Health | $296.08 | — | — | 2026-07-15 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $297.00 | — | — | 2026-02-27 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $297.00 | $62,319.37 | $13,710.26 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $297.00 | $62,319.37 | $13,710.26 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $297.00 | $62,319.37 | $13,710.26 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $297.00 | $62,319.37 | $13,710.26 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $297.00 | $62,319.37 | $13,710.26 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $297.00 | $106,399.25 | $23,407.83 | 2026-03-19 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH STAR [131700] | $297.83 | $386.00 | $154.40 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland STAR [105600] | $297.83 | $386.00 | $154.40 | 2026-05-29 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Multiplan | PHCS\PPO | $299.76 | — | — | 2025-10-24 | MRF ↗ |
| WOOD COUNTY HOSPITAL Inpatient | Mmo | Marketplace | $300.00 | $500.00 | $500.00 | 2026-08-01 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Empire Exchange | $303.55 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Empire Exchange | $303.55 | $2,784.00 | $1,392.00 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Empire Exchange | $303.55 | $4,176.00 | $2,088.00 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Empire Exchange | $303.55 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Empire Exchange | $303.55 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Empire Exchange | $303.55 | $835.20 | $417.60 | 2026-07-17 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Network Blue | $304.52 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Network Blue | $304.52 | — | — | 2025-08-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $311.25 | $1,500.00 | $1,125.00 | 2026-01-16 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $311.31 | — | — | 2026-07-15 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $311.31 | — | — | 2026-07-15 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $311.31 | — | — | 2026-09-20 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $311.31 | — | — | 2026-09-20 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | PPC PPO | $311.77 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Traditional | $311.77 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | PPC PPO | $311.77 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Traditional | $311.77 | — | — | 2025-08-01 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $312.01 | $386.00 | $154.40 | 2026-05-29 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Oscar Oncology | Individual Exchange | $313.76 | — | — | 2025-08-01 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Exchange | $315.80 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Blue Card | $315.80 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Alliance | $315.80 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Federal | $315.80 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus | $315.80 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Preferred Ppo | $315.80 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Blue Card | $315.80 | $835.20 | $417.60 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus | $315.80 | $835.20 | $417.60 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Ppo/Epo | $315.80 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Hmo Blue Access | $315.80 | $835.20 | $417.60 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Federal | $315.80 | $835.20 | $417.60 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Exchange | $315.80 | $835.20 | $417.60 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Ppo/Epo | $315.80 | $835.20 | $417.60 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Hmo Blue Access | $315.80 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Preferred Ppo | $315.80 | $2,784.00 | $1,392.00 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Federal | $315.80 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Exchange | $315.80 | $556.80 | $278.40 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Blue Card | $315.80 | $556.80 | $278.40 | 2026-07-17 | 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.