21320 — Clsd Tx Nsl Fx W/mnpj&stablj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CLSD TX NSL FX W/MNPJ&STABLJ (CPT 21320) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/21320?code_type=CPT
MLA (9th ed.)
“CLSD TX NSL FX W/MNPJ&STABLJ (CPT 21320) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/21320?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CLSD TX NSL FX W/MNPJ&STABLJ (CPT 21320) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/21320?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,291–$4,383 (25th–75th percentile) across 2,138 hospitals · 6,286 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 21320 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,291
$3,130 typical
$4,383
The middle 50% of negotiated facility rates for this procedure, measured across 2,138 hospitals. The the surgeon's fee are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,130 |
| Surgeon (professional fee) Estimate national typical Medicare $82 × 1.22 commercial. | $100 |
| Likely subtotal | $3,230 |
Surgical episode (typical)
~$3,230
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 |
|---|---|---|---|---|---|---|---|
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $1.00 | $0.60 | 2026-05-22 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $0.96 | — | $12,460.43 | 2026-03-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.73 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.73 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.73 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.81 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.88 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.96 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.55 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.55 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $3.62 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.62 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.62 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.62 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.69 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.77 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | UHC MCR ADV | UHC MCR ADV | $3.82 | $6,040.00 | $3,020.00 | 2026-03-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.84 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $3.99 | $739.00 | $702.05 | 2026-02-20 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $7.12 | — | $3,936.26 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $7.12 | — | $3,936.26 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $7.12 | — | $3,936.26 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $7.12 | — | $3,936.26 | 2026-03-31 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $818.00 | $613.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $818.00 | $613.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $7.17 | $818.00 | $613.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $818.00 | $613.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $818.00 | $613.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $818.00 | $613.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $818.00 | $613.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $818.00 | $613.50 | 2026-05-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $7.64 | $3,802.00 | $3,802.00 | 2026-02-13 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $7.90 | $18,912.66 | $3,782.53 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $7.90 | $18,912.66 | $3,782.53 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $7.90 | $18,912.66 | $3,782.53 | 2026-03-26 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.00 | $267.00 | $50.73 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.00 | $267.00 | $50.73 | 2026-04-14 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $8.04 | $18,912.66 | $3,782.53 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $8.04 | $18,912.66 | $3,782.53 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $8.04 | $18,912.66 | $3,782.53 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $8.05 | $18,912.66 | $3,782.53 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $8.05 | $18,912.66 | $3,782.53 | 2026-03-26 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $10.06 | $9,772.01 | $5,993.61 | 2025-12-19 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Primewest Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Blue Cross Blue Shield | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Aetna | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Medica Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Humana | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | UCare for Seniors | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Ucare Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Blue Plus Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | United Healthcare | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Medica | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,415.00 | $1,569.75 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,415.00 | $1,569.75 | 2025-01-01 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $22.47 | $164.00 | $131.20 | 2026-04-24 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $26.00 | $261.00 | $130.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $26.00 | $261.00 | $130.00 | 2025-02-03 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $26.69 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $26.69 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $26.69 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $26.69 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $26.69 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $26.69 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $26.69 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $26.69 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $26.69 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $26.69 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $26.69 | — | — | 2026-01-01 | MRF ↗ |
| Crosbyton Clinic Hospital Outpatient | Aetna | Commercial | $28.00 | $150.00 | $150.00 | 2025-10-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $29.00 | $261.00 | $130.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL OMNICARE CAID [300608] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH LAPEER COUNTY [901004] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA [1071] | MOLINA MICHILD [107101] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | OUT OF COUNTY CMH [901001] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH SAGINAW COUNTY [901002] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH CLINTON EATON & INGHAM COUNTY [901006] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH SHIAWASSEE COUNTY [901003] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MOLINA CAID [300603] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PACE MEDICAID HMO [9020] | GENESYS PACE [902001] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL GREAT LAKES [300602] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID [300001] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL PRIORITY HEALTH CAID [300611] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MCLAREN CAID [300601] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL HEALTH PLUS CAID [300604] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MIDWEST HEALTH CAID [300607] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MICHIGAN COMPLETE HEALTH MEDICAID [9019] | MICHIGAN COMPLETE HEALTH MEDICAID [901901] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA HEALTH CARE [9008] | MOLINA HEALTH CARE [900801] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENESEE COUNTY CMH [9003] | GENESEE COUNTY CMH [900301] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH OAKLAND COUNTY [901005] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL TOTAL HEALTHCARE [300606] | $30.46 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $31.00 | $261.00 | $130.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $33.00 | $261.00 | $130.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $33.00 | $261.00 | $130.00 | 2025-02-03 | 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 CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $33.35 | $247.00 | $185.25 | 2026-01-16 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $33.51 | $260.00 | $260.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $33.51 | $260.00 | $260.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $33.51 | $260.00 | $260.00 | 2026-03-23 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $34.83 | — | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Both | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $34.84 | $361.00 | $361.00 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $34.84 | $361.00 | $361.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $34.84 | $361.00 | $361.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Both | MEDICAID [5022] | HMC MEDICAID | $34.84 | $361.00 | $361.00 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MEDICAID [5022] | HMC MEDICAID | $34.84 | $361.00 | $361.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MEDICAID [5022] | HMC MEDICAID | $34.84 | $361.00 | $361.00 | 2026-01-01 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $35.00 | $376.00 | $244.40 | 2026-02-10 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $35.00 | $261.00 | $130.00 | 2025-02-03 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $35.00 | $376.00 | $244.40 | 2026-02-10 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $35.56 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $36.40 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $37.00 | $261.00 | $130.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $37.00 | $261.00 | $130.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $37.00 | $261.00 | $130.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $37.00 | $261.00 | $130.00 | 2025-02-03 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | BCBS -ALL PLANS | BCBS -ALL PLANS | $38.00 | $3,243.00 | $2,270.10 | 2026-04-06 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $38.00 | $261.00 | $130.00 | 2025-02-03 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | HMC UNITED HEALTH COMMUNITY | $38.34 | $361.00 | $361.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $38.34 | $361.00 | $361.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | HMC UNITED HEALTH COMMUNITY | $38.34 | $361.00 | $361.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Both | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $38.34 | $361.00 | $361.00 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Both | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | HMC UNITED HEALTH COMMUNITY | $38.34 | $361.00 | $361.00 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $38.34 | $361.00 | $361.00 | 2026-01-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $40.00 | $261.00 | $130.00 | 2025-02-03 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $40.07 | $361.00 | $361.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Both | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $40.07 | $361.00 | $361.00 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $40.07 | $361.00 | $361.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Both | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $40.07 | $361.00 | $361.00 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $40.07 | $361.00 | $361.00 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $40.07 | $361.00 | $361.00 | 2026-01-01 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | BCBS BLUE CHOICE/SELECT - ALL OTHER PLANS | BCBS BLUE CHOICE/SELECT - ALL OTHER PLANS | $40.16 | $3,243.00 | $2,270.10 | 2026-01-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UNIVERSITY OF MICHIGAN HEALTH MEDICARE [7031] | UNIVERSITY OF MICHIGAN HEALTH MEDICARE [703101] | $40.44 | $375.00 | $375.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICARE PLUS BLUE/BCBS ADVANTAGE [7005] | MEDICARE PLUS BLUE U-M RETIREE ADVANTAGE [700502] | $40.44 | $375.00 | $375.00 | 2026-03-23 | 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.