20822 — Replantation Digit Complete
Cite this view
HANK Price Transparency. (n.d.). REPLANTATION DIGIT COMPLETE (CPT 20822) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/20822?code_type=CPT
“REPLANTATION DIGIT COMPLETE (CPT 20822) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/20822?code_type=CPT. Accessed .
“REPLANTATION DIGIT COMPLETE (CPT 20822) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/20822?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,626–$4,311 (25th–75th percentile) across 1,579 hospitals · 2,829 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 20822 — 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
The middle 50% of negotiated facility rates for this procedure, measured across 1,579 hospitals. Surgeon & 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. | $2,377 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $1,603 × 1.22 commercial. | $1,955 |
| Likely subtotal | $4,332 |
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $22.05 | $11.03 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $22.05 | $11.03 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $22.05 | $11.03 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $22.05 | $11.03 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $22.05 | $11.03 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $22.05 | $11.03 | 2026-05-13 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicaid Mississippi | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Physicians Care Network | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare A MS JH | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Select Health Care | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | UHC Community Plan MS | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Primewell Vantage Health Plan | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | First Choice Health Network | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Advanced Health | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $21.53 | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Magnolia Health Plan MCD Rep | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Connecticut General Cigna | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare B MS JH | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | GEHA Multiplan Network | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Multiplan Inc. for American Family | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Private Healthcare Systems PHCS | Default | — | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $25.71 | $2,471.85 | $2,471.85 | 2026-04-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $56.36 | $3,952.00 | $2,568.80 | 2026-05-07 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $68.01 | $4,136.00 | $620.40 | 2026-02-27 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $7,137.00 | $1,574.99 | 2024-12-31 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $84.75 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $84.75 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $84.75 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $84.75 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $84.75 | — | — | 2026-03-28 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH OutpatientFacility | Sanford Health Plan Align | Medicare Replacement | $102.60 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH OutpatientFacility | Wellmark | Medicare Replacement | $110.10 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH OutpatientFacility | Ucare | Medicare Replacement | $110.10 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH OutpatientFacility | United Healthcare | Medicare Replacement | $111.30 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH OutpatientFacility | Great Plains Medicare Advantage | Medicare Replacement | $111.30 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH OutpatientFacility | Health Partners | Medicare Replacement | $111.30 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH OutpatientFacility | Aetna | Medicare Replacement | $111.30 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH OutpatientFacility | Primewest | Medicare Replacement | $113.40 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Outpatient | Empower | Medicaid|All Plans | $115.77 | $8,986.00 | $2,284.25 | 2026-02-28 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Outpatient | TotalCare | Medicaid|All Plans | $115.77 | $8,986.00 | $2,284.25 | 2026-02-28 | MRF ↗ |
| CHI-ST VINCENT INFIRMARY Outpatient | TotalCare | Medicaid|All Plans | $115.77 | $8,986.00 | $2,305.81 | 2026-02-28 | MRF ↗ |
| CHI-ST VINCENT INFIRMARY Outpatient | Empower | Medicaid|All Plans | $115.77 | $8,986.00 | $2,305.81 | 2026-02-28 | MRF ↗ |
| ST VINCENT MEDICAL CENTER/NORTH Outpatient | Summit | Medicaid|All Plans | $115.77 | $8,986.00 | $2,284.25 | 2026-02-28 | MRF ↗ |
| CHI-ST VINCENT INFIRMARY Outpatient | Summit | Medicaid|All Plans | $115.77 | $8,986.00 | $2,305.81 | 2026-02-28 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $143.42 | — | — | 2026-04-14 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR SELECT | UCARE MCR SELECT | $152.00 | $5,325.00 | $4,686.00 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $152.00 | $5,325.00 | $4,686.00 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MHCP | BCBS MHCP | $160.34 | $437.00 | $384.56 | 2026-02-03 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Great Plains Medicare Advantage | Medicare Replacement | — | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Health Partners | Medicare Replacement | — | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Sanford Health Plan | SD Exchange True | $164.37 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Sanford Health Plan Align | Medicare Replacement | — | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | United Healthcare | Medicare Replacement | — | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Aetna | Medicare Replacement | — | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Wellmark | Medicare Replacement | — | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Primewest | Medicare Replacement | — | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Ucare | Medicare Replacement | — | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Security Health Plan | Commercial | $165.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Blue Cross Blue Shield of MS INST | Default | $170.00 | $6,393.00 | $4,794.75 | 2025-03-07 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Outpatient | None | — | — | $2,488.00 | $2,488.00 | 2026-03-01 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Molina | Medicaid - Molina | $180.00 | $7,129.10 | $3,564.55 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Molina | Medicaid - Molina | $180.00 | $7,129.10 | $3,564.55 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Both | Medicaid - Molina | Medicaid - Molina | $180.00 | $6,888.00 | $3,444.00 | 2025-02-03 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $180.77 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $186.09 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Sanford Health Plan | Group Health/True | $187.44 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $187.82 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $187.82 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $187.82 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $187.82 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $187.82 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $187.82 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $187.82 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $187.82 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $187.82 | — | — | 2026-04-14 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $188.27 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $188.27 | — | — | 2026-04-01 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $191.41 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Sanford Health Plan | SD Exchange Commercial | $193.38 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Health Partners | State Employees | $194.10 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MCAID | MEDICA MCAID | $201.89 | $437.00 | $384.56 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $205.39 | $437.00 | $384.56 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $205.39 | $437.00 | $384.56 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $205.39 | $437.00 | $384.56 | 2026-02-03 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $210.00 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $210.00 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $210.91 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $210.91 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $210.91 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $210.91 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $210.91 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $210.91 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $210.91 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $210.91 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $210.91 | — | — | 2026-04-14 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network P | $217.00 | — | — | 2026-02-28 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE SR HLTH OPTIONS (MSHO) | UCARE SR HLTH OPTIONS (MSHO) | $218.50 | $437.00 | $384.56 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR SELECT | UCARE MCR SELECT | $218.50 | $437.00 | $384.56 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR ADV | UCARE MCR ADV | $218.50 | $437.00 | $384.56 | 2026-02-03 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $9,451.08 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $4,758.45 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $4,758.45 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $4,758.45 | — | 2025-09-05 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Sanford Health Plan | Commercial/ND Pers | $220.50 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $9,451.08 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $9,451.08 | — | 2025-09-05 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Health Partners | Commercial | $225.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $230.00 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $230.00 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $230.00 | — | — | 2025-08-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $233.81 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $233.81 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $233.81 | — | — | 2026-03-18 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | PIP | — | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | — | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $233.94 | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Fidelis Care | NJ Family Care | — | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | First Health | Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-04 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $236.57 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $236.57 | — | — | 2025-08-01 | MRF ↗ |
| CAREWELL HEALTH MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health | Managed Medicaid | $237.92 | — | — | 2025-06-17 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $240.95 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $240.95 | — | — | 2025-08-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $244.35 | $1,810.00 | $1,357.50 | 2026-01-16 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Medica | Choice | $247.50 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $9,451.08 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $9,451.08 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $9,451.08 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $4,758.45 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $4,758.45 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $4,758.45 | — | 2025-09-05 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $250.00 | $3,537.00 | $3,537.00 | 2025-07-03 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | United Healthcare | Commercial + Top 20 | $250.50 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH OutpatientFacility | Wellmark | PPO | $258.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH OutpatientFacility | Aetna | Commercial | $260.70 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Wellmark | PPO | $261.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Medica | Managed Medicaid | $263.00 | $11,198.00 | $4,759.15 | 2026-01-28 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Medica | Managed Medicaid | $263.00 | $11,198.00 | $4,759.15 | 2026-01-29 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Ucare | Commercial | $263.58 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | — | — | 2026-04-14 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Medica | Elect | $264.60 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $9,451.08 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $4,758.45 | — | 2025-09-05 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Healthez | Commercial | $270.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | Multiplan | Commercial | $270.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| SANFORD CANTON-INWOOD MEDICAL CENTER - CAH InpatientFacility | First Choice Health Network | Commercial | $270.00 | $300.00 | $240.00 | 2026-03-04 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MSHO | MEDICA MSHO | $271.81 | $437.00 | $384.56 | 2026-02-03 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peia | Other Governmental | $274.47 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $274.47 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Medicare | $274.47 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Aetna | Medicare | $274.47 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | United Healthcare | Medicare | $274.47 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Medicare | $274.47 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Humana | Medicare | $274.47 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Medicare | $274.47 | — | — | 2026-05-06 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $278.00 | — | — | 2024-12-08 | 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.