19499 — Unlisted Procedure Breast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). UNLISTED PROCEDURE BREAST (CPT 19499) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/19499?code_type=CPT
MLA (9th ed.)
“UNLISTED PROCEDURE BREAST (CPT 19499) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/19499?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“UNLISTED PROCEDURE BREAST (CPT 19499) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/19499?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,386–$5,354 (25th–75th percentile) across 1,717 hospitals · 3,566 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 19499 — 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 |
|---|---|---|---|---|---|---|---|
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.39 | $915.50 | $869.72 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.39 | $915.50 | $869.72 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.39 | $915.50 | $869.72 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.48 | $915.50 | $869.72 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.57 | $915.50 | $869.72 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.66 | $915.50 | $869.72 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.89 | $1,050.30 | $997.78 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.89 | $1,050.30 | $997.78 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.89 | $1,050.30 | $997.78 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.99 | $1,050.30 | $997.78 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.10 | $1,050.30 | $997.78 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $4.20 | $1,050.30 | $997.78 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.49 | $915.50 | $869.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.49 | $915.50 | $869.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.58 | $915.50 | $869.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.76 | $915.50 | $869.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.79 | $998.00 | $948.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.79 | $998.00 | $948.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.89 | $998.00 | $948.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $4.89 | $998.00 | $948.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $4.94 | $915.50 | $869.72 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.09 | $998.00 | $948.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.15 | $1,050.30 | $997.78 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.15 | $1,050.30 | $997.78 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.25 | $1,050.30 | $997.78 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.46 | $1,050.30 | $997.78 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $5.67 | $1,050.30 | $997.78 | 2026-02-20 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $8.33 | $17,748.28 | $11,536.38 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 3&4 | $8.33 | $17,748.28 | $11,536.38 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $8.33 | $17,748.28 | $11,536.38 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $8.90 | $17,748.28 | $11,536.38 | 2024-12-30 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $12.07 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $12.07 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Freedom Blue | $12.22 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Freedom Blue | $12.22 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $12.57 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $12.57 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $12.60 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $12.60 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna Medicare | $13.27 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United Medicare | $13.27 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicare | $13.27 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna Medicare | $13.27 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicare | $13.27 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United Medicare | $13.27 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicare | $13.40 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicare | $13.40 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $13.53 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $13.53 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $13.54 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Wholecare Medicare | $13.54 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Umwa | Umwa | $13.54 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Umwa | Umwa | $13.54 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $13.54 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | Va Ccn Optum | $13.54 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Wholecare Medicare | $13.54 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | Va Ccn Optum | $13.54 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $13.61 | $7,563.00 | $3,774.43 | 2024-12-31 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas Medicare | Amerihealth Caritas Medicare | $13.81 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas Medicare | Amerihealth Caritas Medicare | $13.81 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Security Blue | $14.32 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Security Blue | $14.32 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $15.15 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $15.15 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Chip / Social Mission | $16.37 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Chip / Social Mission | $16.37 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $16.92 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $16.92 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $18.40 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $18.40 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | — | — | 2026-03-06 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $18.72 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $18.72 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | — | — | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $18.77 | — | — | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | — | — | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | — | — | 2026-03-06 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $18.96 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $18.96 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $18.96 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $18.96 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicaid | $20.59 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicaid | $20.59 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicaid | $21.62 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicaid | $21.62 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Upmc | All Commercial Plans | $22.06 | — | — | 2026-04-01 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $22.46 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $22.46 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $22.46 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $22.46 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER InpatientFacility | Molina Healthcare | Benefit Exchange | $22.50 | $75.00 | $37.50 | 2026-01-23 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $24.39 | — | — | 2026-04-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicaid | Geisinger Medicaid | $24.71 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicaid | Geisinger Medicaid | $24.71 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $25.00 | $439.00 | $83.41 | 2026-01-31 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $25.79 | $75.00 | $37.50 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Humana | KY Medicaid | $25.79 | $75.00 | $37.50 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Kentucky WC | Medicaid | $26.05 | $75.00 | $37.50 | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicaid | $26.31 | $75.00 | $37.50 | 2026-01-23 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | UPMC Health Plan | Commercial | $26.75 | — | — | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | UPMC Health Plan | Commercial | $26.97 | — | — | 2026-03-06 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $27.08 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $27.08 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Health Plan | Commercial | $28.28 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Health Plan | Commercial | $28.28 | $12,083.00 | $7,249.80 | 2026-03-06 | 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 ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Coventry | Commercial | — | $304.64 | $255.90 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | United Healthcare | Medicaid | $31.20 | $304.64 | $255.90 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Anthem | Ppo Hmo Exchange | — | $304.64 | $255.90 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Care Improvement Plus | Medicare Advantage | — | $304.64 | $255.90 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Mdwise | Excel And Hoosier Healthwise | $31.20 | $304.64 | $255.90 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Managed Health Services | Medicaid | $31.20 | $304.64 | $255.90 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Consumer Life | Commercial | — | $304.64 | $255.90 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Humana Healthnet | Tricare | — | $304.64 | $255.90 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Aetna | Medicare Advantage | — | $304.64 | $255.90 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Encore | Ppo | — | $304.64 | $255.90 | 2026-05-09 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Aca / My Direct Blue / My Blue Access Ppo | $31.71 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Aca / My Direct Blue / My Blue Access Ppo | $31.71 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $31.78 | — | — | 2026-04-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Comm Community Blue | $32.32 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Comm Community Blue | $32.32 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | $6,578.25 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | $6,578.25 | 2024-12-08 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United | $33.85 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United | $33.85 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | UHC | Medicaid|STAR | $34.25 | — | — | 2026-02-28 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Comm Managed/Indemnity | $34.47 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Comm Managed/Indemnity | $34.47 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $35.23 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $35.23 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | CC EHP | ALL PRODUCTS | $36.14 | $130.00 | $84.50 | 2025-06-28 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $37.91 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $37.91 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $37.91 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $37.91 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $38.00 | $439.00 | $83.41 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $38.00 | $439.00 | $74.63 | 2026-01-24 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | BCBS MN MHCP | BCBS MN MHCP | $38.06 | $98.00 | $60.76 | 2026-04-22 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Upmc Health Plan | Upmc Health | $38.19 | $11,404.00 | $4,561.60 | 2026-05-18 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | OSCAR | ALL PRODUCTS | $39.17 | $130.00 | $84.50 | 2025-06-28 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | BCBS MN MCR ADV | BCBS MN MCR ADV | $39.20 | $98.00 | $60.76 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $39.20 | $98.00 | $60.76 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC VA CCN | UHC VA CCN | $39.20 | $98.00 | $60.76 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $39.59 | $98.00 | $60.76 | 2026-04-22 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SCHAEFER QCG | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SCHAEFER QCG | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $40.00 | $160.00 | $104.00 | 2026-03-13 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC MEDICAID | UHC MEDICAID | $40.18 | $98.00 | $60.76 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MCR ADV | UCARE MCR ADV | $40.38 | $98.00 | $60.76 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MSHO/SPECIAL NEEDS | UCARE MSHO/SPECIAL NEEDS | $40.38 | $98.00 | $60.76 | 2026-04-22 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | AETNA- ALL PLANS | AETNA- ALL PLANS | $41.00 | $5,393.00 | $808.95 | 2026-01-27 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $41.78 | — | — | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | Commercial | $42.86 | — | — | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | Commercial | $42.86 | — | — | 2026-03-06 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna | $43.06 | $184.00 | $55.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna | $43.06 | $184.00 | $55.20 | 2026-05-23 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE INDIVIDUAL/FAMILY - ALL OTHER PLANS | UCARE INDIVIDUAL/FAMILY - ALL OTHER PLANS | $45.08 | $98.00 | $60.76 | 2026-04-22 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $45.12 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $45.40 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $45.40 | — | — | 2026-03-18 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $46.52 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | — | — | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Health Plan | CHIP | $47.21 | $12,083.00 | $7,249.80 | 2026-03-06 | 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.