23675 — Cltx Sho Dislc Neck Fx Mnpj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CLTX SHO DISLC NECK FX MNPJ (CPT 23675) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/23675?code_type=CPT
MLA (9th ed.)
“CLTX SHO DISLC NECK FX MNPJ (CPT 23675) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/23675?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CLTX SHO DISLC NECK FX MNPJ (CPT 23675) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/23675?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $948–$2,635 (25th–75th percentile) across 1,958 hospitals · 5,268 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 23675 — 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
$948
$1,668 typical
$2,635
The middle 50% of negotiated facility rates for this procedure, measured across 1,958 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. | $1,668 |
| Surgeon (professional fee) Estimate national typical Medicare $511 × 1.22 commercial. | $623 |
| 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 | $2,999 |
Surgical episode (typical)
~$2,999
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)
~$6,784
- 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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.55 | $1,438.00 | $345.12 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.55 | $1,438.00 | $316.36 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.55 | $1,438.00 | $330.74 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.55 | $1,438.00 | $388.26 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.55 | $1,438.00 | $388.26 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.55 | $1,438.00 | $345.12 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.55 | $1,438.00 | $316.36 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.55 | $1,438.00 | $373.88 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.55 | $1,438.00 | $330.74 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.55 | $1,438.00 | $258.84 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.55 | $1,438.00 | $258.84 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.55 | $1,438.00 | $316.36 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.55 | $1,438.00 | $330.74 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.55 | $1,438.00 | $330.74 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.55 | $1,438.00 | $316.36 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.55 | $1,438.00 | $316.36 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.55 | $1,438.00 | $316.36 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.55 | $1,438.00 | $273.22 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.55 | $1,438.00 | $273.22 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.55 | $1,438.00 | $373.88 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.55 | $1,438.00 | $316.36 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.55 | $1,438.00 | $316.36 | 2026-04-14 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $25.71 | $2,471.85 | $2,471.85 | 2026-04-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | 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 ↗ |
| ALAMEDA HOSPITAL BothFacility | KAISER MEDI-CAL MANAGED CARE [1026106] | Kaiser Medi-Cal Managed Care | $34.58 | $6,118.49 | $3,059.24 | 2026-03-16 | MRF ↗ |
| ALAMEDA HOSPITAL BothFacility | KAISER MEDI-CAL MANAGED CARE [1026106] | Kaiser Medi-Cal Managed Care | $34.58 | $6,118.49 | $3,059.24 | 2026-03-16 | 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 ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $41.79 | — | — | 2026-04-14 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $2,123.00 | $1,528.56 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $2,123.00 | $1,528.56 | 2026-05-04 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $51.00 | $1,913.00 | $363.47 | 2026-02-27 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $2,123.00 | $1,528.56 | 2026-05-04 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $52.40 | — | — | 2025-01-31 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $54.22 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $54.22 | — | — | 2026-04-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC HEALTHCHOICE | ALL PRODUCTS | $54.70 | — | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC HEALTHCHOICE | ALL PRODUCTS | $54.70 | — | — | 2026-01-01 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $54.73 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $54.73 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $54.73 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $54.73 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $54.73 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $54.73 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $54.73 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $54.73 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $54.73 | — | — | 2026-04-14 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $57.58 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $57.58 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $57.58 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $57.58 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $57.58 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $57.58 | — | — | 2026-04-16 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | STATE FARM AUTO | STATE FARM HEALTH | $58.80 | $294.00 | — | 2025-06-09 | MRF ↗ |
| MEMORIAL HOSPITAL, THE OutpatientFacility | United Healthcare | Medicare Advantage | $59.19 | $174.10 | $174.10 | 2025-09-09 | MRF ↗ |
| MEMORIAL HOSPITAL, THE OutpatientFacility | Aetna | Medicare Advantage | $59.19 | $174.10 | $174.10 | 2025-09-09 | MRF ↗ |
| MEMORIAL HOSPITAL, THE OutpatientFacility | Humana | Medicare Advantage | $59.19 | $174.10 | $174.10 | 2025-09-09 | MRF ↗ |
| MEMORIAL HOSPITAL, THE OutpatientFacility | United Healthcare | Medicare Advantage | $59.19 | $174.10 | $174.10 | 2025-09-09 | MRF ↗ |
| MEMORIAL HOSPITAL, THE OutpatientFacility | Humana | Medicare Advantage | $59.19 | $174.10 | $174.10 | 2025-09-09 | MRF ↗ |
| MEMORIAL HOSPITAL, THE OutpatientFacility | Aetna | Medicare Advantage | $59.19 | $174.10 | $174.10 | 2025-09-09 | MRF ↗ |
| MEMORIAL HOSPITAL, THE OutpatientFacility | Anthem | Medicare Advantage | $60.97 | $174.10 | $174.10 | 2025-09-09 | MRF ↗ |
| MEMORIAL HOSPITAL, THE OutpatientFacility | Anthem | Medicare Advantage | $60.97 | $174.10 | $174.10 | 2025-09-09 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $61.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $61.46 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $61.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $61.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $61.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $61.46 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $61.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $61.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $61.46 | — | — | 2026-04-14 | MRF ↗ |
| MEMORIAL HOSPITAL, THE OutpatientFacility | Wellcare | Medicare Advantage | $61.56 | $174.10 | $174.10 | 2025-09-09 | MRF ↗ |
| MEMORIAL HOSPITAL, THE OutpatientFacility | Wellcare | Medicare Advantage | $61.56 | $174.10 | $174.10 | 2025-09-09 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Aetna | Medicare Advantage | $65.77 | $216.49 | $216.49 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Medicare A MS JH | Default | $65.77 | $216.49 | $216.49 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Humana | Medicare Advantage | $66.42 | $216.49 | $216.49 | 2025-07-29 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Choice Care | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | WellCare | Medicaid | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | United Health Care | Veteran Affairs | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL BothFacility | Aetna | Commercial Health | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | CareSource | Medicare Just for Me | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem/Atena | Medicaid | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Pathway HMO | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Pathway HPN | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Humana | Choice Care | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Molina | Medicaid Kentucky | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL BothFacility | Humana | Choice Care Commercial | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Molina Healthcare of Mississippi | Default | $67.11 | $216.49 | $216.49 | 2025-07-29 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $68.01 | $2,013.00 | $301.95 | 2026-02-27 | MRF ↗ |
| COMMUNITY FIRST MEDICAL CENTER Both | BCBS BLUE CHOICE | BCBS BLUE CHOICE | $68.05 | $249.25 | $124.63 | 2026-04-01 | MRF ↗ |
| COMMUNITY FIRST MEDICAL CENTER Both | BCBS BLUE CHOICE | BCBS BLUE CHOICE | $68.05 | $249.25 | $124.63 | 2026-04-01 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $70.00 | $849.00 | $849.00 | 2025-12-03 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | CareSource | Medicare Just for Me | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL BothFacility | Aetna | Commercial Health | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem | Pathway HPN | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL BothFacility | Humana | Choice Care Commercial | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | WellCare | Medicaid | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Molina | Medicaid Kentucky | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem/Atena | Medicaid | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Humana | Medicare Choice Care | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Humana | Choice Care | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | United Health Care | Veteran Affairs | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem | Pathway HMO | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $71.50 | $6,456.00 | $2,582.40 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $71.50 | $6,456.00 | $2,582.40 | 2026-05-23 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HMO | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER BothFacility | Aetna | Commercial Health | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Just 4 Me Medicare | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care Commercial | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | WellCare | Medicaid | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Better Health | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER BothFacility | Aetna | Commercial Health | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid Kentucky | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | WellCare | Medicaid | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HMO | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway Transition HMO | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care Commercial | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid Kentucky | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Better Health | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Just 4 Me Medicare | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway Transition HMO | — | $455.00 | $273.00 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care Commercial | — | $456.00 | $273.60 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway Transition HMO | — | $456.00 | $273.60 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $456.00 | $273.60 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $456.00 | $273.60 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN/HMO | — | $456.00 | $273.60 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid Kentucky | — | $456.00 | $273.60 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care | — | $456.00 | $273.60 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial Health | — | $456.00 | $273.60 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Better Health | — | $456.00 | $273.60 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Just 4 Me Medicare | — | $456.00 | $273.60 | 2025-01-22 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Tricare | Commercial | $73.00 | $458.00 | $458.00 | 2025-11-07 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $73.98 | $548.00 | $411.00 | 2026-01-16 | MRF ↗ |
| COMMUNITY FIRST MEDICAL CENTER Both | AETNA NEW BUS | AETNA NEW BUS | $74.78 | $249.25 | $124.63 | 2026-04-01 | MRF ↗ |
| COMMUNITY FIRST MEDICAL CENTER Both | AETNA NEW BUS | AETNA NEW BUS | $74.78 | $249.25 | $124.63 | 2026-04-01 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $74.97 | $350.00 | $297.50 | 2026-02-28 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Medicare Advantage | $75.00 | $5,765.00 | $4,035.50 | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Medicare Advantage | $75.00 | $5,765.00 | $4,035.50 | 2026-03-27 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Molina | Managed Medicaid | $75.38 | $2,917.20 | $1,458.60 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Molina | Managed Medicaid | $75.38 | $2,917.20 | $1,458.60 | 2025-12-04 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $76.44 | $350.00 | $297.50 | 2026-02-28 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $76.98 | $1,236.00 | $1,236.00 | 2026-02-09 | MRF ↗ |
| COMMUNITY FIRST MEDICAL CENTER Both | BCBS FOCUSCARE | BCBS FOCUSCARE | $77.52 | $249.25 | $124.63 | 2026-04-01 | MRF ↗ |
| COMMUNITY FIRST MEDICAL CENTER Both | BCBS FOCUSCARE | BCBS FOCUSCARE | $77.52 | $249.25 | $124.63 | 2026-04-01 | MRF ↗ |
| COMMUNITY FIRST MEDICAL CENTER Both | CIGNA NEW BUS | CIGNA NEW BUS | $79.01 | $249.25 | $124.63 | 2026-04-01 | MRF ↗ |
| COMMUNITY FIRST MEDICAL CENTER Both | CIGNA NEW BUS | CIGNA NEW BUS | $79.01 | $249.25 | $124.63 | 2026-04-01 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Both | WORKERS COMPENSATION [20501] | All WORKERS COMP HA [42] Plans | $79.02 | $3,792.00 | $3,792.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | WORKERS COMPENSATION [20501] | All WORKERS COMP UM [16] Plans | $79.02 | $4,507.00 | $4,507.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | WORKERS COMPENSATION [20501] | All WORKERS COMP MH [27] Plans | $79.02 | $3,980.00 | $3,980.00 | 2025-12-08 | MRF ↗ |
| ST VINCENT HOSPITAL OutpatientFacility | CORVEL | CORVEL HEALTHCARE CORP WC | $79.02 | — | — | 2026-06-05 | MRF ↗ |
| ST VINCENT HOSPITAL OutpatientFacility | HEALTH NET | GALAXY HEALTH NETWORK WC | $79.02 | — | — | 2026-06-05 | MRF ↗ |
| ST VINCENT HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART PREFERRED CARE WC | $79.02 | — | — | 2026-06-05 | 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.