20206 — Hc Bx Mus Perc Ndl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC BX MUS PERC NDL (CPT 20206) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/20206?code_type=CPT
MLA (9th ed.)
“HC BX MUS PERC NDL (CPT 20206) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/20206?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC BX MUS PERC NDL (CPT 20206) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/20206?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $972–$2,523 (25th–75th percentile) across 2,459 hospitals · 8,445 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 20206 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$972
$1,687 typical
$2,523
The middle 50% of negotiated facility rates for this procedure, measured across 2,459 hospitals. The the surgeon's fee 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. | $1,687 |
| Surgeon (professional fee) Estimate national typical Medicare $51 × 1.22 commercial. | $62 |
| Likely subtotal | $1,750 |
Surgical episode (typical)
~$1,750
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
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 |
|---|---|---|---|---|---|---|---|
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Medi-Cal | Medi-Cal | $0.06 | $3,518.00 | $2,638.50 | 2026-04-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.62 | $436.00 | $327.00 | 2025-03-07 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $2,614.00 | $773.75 | 2026-02-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $14,916.20 | $9,695.53 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $14,916.20 | $9,695.53 | 2025-11-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $1.46 | $53.00 | $39.75 | 2026-03-26 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Cigna | Cigna - HMO | $1.61 | $3,518.00 | $2,638.50 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.67 | $143.00 | $27.17 | 2026-01-25 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.50 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.50 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.50 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.57 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.64 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.71 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.25 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.25 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | MPCN-ALL PLANS | MPCN-ALL PLANS | $3.25 | $5.00 | $2.50 | 2026-04-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.32 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.32 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $3.32 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.32 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $3.34 | $312.00 | $312.00 | 2026-02-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.38 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $3.40 | $5.00 | $2.50 | 2026-04-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.45 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.52 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $3.66 | $677.00 | $643.15 | 2026-02-20 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $323.00 | $242.25 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $323.00 | $242.25 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $323.00 | $242.25 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $323.00 | $242.25 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $323.00 | $242.25 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $323.00 | $242.25 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $323.00 | $242.25 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $4.83 | $323.00 | $242.25 | 2026-05-18 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | BCBS MS-ALL PLANS | BCBS MS-ALL PLANS | $5.00 | $5.00 | $2.50 | 2026-04-15 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.22 | $1,411.00 | $1,340.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $5.22 | $1,411.00 | $1,340.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.22 | $1,411.00 | $1,340.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.36 | $1,411.00 | $1,340.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.50 | $1,411.00 | $1,340.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $5.64 | $1,411.00 | $1,340.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.75 | $1,197.00 | $1,137.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.75 | $1,197.00 | $1,137.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.87 | $1,197.00 | $1,137.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $5.87 | $1,197.00 | $1,137.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.10 | $1,197.00 | $1,137.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $6.17 | $1,260.00 | $1,197.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $6.17 | $1,260.00 | $1,197.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.30 | $1,260.00 | $1,197.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.55 | $1,260.00 | $1,197.00 | 2026-02-20 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $6.62 | $1,784.00 | $660.08 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $6.80 | $1,260.00 | $1,197.00 | 2026-02-20 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.30 | $160.00 | $35.20 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.30 | $160.00 | $28.80 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.30 | $160.00 | $30.40 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.30 | $160.00 | $36.80 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.30 | $160.00 | $28.80 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.30 | $160.00 | $38.40 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.30 | $160.00 | $30.40 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.30 | $160.00 | $35.20 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.30 | $160.00 | $35.20 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.30 | $160.00 | $35.20 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.30 | $160.00 | $35.20 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.30 | $160.00 | $43.20 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.30 | $160.00 | $35.20 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.30 | $160.00 | $38.40 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.30 | $160.00 | $35.20 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.30 | $160.00 | $36.80 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.30 | $160.00 | $36.80 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.30 | $160.00 | $41.60 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.30 | $160.00 | $41.60 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.30 | $160.00 | $43.20 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.30 | $160.00 | $36.80 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.30 | $160.00 | $35.20 | 2026-04-14 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $9.66 | $5,364.00 | $1,646.39 | 2024-12-31 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | MEDICA MEDICAID [16023] | MEDICA ACCESSABILITY [1602301] | $10.28 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA CHOICE CARE [1602302] | $10.28 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | HEALTHPARTNERS MEDICAID [16020] | HEALTHPARTNERS CARE SNBC [1602003] | $11.54 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | HEALTHPARTNERS MEDICAID [16020] | HEALTHPARTNERS CARE [1602002] | $11.54 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | HEALTHPARTNERS MEDICAID [16020] | HEALTHPARTNERS MN CARE [1602001] | $11.54 | $195.00 | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $11.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $11.85 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $11.85 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $11.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $11.85 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $11.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $11.85 | $2,621.00 | $1,572.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $11.85 | $1,912.00 | $1,147.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $11.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $11.85 | $2,587.00 | $1,552.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $11.85 | $2,558.00 | $1,534.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UCARE MEDICAID [16041] | UCARE MA [1604102] | $11.95 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UCARE MEDICAID [16041] | UCARE MN CARE [1604103] | $11.95 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UCARE MEDICAID [16041] | UCARE CONNECT [1604101] | $11.95 | $195.00 | — | 2026-01-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $12.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MA [1600701] | $12.12 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MN CARE [1600702] | $12.12 | $195.00 | — | 2026-01-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $13.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Medicare Advantage | Medicare Advantage | $13.00 | $53.00 | $16.00 | 2026-05-27 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | Triwest | Commercial | $13.00 | $53.00 | $16.00 | 2026-05-27 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UCARE MEDICARE [16042] | UCARE CONNECT PLUS MEDICARE [1604201] | $13.36 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UCARE MEDICARE [16042] | UCARE MEDICARE PLANS [1604203] | $13.36 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA COMPLETE SOLUTION [1602404] | $13.36 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA ADVANTAGE SOLUTION [1602401] | $13.36 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS PLATINUM BLUE [1600803] | $13.36 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS BLUE PLUS SECURE BLUE [1600804] | $13.36 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS MN MEDICARE ADVANTAGE [1600801] | $13.36 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA PRIME SOLUTION [1602403] | $13.36 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | PRIME WEST MEDICARE [16030] | PRIME WEST MSHO [1603001] | $13.36 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | MEDICA MEDICARE [16024] | MEDICA ACCESSABILITY SOLUTION ENHANCED [1602405] | $13.36 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS OUT OF STATE MEDICARE [1600802] | $13.36 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UCARE MEDICARE [16042] | UCARE MSHO [1604204] | $13.36 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UNITED HEALTHCARE MEDICARE [16044] | UNITED HEALTHCARE MEDICARE SOLUTIONS [1604402] | $13.76 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UNITED HEALTHCARE MEDICARE [16044] | UNITED HEALTHCARE MEDICARE ADVANTAGE [1604401] | $13.76 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | AETNA MEDICARE [16004] | ALLINA HEALTH AETNA MEDICARE ADV [1600402] | $13.76 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | AARP MEDICARE [16001] | AARP MEDICARE COMPLETE [1600101] | $13.76 | $195.00 | — | 2026-01-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $14.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $14.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $14.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| Rehoboth Mckinley Christian Health Care Services Outpatient | USA | Commercial | $14.00 | $53.00 | $16.00 | 2026-05-27 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $14.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICARE [16019] | HEALTHPARTNERS FREEDOM [1601901] | $14.02 | $195.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | HEALTHPARTNERS MEDICARE [16019] | HEALTHPARTNERS MEDICARE ADVANTAGE [1601902] | $14.02 | $195.00 | — | 2026-01-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.43 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.52 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.52 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $15.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD PROMISE [1017] | BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) | $15.00 | $7,462.23 | $4,104.23 | 2026-04-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $16.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | $4,832.00 | $2,899.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | $2,587.00 | $1,552.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | $2,587.00 | $1,552.20 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | $3,370.00 | $2,022.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | $2,621.00 | $1,572.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | $1,912.00 | $1,147.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | $2,583.00 | $1,549.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | $2,621.00 | $1,572.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | $2,558.00 | $1,534.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | $4,832.00 | $2,899.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | $2,558.00 | $1,534.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | $1,912.00 | $1,147.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $16.40 | $2,583.00 | $1,549.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $16.40 | — | — | 2026-01-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $16.53 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $16.64 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $16.64 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $17.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $17.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $17.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $17.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $8,700.66 | $5,655.43 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $8,700.66 | $5,655.43 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $8,700.66 | $5,655.43 | 2025-11-26 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | MOLINA MCAID - ALL OTHER PLANS | MOLINA MCAID - ALL OTHER PLANS | $17.80 | $550.45 | $550.45 | 2026-04-24 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $18.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $18.00 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $18.00 | $98.00 | $49.00 | 2025-02-03 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $18.12 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $18.12 | — | — | 2026-03-18 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID [300001] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL HEALTH PLUS CAID [300604] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MIDWEST HEALTH CAID [300607] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL TOTAL HEALTHCARE [300606] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MOLINA CAID [300603] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MCLAREN CAID [300601] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PACE MEDICAID HMO [9020] | GENESYS PACE [902001] | $18.21 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $18.21 | $115.00 | $115.00 | 2026-03-23 | 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.