22802 — Arthrd Pst Dfrm 7-12 Vrt Sgm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ARTHRD PST DFRM 7-12 VRT SGM (CPT 22802) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/22802?code_type=CPT
MLA (9th ed.)
“ARTHRD PST DFRM 7-12 VRT SGM (CPT 22802) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/22802?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ARTHRD PST DFRM 7-12 VRT SGM (CPT 22802) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/22802?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,682–$18,014 (25th–75th percentile) across 1,607 hospitals · 1,863 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 22802 — 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 22802 table above — including hospitals that only publish the bundled version.
2,726 facilities · 1,230 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
2,778 facilities · 1,280 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
2,728 facilities · 1,232 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • 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 22802 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 surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$3,682
$9,101 typical
$18,014
The middle 50% of negotiated facility rates for this procedure, measured across 1,607 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $9,101 |
| Surgeon (professional fee) Estimate national typical Medicare $1,936 × 1.22 commercial. | $2,362 |
| Anesthesia Estimate national typical 00670, ~90 min typical. Medicare $389 × 3.14 commercial. | $1,223 |
| Likely subtotal | $12,686 |
Surgical episode (typical)
~$12,686
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- 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 $3,682–$18,014.
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$16,471
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
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) 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 |
|---|---|---|---|---|---|---|---|
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $61.05 | $7,095.00 | $1,348.05 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $7,095.00 | $1,419.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $7,095.00 | $1,419.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $70.00 | $7,095.00 | $1,348.05 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $70.00 | $7,095.00 | $1,348.05 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $70.00 | $7,095.00 | $1,348.05 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $70.00 | $7,095.00 | $1,348.05 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $70.00 | $7,095.00 | $1,348.05 | 2026-05-19 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $5,796.00 | $3,767.40 | 2026-08-10 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $103.52 | $57,510.00 | — | 2024-12-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $105.00 | $7,095.00 | $1,348.05 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $105.00 | $7,095.00 | $1,348.05 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | MEDI-CAL | MEDI-CAL | $105.00 | $7,095.00 | $1,064.25 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $105.00 | $7,095.00 | $1,064.25 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $105.00 | $7,095.00 | $1,348.05 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $105.00 | $7,095.00 | $1,064.25 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $105.00 | $7,095.00 | $1,348.05 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $105.00 | $7,095.00 | $1,348.05 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $117.60 | $7,095.00 | $1,348.05 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $148.05 | $7,095.00 | $1,064.25 | 2026-10-05 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $223.96 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $223.96 | — | — | 2026-04-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $285.53 | $2,115.00 | $1,586.25 | 2026-01-16 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Coventry | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Interwest Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Health Network | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Prime Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $338.05 | $7,095.00 | $1,206.15 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $338.05 | $7,095.00 | $1,915.65 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | MEDI-CAL | MEDI-CAL | $338.05 | $7,095.00 | $1,206.15 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCAL | BC MCAL | $338.05 | $7,095.00 | $1,206.15 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $338.05 | $7,095.00 | $1,348.05 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $338.05 | $7,095.00 | $1,419.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $338.05 | $7,095.00 | $1,348.05 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $338.05 | $7,095.00 | $1,348.05 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $338.05 | $7,095.00 | $1,206.15 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $338.05 | $7,095.00 | $1,915.65 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $338.05 | $7,095.00 | $1,206.15 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BC MCAL | BC MCAL | $338.05 | $7,095.00 | $1,348.05 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | MEDI-CAL | MEDI-CAL | $338.05 | $7,095.00 | $1,348.05 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $338.05 | $7,095.00 | $1,348.05 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $338.05 | $7,095.00 | $1,419.00 | 2026-05-24 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Essential Other Commercial Plan | $355.00 | — | — | 2026-04-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $356.94 | $14,810.75 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $392.48 | $14,810.75 | — | 2026-08-17 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $402.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $420.63 | $14,810.75 | — | 2026-08-17 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $422.56 | $7,095.00 | $1,348.05 | 2026-08-02 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $438.86 | $2,115.00 | $1,586.25 | 2026-01-16 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $468.02 | $14,810.75 | — | 2026-08-17 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $470.33 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $470.33 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $475.00 | — | — | 2026-04-01 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $484.90 | — | — | 2026-07-15 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $484.90 | — | — | 2026-09-20 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $484.90 | — | — | 2026-09-20 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $485.65 | — | — | 2026-07-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Encore Prime | Commercial | $489.00 | — | — | 2026-07-17 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $490.01 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Avmed | Commercial (MMG) | $498.30 | — | — | 2025-10-24 | MRF ↗ |
| Shepherd Center Outpatient | Aetna | Commercial | $498.63 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Aetna | Commercial | $498.63 | — | — | 2026-05-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Blue Select | $505.54 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Blue Select | $505.54 | — | — | 2025-08-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $507.08 | $7,095.00 | $1,348.05 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $507.08 | $7,095.00 | $1,348.05 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $507.08 | $7,095.00 | $1,206.15 | 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 | $507.08 | $7,095.00 | $1,206.15 | 2026-05-23 | MRF ↗ |
| Shepherd Center Outpatient | Cigna | Commercial | $507.90 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Cigna | Commercial | $507.90 | — | — | 2026-05-06 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | All Commercial Plans | $512.00 | — | — | 2026-04-01 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $513.99 | — | — | 2026-09-20 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $514.92 | — | — | 2026-07-15 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $516.38 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $516.38 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Coventry | Commercial | $516.82 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Coventry | Commercial | $516.82 | — | — | 2026-05-06 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $517.61 | — | — | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $517.61 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bcbs | Commercial | $517.86 | — | — | 2026-10-12 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $523.69 | — | — | 2026-07-15 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $523.69 | — | — | 2026-07-15 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $523.69 | — | — | 2026-09-20 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Cigna Oncology UPW | Commercial | $532.04 | — | — | 2026-06-30 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $533.39 | — | — | 2026-07-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Health First | Commercial (MMG) | $533.89 | — | — | 2025-10-24 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Marketplace | $537.67 | — | — | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Marketplace | $537.67 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $538.09 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Other | $538.09 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $538.09 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Other | $538.09 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna - Commercial | $538.09 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Ppo | $538.09 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $538.09 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Group Health | $538.09 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Silver Bow County Employees | $538.09 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Other | $541.10 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Healthcomp Tpa | $541.10 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $541.10 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Health | $541.10 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Boon-Chapman | $541.10 | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $542.61 | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Highmark Blue Cross | Ppo/Pos | $542.61 | — | — | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Health Options | $542.86 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Health Options | $542.86 | — | — | 2026-06-30 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $545.00 | — | — | 2026-04-01 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | Humana | Commercial | $545.59 | $6,737.00 | $4,042.20 | 2026-07-19 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | UNIFIED GROUP SERVICES | 8812_ANTHEM UNIFIED GROUPS VHIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HMO/POS | 9229_ANTHEM HMO POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $547.80 | — | — | 2026-01-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Multiplan | PHCS\PPO | $569.48 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Network Blue | $570.00 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Network Blue | $570.00 | — | — | 2026-06-30 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Meritain Health | Meritain Health | $573.44 | — | — | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $575.92 | — | — | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | PPC PPO | $583.57 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Traditional | $583.57 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | PPC PPO | $583.57 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Traditional | $583.57 | — | — | 2025-08-01 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Commercial | $583.78 | — | — | 2026-07-15 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUEGRASS FAMILY HEALTH - SINGLE SOURCE | — | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MISSION POINT | — | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | AMBETTER | AMBETTER HIX | — | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUEGRASS FAMILY HEALTH | — | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUEGRASS FAMILY HEALTH | — | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | AMBETTER | AMBETTER HIX | — | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MISSION POINT | — | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECARE TENNCARE SELECT | $584.01 | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MISSION POINT | — | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECARE TENNCARE SELECT | $584.01 | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | AMBETTER | AMBETTER HIX | — | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUEGRASS FAMILY HEALTH - SINGLE SOURCE | — | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECARE TENNCARE SELECT | $584.01 | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUEGRASS FAMILY HEALTH - SINGLE SOURCE | — | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SAINT THOMAS HOSPITAL FOR SPINAL SURGERY OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUEGRASS FAMILY HEALTH | — | — | $21,922.55 | 2026-04-14 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Oscar Oncology | Individual Exchange | $593.66 | — | — | 2025-08-01 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | United Healthcare | $597.02 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $597.02 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $597.02 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $597.02 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $597.02 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Geha | Geha | $597.02 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $597.02 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Mt Health Co-Op | Mountain Health Co-Op | $601.51 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Pacificsource | Pacificsource Smart Health/Nav Network | $602.11 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Pacificsource | Pacificsource Voyager Network | $602.11 | — | — | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Oscar Health Oncology UPW | Individual Exchange | $602.20 | — | — | 2026-06-30 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $605.00 | — | — | 2026-04-14 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $606.00 | — | — | 2026-09-01 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $606.13 | — | — | 2026-07-15 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $606.13 | — | — | 2026-07-15 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care Term Jan 2026-Jun 2026] | $606.13 | — | — | 2026-09-20 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care Term Jul 2026-Dec 2026] | $606.13 | — | — | 2026-09-20 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care Term Jan 2026-Jun 2026] | $606.13 | — | — | 2026-09-20 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $615.19 | — | — | 2025-09-30 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $620.14 | $6,748.00 | $2,024.40 | 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.