Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV

20611 — Drain/inj Joint/bursa W/us

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $494

Usually $291–$995 (25th–75th percentile) across 2,749 hospitals · 9,309 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 20611 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$291 $494 typical $995

The middle 50% of negotiated facility rates for this procedure, measured across 2,749 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. $494
Surgeon (professional fee) Estimate national typical Medicare $50 × 1.22 commercial. $61
Likely subtotal $555
Surgical episode (typical) ~$555
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
GROSSMONT HOSPITAL Outpatient Kaiser Kaiser - HMO $0.29 $2,099.00 $1,574.25 2026-04-01 MRF ↗
GROSSMONT HOSPITAL Outpatient Medi-Cal Medi-Cal $0.29 $2,099.00 $1,574.25 2026-04-01 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $0.34 $33.10 $33.10 2026-04-24 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Healthy Blue Medicaid $309.00 $231.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Ks Commercial $0.51 $309.00 $231.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Hpk (Incl. Cigna) Commercial $309.00 $231.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Aetna Commercial $309.00 $231.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Wppa/Providrscare Commercial $309.00 $231.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient United Healthcare Commercial $309.00 $231.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Sunflower Medicaid $309.00 $231.75 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Phcs/Multiplan Commercial $309.00 $231.75 2026-05-18 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient TRICARE-ALL PLANS TRICARE-ALL PLANS $0.52 $1.10 $0.77 2026-04-06 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient COVENTRY MCR ADV COVENTRY MCR ADV $0.52 $1.10 $0.77 2026-04-06 MRF ↗
MEMORIAL HOSPITAL Outpatient HUMANA CHOICE CARE MCR ADV - ALL PLANS HUMANA CHOICE CARE MCR ADV - ALL PLANS $0.55 $1.10 $1.10 2026-02-18 MRF ↗
MEMORIAL HOSPITAL Outpatient TRICARE HNFS-ALL PLANS TRICARE HNFS-ALL PLANS $0.55 $1.10 $1.10 2026-02-18 MRF ↗
MEMORIAL HOSPITAL Outpatient COVENTRY MEDICARE ADV COVENTRY MEDICARE ADV $0.56 $1.10 $1.10 2026-02-18 MRF ↗
MEMORIAL HOSPITAL Outpatient AMBETTER COMML EXCH-ALL PLANS AMBETTER COMML EXCH-ALL PLANS $0.61 $1.10 $1.10 2026-02-18 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 $1,103.00 $326.49 2026-02-28 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient PREFERRED PHSIC PREFERRED PHSIC $0.66 $1.10 $0.77 2026-01-12 MRF ↗
BUCHANAN COUNTY HEALTH CENTER Outpatient United Healthcare Commercial $702.73 $597.32 2026-05-09 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient PREFERRED HEALTHCARE - ALL OTHER PLANS PREFERRED HEALTHCARE - ALL OTHER PLANS $0.89 $1.10 $0.77 2026-01-12 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient CIGNA-ALL PLANS CIGNA-ALL PLANS $0.94 $1.10 $0.77 2026-04-06 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $0.97 $261.00 $247.95 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.97 $261.00 $247.95 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.97 $261.00 $247.95 2026-02-20 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient PROVIDERS CARE (WPPA)-ALL PLANS PROVIDERS CARE (WPPA)-ALL PLANS $0.99 $1.10 $0.77 2026-01-12 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient COVENTRY COMM-ALL OTHER PLANS COVENTRY COMM-ALL OTHER PLANS $0.99 $1.10 $0.77 2026-04-06 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient UHC-ALL PLANS UHC-ALL PLANS $0.99 $1.10 $0.77 2026-04-06 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient MULTIPLAN (MPI)-ALL PLANS MULTIPLAN (MPI)-ALL PLANS $0.99 $1.10 $0.77 2026-01-12 MRF ↗
CLOUD COUNTY HEALTH CENTER Outpatient AETNA/COVENTRY-ALL OTHER PLANS AETNA/COVENTRY-ALL OTHER PLANS $0.99 $1.10 $0.77 2026-04-06 MRF ↗
MEMORIAL HOSPITAL Outpatient COVENTRY - ALL OTHER PLANS COVENTRY - ALL OTHER PLANS $0.99 $1.10 $1.10 2026-02-18 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient AETNA PPO - ALL OTHER PLANS AETNA PPO - ALL OTHER PLANS $0.99 $1.10 $0.77 2026-01-12 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient CIGNA-ALL PLANS CIGNA-ALL PLANS $0.99 $1.10 $0.77 2026-01-12 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $0.99 $261.00 $247.95 2026-02-20 MRF ↗
SALINA REGIONAL HEALTH CENTER Outpatient AETNA HMO AETNA HMO $0.99 $1.10 $0.77 2026-01-12 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $3,980.44 $2,587.29 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage $3,061.87 $1,990.22 2025-11-26 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient MULTIPLAN-ALL PLANS MULTIPLAN-ALL PLANS $1.02 $1.10 $0.77 2026-04-06 MRF ↗
CLOUD COUNTY HEALTH CENTER Outpatient AETNA/COVENTRY PPO AETNA/COVENTRY PPO $1.02 $1.10 $0.77 2026-04-06 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient PHCS PREFERRED-ALL PLANS PHCS PREFERRED-ALL PLANS $1.02 $1.10 $0.77 2026-04-06 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.04 $261.00 $247.95 2026-02-20 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient CENTURY HEALTH-ALL PLANS CENTURY HEALTH-ALL PLANS $1.05 $1.10 $0.77 2026-04-06 MRF ↗
CLOUD COUNTY HEALTH CENTER Outpatient PPONEXT-ALL PLANS PPONEXT-ALL PLANS $1.05 $1.10 $0.77 2026-04-06 MRF ↗
CLOUD COUNTY HEALTH CENTER Outpatient HEALTH PARTNERS - ALL PLANS HEALTH PARTNERS - ALL PLANS $1.05 $1.10 $0.77 2026-04-06 MRF ↗
MEMORIAL HOSPITAL Outpatient HEALTH PARTNERS OF KANSAS - ALL PLANS HEALTH PARTNERS OF KANSAS - ALL PLANS $1.05 $1.10 $1.10 2026-02-18 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient HEALTH PARTNERS -ALL PLANS HEALTH PARTNERS -ALL PLANS $1.05 $1.10 $0.77 2026-04-06 MRF ↗
CLOUD COUNTY HEALTH CENTER Outpatient MPI-ALL PLANS MPI-ALL PLANS $1.05 $1.10 $0.77 2026-04-06 MRF ↗
MEMORIAL HOSPITAL Outpatient PREFERRED HEALTHCARE-ALL PLANS PREFERRED HEALTHCARE-ALL PLANS $1.05 $1.10 $1.10 2026-02-18 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient COVENTRY WC COVENTRY WC $1.05 $1.10 $0.77 2026-04-06 MRF ↗
LINDSBORG COMMUNITY HOSPITAL Outpatient WPPA-ALL PLANS WPPA-ALL PLANS $1.05 $1.10 $0.77 2026-04-06 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.25 $261.00 $247.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.25 $261.00 $247.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $1.28 $261.00 $247.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.28 $261.00 $247.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.28 $261.00 $247.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.28 $261.00 $247.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.30 $261.00 $247.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.33 $261.00 $247.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.36 $261.00 $247.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.41 $261.00 $247.95 2026-02-20 MRF ↗
MEMORIAL HOSPITAL Outpatient WPPA/PROVIDERS CARE-ALL PLANS WPPA/PROVIDERS CARE-ALL PLANS $1.54 $1.10 $1.10 2026-02-18 MRF ↗
HANCOCK COUNTY HEALTH SYSTEM Outpatient WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $1.58 $183.00 $137.25 2026-03-26 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $1.73 $146.00 $27.74 2026-01-25 MRF ↗
WASHINGTON COUNTY HOSPITAL Both United Health Care PPO $2.37 $70.50 $28.20 2025-05-21 MRF ↗
WASHINGTON COUNTY HOSPITAL Both Humana PPO $2.37 $70.50 $28.20 2025-05-21 MRF ↗
RIVERWOOD HEALTHCARE CENTER Outpatient UNITED HEALTHCARE MEDICARE HMO Other $2.45 $19.00 $10.64 2026-03-31 MRF ↗
RIVERWOOD HEALTHCARE CENTER Outpatient UNITED HEALTHCARE MEDICARE HMO Other $2.45 $19.00 $10.64 2026-03-31 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) HR [40] Plans $2.89 $1,664.46 $1,664.46 2026-04-03 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $2.93 $979.00 $362.23 2026-03-31 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $3.46 $352.00 $352.00 2026-02-13 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $3.97 $61.00 $39.65 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.97 $61.00 $39.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.97 $61.00 $39.65 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.97 $61.00 $39.65 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $3.97 $61.00 $39.65 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $3.97 $61.00 $39.65 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $3.97 $61.00 $39.65 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.97 $61.00 $39.65 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.97 $61.00 $39.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $3.97 $61.00 $39.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $3.97 $61.00 $39.65 2026-03-12 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC SLHS UMR CHOICE PLUS [30021] $4.32 $3,691.65 $2,214.99 2025-12-01 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $4.68 $72.00 $46.80 2026-03-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Martins Point Default $4.68 $13.00 $9.75 2026-05-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $4.68 $72.00 $46.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.68 $72.00 $46.80 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $4.68 $72.00 $46.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.68 $72.00 $46.80 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.68 $72.00 $46.80 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.68 $72.00 $46.80 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.68 $72.00 $46.80 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $4.68 $72.00 $46.80 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $4.68 $72.00 $46.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $4.68 $72.00 $46.80 2026-03-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Federal $4.82 $13.00 $9.75 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Ppo $4.82 $13.00 $9.75 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Default $4.82 $13.00 $9.75 2026-05-18 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $4.87 $1,317.00 $1,251.15 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $4.87 $1,317.00 $1,251.15 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $4.87 $1,317.00 $1,251.15 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $5.00 $1,317.00 $1,251.15 2026-02-20 MRF ↗
WASHINGTON COUNTY HOSPITAL Both Alabama Medicaid PPO $5.10 $5.10 $2.04 2025-05-21 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $5.14 $1,317.00 $1,251.15 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $5.27 $1,317.00 $1,251.15 2026-02-20 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $5.34 2026-03-18 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $5.36 $1,117.00 $1,061.15 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $5.36 $1,117.00 $1,061.15 2026-02-20 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $5.37 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $5.37 2026-03-18 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $5.47 $1,117.00 $1,061.15 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $5.47 $1,117.00 $1,061.15 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $5.70 $1,117.00 $1,061.15 2026-02-20 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC GOLDEN RULE [30001] $5.76 $3,691.65 $2,214.99 2025-12-01 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC NAVIGATE [30013] $5.76 $3,691.65 $2,214.99 2025-12-01 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC SHARED SERVICES [30014] $5.76 $3,691.65 $2,214.99 2025-12-01 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC [30008] $5.76 $3,691.65 $2,214.99 2025-12-01 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC CHOICE PLUS PPO ALLSAVERS [30005] $5.76 $3,691.65 $2,214.99 2025-12-01 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC INDEMNITY [30007] $5.76 $3,691.65 $2,214.99 2025-12-01 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC LEASED [30010] $5.76 $3,691.65 $2,214.99 2025-12-01 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC SUREST [30017] $5.76 $3,691.65 $2,214.99 2025-12-01 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC CHOICE PLUS PPO UMR [30002] $5.76 $3,691.65 $2,214.99 2025-12-01 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC GEHA [30015] $5.76 $3,691.65 $2,214.99 2025-12-01 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC OXFORD SELECT [30000] $5.76 $3,691.65 $2,214.99 2025-12-01 MRF ↗
SAINT LUKES NORTH HOSPITAL Outpatient UNITED HEALTHCARE [3000] UHC STUDENT RESOURCES [30016] $5.76 $3,691.65 $2,214.99 2025-12-01 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $5.76 $1,176.00 $1,117.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $5.76 $1,176.00 $1,117.20 2026-02-20 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $5.82 $291.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $5.82 $291.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $5.82 $291.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $5.82 $291.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $5.82 $291.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $5.82 $291.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $5.82 $291.00 2026-03-31 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $5.88 $1,176.00 $1,117.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $6.12 $1,176.00 $1,117.20 2026-02-20 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $6.12 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $6.16 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $6.16 2026-03-18 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $6.35 $1,176.00 $1,117.20 2026-02-20 MRF ↗
CONEMAUGH MINERS MEDICAL CENTER Outpatient Bcbs Of Pa Highmark Medicare Advantage $6.49 $979.00 $391.60 2026-05-22 MRF ↗
CONEMAUGH MINERS MEDICAL CENTER Outpatient Bcbs Of Pa Highmark Medicare Advantage $6.49 $979.00 $391.60 2026-05-13 MRF ↗
UVA HEALTH HAYMARKET MEDICAL CENTER Outpatient CIGNA [40005] UVAPW & UVAHM - Cigna (OAP) $6.62 $1,946.74 $973.37 2026-03-24 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $6.66 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $6.71 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $6.71 2026-03-18 MRF ↗
RICHLAND HOSPITAL OutpatientFacility Dean Health Plan DHI/DHP Products and ASO Managed Care $6.99 $51.00 $40.80 2026-04-24 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans $7.46 $2,051.96 $2,051.96 2026-03-26 MRF ↗
UVA HEALTH HAYMARKET MEDICAL CENTER Outpatient CIGNA [40005] CIGNA NALC SUPPLEMENTAL [4000510] $7.48 $1,946.74 $973.37 2026-03-24 MRF ↗
UVA HEALTH HAYMARKET MEDICAL CENTER Outpatient CIGNA [40005] CIGNA 182223 PPO [4000520] $7.48 $1,946.74 $973.37 2026-03-24 MRF ↗
RIVERWOOD HEALTHCARE CENTER Outpatient BCBSM BLUE PLUS MA PMAP Other $7.70 $35.00 $19.60 2026-03-31 MRF ↗
RIVERWOOD HEALTHCARE CENTER Outpatient BCBSM BLUE PLUS MA PMAP Other $7.70 $35.00 $19.60 2026-03-31 MRF ↗
MERCY MEDICAL CTR OutpatientFacility CARELON HEALTH MEDICAID CARELON MEDICAID $7.98 $546.00 2026-03-31 MRF ↗
MERCY MEDICAL CTR OutpatientFacility WELLSENSE HEALTH PLAN WELLSENSE SILVER $8.74 $546.00 2026-03-31 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $9.15 $61.00 $39.65 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $9.15 $61.00 $39.65 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $9.15 $61.00 $39.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $9.15 $61.00 $39.65 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $9.15 $61.00 $39.65 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $9.15 $61.00 $39.65 2026-03-12 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans $9.33 $2,051.96 $2,051.96 2026-03-26 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO HR [303] Plans $9.52 $2,292.10 $2,292.10 2026-04-03 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility UCare Managed Medicaid $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Triwest Healthcare Alliance Tricare/Champus $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility UCare Commercial $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility UCare Medicare Advantage $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Sanford Health Medicare Advantage $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Medica Medicare Advantage $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Medica Managed Medicaid $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility PrimeWest Medicare Advantage $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Health Partners Medicare Advantage $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Blue Cross Blue Shield of Minnesota Medicare Advantage $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Blue Cross Blue Shield of Minnesota Managed Medicaid $9.94 $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility United Healthcare Medicare Advantage/VACCN $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility PrimeWest Managed Medicaid $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Humana Medicare Advantage $46.00 $29.21 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Aetna-Allina Medicare Advantage $46.00 $29.21 2026-03-17 MRF ↗
CHASE COUNTY COMMUNITY HOSPITAL Outpatient Midlands Choice Medicare Advantage $10.00 $29.00 $29.00 2025-12-02 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $10.80 $72.00 $46.80 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $10.80 $72.00 $46.80 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $10.80 $72.00 $46.80 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $10.80 $72.00 $46.80 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $10.80 $72.00 $46.80 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $10.80 $72.00 $46.80 2026-03-12 MRF ↗
NORTHPORT VA MEDICAL CENTER OutpatientFacility AETNA MEDICARE $11.05 $65.00 $32.50 2026-03-26 MRF ↗
COLUMBUS COMMUNITY HOSPITAL OutpatientFacility ICARE MEDICARE ADVANTAGE $11.31 $39.00 $21.45 2026-04-01 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient CIGNA [40005] UVAMC - Cigna (New Business) $11.91 $1,028.12 $616.87 2026-03-24 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $12.00 $108.00 $54.00 2025-02-03 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Harvard Pilgrim Healthcare Default $12.09 $13.00 $9.75 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Harvard Pilgrim Healthcare Pos $12.09 $13.00 $9.75 2026-05-18 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $12.18 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $12.18 $1,894.00 $1,136.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $12.18 $1,894.00 $1,136.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $12.18 $1,894.00 $1,136.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $12.18 $1,894.00 $1,136.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $12.18 $1,894.00 $1,136.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $12.18 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $12.18 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $12.18 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $12.18 2026-01-01 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.