20974 — Electrical Bone Stimulation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ELECTRICAL BONE STIMULATION (CPT 20974) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/20974?code_type=CPT
MLA (9th ed.)
“ELECTRICAL BONE STIMULATION (CPT 20974) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/20974?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ELECTRICAL BONE STIMULATION (CPT 20974) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/20974?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $77–$543 (25th–75th percentile) across 1,442 hospitals · 2,148 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 20974 — 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 figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$77
$100 typical
$543
The middle 50% of negotiated facility rates for this procedure, measured across 1,442 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. | $100 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $51 × 1.22 commercial. | $62 |
| Likely subtotal | $162 |
Surgical episode (typical)
~$162
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.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$3,947
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 ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.06 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.06 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.06 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $2.36 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $2.36 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $2.36 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.56 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.56 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.56 | — | — | 2026-03-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $4.36 | — | — | 2026-03-18 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $6.00 | — | — | 2026-05-06 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $9.54 | — | — | 2025-12-31 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $9.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $9.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $9.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $9.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $9.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $9.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $9.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $9.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $9.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $9.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $9.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $10.26 | $76.00 | $57.00 | 2026-01-16 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $10.65 | — | — | 2026-03-31 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $11.60 | — | — | 2024-10-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM SHORT TERM LIMITED DURATION | 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PPO PREFERRED | 9232_ANTHEM PREFERRED VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HMO/POS | 9229_ANTHEM HMO POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.21 | — | — | 2026-01-01 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $13.62 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $13.62 | — | — | 2025-12-23 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicare Inn - Snch | $13.80 | — | — | 2026-04-01 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $13.92 | $145.00 | $31.90 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $13.92 | $145.00 | $31.90 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $13.92 | $145.00 | $27.55 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $13.92 | $145.00 | $27.55 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $13.92 | $145.00 | $31.90 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $13.92 | $145.00 | $31.90 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $13.92 | $145.00 | $26.10 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $13.92 | $145.00 | $33.35 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $13.92 | $145.00 | $31.90 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $13.92 | $145.00 | $34.80 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $13.92 | $145.00 | $33.35 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $13.92 | $145.00 | $33.35 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $13.92 | $145.00 | $39.15 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $13.92 | $145.00 | $31.90 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $13.92 | $145.00 | $37.70 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $13.92 | $145.00 | $31.90 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $13.92 | $145.00 | $26.10 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $13.92 | $145.00 | $33.35 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $13.92 | $145.00 | $34.80 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $13.92 | $145.00 | $31.90 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $13.92 | $145.00 | $37.70 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $13.92 | $145.00 | $39.15 | 2026-04-14 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $14.16 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | United | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $14.16 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | United | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $14.16 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | United | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $15.77 | $76.00 | $57.00 | 2026-01-16 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | BANNER UNIVERSITY | AHCCCS MANAGED MEDICAID - PEDIATRIC | $16.29 | $114.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | HEALTH CHOICE | AHCCCS MANAGED MEDICAID - PEDIATRIC | $16.29 | $114.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | AHCCCS MANAGED MEDICAID - ADULT | $16.29 | $114.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | AHCCCS MANAGED MEDICAID - PEDIATRIC | $16.29 | $114.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | MERCY CARE | AHCCCS MANAGED MEDICAID - PEDIATRIC | $16.29 | $114.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | HEALTH CHOICE | AHCCCS MANAGED MEDICAID - ADULT | $16.29 | $114.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | BANNER UNIVERSITY | AHCCCS MANAGED MEDICAID - ADULT | $16.29 | $114.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | HEALTH NET OF ARIZONA | AHCCCS MANAGED MEDICAID - PEDIATRIC | $16.29 | $114.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | MERCY CARE | AHCCCS MANAGED MEDICAID - ADULT | $16.29 | $114.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | HEALTH NET OF ARIZONA | AHCCCS MANAGED MEDICAID - ADULT | $16.29 | $114.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | MOLINA | AHCCCS MANAGED MEDICAID - PEDIATRIC | $17.92 | $114.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | MOLINA | AHCCCS MANAGED MEDICAID - ADULT | $17.92 | $114.00 | — | 2025-06-28 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $22.86 | — | — | 2025-01-31 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $23.37 | $288.27 | $188.53 | 2026-04-01 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $23.61 | — | — | 2026-01-29 | MRF ↗ |
| MCBRIDE ORTHOPEDIC HOSPITAL Outpatient | Cigna | Commercial | $25.00 | $50.00 | $50.00 | 2025-02-06 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $25.02 | — | — | 2026-04-01 | MRF ↗ |
| SAINT THOMAS RIVER PARK HOSPITAL Outpatient | COMMUNITY PLAN | 1351_RPTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 | $25.92 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | UHC MCD | 3817_BOLE MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | UHC MCD | 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | UHC MCD | 3809_BOAH MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MI CHILD | 3815_BOLE MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | BOAH MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | 3808_BOAH MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MI CHILD | 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | BLUE CAID | 3661_BOLE MEDICAID REPLACEMENT BLUE CROSS COMPLETE INPATIENT 20241001 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BLUE CAID | 3813_BOLE MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | BLUE CAID | 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | UHC MCD | 3804_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA MEDICAID | 3812_BOLE MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | BLUE CAID | 3807_BOAH MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA MEDICAID | 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | AETNA MEDICAID | 3806_BOAH MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MOLINA MEDICAID | 3816_BOLE MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MEDICAID HMO | 3814_BOLE MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | 3821_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MEDICAID HMO | 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA MEDICAID | 3255_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID HMO | 3261_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | MOLINA MEDICAID | 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MI CHILD | 3257_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | UHC MCD | 3258_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | BLUE CAID | 3262_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID REPLACEMENT | 3256_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | MI CHILD | 3815_BOLE MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | UHC MCD | 3809_BOAH MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | BOAH MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | 3808_BOAH MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | AETNA MEDICAID | 3806_BOAH MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MOLINA MEDICAID | 3260_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | UHC MCD | 3817_BOLE MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID HMO | 3261_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Both | BLUE CAID | 3661_BOLE MEDICAID REPLACEMENT BLUE CROSS COMPLETE INPATIENT 20241001 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA MEDICAID | 3255_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | BLUE CAID | 3813_BOLE MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | AETNA MEDICAID | 3812_BOLE MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | MOLINA MEDICAID | 3810_BOAH MOLINA MEDICAID OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | BLUE CAID | 3262_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | MOLINA MEDICAID | 3816_BOLE MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MI CHILD | 3257_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | UHC MCD | 3258_BPHC MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID HMO | 3801_BPHC MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION BORGESS LEE HOSPITAL Outpatient | MEDICAID HMO | 3814_BOLE MEDICAID REPLACEMENT HMO OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | BLUE CAID | 3800_BPHC MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA | 2686_BOGI BOSU AETNA 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA MEDICAID | 3799_BPHC MEDICAID REPLACEMENT AETNA BETTER HEALTH OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | MOLINA MEDICAID | 3810_BOAH MOLINA MEDICAID OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | AETNA PPOM | 2681_BOGI BOSU AETNA PPOM 20210701 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MOLINA MEDICAID | 3260_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MI CHILD | 3802_BPHC MEDICAID REPLACEMENT MICHIGAN CHILD OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MOLINA MEDICAID | 3803_BPHC MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | PHCS | 1971_BOGI, BOSU PHCS 20200101 | — | — | — | 2024-12-17 | MRF ↗ |
| ASCENSION BORGESS ALLEGAN HOSPITAL Both | BLUE CAID | 3807_BOAH MEDICAID REPLACEMENT BLUE CROSS COMPLETE OUTPATIENT 20250701 | $26.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Outpatient | MEDICAID REPLACEMENT | 3256_BPHC MEDICAID REPLACEMENT MERIDIAN OUTPATIENT 20240701 | $26.02 | — | — | 2024-12-17 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $26.21 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $26.21 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $26.21 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $26.21 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $26.21 | — | — | 2025-06-28 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | Cle-Care Hmo | $26.46 | — | — | 2026-04-01 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | — | $25,452.34 | $16,544.02 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $25,452.34 | $16,544.02 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 1&2 | — | $25,452.34 | $16,544.02 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | — | $25,452.34 | $16,544.02 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $25,452.34 | $16,544.02 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | — | $25,452.34 | $16,544.02 | 2024-12-30 | 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.