20816 — Replantation Digit Complete
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REPLANTATION DIGIT COMPLETE (HCPCS 20816) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/20816?code_type=HCPCS
MLA (9th ed.)
“REPLANTATION DIGIT COMPLETE (HCPCS 20816) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/20816?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“REPLANTATION DIGIT COMPLETE (HCPCS 20816) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/20816?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,968–$8,299 (25th–75th percentile) across 1,571 hospitals · 1,698 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 20816 — 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 surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,968
$3,784 typical
$8,299
The middle 50% of negotiated facility rates for this procedure, measured across 1,571 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,784 |
| Surgeon (professional fee) Estimate national typical Medicare $1,836 × 1.22 commercial. | $2,240 |
| Anesthesia Estimate national typical 01840, ~90 min typical. Medicare $246 × 3.14 commercial. | $772 |
| Likely subtotal | $6,796 |
Surgical episode (typical)
~$6,796
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $1,968–$8,299.
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$10,581
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CAREMORE MEDICARE ADVANTAGE | CAREMORE MEDICARE ADVANTAGE | $0.21 | — | — | 2026-09-02 | 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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | PROSPECT HEALTH PLAN MEDICARE ADVANTAGE | PROSPECT HEALTH PLAN MEDICARE ADVANTAGE | $0.30 | — | — | 2026-09-02 | 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 ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | America's Health Network | HMO | $0.42 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | America's Health Network | HMO | $0.42 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | America's Health Network | HMO | $0.42 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Providence Health Network/Oscar | EPO | $0.63 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Providence Health Network/Oscar | EPO | $0.63 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Providence Health Network/Oscar | EPO | $0.63 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Providence Health Network/Oscar | EPO | $0.63 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $0.69 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Fidelis | Medicaid | $0.69 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Fidelis Exchange | Commercial | $0.72 | — | — | 2026-10-12 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Optum Health Plan of California | HMO | $0.74 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Optum Health Plan of California | HMO | $0.74 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Optum Health Plan of California | HMO | $0.74 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Optum Health Plan of California | HMO | $0.74 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Health Net Salud | HMO/PPO/EPO | $0.85 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Health Net Salud | HMO/PPO/EPO | $0.85 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Health Net Salud | HMO/PPO/EPO | $0.85 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Health Net Salud | HMO/PPO/EPO | $0.85 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Blue Shield | HMO/PPO | $0.95 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Blue Shield | HMO/PPO | $0.95 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Blue Shield | HMO/PPO | $0.95 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Blue Shield | HMO/PPO | $0.95 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Health Net/Ambetter | HMO | $0.97 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Health Net/Ambetter | HMO | $0.97 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Health Net/Ambetter | HMO | $0.97 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Health Net/Ambetter | HMO | $0.97 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Cigna | HMO/PPO | $0.98 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Cigna | HMO/PPO | $0.98 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Cigna | HMO/PPO | $0.98 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Cigna | HMO/PPO | $0.98 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| GOOD SAMARITAN 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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Health Net | HMO/PPO | $1.00 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE 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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Health Net | HMO/PPO | $1.00 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CITIZENS 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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Health Net | HMO/PPO | $1.00 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-05-20 | 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 ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Health Net | HMO/PPO | $1.00 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Health Net/Ambetter | PPO/Covered California | $1.11 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Health Net/Ambetter | PPO/Covered California | $1.11 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Health Net/Ambetter | PPO/Covered California | $1.11 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Health Net/Ambetter | PPO/Covered California | $1.11 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Central Health Plan | HMO | $1.16 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Central Health Plan | HMO | $1.16 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Central Health Plan | HMO | $1.16 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Central Health Plan | HMO | $1.16 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Santa Monica Unite Here Health Benefit Trust Fund | All Plans | $1.26 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Santa Monica Unite Here Health Benefit Trust Fund | All Plans | $1.26 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Santa Monica Unite Here Health Benefit Trust Fund | All Plans | $1.26 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Santa Monica Unite Here Health Benefit Trust Fund | All Plans | $1.26 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Central Health Plan | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Cigna | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Prime Health Services | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Blue Cross | Medi-Cal | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Health Net/Ambetter | PPO/Covered California | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | AltaMed Health Network | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | LA Care | Covered California | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Blue Cross | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Optum Health Plan of California | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Blue Shield | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Providence Health Network/Oscar | EPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Blue Cross | Medicare Advantage | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | HealthRisk Resource Group | All Commercial Plans | $1.47 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | OmniCare Medical Group | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Health Net/Ambetter | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Optum Health Plan of California | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Health Net/Ambetter | PPO/Covered California | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Santa Monica Unite Here Health Benefit Trust Fund | All Plans | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Health Net Salud | HMO/PPO/EPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | AltaMed Health Network | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Bright Health | All Commercial Plans | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | United Healthcare | All Plans | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Blue Cross | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Blue Cross | Medicare Advantage | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Central Health Plan | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Cigna | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | United Healthcare | All Plans | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Prime Health Services | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Blue Shield | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | AltaMed Health Network | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Brand New Day | All Commercial Plans | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Health Net/Ambetter | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Blue Shield | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Health Net | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | OmniCare Medical Group | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Health Net Salud | HMO/PPO/EPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | HealthRisk Resource Group | All Commercial Plans | $1.47 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Choice Care/Humana | Medicare Advantage | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Health Net/Ambetter | PPO/Covered California | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Blue Cross | Medicare Advantage | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Health Net/Ambetter | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Affiliated Health Funds | PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Provider Network of America | PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Health Net Salud | HMO/PPO/EPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Health Net | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Prime Health Services | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | America's Health Network | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Provider Network of America | PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Brand New Day | All Commercial Plans | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | LA Care | Covered California | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Providence Health Network/Oscar | EPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | HealthRisk Resource Group | All Commercial Plans | $1.47 | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Blue Cross | Medi-Cal | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Brand New Day | All Commercial Plans | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Optum Health Plan of California | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Santa Monica Unite Here Health Benefit Trust Fund | All Plans | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Blue Cross | Medi-Cal | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | OmniCare Medical Group | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Bright Health | All Commercial Plans | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK InpatientFacility | Heritage Provider Network | All Commercial Plans | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Blue Cross | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Heritage Provider Network | All Commercial Plans | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL InpatientFacility | Central Health Plan | HMO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | United Healthcare | All Plans | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Cigna | HMO/PPO | — | $2.10 | $2.10 | 2026-02-04 | MRF ↗ |
| COAST PLAZA HOSPITAL InpatientFacility | Affiliated Health Funds | PPO | — | $2.10 | $2.10 | 2026-02-04 | 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.