25248 — Remove Forearm Foreign Body
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REMOVE FOREARM FOREIGN BODY (CPT 25248) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25248?code_type=CPT
MLA (9th ed.)
“REMOVE FOREARM FOREIGN BODY (CPT 25248) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25248?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“REMOVE FOREARM FOREIGN BODY (CPT 25248) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25248?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,443–$3,960 (25th–75th percentile) across 1,919 hospitals · 5,493 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 25248 — 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
$1,443
$2,132 typical
$3,960
The middle 50% of negotiated facility rates for this procedure, measured across 1,919 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. | $2,132 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $408 × 1.22 commercial. | $498 |
| Likely subtotal | $2,630 |
Surgical episode (typical)
~$2,630
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)
~$6,415
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 |
|---|---|---|---|---|---|---|---|
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.37 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.37 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $4.37 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.49 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.61 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $4.72 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL PRIORITY HEALTH PLAN [106814] | $5.21 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL CIGNA PRIORITY HEALTH [106826] | $5.21 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.67 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.67 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL HUMANA CARE LABS [700905] | $5.68 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL HUMANA LABS [106813] | $5.68 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $5.79 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.79 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.79 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.79 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.91 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $5.95 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.00 | $1,192.00 | $262.24 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.00 | $1,192.00 | $321.84 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.00 | $1,192.00 | $226.48 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.00 | $1,192.00 | $262.24 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.00 | $1,192.00 | $262.24 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.00 | $1,192.00 | $274.16 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.00 | $1,192.00 | $262.24 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.00 | $1,192.00 | $309.92 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.00 | $1,192.00 | $274.16 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.00 | $1,192.00 | $262.24 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.00 | $1,192.00 | $226.48 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.00 | $1,192.00 | $274.16 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.00 | $1,192.00 | $321.84 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.00 | $1,192.00 | $262.24 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.00 | $1,192.00 | $214.56 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.00 | $1,192.00 | $286.08 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.00 | $1,192.00 | $274.16 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.00 | $1,192.00 | $262.24 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.00 | $1,192.00 | $262.24 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.00 | $1,192.00 | $214.56 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $6.00 | $1,192.00 | $309.92 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $6.00 | $1,192.00 | $286.08 | 2026-04-14 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.02 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.14 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $6.38 | $1,181.00 | $1,121.95 | 2026-02-20 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL UNITED HEALTHCARE LABS [106809] | $6.67 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL UNITED HEALTHCARE CARE [700909] | $6.67 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $6.67 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL MERIDIAN HEALTH ADVANTAGE [700910] | $7.58 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $8.25 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL WELLCARE CARE [700920] | $8.79 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL MED PLUS BLUE CARE [700903] | $8.79 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL BCN CARE LABS [700902] | $8.81 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $9.92 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $10.13 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MIDWEST HEALTH CAID [300607] | $10.13 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL MIDWEST HEALTHCARE CARE [700907] | $10.99 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | OMNICARE CARE [700906] | $10.99 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL PRIORITY HEALTH CARE [700911] | $10.99 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL HAP CARE [700904] | $10.99 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL VACCN [106827] | $10.99 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL AMERIHEALTH CARITAS VIP [700921] | $10.99 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL GENERIC MEDICARE [700914] | $10.99 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $11.97 | $580.00 | $580.00 | 2026-03-09 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $11.97 | $1,099.00 | $208.81 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $13.17 | $1,047.00 | $680.55 | 2026-05-07 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $23.94 | $1,876.00 | $1,876.00 | 2026-02-13 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL AETNA LABS [106802] | $24.90 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL HAP PPO PLAN [106821] | $27.67 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL CIGNA LABS [106804] | $27.67 | $15,912.00 | $15,912.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL HAP LABS [106805] | $27.67 | $15,912.00 | $15,912.00 | 2026-03-23 | 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 | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $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 | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $35.03 | — | — | 2026-04-14 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | STATE FARM AUTO | STATE FARM HEALTH | $36.00 | $180.00 | — | 2025-06-09 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $1,179.00 | $884.25 | 2026-02-25 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | UHC COMM/MARKETPLACE - ALL OTHER PLANS | UHC COMM/MARKETPLACE - ALL OTHER PLANS | $40.00 | $838.00 | $502.80 | 2026-01-24 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $44.83 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $44.83 | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $45.87 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $45.87 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $45.87 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $45.87 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $45.87 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $45.87 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $45.87 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $45.87 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $45.87 | — | — | 2026-04-14 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,030.00 | $618.00 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,030.00 | $618.00 | 2026-05-21 | 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $51.00 | $4,357.00 | $827.83 | 2026-02-27 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $1,247.00 | $897.84 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $1,247.00 | $897.84 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $1,247.00 | $897.84 | 2026-05-04 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $51.51 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $51.51 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $51.51 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $51.51 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $51.51 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $51.51 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $51.51 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $51.51 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $51.51 | — | — | 2026-04-14 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP ESSENTIAL 1&2 | $54.68 | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 3&4 | $54.68 | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $54.68 | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $54.68 | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $54.68 | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4 | $54.68 | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 1&2 | — | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $55.62 | $412.00 | $309.00 | 2026-01-16 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Medicare A Ms Jh | Default | $57.48 | $85.00 | $68.00 | 2026-05-08 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $58.41 | $11,353.48 | $7,379.76 | 2024-12-30 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | BLUE CROSS-ALL PLANS | BLUE CROSS-ALL PLANS | $58.88 | $184.00 | $147.20 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | BLUE CROSS-ALL PLANS | BLUE CROSS-ALL PLANS | $58.88 | $184.00 | $147.20 | 2026-03-04 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Medicare A MS JH | Default | $59.98 | $85.00 | — | 2026-03-12 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Medicare A MS JH | Default | $59.98 | $85.00 | — | 2026-03-12 | MRF ↗ |
| MAYERS MEMORIAL HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $60.00 | $2,710.00 | $2,710.00 | 2026-05-12 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | All Products | $60.50 | $60.50 | $48.40 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $60.50 | $60.50 | $48.40 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | VCCN | All Products | $60.50 | $60.50 | $48.40 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $60.50 | $60.50 | $48.40 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $60.50 | $60.50 | $48.40 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | All Products | $60.50 | $60.50 | $48.40 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $60.50 | $60.50 | $48.40 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | VCCN | All Products | $60.50 | $60.50 | $48.40 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $60.50 | $60.50 | $48.40 | 2026-04-01 | MRF ↗ |
| HALE COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $60.50 | $60.50 | $48.40 | 2026-04-01 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Blue Cross Blue Shield Of Ms Prof | Default | $68.00 | $85.00 | $68.00 | 2026-05-08 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Blue Cross Blue Shield Of Ms Inst | Default | $68.00 | $85.00 | $68.00 | 2026-05-08 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Blue Cross Blue Shield of MS INST | Default | $68.00 | $85.00 | — | 2026-03-12 | MRF ↗ |
| TALLAHATCHIE GENERAL HOSPITAL-CAH Both | Blue Cross Blue Shield of MS INST | Default | $68.00 | $85.00 | — | 2026-03-12 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $68.01 | $4,357.00 | $653.55 | 2026-02-27 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS Blue Advantage | Blue Advantage | $69.92 | $420.00 | $294.00 | 2026-01-13 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Blue Cross Open Access | Open Access | $70.00 | $1,179.00 | $884.25 | 2026-02-25 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Blue Cross HMO/POS | POS | $70.00 | $1,179.00 | $884.25 | 2026-02-25 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $70.63 | $218.00 | $109.00 | 2026-03-24 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Medica | All Plans | $72.50 | $201.40 | $251.75 | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Medica | All Plans | $72.50 | $201.40 | $251.75 | 2026-03-05 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $73.56 | — | — | 2026-04-14 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | UHC Commercial | PPO | $74.50 | $420.00 | $294.00 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | Baylor Scott And White Commercial | UNKNOWN | $75.00 | $420.00 | $294.00 | 2026-01-13 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Molina | Managed Medicaid | $75.38 | $7,246.85 | $3,623.43 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Molina | Managed Medicaid | $75.38 | $7,246.85 | $3,623.43 | 2025-12-04 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | MOLINA MCR ADV - ALL PLANS | MOLINA MCR ADV - ALL PLANS | $75.47 | $218.00 | $109.00 | 2026-03-24 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS HMO | HMO | $76.00 | $420.00 | $294.00 | 2026-01-13 | 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.