21310 — Closed Tx Nose Fx Without Manj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CLOSED TX NOSE FX W/O MANJ (CPT 21310) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/21310?code_type=CPT
MLA (9th ed.)
“CLOSED TX NOSE FX W/O MANJ (CPT 21310) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/21310?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CLOSED TX NOSE FX W/O MANJ (CPT 21310) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/21310?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $138–$1,184 (25th–75th percentile) across 1,046 hospitals · 1,690 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 21310 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Humana | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Humana | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | AultCare | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | AultCare | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.66 | $63.00 | $37.80 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.66 | $63.00 | $37.80 | 2025-08-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | 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 ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $5.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $5.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 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 KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $5.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $5.40 | — | — | 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 CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $5.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $5.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $5.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $5.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $5.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $5.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $5.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $5.40 | — | — | 2026-01-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $6.41 | — | — | 2026-07-18 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $7.52 | — | — | 2026-01-01 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $80.00 | $24.67 | 2026-03-22 | MRF ↗ |
| SGMC HEALTH LANIER | Humana | — | $12.11 | $75.00 | $56.25 | 2026-07-31 | MRF ↗ |
| SGMC HEALTH | Humana | — | $12.11 | $75.00 | $56.25 | 2026-07-30 | MRF ↗ |
| SGMC BERRIEN CAMPUS | Humana | — | $12.11 | $75.00 | $56.25 | 2026-07-31 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS Empire Healthplus | Essential 3 & 4 | $13.45 | $97.27 | $63.61 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBC Empre Healthplus | Medicaid & HARP | $13.45 | $97.27 | $63.61 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS Empire Healthplus | Essential 1 & 2 | $13.45 | $97.27 | $63.61 | 2026-04-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $13.50 | $90.00 | $90.00 | 2026-03-23 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Prime Health Services | Workers Comp | $14.16 | $177.00 | $53.10 | 2026-09-21 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH PLAN COMMUNITY [103802] | $15.86 | $90.00 | $90.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH ADVANTAGE [103801] | $15.86 | $90.00 | $90.00 | 2026-03-23 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $15.95 | — | — | 2024-10-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $16.61 | $463.22 | $463.22 | 2026-03-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 30555 [105802] | $18.00 | $90.00 | $90.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | SUREST [105805] | $18.00 | $90.00 | $90.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALL SAVERS INSURANCE [1073] | ALL SAVERS INSURANCE [107301] | $18.00 | $90.00 | $90.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE STUDENT RESOURCES [105808] | $18.00 | $90.00 | $90.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE [105801] | $18.00 | $90.00 | $90.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 740810 [105803] | $18.00 | $90.00 | $90.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE LIFE INS CO [1075] | UNITED HEALTH CARE LIFE INS CO [107501] | $18.00 | $90.00 | $90.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 31374 [105807] | $18.00 | $90.00 | $90.00 | 2026-03-23 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials | $18.16 | $97.27 | $63.61 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials Midlevels | $18.16 | $97.27 | $63.61 | 2026-04-01 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | OPTUM MCR ADV-ALL PLANS | OPTUM MCR ADV-ALL PLANS | $18.25 | $73.00 | $58.40 | 2026-01-16 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | St Anthony Health Network | All Products | $18.51 | $177.00 | $53.10 | 2026-09-21 | MRF ↗ |
| SGMC BERRIEN CAMPUS | Ambetter | — | $18.52 | $75.00 | $56.25 | 2026-07-31 | MRF ↗ |
| SGMC HEALTH | Ambetter | — | $18.52 | $75.00 | $56.25 | 2026-07-30 | MRF ↗ |
| SGMC HEALTH LANIER | Ambetter | — | $18.52 | $75.00 | $56.25 | 2026-07-31 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $80.00 | $24.67 | 2026-03-22 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Franciscan Hammond Clinic Llc | All Products | $18.95 | $177.00 | $53.10 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physician Care Network Inc | All Products | $19.25 | $177.00 | $53.10 | 2026-09-21 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Bcbs Marketplace Plan | Commercial | $19.38 | $88.08 | $66.06 | 2026-10-31 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Bcbs Of Ar Plan | Commercial | $19.38 | $88.08 | $66.06 | 2026-10-31 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $65.10 | $32.55 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $65.10 | $32.55 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $65.10 | $32.55 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $65.10 | $32.55 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $65.10 | $32.55 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $65.10 | $32.55 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | United | Core Epo & Navigate Epo | $19.93 | $177.00 | $53.10 | 2026-09-21 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $20.25 | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | The Healthplan | Wv Medicaid | $20.25 | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $20.25 | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Unicare | Wv Medicaid | $20.25 | — | — | 2026-05-06 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Medicaid Texas Plan | Medicaid | $20.26 | $88.08 | $66.06 | 2026-10-31 | MRF ↗ |
| SGMC BERRIEN CAMPUS | Aetna | — | $20.52 | $75.00 | $56.25 | 2026-07-31 | MRF ↗ |
| SGMC HEALTH LANIER | Aetna | — | $20.52 | $75.00 | $56.25 | 2026-07-31 | MRF ↗ |
| SGMC HEALTH | Aetna | — | $20.52 | $75.00 | $56.25 | 2026-07-30 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID | CARESOURCE MCAID | $20.61 | $272.85 | $136.43 | 2026-05-05 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | AMERIGROUP STAR KIDS | AMERIGROUP STAR KIDS | $20.85 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | MOLINA CHIP/STAR-ALL PLANS | MOLINA CHIP/STAR-ALL PLANS | $20.85 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | COMM HEALTH CHIP | COMM HEALTH CHIP | $20.85 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | COMM HEALTH PERINATAL-ALL OTHER PLANS | COMM HEALTH PERINATAL-ALL OTHER PLANS | $20.85 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | SUPERIOR CHIP/STAR | SUPERIOR CHIP/STAR | $20.85 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | AMERIGROUP STAR PLUS | AMERIGROUP STAR PLUS | $20.85 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | MOLINA CHIP/STAR-ALL PLANS | MOLINA CHIP/STAR-ALL PLANS | $20.85 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | COMM HEALTH PERINATAL-ALL OTHER PLANS | COMM HEALTH PERINATAL-ALL OTHER PLANS | $20.85 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | COMM HEALTH CHIP | COMM HEALTH CHIP | $20.85 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | SUPERIOR CHIP/STAR | SUPERIOR CHIP/STAR | $20.85 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | AMERIGROUP STAR PLUS | AMERIGROUP STAR PLUS | $20.85 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | AMERIGROUP STAR KIDS | AMERIGROUP STAR KIDS | $20.85 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $21.10 | $796.25 | — | 2026-08-17 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $21.50 | $86.00 | $51.60 | 2026-02-20 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $21.50 | $86.00 | $51.60 | 2026-02-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | COMM HEALTH MCAID HMO | COMM HEALTH MCAID HMO | $21.89 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | COMMUNITY FIRST HP - ALL PLANS | COMMUNITY FIRST HP - ALL PLANS | $21.89 | $92.00 | $92.00 | 2026-04-23 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | SOONERCARE MCAID - ALL PLANS | SOONERCARE MCAID - ALL PLANS | $21.89 | $92.00 | $92.00 | 2026-04-23 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $21.89 | $92.00 | $92.00 | 2026-04-23 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | CHILDRENS MED CENTER HP - ALL PLANS | CHILDRENS MED CENTER HP - ALL PLANS | $21.89 | $92.00 | $92.00 | 2026-04-23 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | COMM HEALTH STAR | COMM HEALTH STAR | $21.89 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | UHC MCAID | UHC MCAID | $21.89 | $92.00 | $92.00 | 2026-04-23 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | COMM HEALTH STAR | COMM HEALTH STAR | $21.89 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | COMM HEALTH MCAID HMO | COMM HEALTH MCAID HMO | $21.89 | $227.00 | $158.90 | 2025-12-20 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL OutpatientFacility | Humana | ChoiceCare | $22.36 | $86.00 | $51.60 | 2026-02-20 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL OutpatientFacility | Humana | ChoiceCare | $22.36 | $86.00 | $51.60 | 2026-02-20 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | United | Choice Epo | $23.12 | $177.00 | $53.10 | 2026-09-21 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $23.41 | — | — | 2026-09-01 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL InpatientFacility | Zelis | Worker's Compensation | $23.48 | $86.00 | $51.60 | 2026-02-20 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL InpatientFacility | Zelis | Worker's Compensation | $23.48 | $86.00 | $51.60 | 2026-02-20 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Medicaid Missouri Plan | Medicaid | $23.78 | $88.08 | $66.06 | 2026-10-31 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | CHAMPUS VA | CHAMPUS VA | $23.94 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | CHAMPUS VA | CHAMPUS VA | $23.94 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | CHAMPUS VA | CHAMPUS VA | $23.94 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | CHAMPUS VA | CHAMPUS VA | $23.94 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | CHAMPUS VA | CHAMPUS VA | $23.94 | — | — | 2026-02-14 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $24.00 | — | — | 2026-04-01 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HEALTH PARTNERS | $24.19 | — | — | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HPI | $24.19 | — | — | 2025-12-28 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Mvp | Medicaid | $24.64 | — | — | 2026-07-18 | MRF ↗ |
| Bridgepoint -national Harbor | Dc Medicaid | — | $24.76 | $53.59 | — | 2026-07-30 | MRF ↗ |
| Bridgepoint Hospital Capitol Hill | Dc Medicaid | — | $24.76 | $53.59 | — | 2026-07-31 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER OutpatientFacility | ROCKY MOUNTAIN | HMO | $24.98 | — | — | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | ROCKY MOUNTAIN | HMO | $24.98 | — | — | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | ROCKY MOUNTAIN | HMO | $24.98 | — | — | 2026-03-26 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | US DEPARTMENT OF LABOR [5020] | US DEPARTMENT OF LABOR [502001] | $25.08 | $90.00 | $90.00 | 2026-03-23 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $25.20 | $140.02 | $84.01 | 2026-07-15 | MRF ↗ |
| LAKE CHARLES MEMORIAL HOSPITAL Outpatient | Aetna Medicare Hmo | Medicare | $25.20 | $140.02 | $84.01 | 2026-07-15 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $25.38 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $25.38 | — | — | 2026-04-01 | MRF ↗ |
| Mt. Graham Regional Medical Center Both | Devoted Health Insurance | Hmo | $25.50 | $75.00 | $52.50 | 2026-07-15 | MRF ↗ |
| Mt. Graham Regional Medical Center Both | Humana Gold Insurance | Hmo | $25.50 | $75.00 | $52.50 | 2026-07-15 | MRF ↗ |
| Mt. Graham Regional Medical Center Both | Umr Medicare Advantage | Hmo | $25.50 | $75.00 | $52.50 | 2026-07-15 | MRF ↗ |
| Mt. Graham Regional Medical Center Both | Aetna Medicare Advantage | Hmo | $25.50 | $75.00 | $52.50 | 2026-07-15 | MRF ↗ |
| Mt. Graham Regional Medical Center Both | Golden Kidney Insurance | Hmo | $25.50 | $75.00 | $52.50 | 2026-07-15 | MRF ↗ |
| Mt. Graham Regional Medical Center Both | United Healthcare Medicare Advantage | Hmo | $25.50 | $75.00 | $52.50 | 2026-07-15 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $25.52 | $189.00 | $141.75 | 2026-01-16 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $25.55 | $73.00 | $58.40 | 2026-01-16 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $25.65 | $353.81 | $283.05 | 2026-05-18 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Upmc | F8120_Upmc Health Plan - Medicaid | $25.74 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $25.74 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $25.74 | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Aetna | Rental Network | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Upmc | F8120_Upmc Health Plan - Medicaid | $25.74 | — | — | 2026-04-01 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | Unison | Med Plus | $25.74 | $964.00 | — | 2026-04-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Uhc | Mcd Advantage | $25.74 | — | — | 2026-07-19 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Ghp | Medicaid | $25.74 | — | — | 2026-07-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $25.74 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $25.74 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Upmc | Medicaid | $25.74 | — | — | 2026-07-15 | 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.