23031 — Drain Shoulder Bursa
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DRAIN SHOULDER BURSA (CPT 23031) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/23031?code_type=CPT
MLA (9th ed.)
“DRAIN SHOULDER BURSA (CPT 23031) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/23031?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“DRAIN SHOULDER BURSA (CPT 23031) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/23031?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,242–$4,293 (25th–75th percentile) across 1,576 hospitals · 2,611 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 23031 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,242
$2,911 typical
$4,293
The middle 50% of negotiated facility rates for this procedure, measured across 1,576 hospitals. The the surgeon's fee are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,911 |
| Surgeon (professional fee) Estimate national typical Medicare $216 × 1.22 commercial. | $263 |
| Likely subtotal | $3,174 |
Surgical episode (typical)
~$3,174
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 |
|---|---|---|---|---|---|---|---|
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Advantage HMO | $2.00 | $4.00 | $3.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Traditional Indemnity | $3.00 | $4.00 | $3.00 | 2025-04-15 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Advantage HMO | $3.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Wellpoint | Medicare Advantage | $3.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO/POS Network Participation | $3.00 | $4.00 | $3.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Essentials | $3.00 | $4.00 | $3.00 | 2025-04-15 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Superior Health Plan | Medicare Advantage | $4.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $4.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Cigna | Commercial | $4.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Aetna | Commercial | $4.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Aetna | Medicare Advantage | $4.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | ChoiceCare | Commercial | $4.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Essentials | $4.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | CapStar | PPO | $5.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Cigna | Medicare Advantage | $5.00 | $22.00 | $15.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Amerigroup Texas | Medicare Advantage | $5.00 | $22.00 | $15.00 | 2026-05-15 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | MultiPlan | Commercial | $5.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Superior Health Plan | Commercial | $5.00 | $22.00 | $15.00 | 2026-05-15 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Scott and White Health Plan | Commercial | $5.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Advantage HMO | $5.00 | $9.00 | $7.00 | 2025-04-15 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Galaxy Health Network | Commercial | $5.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | FirstCare | Commercial | $5.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Private Health Care Systems (PHCS) | Commercial | $5.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | HealthSmart Preferred Network | Commercial | $5.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Commercial | $5.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Superior Health Plan | Commercial - Exchange | $5.00 | $5.00 | $5.00 | 2026-03-24 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Health Spring | Commercial | $6.00 | $18.00 | $4.00 | 2026-01-28 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Oscar | Commercial | $6.00 | $30.00 | $20.00 | 2026-05-27 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO/POS Network Participation | $7.00 | $9.00 | $7.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Essentials | $7.00 | $9.00 | $7.00 | 2025-04-15 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $8.00 | $10.00 | $10.00 | 2026-03-31 | MRF ↗ |
| Crosbyton Clinic Hospital Outpatient | Aetna | Commercial | $8.00 | $41.00 | $41.00 | 2025-10-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $8.00 | $18.00 | $4.00 | 2026-01-28 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Traditional Indemnity | $8.00 | $9.00 | $7.00 | 2025-04-15 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $8.00 | $10.00 | $10.00 | 2026-03-31 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $9.00 | $11.00 | $11.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $9.00 | $11.00 | $11.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $9.00 | $11.00 | $11.00 | 2026-04-01 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | HMO | $9.00 | $11.00 | $11.00 | 2025-03-24 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | PPO | $9.00 | $11.00 | $11.00 | 2025-03-24 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $9.00 | $11.00 | $11.00 | 2025-03-24 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Aetna | Commercial | $10.00 | $10.00 | $10.00 | 2026-03-31 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Medica | Commercial | $11.00 | $21.00 | $17.00 | 2026-05-22 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Blue Cross of Blue Shield of Texas | HMO | $12.00 | $30.00 | $20.00 | 2026-05-27 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Blue Cross of Blue Shield of Texas | Blue Essentials Network Participation | $14.00 | $30.00 | $20.00 | 2026-05-27 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Health Spring | Commercial | $14.00 | $39.00 | $9.00 | 2026-01-28 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Blue Cross of Blue Shield of Texas | Traditional Immidiate Bussiness | $15.00 | $30.00 | $20.00 | 2026-05-27 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $16.00 | $21.00 | $17.00 | 2026-05-22 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Aetna | Commercial | $16.00 | $32.00 | $32.00 | 2025-11-19 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | MultiPlan | Commercial | $17.00 | $21.00 | $17.00 | 2026-05-22 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Christian Health Aid | Commercial | $17.00 | $22.00 | $15.00 | 2025-10-24 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Aetna | Commercial | $17.00 | $22.00 | $15.00 | 2026-05-15 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $18.00 | $18.00 | $4.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $18.00 | $39.00 | $9.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | PPO | $18.00 | $18.00 | $4.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Alabama | Medicare Advantage | $18.00 | $18.00 | $4.00 | 2026-01-28 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | $18.00 | $22.00 | $15.00 | 2025-10-24 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | HMO | $18.00 | $18.00 | $4.00 | 2026-01-28 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $18.23 | — | — | 2026-04-14 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | OK Health Network | Commercial | $19.00 | $21.00 | $17.00 | 2026-05-22 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $19.00 | $22.00 | $15.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $19.00 | $22.00 | $15.00 | 2026-05-15 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Health Partners of Kansas | Commercial | $19.00 | $22.00 | $15.00 | 2025-10-24 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Traditional | $20.00 | $22.00 | $15.00 | 2026-05-15 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Prime Health Services | Commercial | $20.00 | $30.00 | $20.00 | 2026-05-27 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | United Healthcare | Commercial | $20.00 | $22.00 | $15.00 | 2026-05-15 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $20.00 | $22.00 | $15.00 | 2025-10-24 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | BEACON HEALTH | CARELON BEHAVIORAL HEALTH | $20.62 | $510.00 | $280.50 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | WELL SENSE HEALTH PLAN | WELL SENSE HEALTH PLAN | $20.62 | $510.00 | $280.50 | 2026-04-10 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Blue Cross Blue Shield | Traditional HMO | $21.00 | $35.00 | $28.00 | 2026-03-25 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Health Choice Network | Commercial | $21.00 | $21.00 | $17.00 | 2026-05-22 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Aetna | Commercial | $21.00 | $44.00 | $31.00 | 2026-05-22 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS NH | AMERIHEALTH CARITAS NH | $21.69 | $510.00 | $280.50 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID | $21.90 | $510.00 | $280.50 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID PENDING | $21.90 | $510.00 | $280.50 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID DISABILITY | $21.90 | $510.00 | $280.50 | 2026-04-10 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | ChoiceCare | Medicare Advantage | $22.00 | $22.00 | $15.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | ChoiceCare | Commercial | $22.00 | $22.00 | $15.00 | 2026-05-15 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | ChoiceCare | Commercial | $22.00 | $22.00 | $15.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $22.00 | $22.00 | $15.00 | 2025-10-24 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Humana | Commercial | $22.00 | $22.00 | $15.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Humana | Medicare Advantage | $22.00 | $22.00 | $15.00 | 2026-05-15 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $23.80 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $23.80 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $23.87 | — | — | 2026-04-14 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Blue Cross Blue Shield | Traditional PPO | $25.00 | $35.00 | $28.00 | 2026-03-25 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Humana | Commercial | $25.00 | $35.00 | $28.00 | 2026-03-25 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Aetna | Commercial | $26.00 | $35.00 | $28.00 | 2026-03-25 | MRF ↗ |
| Crosbyton Clinic Hospital Outpatient | United Healthcare | Commercial | $26.00 | $41.00 | $41.00 | 2025-10-01 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $26.81 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $26.90 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $26.90 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $26.90 | — | — | 2026-03-18 | MRF ↗ |
| CAREWELL HEALTH MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health | Managed Medicaid | $27.38 | — | — | 2025-06-17 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | United Healthcare | Commercial | $28.00 | $35.00 | $28.00 | 2026-03-25 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Cigna | Commercial | $30.00 | $35.00 | $28.00 | 2026-03-25 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Cigna Health Springs | Commercial | $30.00 | $30.00 | $20.00 | 2026-05-27 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| Crosbyton Clinic Hospital Outpatient | Cigna | Commercial | $31.00 | $41.00 | $41.00 | 2025-10-01 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Heritage Provider Network | Medi-Cal | $32.00 | $32.00 | $32.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Altamed | Commercial | $32.00 | $32.00 | $32.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Blue Cross Blue Shield - CA | Medi-Cal | $32.00 | $32.00 | $32.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Molina | Medi-Cal | $32.00 | $32.00 | $32.00 | 2025-11-19 | MRF ↗ |
| Crosbyton Clinic Hospital Outpatient | Blue Cross Blue Shield of Texas | Commercial | $33.00 | $41.00 | $41.00 | 2025-10-01 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage HMO | $33.00 | $44.00 | $31.00 | 2026-05-22 | 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 ↗ |
| 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 ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross and Blue Shield of Texas | Commercial | $35.00 | $44.00 | $31.00 | 2026-05-22 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross and Blue Shield of Texas | HMO | $35.00 | $44.00 | $31.00 | 2026-05-22 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross and Blue Shield of Texas | PPO | $35.00 | $44.00 | $31.00 | 2026-05-22 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL DISTRICT Outpatient | Cigna | Commercial | $35.00 | $44.00 | $31.00 | 2026-05-22 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $35.56 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $35.64 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $35.64 | — | — | 2026-03-04 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $36.38 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $36.60 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $36.60 | — | — | 2026-03-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $36.68 | — | — | 2025-12-31 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $37.29 | — | — | 2026-03-05 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health_674 | All Commercial Products | $37.63 | — | — | 2026-02-02 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $38.70 | — | — | 2026-03-04 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $39.00 | $39.00 | $9.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Alabama | Medicare Advantage | $39.00 | $39.00 | $9.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | HMO | $39.00 | $39.00 | $9.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | PPO | $39.00 | $39.00 | $9.00 | 2026-01-28 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Friday Health Insurance Company | Commercial | $39.00 | $30.00 | $20.00 | 2026-05-27 | MRF ↗ |
| COOPERMAN BARNABAS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $39.18 | — | — | 2026-03-04 | MRF ↗ |
| COMMUNITY MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $40.12 | — | — | 2026-03-04 | 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.