24505 — Treat Humerus Fracture
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TREAT HUMERUS FRACTURE (CPT 24505) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/24505?code_type=CPT
MLA (9th ed.)
“TREAT HUMERUS FRACTURE (CPT 24505) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/24505?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TREAT HUMERUS FRACTURE (CPT 24505) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/24505?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $867–$2,516 (25th–75th percentile) across 2,229 hospitals · 6,969 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 24505 — 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
$867
$1,641 typical
$2,516
The middle 50% of negotiated facility rates for this procedure, measured across 2,229 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. | $1,641 |
| Surgeon (professional fee) Estimate national typical Medicare $474 × 1.22 commercial. | $578 |
| 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 | $2,927 |
Surgical episode (typical)
~$2,927
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)
~$6,712
- 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $7,929.65 | $5,154.27 | 2025-11-26 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $10,080.00 | $8,265.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $10,080.00 | $8,265.60 | 2025-11-26 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Aetna | Commercial | $1.00 | $1.00 | $1.00 | 2026-03-31 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $10,080.00 | $8,265.60 | 2025-11-26 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $1.00 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $10,080.00 | $8,265.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $10,080.00 | $8,265.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $10,080.00 | $8,265.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $10,080.00 | $8,265.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $10,080.00 | $8,265.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $10,080.00 | $8,265.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $10,080.00 | $8,265.60 | 2025-11-26 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $1.00 | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $2.00 | $2.00 | $2.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $2.00 | $2.00 | $2.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Aetna | Commercial | $2.00 | $2.00 | $2.00 | 2026-03-31 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Community Family Care Health Plan - Med | Cal | — | $8,947.00 | $8,947.00 | 2026-05-24 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $5.00 | $7,407.00 | $2,962.80 | 2026-05-06 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $5.50 | $4,510.00 | $1,804.00 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $5.50 | $4,510.00 | $1,804.00 | 2026-05-14 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $6.90 | $345.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $6.90 | $345.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $6.90 | $345.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $6.90 | $345.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $6.90 | $345.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $6.90 | $345.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $6.90 | $345.00 | — | 2026-03-31 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.00 | $1,302.00 | $286.44 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.00 | $1,302.00 | $338.52 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.00 | $1,302.00 | $286.44 | 2026-04-14 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | LA Care Health | Medi-cal | $7.00 | — | — | 2024-10-01 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.00 | $1,302.00 | $286.44 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.00 | $1,302.00 | $234.36 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.00 | $1,302.00 | $286.44 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.00 | $1,302.00 | $286.44 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.00 | $1,302.00 | $312.48 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.00 | $1,302.00 | $286.44 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.00 | $1,302.00 | $247.38 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.00 | $1,302.00 | $351.54 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.00 | $1,302.00 | $247.38 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.00 | $1,302.00 | $312.48 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.00 | $1,302.00 | $286.44 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.00 | $1,302.00 | $286.44 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.00 | $1,302.00 | $234.36 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.00 | $1,302.00 | $299.46 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.00 | $1,302.00 | $299.46 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.00 | $1,302.00 | $338.52 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.00 | $1,302.00 | $299.46 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.00 | $1,302.00 | $351.54 | 2026-04-14 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Molina | MCD | $7.00 | — | — | 2024-10-01 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.00 | $1,302.00 | $299.46 | 2026-04-14 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Physicians Medical Group | MCD | $7.00 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $7.17 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $7.17 | — | — | 2026-03-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $7.63 | $96.00 | $72.00 | 2025-03-07 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medi-Cal | $7.70 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Gold Coast Health Plan | MCD | $7.70 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Brand New Day | MCD | $7.70 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Brand New Day | MCD | $7.70 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $7.89 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $7.89 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $7.89 | — | — | 2026-03-01 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | MEDI-CAL | MEDI-CAL | $10.00 | $2,118.00 | $486.21 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $10.00 | $2,118.00 | $486.21 | 2026-02-25 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $10.00 | $1,279.00 | $895.30 | 2026-03-17 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $10.00 | $2,118.00 | $486.21 | 2026-02-25 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | LA CARE MEDI-CAL-ALL OTHER PLANS | LA CARE MEDI-CAL-ALL OTHER PLANS | $10.00 | $1,279.00 | $895.30 | 2026-03-17 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $10.00 | $1,633.00 | $310.27 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $10.00 | $1,633.00 | $310.27 | 2026-01-31 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $10.00 | $1,799.00 | $1,799.00 | 2025-12-03 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $10.00 | $1,633.00 | $310.27 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $10.00 | $1,633.00 | $310.27 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $10.00 | $1,633.00 | $310.27 | 2026-01-31 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $10.15 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $10.40 | — | — | 2026-03-01 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Martins Point | Default | $10.80 | $30.00 | $22.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Ppo | $11.12 | $30.00 | $22.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Federal | $11.12 | $30.00 | $22.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Default | $11.12 | $30.00 | $22.50 | 2026-05-18 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | MOLINA MEDICAID-ALL OTHER PLANS | MOLINA MEDICAID-ALL OTHER PLANS | $11.50 | $1,279.00 | $895.30 | 2026-03-17 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $14.23 | $818.00 | $531.70 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $14.23 | $1,175.00 | $763.75 | 2026-05-07 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $15.14 | $1,756.00 | $649.72 | 2026-03-31 | 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 ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Harvard Pilgrim Healthcare | Default | $27.90 | $30.00 | $22.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Harvard Pilgrim Healthcare | Pos | $27.90 | $30.00 | $22.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | United Healthcare | Default | $28.50 | $30.00 | $22.50 | 2026-05-18 | 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 | $3,671.07 | $1,835.53 | 2026-03-16 | MRF ↗ |
| ALAMEDA HOSPITAL BothFacility | KAISER MEDI-CAL MANAGED CARE [1026106] | Kaiser Medi-Cal Managed Care | $34.58 | $3,671.07 | $1,835.53 | 2026-03-16 | 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 ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $35.56 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $37.76 | — | — | 2026-04-14 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $38.38 | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Sunflower | Commercial Exchange | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Veterans Affairs Program | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Corizon | Commercial | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wppa | Commercial | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Centurion Of Kansas | Commercial | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Providrs | Care Network | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Three Rivers Provider Networks | Workers Comp | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Compalliance | Compresults Workers Comp | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicare | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicaid | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Commercial | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicaid | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Commercial Exchange | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicaid | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | All Payer | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Health Partners Of Kansas | Commercial | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Medicare Advantage | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Commercial Exchange | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | All Payer | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna Better Health | Medicaid | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Medica | Medicare Advantage | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Workers Compensation | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Individual Exchange | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Medica | Medicare Advantage | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Commercial | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Commercial/Self Insured | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna Better Health | Medicaid | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | First Health | Commercial | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Workers Compensation | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Commercial/Self Insured | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Compalliance | Compresults Workers Comp | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Medicare Advantage | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Three Rivers Provider Networks | Workers Comp | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Veterans Affairs Program | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Sunflower | Commercial Exchange | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $38.38 | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Centurion Of Kansas | Commercial | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Health Partners Of Kansas | Commercial | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wppa | Commercial | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | First Health | Commercial | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Commercial Exchange | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Corizon | Commercial | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicaid | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicare | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Providrs | Care Network | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Commercial Exchange | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Individual Exchange | — | $696.00 | $278.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $696.00 | $278.40 | 2026-05-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Magee Health Partners | Medicaid | $41.62 | — | — | 2026-03-18 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $42.56 | $133.00 | $63.84 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Arizona Complete (Allwell) | Medicare Advantage | $42.56 | $133.00 | $63.84 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Banner | Medicare Advantage | $42.56 | $133.00 | $63.84 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $42.56 | $133.00 | $63.84 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $42.56 | $133.00 | $63.84 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $42.56 | $133.00 | $63.84 | 2025-03-27 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California | Medi-Cal | — | $8,103.82 | $5,267.48 | 2025-11-26 | MRF ↗ |
| Unm Sandoval Regional Medical Center Outpatient | United Healthcare | Commercial | $46.00 | $299.00 | $164.45 | 2026-05-09 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $47.06 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,034.00 | $620.40 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,034.00 | $620.40 | 2026-05-21 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $49.21 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $49.21 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $49.45 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $49.45 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $49.45 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $49.45 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $49.45 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $49.45 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $49.45 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $49.45 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $49.45 | — | — | 2026-04-14 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | 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.