24220 — Hc Inj Elbow Arthgm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC INJ ELBOW ARTHGM (CPT 24220) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/24220?code_type=CPT
MLA (9th ed.)
“HC INJ ELBOW ARTHGM (CPT 24220) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/24220?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC INJ ELBOW ARTHGM (CPT 24220) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/24220?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $235–$912 (25th–75th percentile) across 2,024 hospitals · 6,039 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 24220 — 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
$235
$486 typical
$912
The middle 50% of negotiated facility rates for this procedure, measured across 2,024 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. | $486 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $56 × 1.22 commercial. | $68 |
| Likely subtotal | $555 |
Surgical episode (typical)
~$555
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)
~$4,339
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 |
|---|---|---|---|---|---|---|---|
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | — | $947.00 | $662.90 | 2025-01-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | FirstCare Star | Managed Medicaid | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | Marketplace | $0.30 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | FirstCare Star | Managed Medicaid | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | Marketplace | $0.30 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | Marketplace | $0.30 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | FirstCare Star | Managed Medicaid | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | HMO | $0.33 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | HMO | $0.33 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | HMO | $0.33 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Baylor Scott and White Health Plan | Commercial | $0.49 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Baylor Scott and White Health Plan | Commercial | $0.49 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Baylor Scott and White Health Plan | Commercial | $0.49 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $665.00 | $196.84 | 2026-02-28 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.65 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.65 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.65 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.66 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.66 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.66 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $0.67 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $0.67 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $0.67 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | United Healthcare | Medicare Advantage | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | FirstCare Star | Managed Medicaid | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | Traditional | $0.73 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | United Healthcare | Commercial | $0.73 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | Traditional | $0.73 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | Traditional | $0.73 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Wellpoint | Managed Medicaid/CHIP | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Ambetter | Marketplace | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.91 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.91 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.91 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $1.00 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $1.00 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $1.00 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Sanford | Sanford Health Plan | — | $614.00 | $411.38 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners Commercial | — | $614.00 | $411.38 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | America's PPO | HealthEz - America's PPO | — | $614.00 | $411.38 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica Commercial | — | $614.00 | $411.38 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica IFB | — | $614.00 | $411.38 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | Cigna APWU | — | $614.00 | $411.38 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners Community Health Plan | — | $614.00 | $411.38 | 2024-12-10 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,970.34 | $4,530.72 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $6,970.34 | $4,530.72 | 2025-11-26 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica Community Health Plan | — | $614.00 | $411.38 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners MSHO HMO | — | $614.00 | $411.38 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial | — | $614.00 | $411.38 | 2024-12-10 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Optum | UBH Optum | — | $614.00 | $411.38 | 2024-12-10 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Aetna | Commercial | $1.05 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Aetna | Commercial | $1.05 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $1.05 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Private Healthcare Systems | Commercial | $1.08 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Private Healthcare Systems | Commercial | $1.08 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Private Healthcare Systems | Commercial | $1.08 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Healthsmart | Commercial | $1.12 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Blue Cross Blue Shield of Texas | Marketplace | $1.14 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Blue Cross Blue Shield of Texas | HMO | $1.18 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $1.25 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $1.25 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Omni Networks | Commercial | $1.25 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $1.25 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Omni Networks | Commercial | $1.25 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Omni Networks | Commercial | $1.25 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Blue Cross Blue Shield of Texas | PPO | $1.28 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| RIVERVIEW HOSPITAL InpatientFacility | Medica | Minnesota Health Care Program | — | $5.00 | $4.00 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL InpatientFacility | United Healthcare | VA CCN | — | $5.00 | $4.00 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $5.00 | $4.00 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Blue Cross Blue Shield/Minnesota Health Care Program (MHCP) | Commercial | $1.30 | $5.00 | $4.25 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $5.00 | $4.00 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Medica | Commercial | — | $5.00 | $4.25 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL InpatientFacility | Medica | Minnesota Senior Health Options | — | $5.00 | $4.00 | 2025-01-16 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Private Healthcare Systems | Commercial | $1.33 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Private Healthcare Systems | Commercial | $1.33 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Private Healthcare Systems | Commercial | $1.33 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Blue Cross Blue Shield of Texas | Traditional | $1.34 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Aetna | HMO/PPO/POS | $1.36 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Omni Networks | Commercial | $1.41 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Omni Networks | Commercial | $1.41 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Omni Networks | Commercial | $1.41 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Private Healthcare Systems | Commercial | $1.42 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | MultiPlan | Commercial | $1.44 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | MultiPlan | Commercial | $1.48 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | MultiPlan | Commercial | $1.48 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | MultiPlan | Commercial | $1.48 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.95 | $164.00 | $31.16 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.95 | $164.00 | $31.16 | 2026-01-25 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $2.00 | $5.00 | $4.25 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | United Healthcare | VA CCN | $2.00 | $5.00 | $4.25 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Medica | Medicare Advantage | $2.00 | $5.00 | $4.25 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $2.02 | $5.00 | $4.25 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Medica | Minnesota Health Care Program | $2.13 | $5.00 | $4.25 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Ucare | Medicare Advantage | $2.30 | $5.00 | $4.25 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL InpatientFacility | Ucare | Medicare Advantage | $2.50 | $5.00 | $4.00 | 2025-01-16 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Medica | Minnesota Senior Health Options | $2.62 | $5.00 | $4.25 | 2025-01-16 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Humana | Medicare | — | $342.00 | $273.60 | 2026-03-26 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $3.50 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MYBLUE HEALTH | $3.50 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $3.90 | $271.00 | $271.00 | 2026-02-13 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Blue Cross Blue Shield/Blue Plus | Commercial | $3.96 | $5.00 | $4.25 | 2025-01-16 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $3.99 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $4.15 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BAV | $4.41 | $1,111.00 | $666.60 | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BAV | $4.41 | $3,598.00 | $1,259.30 | 2026-04-14 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $4.44 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | $4.62 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| RIVERVIEW HOSPITAL OutpatientFacility | Blue Cross Blue Shield/Blue Plus Western Minnesota (Blue Connect Network) | Commercial | $4.75 | $5.00 | $4.25 | 2025-01-16 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | BlueCross | Medicare Advantage - Outpatient | $5.57 | $29.00 | $14.50 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | United HC | Medicare Advantage - Outpatient | $5.57 | $29.00 | $14.50 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Health First | Medicare Advantage - Outpatient | $5.57 | $29.00 | $14.50 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Molina | Medicare Advantage - Outpatient | $5.68 | $29.00 | $14.50 | 2025-10-24 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $5.69 | $874.00 | $323.38 | 2026-03-31 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Devoted | Medicare Advantage - Outpatient | $5.85 | $29.00 | $14.50 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | CarePlus | Medicare Advantage - Outpatient | $5.85 | $29.00 | $14.50 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Baycare | Medicare Advantage - Outpatient | $5.85 | $29.00 | $14.50 | 2025-10-24 | MRF ↗ |
| DOCTORS' CENTER HOSPITAL, INC Outpatient | Triple-S | Commercial | $6.00 | $63.00 | $63.00 | 2025-10-20 | MRF ↗ |
| DOCTORS CENTER HOSPITAL CAROLINA LLC Outpatient | Triple-S | Commercial | $6.00 | $67.00 | $67.00 | 2025-10-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Devoted | Medicare Advantage OON (MMG) - Outpatient | $6.12 | $29.00 | $14.50 | 2025-10-24 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $6.93 | $1,111.00 | $666.60 | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP BothFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $6.93 | $1,111.00 | $666.60 | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL INDEMNITY HOUSTON | $6.93 | $1,111.00 | $666.60 | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD BothFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $6.93 | $3,598.00 | $1,259.30 | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $6.93 | $3,598.00 | $1,259.30 | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL INDEMNITY HOUSTON | $6.93 | $3,598.00 | $1,259.30 | 2026-04-14 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Humana | Medicare Advantage - Outpatient | $7.31 | $29.00 | $14.50 | 2025-10-24 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $7.72 | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.00 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $8.00 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.00 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $8.00 | — | — | 2026-04-14 | MRF ↗ |
| BROWARD HEALTH IMPERIAL POINT OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $8.17 | $120.17 | $120.17 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $8.25 | $121.28 | $121.28 | 2026-04-17 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $10.76 | $2,908.00 | $2,762.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $10.76 | $2,908.00 | $2,762.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $10.76 | $2,908.00 | $2,762.60 | 2026-02-20 | MRF ↗ |
| FAYETTE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE | $10.83 | $90.25 | $45.13 | 2026-03-26 | MRF ↗ |
| FAYETTE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE | $10.83 | $90.25 | $45.13 | 2026-03-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $11.05 | $2,908.00 | $2,762.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $11.34 | $2,908.00 | $2,762.60 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Aetna | Transplant - Outpatient | $11.60 | $29.00 | $14.50 | 2025-10-24 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $11.63 | $2,908.00 | $2,762.60 | 2026-02-20 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | United Healthcare Community Plan/Healthy Kids | HMO | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | United/WellMed | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | WellCare Healthy Kids | HMO | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Simply Healthy Kids | Managed Medicaid | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Preferred Care Partners | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | United | Select HMO/Options PPO/Cruise Lines | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | WellCare | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Sunshine State Health Plan | Managed Medicaid | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Humana | Managed Medicaid | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Simply Healthcare | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Amerihealth Caritas | Managed Medicaid | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Amerihealth Caritas | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Freedom Health | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Avmed | Exchange | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Humana Gold | HMO | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Community Care Plan | HMO | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Aetna Health | HMO/PPO/Exchange | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Community Care Plan | PPO | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Avmed | HMO | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Avmed | JHS Select/Select HMO | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Community Care Plan | Managed Medicaid | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Medica Healthcare | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Neighborhood Health Partnership | HMO | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Florida Pace Center | Managed Medicaid | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Humana/Choice Care | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | HealthSun Health Plan | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Aetna Best Choice | HMO Employee Plan | $11.81 | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Doctor's Healthcare | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Florida Pace Center | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Simply Healthcare/Clear Health Alliance | Managed Medicaid | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | CarePlus Health Plan | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | WellCare/Stay Well | Managed Medicaid | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Aetna Healthcare of Florida/Vista Health Plan/Aetna Better Health | HMO | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Cigna Healthcare/SureFit | HMO/PPO/POS | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Aetna Health/Aetna Summit | Medicare Advantage | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Clear Springs Healthcare | HMO | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Sunshine State Health Plan Healthy Kids | HMO | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | United AARP | Medicare Complete | — | $113.56 | $113.56 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH IMPERIAL POINT InpatientFacility | Aetna Best Choice | HMO Employee Plan | $12.50 | $120.17 | $120.17 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH IMPERIAL POINT InpatientFacility | Neighborhood Health Partnership | HMO | — | $120.17 | $120.17 | 2026-04-17 | 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.