22514 — Perq Vertebral Augmentation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PERQ VERTEBRAL AUGMENTATION (HCPCS 22514) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/22514?code_type=HCPCS
MLA (9th ed.)
“PERQ VERTEBRAL AUGMENTATION (HCPCS 22514) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/22514?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PERQ VERTEBRAL AUGMENTATION (HCPCS 22514) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/22514?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,077–$13,052 (25th–75th percentile) across 2,579 hospitals · 6,745 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 22514 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Also priced as a different code
The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the CPT/HCPCS 22514 table above — including hospitals that only publish the bundled version.
2,727 facilities · 561 not in the CPT/HCPCS table
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- Advanced Specialty Hospital Of Toledo, Toledo • only here
- Adventhealth Connerton, Land O' Lakes • only here
- ADVENTHEALTH LAKE WALES, LAKE WALES • only here
- ADVENTIST HEALTH SIERRA VISTA, SAN LUIS OBISPO • only here
- ADVENTIST HEALTH TWIN CITIES, TEMPLETON • only here
2,807 facilities · 598 not in the CPT/HCPCS table
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- Advanced Specialty Hospital Of Toledo, Toledo • only here
- Adventhealth Connerton, Land O' Lakes • only here
- ADVENTHEALTH LAKE WALES, LAKE WALES • only here
- ADVENTIST HEALTH DELANO, DELANO • only here
- ADVENTIST HEALTH SIERRA VISTA, SAN LUIS OBISPO • only here
2,790 facilities · 597 not in the CPT/HCPCS table
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- Advanced Specialty Hospital Of Toledo, Toledo • only here
- Adventhealth Connerton, Land O' Lakes • only here
- ADVENTHEALTH LAKE WALES, LAKE WALES • only here
- ADVENTIST HEALTH SIERRA VISTA, SAN LUIS OBISPO • only here
- ADVENTIST HEALTH TWIN CITIES, TEMPLETON • only here
An MS-DRG / APR-DRG price is the hospital’s single bundled charge for the entire inpatient stay — operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies — so it’s a broader, usually higher figure than the CPT/HCPCS 22514 line above, which prices the procedure alone. Neither includes the surgeon’s or anesthesiologist’s professional fees, which 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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$6,077
$8,412 typical
$13,052
The middle 50% of negotiated facility rates for this procedure, measured across 2,579 hospitals. The physician 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. | $8,412 |
| Physician fee Estimate national typical Medicare $424 × 1.22 commercial. | $518 |
| Likely subtotal | $8,930 |
Complete-episode estimate (typical)
~$8,930
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $6,077–$13,052.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $38,758.70 | $25,193.15 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $38,758.70 | $25,193.15 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $13.83 | $1,603.00 | $304.57 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $13.83 | $1,171.00 | $222.49 | 2026-01-25 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $4,500.00 | $2,925.00 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $4,500.00 | $2,925.00 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $4,500.00 | $2,925.00 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $4,500.00 | $2,925.00 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $4,500.00 | $2,925.00 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $4,500.00 | $2,925.00 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $4,500.00 | $2,925.00 | 2026-08-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $9,685.00 | $6,295.25 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $9,685.00 | $6,295.25 | 2025-01-01 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Prime Health | Prime Health Indigent | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Tricare | Managed Medicare 100% | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Anthem Hix | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Aetna | Aetna | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Humana | Humana Medicare Hmo | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Managed Medicare 100% | Managed Medicare 100% | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Humana | Humana Hix | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Todays Options | Managed Medicare 100% | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Prime Health | Prime Health | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Aetna | Aetna Medicare | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Uhc | Uhc All Payer | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Healthlink | Healthlink | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Centercare Network | Centercare | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Essence | Managed Medicare 100% | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Unicare | Managed Medicare 100% | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Ccn | Ccn | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Wellcare | Managed Medicare 100% | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Managed Medicare 100% | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Passport | Managed Medicare 100% | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Phcs | Phcs | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Bcbs Of Ky Hmo/Ppo | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Humana | Humana Medicare Ppo | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Secure Horizons | Managed Medicare 100% | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Uhc | Uhc Managed Medicare | — | $68.40 | $27.36 | 2026-05-22 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | MERITAIN HEALTH [5185] | OMC AETNA | — | $40,060.11 | $9,532.36 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $25.00 | $1,603.00 | $304.57 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $25.00 | $1,603.00 | $304.57 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $25.00 | $1,603.00 | $304.57 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $25.00 | $1,603.00 | $304.57 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $25.00 | $1,603.00 | $304.57 | 2026-05-19 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $25.73 | $14,295.00 | $7,262.33 | 2024-12-31 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $27.66 | $1,978.00 | $1,978.00 | 2026-02-13 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $30.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $30.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $30.00 | $1,603.00 | $304.57 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $30.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $30.00 | $1,603.00 | $304.57 | 2026-05-20 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BC MEDI-CAL | BC MEDI-CAL | $30.00 | $6,573.00 | $985.95 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | MOLINA MCAL | MOLINA MCAL | $30.00 | $6,573.00 | $985.95 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $30.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $30.00 | $1,603.00 | $304.57 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $30.00 | $1,603.00 | $304.57 | 2026-05-20 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $30.00 | $6,573.00 | $985.95 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $30.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $30.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $30.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $30.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $30.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $30.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | MEDI-CAL | MEDI-CAL | $30.00 | $1,603.00 | $304.57 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BC MCAL | BC MCAL | $30.00 | $1,603.00 | $304.57 | 2026-05-20 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $30.00 | $6,573.00 | $985.95 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $30.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $31.29 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | HERITAGE MCAL | HERITAGE MCAL | $31.80 | $6,573.00 | $985.95 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $35.73 | $6,573.00 | $985.95 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $35.73 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $36.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $37.50 | $1,603.00 | $304.57 | 2026-05-20 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $40.68 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $42.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $42.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $42.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $42.00 | $1,603.00 | $304.57 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $42.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $42.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $42.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $43.81 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $45.00 | $1,603.00 | $304.57 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $45.00 | $1,603.00 | $304.57 | 2026-05-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $47.90 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $48.00 | $1,705.00 | $306.90 | 2026-01-30 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $48.21 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $48.21 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $50.41 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $50.41 | — | — | 2026-04-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $52.26 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $53.20 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $53.70 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $53.70 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | $54.68 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $55.00 | $1,603.00 | $272.51 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $55.00 | $1,603.00 | $272.51 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $55.00 | $1,603.00 | $272.51 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | MEDI-CAL | MEDI-CAL | $55.00 | $1,603.00 | $272.51 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCAL | BC MCAL | $55.00 | $1,603.00 | $272.51 | 2026-05-23 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $38,758.70 | $25,193.15 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $38,758.70 | $25,193.15 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $38,758.70 | $25,193.15 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $60.00 | $1,603.00 | $240.45 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $60.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | MEDI-CAL | MEDI-CAL | $60.00 | $1,603.00 | $240.45 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $60.00 | $1,603.00 | $240.45 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $60.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $60.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $60.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $60.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $60.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $60.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $60.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $60.00 | $1,603.00 | $304.57 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $60.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $60.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $60.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $61.11 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $61.11 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $61.11 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $61.33 | $6,258.60 | $6,258.60 | 2026-06-05 | MRF ↗ |
| MADISON COUNTY HEALTH CARE SYSTEM Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $63.50 | $16,167.00 | $12,933.60 | 2026-06-05 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | — | — | — | $66.91 | $65.57 | 2025-11-05 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $1,603.00 | $320.60 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $1,603.00 | $320.60 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PROSPECT MG MCAL PROFEE ONLY | PROSPECT MG MCAL PROFEE ONLY | $69.60 | $232.00 | $41.76 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN | PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN | $69.60 | $232.00 | $41.76 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PROSPECT MG MCR ADV PROFEE ONLY | PROSPECT MG MCR ADV PROFEE ONLY | $69.60 | $232.00 | $41.76 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PROSPECT MG MCAL PROFEE ONLY | PROSPECT MG MCAL PROFEE ONLY | $69.60 | $232.00 | $41.76 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PROSPECT MG MCR ADV PROFEE ONLY | PROSPECT MG MCR ADV PROFEE ONLY | $69.60 | $232.00 | $41.76 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN | PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN | $69.60 | $232.00 | $41.76 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $71.46 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $72.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $76.03 | $1,897.00 | $1,233.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Medicare A Ia J5 | Default | $76.03 | $1,897.00 | $1,233.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | United Healthcare | Default | — | $1,897.00 | $1,233.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Aetna | Default | — | $1,897.00 | $1,233.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Cigna | Default | — | $1,897.00 | $1,233.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Oscar Health | Default | — | $1,897.00 | $1,233.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ia Wellmark | Default | — | $1,897.00 | $1,233.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Aetna Medicare Advantage | Default | $76.03 | $1,897.00 | $1,233.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Uhc Group Medicare Advantage | Medicare Advantage | $77.58 | $1,897.00 | $1,233.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER Both | — | — | — | $80.30 | $78.69 | 2025-11-05 | MRF ↗ |
| UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both | — | — | — | $83.78 | $82.10 | 2025-11-05 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $82.50 | $1,603.00 | $272.51 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $82.50 | $1,603.00 | $272.51 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $84.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $84.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $84.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $84.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $84.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $84.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $84.60 | $1,603.00 | $240.45 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $87.12 | $1,603.00 | $304.57 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $87.12 | $1,603.00 | $304.57 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $87.12 | $1,603.00 | $320.60 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $87.12 | $1,603.00 | $432.81 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $87.12 | $1,603.00 | $304.57 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $87.12 | $1,603.00 | $320.60 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $87.12 | $1,603.00 | $304.57 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $87.12 | $1,603.00 | $432.81 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | MEDI-CAL | MEDI-CAL | $87.12 | $1,754.00 | $263.10 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $87.12 | $1,603.00 | $304.57 | 2026-05-22 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $10,460.00 | $8,891.00 | 2025-01-01 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $90.00 | $15,163.60 | $13,343.97 | 2025-11-14 | MRF ↗ |
| UMD UPPER CHESAPEAKE MEDICAL CENTER Both | — | — | — | $94.41 | $92.52 | 2025-11-05 | MRF ↗ |
| UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS Both | — | — | — | $96.69 | $94.76 | 2025-11-05 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $96.00 | $1,705.00 | $306.90 | 2026-05-23 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $38,758.70 | $25,193.15 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $38,758.70 | $25,193.15 | 2025-11-26 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $107.00 | $1,061.00 | $530.00 | 2025-02-03 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | Empire | Medicare Advantage | $107.00 | $10,460.00 | $8,891.00 | 2025-01-01 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Heritage Provider Network | All Medi-cal Plans | $108.90 | $26,110.00 | $13,055.00 | 2025-12-31 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Heritage Provider Network | All Medi-cal Plans | $108.90 | $26,110.00 | $13,055.00 | 2026-03-27 | MRF ↗ |
| SAN JOAQUIN GENERAL HOSPITAL Outpatient | Hpsj | Medical | $108.90 | $28,275.00 | $15,551.25 | 2026-07-18 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $109.00 | $1,061.00 | $530.00 | 2025-02-03 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $110.00 | $1,603.00 | $272.51 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $113.26 | $13,573.00 | $5,429.20 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $113.26 | $13,573.00 | $5,429.20 | 2026-05-14 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $120.00 | $1,061.00 | $530.00 | 2025-02-03 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $124.96 | — | — | 2026-07-15 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $124.96 | — | — | 2026-07-15 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $124.96 | — | — | 2026-07-15 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $128.00 | $1,061.00 | $530.00 | 2025-02-03 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $129.72 | $19,421.00 | $19,421.00 | 2026-07-31 | MRF ↗ |
| MARSHALL MEDICAL CENTER OutpatientFacility | County Medical Services Program | CMSP Medicaid | $129.81 | — | — | 2026-02-19 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Inland Empire | All Medi-cal Plans | $130.68 | $26,110.00 | $13,055.00 | 2026-03-27 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Inland Empire | All Medi-cal Plans | $130.68 | $26,110.00 | $13,055.00 | 2025-12-31 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $132.46 | — | — | 2026-07-15 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $134.56 | $232.00 | $34.80 | 2026-07-30 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $134.96 | — | — | 2026-07-15 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $134.96 | — | — | 2026-07-15 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $134.96 | — | — | 2026-07-15 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $135.00 | $1,061.00 | $530.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $135.00 | $1,061.00 | $530.00 | 2025-02-03 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $137.46 | — | — | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $138.08 | $13,808.00 | $13,808.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $138.08 | $13,808.00 | $13,808.00 | 2026-07-15 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Complete Care | Magellan Complete Care | $138.80 | $19,421.00 | $19,421.00 | 2026-07-31 | 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.