20501 — Inject Sinus Tract For X-ray
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INJECT SINUS TRACT FOR X-RAY (CPT 20501) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/20501?code_type=CPT
MLA (9th ed.)
“INJECT SINUS TRACT FOR X-RAY (CPT 20501) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/20501?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“INJECT SINUS TRACT FOR X-RAY (CPT 20501) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/20501?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $169–$780 (25th–75th percentile) across 2,461 hospitals · 6,193 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 20501 — 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
$169
$439 typical
$780
The middle 50% of negotiated facility rates for this procedure, measured across 2,461 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. | $439 |
| Surgeon (professional fee) Estimate national typical Medicare $31 × 1.22 commercial. | $38 |
| Likely subtotal | $477 |
Surgical episode (typical)
~$477
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- 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 $169–$780.
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 |
|---|---|---|---|---|---|---|---|
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | — | $1,033.00 | $723.10 | 2025-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | FirstCare Star | Managed Medicaid | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | Marketplace | $0.36 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | FirstCare Star | Managed Medicaid | — | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | HMO | $0.38 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | HMO | $0.40 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | PPO | $0.40 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | PPO | $0.42 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Baylor Scott and White Health Plan | Commercial | $0.57 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $403.00 | — | 2026-07-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $142.00 | $42.04 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $142.00 | $60.07 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $142.00 | $42.04 | 2026-02-28 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Wellpoint | Managed Medicaid/CHIP | — | $1.57 | $1.57 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | FirstCare Star | Managed Medicaid | — | $1.57 | $1.57 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | United Healthcare | Medicare Advantage | — | $1.57 | $1.57 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Ambetter | Marketplace | — | $1.57 | $1.57 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.57 | $1.57 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.79 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.80 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $0.81 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | Traditional | $0.85 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| CONWAY MEDICAL CENTER Outpatient | Aetna | Commercial | $0.88 | — | — | 2026-11-03 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $332.00 | $166.00 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $81.00 | $60.75 | 2024-12-11 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $2,610.48 | $1,696.81 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,610.48 | $1,696.81 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $81.00 | $60.75 | 2024-12-11 | MRF ↗ |
| SAN RAMON REGIONAL MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE ADVANTAGE HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SAN RAMON REGIONAL MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE DOCTORS PLAN | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $332.00 | $166.00 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.10 | $143.00 | $27.17 | 2026-01-25 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $332.00 | $166.00 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.10 | $122.00 | $23.18 | 2026-08-02 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | UMR Hendrick Employee Plan | Commercial | $1.11 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE ADVANTAGE HMO | $1.15 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $332.00 | $166.00 | 2026-07-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.19 | $660.00 | — | 2024-12-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $332.00 | $166.00 | 2026-07-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $1.21 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $1.27 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Private Healthcare Systems | Commercial | $1.31 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE ADVANTAGE HMO | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $332.00 | $166.00 | 2026-07-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | $1.48 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Omni Networks | Commercial | $1.52 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $1.52 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $1.58 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Private Healthcare Systems | Commercial | $1.62 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $1.65 | $496.00 | $496.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $1.65 | $656.00 | $656.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $1.65 | $656.00 | $656.00 | 2026-07-15 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Omni Networks | Commercial | $1.72 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | MultiPlan | Commercial | $1.80 | $2.02 | $1.01 | 2026-10-01 | MRF ↗ |
| CONWAY MEDICAL CENTER Outpatient | Aetna | Commercial | $1.89 | — | — | 2026-11-03 | MRF ↗ |
| Vibra Hospital Of Southeastern Mi-taylor Campus | Tricare East -Humana Government Business | — | $2.00 | $3.10 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Southeastern Mi-taylor Campus | Multiplan Complimentary 737 Multiplan, Value Point 737 | — | $2.00 | $3.10 | — | 2026-07-30 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $2.20 | $174.00 | $174.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $2.20 | $174.00 | $174.00 | 2026-02-13 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $2.26 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | $2.32 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $332.00 | $166.00 | 2026-07-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | $2.77 | — | — | 2026-09-01 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $2.88 | $10.30 | — | 2026-07-30 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $2.92 | — | — | 2026-09-01 | MRF ↗ |
| Vibra Hospital Of Southeastern Mi-taylor Campus | Multiplan Complimentary 737 Multiplan, Value Point 737 | — | $3.00 | $5.70 | — | 2026-07-30 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Humana | Medicare | — | $809.00 | $647.20 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Humana | Medicare | — | $809.00 | $647.20 | 2026-03-26 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid North Dakota 183 | — | $3.00 | $14.85 | — | 2026-08-01 | MRF ↗ |
| CHANDLER REGIONAL MEDICAL CENTER Outpatient | Medica | Commercial|IFP | $3.11 | $8.62 | $2.40 | 2026-09-30 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $3.13 | $200.00 | $150.00 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $3.13 | $200.00 | $150.00 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $3.13 | $200.00 | $150.00 | 2026-10-01 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $3.30 | $10.30 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $3.40 | $10.30 | — | 2026-07-30 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $3.50 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $3.50 | $10.30 | — | 2026-07-30 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MYBLUE HEALTH | $3.50 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $3.60 | $10.30 | — | 2026-07-30 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Medicare | Medicare | $3.64 | $2,265.00 | $1,698.75 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Molina | Molina - Cal Medi-Connect | $3.64 | $2,265.00 | $1,698.75 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Molina | Molina Medi-Cal | $3.64 | $2,265.00 | $1,698.75 | 2026-04-01 | MRF ↗ |
| CHANDLER REGIONAL MEDICAL CENTER Outpatient | Medica | Commercial|All Other Plans | $3.71 | $8.62 | $2.40 | 2026-09-30 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $12.60 | $6.30 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $12.60 | $6.30 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $12.60 | $6.30 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $12.60 | $6.30 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $12.60 | $6.30 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $12.60 | $6.30 | 2026-05-13 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $3.99 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | $4.00 | $2,265.00 | $1,698.75 | 2026-04-01 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $4.15 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $4.27 | $489.00 | $180.93 | 2026-03-31 | MRF ↗ |
| CHANDLER REGIONAL MEDICAL CENTER Outpatient | Oscar | Commercial|All Plans | $4.31 | $8.62 | $2.40 | 2026-09-30 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BAV | $4.41 | — | — | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BAV | $4.41 | — | — | 2026-04-14 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $4.44 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | $4.62 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.66 | $1,260.00 | $1,197.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $4.66 | $1,260.00 | $1,197.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.66 | $1,260.00 | $1,197.00 | 2026-02-20 | MRF ↗ |
| CHANDLER REGIONAL MEDICAL CENTER Outpatient | First Health | Commercial|All Plans | $4.66 | $8.62 | $2.40 | 2026-09-30 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.79 | $1,260.00 | $1,197.00 | 2026-02-20 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $4.84 | $10.30 | — | 2026-07-30 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $4.88 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $4.88 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $4.88 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $4.88 | — | — | 2026-09-02 | 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.