22855 — Removal Anterior Instrmj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REMOVAL ANTERIOR INSTRMJ (CPT 22855) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/22855?code_type=CPT
MLA (9th ed.)
“REMOVAL ANTERIOR INSTRMJ (CPT 22855) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/22855?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“REMOVAL ANTERIOR INSTRMJ (CPT 22855) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/22855?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,511–$10,667 (25th–75th percentile) across 1,484 hospitals · 2,083 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 22855 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$2,511
$6,138 typical
$10,667
The middle 50% of negotiated facility rates for this procedure, measured across 1,484 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $6,138 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $1,051 × 1.22 commercial. | $1,282 |
| Likely subtotal | $7,420 |
Surgical episode (typical)
~$7,420
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$11,205
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $25.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $25.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $25.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $25.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $25.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $25.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $25.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $25.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $25.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $25.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $25.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $26.11 | $14,508.00 | — | 2024-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $29.78 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $30.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | 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 COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $35.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $35.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $35.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $35.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $35.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $35.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $40.00 | $4,013.00 | $722.34 | 2026-01-30 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $64.24 | $4,746.00 | $4,746.00 | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | SELECT SPECIALTY HOSPITAL [100298] | HB Select Medical University - TN Contract | $69.00 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $89.52 | — | — | 2026-04-14 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Bcbs Blueplus Of Mn | Medicaid Managed Care Plan | $89.84 | — | — | 2026-03-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY OutpatientFacility | BLUE CROSS BLUE SHIELD NY [1022] | BCBS INDIVIDUAL NETWORK [102218] | $89.99 | — | $55,194.57 | 2026-04-01 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $93.88 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $93.88 | — | — | 2025-06-27 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $104.52 | — | — | 2026-03-04 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-TN-LEB CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - Olive Branch | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS MSCAN MLH-MS CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - Olive Branch | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - Olive Branch | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - Olive Branch | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $106.16 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $117.45 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $117.45 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $117.59 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $117.59 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $117.59 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $117.59 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $117.59 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $117.59 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $117.59 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $117.59 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $117.59 | — | — | 2026-04-14 | MRF ↗ |
| ALOMERE HEALTH OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | $126.08 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UNITED HEALTHCARE [100060] | HB XR TN UHC Exchange | $127.37 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | UNITED HEALTHCARE [100060] | HB XR TN UHC Exchange | $127.37 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | UNITED HEALTHCARE [100060] | HB XR TN UHC Exchange | $127.37 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UNITED HEALTHCARE [100060] | HB XR TN UHC Exchange | $127.37 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UNITED HEALTHCARE [100060] | HB XR TN UHC Exchange | $127.37 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $131.04 | — | — | 2026-04-14 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Medicaid | $132.41 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $132.70 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $132.70 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-MS CONTRACT | $132.70 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $132.70 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $132.70 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $132.70 | $40,764.71 | $8,968.24 | 2026-03-19 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $144.94 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $144.94 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $144.94 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $149.08 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $149.08 | — | — | 2025-08-01 | MRF ↗ |
| LAKE REGION HEALTHCARE CORPORATION OutpatientFacility | Blue Cross Blue Shield of Minnesota | Managed Medicaid | $149.71 | — | — | 2026-03-17 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $149.85 | $1,110.00 | $832.50 | 2026-01-16 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $151.84 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $151.84 | — | — | 2025-08-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BCBS MN | Medicaid | $155.04 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $155.04 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $157.78 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARYS - DETROIT LAKES OutpatientFacility | BCBS MN | Medicaid | $157.78 | — | — | 2026-01-01 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $164.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $164.74 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $164.74 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $164.74 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $164.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $164.74 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $164.74 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $164.74 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $164.74 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $164.74 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $164.74 | — | — | 2026-04-14 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| SANFORD BEMIDJI MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $170.13 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $171.82 | — | — | 2026-03-04 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peia | Other Governmental | $172.26 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Medicare | $172.26 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $172.26 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Medicare | $172.26 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Aetna | Medicare | $172.26 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Humana | Medicare | $172.26 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Humana | Medicare | $172.26 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | United Healthcare | Medicare | $172.26 | — | — | 2026-05-06 | MRF ↗ |
| SANFORD WORTHINGTON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $173.80 | — | — | 2026-03-04 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Medicare Advantage | $180.21 | — | — | 2025-08-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $180.96 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | United Healthcare | United Healthcare Medicaid | $180.96 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare Medicaid | $180.96 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Geisinger | Geisinger CHIP | $180.96 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $180.96 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $180.96 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $180.96 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $180.96 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Geisinger | Geisinger Medicaid HC | $180.96 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $180.96 | — | — | 2026-04-14 | 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.