24675 — Treat Ulnar Fracture
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TREAT ULNAR FRACTURE (HCPCS 24675) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/24675?code_type=HCPCS
MLA (9th ed.)
“TREAT ULNAR FRACTURE (HCPCS 24675) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/24675?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TREAT ULNAR FRACTURE (HCPCS 24675) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/24675?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $914–$2,494 (25th–75th percentile) across 2,074 hospitals · 6,153 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 24675 — 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
$914
$1,667 typical
$2,494
The middle 50% of negotiated facility rates for this procedure, measured across 2,074 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. | $1,667 |
| Surgeon (professional fee) Estimate national typical Medicare $424 × 1.22 commercial. | $517 |
| 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 | $2,891 |
Surgical episode (typical)
~$2,891
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)
~$6,676
- 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 Outpatient | HealthNet of California, Inc. | HMO | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | $4.79 | $6,170.00 | $4,627.50 | 2026-04-01 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.44 | $1,203.00 | $276.69 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.44 | $1,203.00 | $276.69 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.44 | $1,203.00 | $264.66 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.44 | $1,203.00 | $264.66 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.44 | $1,203.00 | $264.66 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.44 | $1,203.00 | $324.81 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.44 | $1,203.00 | $264.66 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.44 | $1,203.00 | $228.57 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.44 | $1,203.00 | $216.54 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.44 | $1,203.00 | $312.78 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.44 | $1,203.00 | $228.57 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.44 | $1,203.00 | $276.69 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.44 | $1,203.00 | $288.72 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.44 | $1,203.00 | $276.69 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.44 | $1,203.00 | $264.66 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.44 | $1,203.00 | $288.72 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.44 | $1,203.00 | $312.78 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.44 | $1,203.00 | $264.66 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.44 | $1,203.00 | $264.66 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.44 | $1,203.00 | $324.81 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.44 | $1,203.00 | $216.54 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.44 | $1,203.00 | $264.66 | 2026-04-14 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $11.60 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $13.85 | $2,412.00 | $892.44 | 2026-03-31 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Outpatient | None | — | — | $128.00 | $128.00 | 2026-03-01 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $26.00 | $3,683.00 | $1,473.20 | 2026-05-06 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $26.00 | $3,683.00 | $1,473.20 | 2026-05-06 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $26.00 | $4,235.00 | $1,694.00 | 2026-05-06 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $26.00 | $5,524.00 | $2,209.60 | 2026-05-06 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $26.00 | $2,063.00 | $2,063.00 | 2025-12-03 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $28.60 | $3,683.00 | $1,473.20 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $28.60 | $3,683.00 | $1,473.20 | 2026-05-14 | 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 | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.93 | — | — | 2026-04-14 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $35.56 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $37.29 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $37.29 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $41.02 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $41.02 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $41.02 | — | — | 2026-03-01 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Magee Health Partners | Medicaid | $41.62 | — | — | 2026-03-18 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $45.49 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $45.49 | — | — | 2026-04-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $45.74 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $45.74 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $45.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $45.74 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $45.74 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $45.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $45.74 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $45.74 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $45.74 | — | — | 2026-04-14 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $47.06 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $47.20 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $47.20 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $47.20 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $47.20 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC LCD | ALL PRODUCTS | $47.20 | $3,404.00 | — | 2026-01-01 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $47.20 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC LCD | ALL PRODUCTS | $47.20 | $3,404.00 | — | 2026-01-01 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $47.20 | — | — | 2026-04-16 | 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 ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $51.00 | $1,913.00 | $363.47 | 2026-02-27 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $51.00 | $506.00 | $253.00 | 2025-02-03 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $51.36 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $51.36 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $51.36 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $51.36 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $51.36 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $51.36 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $51.36 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $51.36 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $51.36 | — | — | 2026-04-14 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $52.00 | $506.00 | $253.00 | 2025-02-03 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $52.40 | — | — | 2025-01-31 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $54.07 | — | — | 2026-03-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $57.00 | $506.00 | $253.00 | 2025-02-03 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | JNE Health Partners | JNE001_JNE002_JNE003 Medicaid | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | JNE Health Partners | JNE001_JNE002_JNE003 CHIP | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | JAB Health Partners | JAB002 Medicaid | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | JNE Health Partners | JNE001_JNE002_JNE003 CHIP | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | JNE Health Partners | JNE001_JNE002_JNE003 Medicaid | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Partners | Managed Medicaid | $59.29 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Partners | Managed Medicaid | $59.29 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $60.17 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Behavioral Health | $60.77 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $60.77 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $60.89 | $451.00 | $338.25 | 2026-01-16 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $61.00 | $506.00 | $253.00 | 2025-02-03 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Wellcare | Managed Medicaid | $61.30 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Healthy Blue | Managed Medicaid | $61.30 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Carolina Complete Health | Managed Medicaid | $61.30 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Behavioral Health | $61.36 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Carolina Complete Health | Managed Medicaid | $61.89 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Wellcare | Managed Medicaid | $61.89 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Healthy Blue | Managed Medicaid | $61.89 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Vaya | Managed Medicaid | $61.89 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Vaya | Managed Medicaid | $62.49 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Managed Medicaid | $62.84 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Managed Medicaid | $63.14 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Trillium | Managed Medicaid | $63.14 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Trillium | Managed Medicaid | $63.73 | $592.85 | $296.43 | 2025-12-05 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $64.00 | $506.00 | $253.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $64.00 | $506.00 | $253.00 | 2025-02-03 | MRF ↗ |
| Baylor Scott & White Medical Center - Llano Outpatient | None | — | — | $128.00 | $128.00 | 2026-03-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $66.87 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL BothFacility | Humana | Choice Care Commercial | — | $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 | 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 OutpatientFacility | Humana | Medicare Choice Care | — | $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 | 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/Atena | Medicaid | — | $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 OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $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 | Anthem | Pathway 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 | Aetna | Medicare Advantage | — | $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 ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Behavioral Health | $67.53 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $68.00 | $506.00 | $253.00 | 2025-02-03 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $68.01 | $2,013.00 | $301.95 | 2026-02-27 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Wellcare | Managed Medicaid | $68.12 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Carolina Complete Health | Managed Medicaid | $68.12 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Healthy Blue | Managed Medicaid | $68.12 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Partners | Managed Medicaid | $68.77 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Vaya | Managed Medicaid | $68.77 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Oscar | HMO | $68.92 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Managed Medicaid | $69.48 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $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 | Anthem/Atena | 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 | CareSource | Medicare Just for Me | — | $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 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 | Traditional/PPO/HMO | — | $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 | WellCare | Medicaid | — | $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 BothFacility | Humana | Choice Care Commercial | — | $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 | WellCare | Medicare Advantage | — | $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 BothFacility | Aetna | Commercial Health | — | $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 ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Trillium | Managed Medicaid | $70.13 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Partners | Managed Medicaid | $71.14 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Behavioral Health | $71.20 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Healthy Blue | Managed Medicaid | $71.79 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Carolina Complete Health | Managed Medicaid | $71.79 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $71.79 | $592.85 | $296.43 | 2025-12-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $72.00 | $506.00 | $253.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $72.00 | $506.00 | $253.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $72.00 | $506.00 | $253.00 | 2025-02-03 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Health Alliance | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Wellcare | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | UHC | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Aetna | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | UHC | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Meridian | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Health Alliance | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Molina | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | 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.