255 — Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC (CPT 255) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/255?code_type=CPT
MLA (9th ed.)
“UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC (CPT 255) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/255?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC (CPT 255) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/255?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $17,065–$34,601 (25th–75th percentile) across 109 hospitals · 446 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 255 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| CLARK REGIONAL MEDICAL CENTER Outpatient | Prime Health | Prime Health | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Centercare Network | Centercare | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Humana | Humana Hix | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Cha (Community Health Alliance) | Cha (Community Health Alliance) | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Bcbs Of Ky | Bcbs Of Ky Hmo/Ppo | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Bluegrass Family Health | Baptist Health (Formally Bluegrass) | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Humana | Humana | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Affordable Health Care Concepts | Affordable Health Care | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Bcbs Of Ky | Anthem Hix | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Uhc | Uhc All Payer | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Prime Health | Prime Health Indigent | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLARK REGIONAL MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $1.40 | $0.56 | 2026-05-09 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Employee Benefit Consultants | Employee Benefit Consultants | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Amps | Amps | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Bcbs Of Va | Anthem Blue Cross Hmo | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Bcbs Of Va | Anthem Blue Cross Ppo | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Highlands | Highlands | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Medcost | Medcost | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Bcbs Of Va | Anthem Hix | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Aetna | Aetna | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Gateway | Gateway | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | First Health | First Health | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Uhc | Uhc Onenet | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Optima Health Plan | Optima | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Four Most | Four Most | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Cigna | Cigna | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Optima Health Plan | Sentara (Optima) | — | $24.65 | $9.86 | 2026-05-08 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | Beechstreet | Beechstreet | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | Prime Health | Prime Health | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | Phcs | Phcs | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | First Health | First Health | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | Cigna | Cigna Hmo | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | Humana | Humana | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | Prime Health | Prime Health Indigent | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | Devoted Health | Devoted | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | Cigna | Cigna Ppo | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | Aetna | Aetna | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | Geha | Geha | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | Bcbs Of Tn | Bcbs Of Tn | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| STARR REGIONAL MEDICAL CENTER ATHENS Outpatient | Uhc | Uhc All Payer | — | $7.49 | $1.47 | 2026-05-23 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | 90 Degree Benefits | South Texas Oilfield Maintenance | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna Commercial Hmo/Ppo | Aetna Commercial Hmo/Ppo | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | 90 Degree Benefits | Keating Auto Group | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Med | Share | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Tml Commercial Austin | Tml Commercial Austin | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Med Assist | Med Assist | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Humana | Humana Commercial | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Veterans Administration | Veterans Administration | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Cigna Commercial | Cigna Commercial Hmo/Ppo | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs | Phcs | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Boon Chapman | Boon Chapman | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Meritain Health | Meritain Health | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Boon Chapman | Boon Chapman Victoria County | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Champva | Champva | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthsmart | Healthsmart | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Citizens Medical Center Health Plan | Citizens Medical Center Health Plan | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Bcbs Blue Cross | Bcbs Blue Advantage Hmo | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Bcbs Blue Cross | Bcbs Blue Cross Healthselect Hmo | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Allied | Allied | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | First Health | First Health | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Us Marshall Services Inmate | Us Marshall Service Inmate | — | $14.00 | $7.00 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Healthstar | Healthstar | — | $19.07 | $7.63 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Direct Care | Direct Care | — | $19.07 | $7.63 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Bcbs Of Ky | Anthem Hix | — | $19.07 | $7.63 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Bcbs Of Ky | Bcbs Of Ky Hmo/Ppo | — | $19.07 | $7.63 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Ppo Next | Ppo Usa | — | $19.07 | $7.63 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Prime Health | Prime Health Indigent | — | $19.07 | $7.63 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Aetna | Aetna Medicare | — | $19.07 | $7.63 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Devoted Health | Devoted | — | $19.07 | $7.63 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Ky Health Cooperative | Ky Health | — | $19.07 | $7.63 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Uhc | Uhc All Payer | — | $19.07 | $7.63 | 2026-05-08 | MRF ↗ |
| ST TAMMANY PARISH HOSPITAL Outpatient | Cigna | Cigna Ppo | — | $17.62 | $10.57 | 2026-05-08 | MRF ↗ |
| ST TAMMANY PARISH HOSPITAL Outpatient | Cigna | Cigna Gatekeeper/Oap | — | $17.62 | $10.57 | 2026-05-08 | MRF ↗ |
| ST TAMMANY PARISH HOSPITAL Outpatient | Ppo Plus | Ppo Plus | — | $17.62 | $10.57 | 2026-05-08 | MRF ↗ |
| ST TAMMANY PARISH HOSPITAL Outpatient | Coventry | First Health | — | $17.62 | $10.57 | 2026-05-08 | MRF ↗ |
| ST TAMMANY PARISH HOSPITAL Outpatient | Bcbs Of La | Bcbs Medicare Advantage | — | $17.62 | $10.57 | 2026-05-08 | MRF ↗ |
| ST TAMMANY PARISH HOSPITAL Outpatient | Multiplan | Multiplan | — | $17.62 | $10.57 | 2026-05-08 | MRF ↗ |
| ST TAMMANY PARISH HOSPITAL Outpatient | Multiplan | Phcs | — | $17.62 | $10.57 | 2026-05-08 | MRF ↗ |
| ST TAMMANY PARISH HOSPITAL Outpatient | Choicecare | Choicecare | — | $17.62 | $10.57 | 2026-05-08 | MRF ↗ |
| ST TAMMANY PARISH HOSPITAL Outpatient | Dma | Dma | — | $17.62 | $10.57 | 2026-05-08 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE Outpatient | Cigna | Cigna Ppo | — | $57.70 | $14.37 | 2026-05-22 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE Outpatient | Devoted Health | Devoted | — | $57.70 | $14.37 | 2026-05-22 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE Outpatient | Humana | Humana | — | $57.70 | $14.37 | 2026-05-22 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE Outpatient | Uhc | Uhc All Payer | — | $57.70 | $14.37 | 2026-05-22 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE Outpatient | Aetna | Aetna | — | $57.70 | $14.37 | 2026-05-22 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE Outpatient | Bcbs Of Tn | Bcbs Of Tn | — | $57.70 | $14.37 | 2026-05-22 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE Outpatient | Cigna | Cigna Hmo | — | $57.70 | $14.37 | 2026-05-22 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Cigna | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Midwest Medical | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Ambetter | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Vantage | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Multi Plan | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Qualchoice | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Vantage | Hmo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Integrated Health Plan | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Municipal Health | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Corvel | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Arkansas Total Care | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Great West Life & Annuity | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Ppo Plus | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Va | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Humana | Hmo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Mercy Health | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | First Health Network | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| ASHLEY COUNTY MEDICAL CENTER Both | Humana | Ppo | — | $51.06 | $20.42 | 2026-05-06 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | Cigna | Cigna | — | $47.25 | $42.53 | 2026-05-14 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | United Healthcare | Uhc All Payer | — | $47.25 | $42.53 | 2026-05-14 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | Verity | Verity | — | $47.25 | $42.53 | 2026-05-14 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | Ppo Plus | Ppo Plus | — | $47.25 | $42.53 | 2026-05-14 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | Verity | Verity | — | $47.25 | $42.53 | 2026-05-21 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | Bcbs | Bcbs Hmo | — | $47.25 | $42.53 | 2026-05-21 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | Bcbs | Bcbs Ppo | — | $47.25 | $42.53 | 2026-05-21 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | Bcbs | Bcbs Ppo | — | $47.25 | $42.53 | 2026-05-14 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | Ppo Plus | Ppo Plus | — | $47.25 | $42.53 | 2026-05-21 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | United Healthcare | Uhc All Payer | — | $47.25 | $42.53 | 2026-05-21 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | Bcbs | Bcbs Hmo | — | $47.25 | $42.53 | 2026-05-14 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Outpatient | Cigna | Cigna | — | $47.25 | $42.53 | 2026-05-21 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Coventry | Coventry Leased Network | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Optima Health Plan | Optima | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Cigna | Cigna | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Primary Phys Care | Primary Phys Care | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Coventry | Coventry Hmo/Ppo | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Multiplan | Multiplan | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Coventry | Coventry Hix | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Uhc | Uhc | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Medcost | Medcost | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Gateway | Gateway Piedmont | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Aetna | Aetna | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Golden Rule | Golden Rule | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Bcbs Of Va | Anthem Blue Cross Hmo | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Bcbs Of Va | Anthem Hix | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Bcbs Of Va | Anthem Blue Cross Ppo | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| SOVAH HEALTH DANVILLE Outpatient | Optima Health Plan | Sentara (Optima) | — | $257.00 | $102.80 | 2026-05-08 | MRF ↗ |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA Outpatient | Devoted Health | Devoted | — | $93.46 | $23.08 | 2026-05-09 | MRF ↗ |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA Outpatient | Humana | Humana | — | $93.46 | $23.08 | 2026-05-09 | MRF ↗ |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA Outpatient | Bcbs Of Tn | Bcbs Of Tn | — | $93.46 | $23.08 | 2026-05-09 | MRF ↗ |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA Outpatient | Multiplan | Multiplan | — | $93.46 | $23.08 | 2026-05-09 | MRF ↗ |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA Outpatient | Novanet | Novanet | — | $93.46 | $23.08 | 2026-05-09 | MRF ↗ |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA Outpatient | Cigna | Cigna Ppo | — | $93.46 | $23.08 | 2026-05-09 | MRF ↗ |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA Outpatient | Uhc | Uhc All Payer | — | $93.46 | $23.08 | 2026-05-09 | MRF ↗ |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA Outpatient | Cigna | Cigna Hmo | — | $93.46 | $23.08 | 2026-05-09 | MRF ↗ |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA Outpatient | Aetna | Aetna Hmo | — | $93.46 | $23.08 | 2026-05-09 | MRF ↗ |
| HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA Outpatient | Aetna | Aetna Ppo | — | $93.46 | $23.08 | 2026-05-09 | MRF ↗ |
| TALLAHASSEE MEMORIAL HEALTHCARE Outpatient | Blue Cross | Blue Cross Phs | — | $175.69 | $122.98 | 2026-05-08 | MRF ↗ |
| TALLAHASSEE MEMORIAL HEALTHCARE Outpatient | Blue Cross | Blue Cross Sbn | — | $175.69 | $122.98 | 2026-05-08 | MRF ↗ |
| TALLAHASSEE MEMORIAL HEALTHCARE Outpatient | Blue Cross | Blue Cross Nwb | — | $175.69 | $122.98 | 2026-05-08 | MRF ↗ |
| TALLAHASSEE MEMORIAL HEALTHCARE Outpatient | Aetna | Aetna Medicare Advantage | — | $175.69 | $122.98 | 2026-05-08 | MRF ↗ |
| TALLAHASSEE MEMORIAL HEALTHCARE Outpatient | Blue Cross | Blue Cross Mbn | — | $175.69 | $122.98 | 2026-05-08 | MRF ↗ |
| TALLAHASSEE MEMORIAL HEALTHCARE Outpatient | United Healthcare | United Healthcare All Payer | — | $175.69 | $122.98 | 2026-05-08 | MRF ↗ |
| TALLAHASSEE MEMORIAL HEALTHCARE Outpatient | Blue Cross | Blue Cross Ppo | — | $175.69 | $122.98 | 2026-05-08 | MRF ↗ |
| TALLAHASSEE MEMORIAL HEALTHCARE Outpatient | Cigna | Cigna | — | $175.69 | $122.98 | 2026-05-08 | MRF ↗ |
| TALLAHASSEE MEMORIAL HEALTHCARE Outpatient | Aetna | Aetna | — | $175.69 | $122.98 | 2026-05-08 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Sagamore Health | Sagamore Toyota | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Sagamore Health | Sagamore Health | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Cigna | Cigna | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Prime Health | Prime Health | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Phcs | Phcs | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Prime Health | Prime Health Indigent | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Uhc | Uhc All Payer | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Healthlink | Healthlink | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Aetna | Aetna Medicare | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Aetna | Aetna | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Beechstreet | Beechstreet | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Centercare Network | Centercare | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Bluegrass Family Health | Baptist Health (Formally Bluegrass) | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Bcbs Of Ky Hmo/Ppo | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Faris Group | Faris Group | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Humana | Humana Hix | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| BOURBON COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Anthem Hix | — | $108.05 | $43.22 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Medical Mutual Of Ohio | Medical Mutual | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Prime Health | Prime Health Indigent | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Phcs | Phcs | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Prime Health | Prime Health | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | First Health | First Health | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Bcbs Of Ky Hmo/Ppo | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Multiplan | Multiplan | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Humana | Humana Hix | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Uhc | Uhc All Payer | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Aetna | Aetna Medicare | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Aetna | Aetna | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Anthem Hix | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Bluegrass Family Health | Baptist Health (Formally Bluegrass) | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Cha (Community Health Alliance) | Cha (Community Health Alliance) | — | $115.29 | $46.12 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $92.70 | $92.70 | 2026-05-09 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Cigna | Cigna | — | $92.70 | $92.70 | 2026-05-09 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna | Aetna | — | $92.70 | $92.70 | 2026-05-09 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Viva | Viva | — | $92.70 | $92.70 | 2026-05-09 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Mpi | Mpi | — | $92.70 | $92.70 | 2026-05-09 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Bcbs | Blue Cross | — | $92.70 | $92.70 | 2026-05-09 | MRF ↗ |
| WYTHE COUNTY COMMUNITY HOSPITAL Outpatient | Vaughan-Bassett Furniture Co. | Vaughan-Bassett | — | $437.40 | $174.96 | 2026-05-14 | MRF ↗ |
| WYTHE COUNTY COMMUNITY HOSPITAL Outpatient | Gateway | Gateway | — | $437.40 | $174.96 | 2026-05-14 | MRF ↗ |
| WYTHE COUNTY COMMUNITY HOSPITAL Outpatient | Employee Benefit Consultants | Employee Benefit Consultants | — | $437.40 | $174.96 | 2026-05-14 | MRF ↗ |
| WYTHE COUNTY COMMUNITY HOSPITAL Outpatient | Aetna | Aetna | — | $437.40 | $174.96 | 2026-05-14 | MRF ↗ |
| WYTHE COUNTY COMMUNITY HOSPITAL Outpatient | Optima Health Plan | Optima | — | $437.40 | $174.96 | 2026-05-14 | MRF ↗ |
| WYTHE COUNTY COMMUNITY HOSPITAL Outpatient | Bcbs Of Va | Anthem Blue Cross | — | $437.40 | $174.96 | 2026-05-14 | MRF ↗ |
| WYTHE COUNTY COMMUNITY HOSPITAL Outpatient | Uhc | Uhc | — | $437.40 | $174.96 | 2026-05-14 | MRF ↗ |
| WYTHE COUNTY COMMUNITY HOSPITAL Outpatient | Medcost | Medcost | — | $437.40 | $174.96 | 2026-05-14 | MRF ↗ |
| WYTHE COUNTY COMMUNITY HOSPITAL Outpatient | Cigna | Cigna | — | $437.40 | $174.96 | 2026-05-14 | 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.