23655 — Hc Clsd Tx Disloc Shldr W Anes
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC CLSD TX DISLOC SHLDR W ANES (CPT 23655) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/23655?code_type=CPT
MLA (9th ed.)
“HC CLSD TX DISLOC SHLDR W ANES (CPT 23655) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/23655?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC CLSD TX DISLOC SHLDR W ANES (CPT 23655) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/23655?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,128–$2,838 (25th–75th percentile) across 2,578 hospitals · 8,254 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 23655 — 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
$1,128
$1,762 typical
$2,838
The middle 50% of negotiated facility rates for this procedure, measured across 2,578 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. | $1,762 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $419 × 1.22 commercial. | $511 |
| Likely subtotal | $2,273 |
Surgical episode (typical)
~$2,273
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)
~$6,058
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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $1,654.00 | $1,240.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $1,654.00 | $1,240.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $1,654.00 | $1,240.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $1.59 | $1,654.00 | $1,240.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $1,654.00 | $1,240.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $1,654.00 | $1,240.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $1,654.00 | $1,240.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $1,654.00 | $1,240.50 | 2026-05-18 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $3.45 | $259.00 | $194.25 | 2026-03-26 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.37 | $1,170.00 | $257.40 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.37 | $1,170.00 | $315.90 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.37 | $1,170.00 | $280.80 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.37 | $1,170.00 | $269.10 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.37 | $1,170.00 | $269.10 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.37 | $1,170.00 | $269.10 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.37 | $1,170.00 | $304.20 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.37 | $1,170.00 | $257.40 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.37 | $1,170.00 | $304.20 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.37 | $1,170.00 | $210.60 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.37 | $1,170.00 | $222.30 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.37 | $1,170.00 | $257.40 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.37 | $1,170.00 | $269.10 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.37 | $1,170.00 | $280.80 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.37 | $1,170.00 | $315.90 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.37 | $1,170.00 | $257.40 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.37 | $1,170.00 | $257.40 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.37 | $1,170.00 | $257.40 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.37 | $1,170.00 | $222.30 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.37 | $1,170.00 | $257.40 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.37 | $1,170.00 | $210.60 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.37 | $1,170.00 | $257.40 | 2026-04-14 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $6.96 | $830.00 | $622.50 | 2025-03-07 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $8.23 | $791.50 | $791.50 | 2026-04-24 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.89 | $5,083.59 | $3,050.15 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.89 | $5,083.59 | $3,050.15 | 2025-08-11 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $11.60 | — | — | 2024-10-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $11.64 | $1,072.00 | $203.68 | 2026-01-25 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $12.04 | $5,083.59 | $3,050.15 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $12.04 | $5,083.59 | $3,050.15 | 2025-08-11 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $12.09 | $1,731.00 | $640.47 | 2026-03-31 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $12.80 | $496.00 | $322.40 | 2026-05-07 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,731.00 | $1,125.15 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,731.00 | $1,125.15 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,597.00 | $1,688.05 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,731.00 | $1,125.15 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,731.00 | $1,125.15 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,597.00 | $1,688.05 | 2025-01-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $23.31 | $2,241.40 | $2,241.40 | 2026-04-24 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna | Aetna | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Humana Medicare Advantage | All Plans | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Multiplan | Multiplan | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna | Aetna | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna | Better Health | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna Rental | First Health | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna Medicare Advantage | All Plans | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Geisinger Pa Medicare Advantage | All Plans | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Multiplan | Multiplan | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Cigna | Cigna | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna Rental | First Health | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Peak Health Medicare Advantage | All Plans | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Better Health | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Maryland Physician Care | Maryland Physician Care | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mc | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Cigna | Cigna | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Caresource | Caresource | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Highmark Wv - Ma | All Facilities | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Aetna | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Caresource | Caresource | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Highmark Wv - Ma | All Facilities | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Senior Life Medicare Advantage | All Plans | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Student Health | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Maryland Physician Care | Maryland Physician Care | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $4,545.00 | $2,272.50 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna | Better Health | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Maryland Physician Care | Maryland Physician Care | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Cigna | Cigna | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,945.00 | $1,972.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Caresource | Caresource | — | $3,945.00 | $1,972.50 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $26.00 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $26.00 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $26.00 | $1,905.00 | $430.53 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $26.00 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $26.00 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $26.00 | $5,856.00 | $2,342.40 | 2026-05-06 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $26.00 | $1,469.00 | $279.11 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $26.00 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $26.00 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $26.00 | $1,469.00 | $279.11 | 2026-01-31 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $26.00 | $795.00 | $795.00 | 2025-12-03 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | MEDI-CAL | MEDI-CAL | $26.00 | $1,905.00 | $430.53 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $26.00 | $1,905.00 | $430.53 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $26.00 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $26.00 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $26.00 | $1,469.00 | $279.11 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $26.00 | $1,469.00 | $279.11 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $26.00 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $26.00 | $1,469.00 | $279.11 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $26.00 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $26.00 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $27.35 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $27.52 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $27.52 | — | — | 2026-03-18 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $28.60 | $5,561.00 | $2,224.40 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $28.60 | $5,561.00 | $2,224.40 | 2026-05-14 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| VERNON MEMORIAL HOSPITAL BothFacility | QUARTZ HEALTH PLAN - Commercial-HMO | Quartz Health | $28.81 | $90.00 | $90.00 | 2025-11-21 | MRF ↗ |
| VERNON MEMORIAL HOSPITAL BothFacility | QUARTZ HEALTH PLAN - Commercial-HMO | Quartz Health | $28.81 | $90.00 | $90.00 | 2025-11-21 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $30.97 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $31.20 | $1,578.00 | $284.04 | 2026-01-30 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $31.34 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $31.54 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $31.54 | — | — | 2026-03-18 | 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 ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $33.92 | — | — | 2026-04-14 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $34.10 | $116.00 | $69.60 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Humana | Default | — | $116.00 | $69.60 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $34.10 | $116.00 | $69.60 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Medicare A Ky J15 | Default | $34.10 | $116.00 | $69.60 | 2026-05-22 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $34.12 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $34.34 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $34.34 | — | — | 2026-03-18 | 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.