23405 — Incision Of Tendon & Muscle
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INCISION OF TENDON & MUSCLE (HCPCS 23405) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/23405?code_type=HCPCS
MLA (9th ed.)
“INCISION OF TENDON & MUSCLE (HCPCS 23405) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/23405?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INCISION OF TENDON & MUSCLE (HCPCS 23405) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/23405?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,518–$8,641 (25th–75th percentile) across 2,079 hospitals · 3,987 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 23405 — 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 fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$2,518
$6,326 typical
$8,641
The middle 50% of negotiated facility rates for this procedure, measured across 2,079 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. | $6,326 |
| Surgeon (professional fee) Estimate national typical Medicare $574 × 1.22 commercial. | $701 |
| Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $708 |
| Likely subtotal | $7,735 |
Surgical episode (typical)
~$7,735
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 $2,518–$8,641.
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)
~$11,520
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
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 · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk
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 |
|---|---|---|---|---|---|---|---|
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $14,694.00 | $7,347.00 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $14,694.00 | $7,347.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $14,694.00 | $7,347.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $14,694.00 | $7,347.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $14,694.00 | $7,347.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $14,694.00 | $7,347.00 | 2026-07-01 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER Outpatient | Aetna | Commercial | $2.00 | $2.00 | $1.36 | 2026-07-17 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $2.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Aetna Medicare | — | $2.00 | $2.00 | $1.36 | 2026-08-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $2.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER Outpatient | Vaya | Commercial | $2.00 | $2.00 | $1.36 | 2026-07-17 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER Outpatient | Wellcarenc | — | $2.00 | $2.00 | $1.36 | 2026-07-17 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Aetna | Ppo | $2.00 | $2.00 | $1.36 | 2026-08-01 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER Outpatient | Uhc | Commercial | $2.00 | $2.00 | $1.36 | 2026-07-17 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Summitwc | — | $2.00 | $2.00 | $1.36 | 2026-08-01 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER Outpatient | Dhb | Commercial | $2.00 | $2.00 | $1.36 | 2026-07-17 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Hmouse | — | $2.00 | $2.00 | $1.36 | 2026-08-01 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Corvellcommercial | — | $2.00 | $2.00 | $1.36 | 2026-08-01 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Primehealthmedicare | — | $2.00 | $2.00 | $1.36 | 2026-08-01 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Cignahealthspring | — | $2.00 | $2.00 | $1.36 | 2026-08-01 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER Outpatient | Bravohealth | Commercial | $2.00 | $2.00 | $1.36 | 2026-07-17 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $2.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $2.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Medcost Americanhealthcarealliance | — | $2.00 | $2.00 | $1.36 | 2026-08-01 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER Outpatient | Healthteam | Commercial | $2.00 | $2.00 | $1.36 | 2026-07-17 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Primehealth-Workerscomp | — | $2.00 | $2.00 | $1.36 | 2026-08-01 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Threeriversnetwork | — | $2.00 | $2.00 | $1.36 | 2026-08-01 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER Outpatient | Bcbsnc | Commercial | $2.00 | $2.00 | $1.36 | 2026-07-17 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER Outpatient | Humana | — | $2.00 | $2.00 | $1.36 | 2026-07-17 | MRF ↗ |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES Outpatient | Uhccommercial | — | $2.00 | $2.00 | $1.36 | 2026-08-01 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Aetna | Commercial | $2.00 | $4.00 | $4.00 | 2025-11-19 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $14,694.00 | $7,347.00 | 2026-07-01 | MRF ↗ |
| Continuecare Hospital At Baptist Health Corbin Outpatient | Anthem | Healthlink | $3.00 | $4.00 | $4.00 | 2025-11-25 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $3.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | Great-West Healthcare | HMO | $3.00 | $30.00 | $30.00 | 2025-11-06 | MRF ↗ |
| Carolinas Continuecare Hospital At Pineville Outpatient | MultiPlan | PPO | $3.00 | $4.00 | $4.00 | 2025-11-25 | MRF ↗ |
| Carolinas Continuecare Hospital At Pineville Outpatient | Primary Physician Care | Commercial | $3.00 | $4.00 | $4.00 | 2025-11-25 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $10.50 | $5.25 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $10.50 | $5.25 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $10.50 | $5.25 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $10.50 | $5.25 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $10.50 | $5.25 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $10.50 | $5.25 | 2026-05-13 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bluechoice | Bluechoice Blue Option Exchange | $3.39 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bcbs Of South Carolina | Bcbs Blue Essentials-Exchange | $3.39 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Molina | Medi-Cal | $4.00 | $4.00 | $4.00 | 2025-11-19 | MRF ↗ |
| Continuecare Hospital At Medical Center Odessa Outpatient | Blue Cross Blue Shield of Texas | Commercial | $4.00 | $4.00 | $4.00 | 2025-11-25 | MRF ↗ |
| Carolinas Continuecare Hospital At Pineville Outpatient | Blue Cross and Blue Shield of North Carolina | Medicare Advantage | $4.00 | $4.00 | $4.00 | 2025-11-25 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Blue Cross Blue Shield - CA | Medi-Cal | $4.00 | $4.00 | $4.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Heritage Provider Network | Medi-Cal | $4.00 | $4.00 | $4.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Altamed | Commercial | $4.00 | $4.00 | $4.00 | 2025-11-19 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage HMO | $5.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| NORTH RUNNELS HOSPITAL Outpatient | Cigna | Commercial | $5.00 | $7.00 | $5.00 | 2026-03-09 | MRF ↗ |
| NORTH RUNNELS HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | PPO | $5.00 | $7.00 | $5.00 | 2026-03-09 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Aetna | Commercial | $5.00 | $12.00 | $7.00 | 2026-05-22 | MRF ↗ |
| HILL REGIONAL HOSPITAL Outpatient | The First Health Network | Commercial | $5.00 | $30.00 | $30.00 | 2025-11-06 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | First Health | First Health Generic | $5.87 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Planned Administrators | Plan Admin Greenwood Mills | $5.87 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Humana | Commercial | $6.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | WellMed | Commercial | $6.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Superior Health Plan | Commercial | $6.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | MultiPlan | Commercial | $6.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Oscar | Commercial | $6.00 | $30.00 | $20.00 | 2026-05-27 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $6.39 | $10.65 | $10.65 | 2026-03-16 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Essentials | $7.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Advantage | $7.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $7.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $7.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| NORTH RUNNELS HOSPITAL Outpatient | Aetna | Commercial | $7.00 | $7.00 | $5.00 | 2026-03-09 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Advantage HMO | $7.00 | $11.00 | $11.00 | 2026-03-24 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Blue Cross Blue Shield | Traditional HMO | $7.00 | $11.00 | $9.00 | 2026-03-25 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Essentials | $7.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $7.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | PPO | $7.00 | $12.00 | $7.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | HMO | $7.00 | $12.00 | $7.00 | 2026-05-22 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Wellpoint | Medicare Advantage | $7.00 | $11.00 | $11.00 | 2026-03-24 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $7.02 | $11.70 | $11.70 | 2026-03-16 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $7.14 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $7.14 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $7.14 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $7.14 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $7.14 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $7.14 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $7.14 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $7.14 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $7.14 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $7.14 | — | — | 2026-05-20 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $7.29 | $12.15 | $12.15 | 2026-03-16 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Cigna | Cigna/Fuji | $7.92 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Commercial | $8.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Blue Cross Blue Shield | Traditional PPO | $8.00 | $11.00 | $9.00 | 2026-03-25 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | PPO | $8.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Superior Health Plan | Medicare Advantage | $8.00 | $11.00 | $11.00 | 2026-03-24 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Medica | Commercial | $8.00 | $14.00 | $11.00 | 2025-06-25 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Aetna | Commercial | $8.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Humana | Commercial | $8.00 | $11.00 | $9.00 | 2026-03-25 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Aetna | Commercial | $8.00 | $11.00 | $9.00 | 2026-03-25 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $8.46 | $14.10 | $14.10 | 2026-03-16 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Planned Administrators | Plan Admin Scma | $8.50 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $8.55 | $14.25 | $14.25 | 2026-03-16 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Medcost | Medcost Preferred | $8.80 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bcbs Of South Carolina | Bcbs Ppc/Ppo Preferred Blue | $8.88 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bluechoice | Bluechoice Health Plan Of Sc | $8.88 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | United Healthcare | United Healthcare | $8.98 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Three Rivers Provider Network | Commercial | $9.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Commercial | $9.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Health Advantage Network | Commercial | $9.00 | $10.00 | $10.00 | 2025-07-03 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Aetna | Commercial | $9.00 | $11.00 | $11.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | ChoiceCare | Commercial | $9.00 | $11.00 | $11.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $9.00 | $11.00 | $11.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Cigna | Commercial | $9.00 | $11.00 | $11.00 | 2026-03-24 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $9.00 | $11.00 | $11.00 | 2026-03-31 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | United Healthcare | Commercial | $9.00 | $11.00 | $9.00 | 2026-03-25 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Cigna | Commercial | $9.00 | $11.00 | $9.00 | 2026-03-25 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | FirstCare | Commercial | $9.00 | $10.00 | $10.00 | 2025-11-06 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Cigna | Cigna Hmo Ppo Oa Netwk Pos Epo Indem | $9.00 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Essentials | $9.00 | $11.00 | $11.00 | 2026-03-24 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $9.00 | $11.00 | $11.00 | 2026-03-31 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Aetna | Medicare Advantage | $9.00 | $11.00 | $11.00 | 2026-03-24 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $9.19 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $9.19 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $9.19 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $9.19 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $9.19 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $9.19 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $9.19 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $9.19 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $9.19 | — | — | 2026-05-20 | 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.