24341 — Rpr Tdn/musc Upr A/e Each
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RPR TDN/MUSC UPR A/E EACH (CPT 24341) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/24341?code_type=CPT
MLA (9th ed.)
“RPR TDN/MUSC UPR A/E EACH (CPT 24341) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/24341?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RPR TDN/MUSC UPR A/E EACH (CPT 24341) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/24341?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,919–$9,799 (25th–75th percentile) across 1,972 hospitals · 4,825 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 24341 — 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
$2,919
$7,079 typical
$9,799
The middle 50% of negotiated facility rates for this procedure, measured across 1,972 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. | $7,079 |
| Surgeon (professional fee) Estimate national typical Medicare $708 × 1.22 commercial. | $864 |
| 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 | $8,650 |
Surgical episode (typical)
~$8,650
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)
~$12,435
- 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 |
|---|---|---|---|---|---|---|---|
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $1.00 | $0.60 | 2026-05-13 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $1.00 | $0.60 | 2026-05-24 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Cigna | Cigna | $1.31 | $273.25 | $68.31 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 2 | $2.74 | $273.25 | $68.31 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 1 | $2.74 | $273.25 | $68.31 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Nhp | $2.74 | $273.25 | $68.31 | 2026-05-08 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Martins Point | Default | $18.00 | $50.00 | $37.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Default | $18.54 | $50.00 | $37.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Federal | $18.54 | $50.00 | $37.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Ppo | $18.54 | $50.00 | $37.50 | 2026-05-18 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Student Health | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mc | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Caresource | Caresource | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Cigna | Cigna | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Senior Life Medicare Advantage | All Plans | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $14,734.00 | $7,367.00 | 2026-05-22 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna Medicare Advantage | All Plans | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $14,734.00 | $7,367.00 | 2026-05-14 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Peak Health Medicare Advantage | All Plans | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Better Health | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Aetna | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Maryland Physician Care | Maryland Physician Care | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Geisinger Pa Medicare Advantage | All Plans | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $14,198.00 | $7,099.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Humana Medicare Advantage | All Plans | — | $14,198.00 | $7,099.00 | 2026-05-13 | 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $42.94 | $8,374.00 | $8,374.00 | 2026-02-13 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Harvard Pilgrim Healthcare | Pos | $46.50 | $50.00 | $37.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Harvard Pilgrim Healthcare | Default | $46.50 | $50.00 | $37.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | United Healthcare | Default | $47.50 | $50.00 | $37.50 | 2026-05-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER 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 ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Corizon Health | Yescare | $54.65 | $273.25 | $68.31 | 2026-05-08 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $57.76 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | DEVOTED MEDICARE ADV - ALL PLANS | DEVOTED MEDICARE ADV - ALL PLANS | $57.76 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | ANTHEM MEDICARE ADV | ANTHEM MEDICARE ADV | $57.76 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | UHC MEDICARE ADVANTAGE | UHC MEDICARE ADVANTAGE | $57.76 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | MOLINA MEDICARE | MOLINA MEDICARE | $57.76 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | ANTHEM MEDICARE ADV | ANTHEM MEDICARE ADV | $57.76 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | UHC MEDICARE ADVANTAGE | UHC MEDICARE ADVANTAGE | $57.76 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $57.76 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | MOLINA EXCHANGE - ALL OTHER PLANS | MOLINA EXCHANGE - ALL OTHER PLANS | $57.76 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | MOLINA MEDICARE | MOLINA MEDICARE | $57.76 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | MOLINA EXCHANGE - ALL OTHER PLANS | MOLINA EXCHANGE - ALL OTHER PLANS | $57.76 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | DEVOTED MEDICARE ADV - ALL PLANS | DEVOTED MEDICARE ADV - ALL PLANS | $57.76 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | HUMANA MEDICARE ADV | HUMANA MEDICARE ADV | $58.33 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | HUMANA MEDICARE ADV | HUMANA MEDICARE ADV | $58.33 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | BUCKEYE MEDICARE - ALL OTHER PLANS | BUCKEYE MEDICARE - ALL OTHER PLANS | $58.33 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | BUCKEYE MEDICARE - ALL OTHER PLANS | BUCKEYE MEDICARE - ALL OTHER PLANS | $58.33 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | AETNA MEDICARE ADV | AETNA MEDICARE ADV | $58.85 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | AETNA MEDICARE ADV | AETNA MEDICARE ADV | $58.85 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | MEDICAL MUTUAL OF OHIO - MEDICARE | MEDICAL MUTUAL OF OHIO - MEDICARE | $58.91 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | MEDICAL MUTUAL OF OHIO - MEDICARE | MEDICAL MUTUAL OF OHIO - MEDICARE | $58.91 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $60.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $60.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $60.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $60.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $60.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $60.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $60.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $60.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $60.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $60.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $60.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $61.67 | — | — | 2026-04-14 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | CARESOURCE MEDICAID | CARESOURCE MEDICAID | $68.68 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | PARAMOUNT MEDICAID - ALL PLANS | PARAMOUNT MEDICAID - ALL PLANS | $68.68 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | UHC MEDICAID | UHC MEDICAID | $68.68 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | BUCKEYE MEDICAID | BUCKEYE MEDICAID | $68.68 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | PARAMOUNT MEDICAID - ALL PLANS | PARAMOUNT MEDICAID - ALL PLANS | $68.68 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | CARESOURCE MEDICAID | CARESOURCE MEDICAID | $68.68 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | BUCKEYE MEDICAID | BUCKEYE MEDICAID | $68.68 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | UHC MEDICAID | UHC MEDICAID | $68.68 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | ANTHEM MEDICAID | ANTHEM MEDICAID | $69.37 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | ANTHEM MEDICAID | ANTHEM MEDICAID | $69.37 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | MOLINA MEDICAID | MOLINA MEDICAID | $70.06 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | MOLINA MEDICAID | MOLINA MEDICAID | $70.06 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | HUMANA MEDICAID | HUMANA MEDICAID | $70.74 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | AMERIHEALTH CARITAS - ALL PLANS | AMERIHEALTH CARITAS - ALL PLANS | $70.74 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | AMERIHEALTH CARITAS - ALL PLANS | AMERIHEALTH CARITAS - ALL PLANS | $70.74 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | HUMANA MEDICAID | HUMANA MEDICAID | $70.74 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $71.46 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $72.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | CARESOURCE MARKETPLACE - ALL OTHER PLANS | CARESOURCE MARKETPLACE - ALL OTHER PLANS | $72.20 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | CARESOURCE MARKETPLACE - ALL OTHER PLANS | CARESOURCE MARKETPLACE - ALL OTHER PLANS | $72.20 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $74.35 | $273.25 | $68.31 | 2026-05-08 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $76.98 | $2,110.00 | $2,110.00 | 2026-02-09 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $80.37 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $80.37 | — | — | 2026-04-01 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Nhp | $80.61 | $273.25 | $68.31 | 2026-05-08 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $80.76 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $80.76 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $80.76 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $80.76 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $80.76 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $80.76 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $80.76 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $80.76 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $80.76 | — | — | 2026-04-14 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Health First Health Plan | Hfhp Individual Ppo/Marketplace | $81.43 | $273.25 | $68.31 | 2026-05-08 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $84.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $84.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $84.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $84.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $84.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $84.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Florida Healthcare Plans | Florida Healthcare Plans Bnn | $87.17 | $273.25 | $68.31 | 2026-05-08 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $89.72 | $3,205.00 | $3,205.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $89.72 | $3,205.00 | $3,205.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $89.72 | $3,205.00 | $3,205.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $89.72 | $3,205.00 | $3,205.00 | 2025-10-04 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $89.72 | $2,656.00 | $717.12 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $89.72 | $2,656.00 | $717.12 | 2026-01-31 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $90.69 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $90.69 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $90.69 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $90.69 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $90.69 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $90.69 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $90.69 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $90.69 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $90.69 | — | — | 2026-04-14 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $91.51 | $3,205.00 | $3,205.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $91.51 | $3,205.00 | $3,205.00 | 2025-10-04 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $95.63 | $5,297.96 | $2,119.18 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $95.63 | $5,297.96 | $2,119.18 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $96.00 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $98.92 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $98.92 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $98.92 | — | — | 2025-08-01 | MRF ↗ |
| ONECORE HEALTH Outpatient | Employer Direct/Surgery Plus | PPO | $100.00 | $26,330.71 | — | 2026-02-27 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $100.58 | $745.00 | $558.75 | 2026-01-16 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $101.74 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $101.74 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $103.62 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $103.62 | — | — | 2025-08-01 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Medicare B NY Upstate JK | Default | $105.54 | $2,039.00 | $1,264.18 | 2026-03-16 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Cigna | Cigna | $112.58 | $273.25 | $68.31 | 2026-05-08 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Blue Cross Blue Shield of NY Empire | Medicare Advantage | $113.07 | $2,039.00 | $1,264.18 | 2026-03-16 | MRF ↗ |
| MARSHALL MEDICAL CENTER OutpatientFacility | MOUNTAIN VALLEY HEALTH PLAN | Medicaid | $115.50 | $93,631.88 | — | 2024-04-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN | PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN | $116.10 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PROSPECT MG MCR ADV PROFEE ONLY | PROSPECT MG MCR ADV PROFEE ONLY | $116.10 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PROSPECT MG MCAL PROFEE ONLY | PROSPECT MG MCAL PROFEE ONLY | $116.10 | $387.00 | $69.66 | 2026-01-30 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Humana | Medicare | $116.53 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Medicare | $116.53 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Medicare | $116.53 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Aetna | Medicare | $116.53 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $116.53 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | United Healthcare | Medicare | $116.53 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peia | Other Governmental | $116.53 | — | — | 2026-05-06 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $116.64 | $3,205.00 | $3,205.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $116.64 | $3,205.00 | $3,205.00 | 2025-10-04 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | OHIOHEALTHY NETWORK - ALL OTHER PLANS | OHIOHEALTHY NETWORK - ALL OTHER PLANS | $117.08 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | OHIOHEALTHY PREFERRED | OHIOHEALTHY PREFERRED | $117.08 | $156.10 | $101.47 | 2026-04-02 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | OHIOHEALTHY PREFERRED | OHIOHEALTHY PREFERRED | $117.08 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | OHIOHEALTHY NETWORK - ALL OTHER PLANS | OHIOHEALTHY NETWORK - ALL OTHER PLANS | $117.08 | $156.10 | $101.47 | 2025-10-22 | MRF ↗ |
| OHIOHEALTH MORROW COUNTY HOSPITAL Outpatient | MEDICAL MUTUAL OF OHIO MARKETPLACE | MEDICAL MUTUAL OF OHIO MARKETPLACE | $117.08 | $156.10 | $101.47 | 2026-04-02 | 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.