22999 — Unlisted Px Abdomen Muscskel
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). UNLISTED PX ABDOMEN MUSCSKEL (HCPCS 22999) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/22999?code_type=HCPCS
MLA (9th ed.)
“UNLISTED PX ABDOMEN MUSCSKEL (HCPCS 22999) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/22999?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“UNLISTED PX ABDOMEN MUSCSKEL (HCPCS 22999) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/22999?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $284–$2,665 (25th–75th percentile) across 1,681 hospitals · 3,518 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 22999 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Nationwide Children's Hospital OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $1.00 | $0.60 | 2026-05-22 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $7.93 | $4,407.00 | $227.28 | 2024-12-31 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | Aetna - PPO | $12.86 | $23,123.00 | $17,342.25 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | United Healthcare | United Healthcare - HMO | $12.86 | $23,123.00 | $17,342.25 | 2026-04-01 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $15.15 | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.59 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.59 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | — | — | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADV MID-ATLANTIC STATES [3050607] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE NORTHERN CA [3050601] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER MID ATLANTIC STATES [4000608] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER GEORGIA [4000611] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE HAWAII [3050606] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER NORTHERN CA [4000601] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER EPO [4000604] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE COLORADO [3050604] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE NORTHWEST [3050608] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER COLORADO [4000605] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER WASHINGTON [4000610] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER OUT OF AREA MEDICARE ADVANTAGE [3050603] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER HAWAII [4000607] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE SOUTHERN CA [3050602] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE WASHINGTON [3050609] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER NORTHWEST [4000609] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE GEORGIA [3050605] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER SOUTHERN CA [4000602] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER OUT OF AREA [4000603] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDI-CAL- AFTER 10/01/21 [30505] | KAISER MEDI-CAL HMO [3050501] | $20.90 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $25.00 | $2,121.00 | $402.99 | 2026-01-31 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Allwell PA Health & Wellness | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Aetna Medicare | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Aetna Medicare | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Cigna Medicare | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Blue Cross Medicare Advantage | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Cigna Medicare | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Allwell PA Health & Wellness | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | UPMC Medicare | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Humana | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Blue Cross Medicare Advantage | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Geisinger Medicare | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | UPMC Medicare | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Humana | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Geisinger Medicare | Medicare Advantage | $25.84 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Upmc | All Commercial Plans | $30.82 | — | — | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $33.47 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $33.47 | $76.00 | $45.60 | 2026-02-12 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $34.09 | — | — | 2026-04-14 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | UHC | Medicaid|STAR | $34.25 | — | — | 2026-02-28 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | $17,376.00 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | $17,376.00 | 2024-12-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Health Net | Medicaid | $35.22 | $587.00 | $234.80 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Health Net | Medicaid | $35.22 | $587.00 | $234.80 | 2026-05-14 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | Commercial | $36.47 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | Commercial | $36.47 | — | — | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | UPMC Health Plan | Commercial | $37.69 | — | — | 2026-03-06 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | AETNA- ALL OTHER PLANS | AETNA- ALL OTHER PLANS | $38.00 | $2,121.00 | $402.99 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $38.00 | $2,121.00 | $402.99 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $38.00 | $2,121.00 | $402.99 | 2026-01-31 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $41.78 | — | — | 2026-03-06 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MEDICARE [10001] | MEDICARE PART A & B [1000102] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP CAL MEDI-CONNECT MEDICARE ADVANTAGE [10512] | IEHP INLAND VALLEY IPA MEDICARE ADV [1051203] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP [20502] | IEHP LASALLE MEDICAL ASSOCIATES [2050204] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | VETERANS ADMINISTRATION [80002] | VETERANS ADMINISTRATION [8000201] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MOLINA MCAL HMO [20503] | MOLINA MCAL HMO [2050301] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MEDICARE [10001] | RAILROAD MEDICARE [1000104] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MEDICARE [10001] | MEDICARE PART A [1000101] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MEDICARE [10001] | MEDICARE PART B [1000103] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | ASCEND HOSPICE [32000] | ASCEND HOSPICE [3200001] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | CHAMPVA [80001] | VHA OFFICE OF COMMUNITY CARE [8000101] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | DESERT OASIS HEALTH CARE [30001] | HEALTHNET POS DOHC [3000109] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | GENERIC FIRST AID [30063] | FIRST AID WORK COMP [3006301] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | HEALTH NET [30004] | HEALTHNET AMBETTER COVERED CALIF PPO [3000401] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP COVERED CA [20523] | IEHP COVERED CA [2052301] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP CAL MEDI-CONNECT MEDICARE ADVANTAGE [10512] | IEHP LASALLE MED ASSOC MEDICARE ADV [1051204] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | HEALTH NET [30004] | HEALTHNET PPO [3000402] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP [20502] | INLAND EMPIRE HEALTH PLAN [2050201] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | HEALTH NET [30004] | HEALTHNET AMBETTER COVERED CALIF HMO [3000405] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP [20502] | IEHP INLAND VALLEY IPA [2050203] | $41.79 | $597.00 | $388.05 | 2026-04-02 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $41.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $41.86 | — | — | 2026-03-06 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $43.01 | — | — | 2026-03-31 | MRF ↗ |
| PHELPS COUNTY REGIONAL MEDICAL CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $43.50 | $1,938.00 | $1,744.20 | 2026-02-16 | MRF ↗ |
| PHELPS COUNTY REGIONAL MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $43.50 | $1,938.00 | $1,744.20 | 2026-02-16 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $44.41 | — | — | 2026-04-14 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | BCBS TRADITIONAL-ALL OTHER PLANS | BCBS TRADITIONAL-ALL OTHER PLANS | $45.00 | $670.00 | $603.00 | 2026-01-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | BCBS BLUE CHOICE | BCBS BLUE CHOICE | $45.00 | $670.00 | $603.00 | 2026-01-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | BCBS PPO | BCBS PPO | $45.00 | $670.00 | $603.00 | 2026-01-22 | MRF ↗ |
| HAMMOND HENRY HOSPITAL Outpatient | UNITED HEALTHCARE-ALL OTHER PLANS | UNITED HEALTHCARE-ALL OTHER PLANS | $47.00 | $670.00 | $603.00 | 2026-01-22 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | UPMC Health Plan | Commercial | $47.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | HEALTHNET-ALL OTHER PLANS | HEALTHNET-ALL OTHER PLANS | $48.00 | $1,730.00 | $934.20 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | HEALTHNET-ALL OTHER PLANS | HEALTHNET-ALL OTHER PLANS | $48.00 | $1,730.00 | $934.20 | 2025-12-08 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $48.24 | — | — | 2026-03-06 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $17,376.00 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ARBOR HEALTH MORTON HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $50.50 | $1,673.00 | $1,037.26 | 2026-02-01 | MRF ↗ |
| ARBOR HEALTH MORTON HOSPITAL Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $51.00 | $1,673.00 | $1,037.26 | 2026-02-01 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $52.97 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $52.97 | — | — | 2025-12-23 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Upmc Health Plan | Upmc Health | $53.37 | $24,003.38 | $9,601.35 | 2026-05-18 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $54.31 | — | — | 2026-03-06 | MRF ↗ |
| ARBOR HEALTH MORTON HOSPITAL Outpatient | KAISER COMM-ALL OTHER PLANS | KAISER COMM-ALL OTHER PLANS | $55.00 | $1,673.00 | $1,037.26 | 2026-02-01 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL InpatientFacility | Zelis | Worker's Compensation | $55.42 | $203.00 | $121.80 | 2026-02-20 | MRF ↗ |
| ARTESIA GENERAL HOSPITAL InpatientFacility | Zelis | Worker's Compensation | $55.42 | $203.00 | $121.80 | 2026-02-20 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Managed Care | $55.95 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care | $56.06 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care | $56.06 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $56.17 | — | — | 2026-03-06 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | UNITED | Medicaid|STARPLUS | $56.25 | $1,658.00 | $290.15 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | UNITED | Medicaid|STARPLUS | $56.25 | $1,658.00 | $290.15 | 2026-02-28 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - PPO | $57.19 | $23,123.00 | $17,342.25 | 2026-04-01 | MRF ↗ |
| WAYNE COUNTY HOSPITAL Outpatient | AETNA HMO | AETNA HMO | $57.93 | $2,377.00 | $2,377.00 | 2026-03-03 | MRF ↗ |
| WAYNE COUNTY HOSPITAL Outpatient | AETNA PPO-ALL OTHER PLANS | AETNA PPO-ALL OTHER PLANS | $57.93 | $2,377.00 | $2,377.00 | 2026-03-03 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $59.44 | — | — | 2026-03-06 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicaid|STARPLUS | $59.50 | $1,658.00 | $290.15 | 2026-02-28 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Merced | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Shield | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Tulare | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kings | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Kern | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Tulare | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CHDP | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Blue Shield | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Fresno | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Kings | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Fresno | Managed Medi-Cal | $60.00 | — | — | 2025-03-13 | 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.