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 (OTHER 255) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/255?code_type=OTHER
MLA (9th ed.)
“UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC (OTHER 255) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/255?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC (OTHER 255) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/255?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,540–$33,526 (25th–75th percentile) across 599 hospitals · 1,776 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | United Healthcare | Community | $0.04 | $0.25 | $0.25 | 2026-05-17 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | Bcbs | Blue Advantage/My Blue | $0.05 | $0.16 | $0.16 | 2026-05-17 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Inpatient | Aetna | Hildago | $0.06 | $0.16 | $0.16 | 2026-05-17 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Inpatient | Aetna | New Business | $0.06 | $0.16 | $0.16 | 2026-05-17 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | Bcbs | Choice/Essential/Premier/Hpn/Traditional | $0.06 | $0.16 | $0.16 | 2026-05-17 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | Cl Frates | Weslaco Isd | $0.06 | $0.16 | $0.16 | 2026-05-17 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Inpatient | Aetna | — | $0.07 | $0.16 | $0.16 | 2026-05-17 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Inpatient | Healthsmart | Complete | $0.07 | $0.16 | $0.16 | 2026-05-17 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | Cigna | — | $0.07 | $0.16 | $0.16 | 2026-05-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Health Net Federal | — | $0.07 | $55.08 | $27.54 | 2026-05-08 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Aetna | Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Benevolence Healthcare | Medical Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Kaiser | Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Blue Shield | Medical Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Care First | Medical Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Brand New Day | Medical Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Accountable Healthcare Ipa | Medical Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Health Net | Medical Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | La Care | Medical Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Heritage Provider Network | Medical Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Anthem Blue Cross | Medical Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Altamed | Medical Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | Bcbs | Blue Advantage/My Blue | $0.08 | $0.25 | $0.25 | 2026-05-17 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Molina Healthcare | Medical Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | Independent Medical Systems | — | $0.08 | $0.16 | $0.16 | 2026-05-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Cigna | — | $0.08 | $55.08 | $27.54 | 2026-05-08 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Synermed | Medical Managed Care | $0.08 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Inpatient | Aetna | Hildago | $0.09 | $0.25 | $0.25 | 2026-05-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Bcbs | Blue Connect | $0.09 | $55.08 | $27.54 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Bcbs | Ppo And Hmo | $0.09 | $55.08 | $27.54 | 2026-05-08 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | Cl Frates | Weslaco Isd | $0.10 | $0.25 | $0.25 | 2026-05-17 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Cigna | Ppo | $0.10 | $28.56 | $14.28 | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Cigna | Hmo | $0.10 | $28.56 | $14.28 | 2026-05-06 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Hmo | $0.10 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Exchange | $0.10 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Hmo | $0.10 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Hmo | $0.10 | $28.56 | $14.28 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Ppo | $0.10 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Exchange | $0.10 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Exchange | $0.10 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Ppo | $0.10 | $28.56 | $14.28 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Exchange | $0.10 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Hmo | $0.10 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | La Care | Pascseiu/Ihss | $0.10 | $135.00 | $101.25 | 2026-05-06 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | Bcbs | Choice/Essential/Premier/Hpn/Traditional | $0.10 | $0.25 | $0.25 | 2026-05-17 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Inpatient | Aetna | New Business | $0.10 | $0.25 | $0.25 | 2026-05-17 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Ppo | $0.10 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Exchange | $0.10 | $28.56 | $14.28 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Hmo | $0.10 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Ppo | $0.10 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Exchange | $0.10 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Hmo | $0.10 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Ppo | $0.10 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Cigna | Exchange | $0.10 | $28.56 | $14.28 | 2026-05-06 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Ppo | $0.10 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Inpatient | Aetna | — | $0.11 | $0.25 | $0.25 | 2026-05-17 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Inpatient | Healthsmart | Complete | $0.11 | $0.25 | $0.25 | 2026-05-17 | MRF ↗ |
| LECOM HEALTH CORRY MEMORIAL HOSPITAL | Payer Negotiated Charge: Gateway Health Plan - Medicare Assured Pa (Plan: All) | — | $0.11 | $2.75 | $1.65 | 2026-06-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | United | Options | $0.12 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Exchange | $0.12 | $28.56 | $14.28 | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | United | Exchange | $0.12 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Nonoptions | $0.12 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Exchange | $0.12 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Options | $0.12 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Inpatient | Multiplan | — | $0.12 | $0.16 | $0.16 | 2026-05-17 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Nonoptions | $0.12 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | United | Nonoptions | $0.12 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | United | Nonoptions | $0.12 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | United | Nonoptions | $0.12 | $28.56 | $14.28 | 2026-05-06 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | United | Options | $0.12 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Exchange | $0.12 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Options | $0.12 | $28.56 | $14.28 | 2026-05-14 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | Cigna | — | $0.12 | $0.25 | $0.25 | 2026-05-17 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | United | Options | $0.12 | $28.56 | $14.28 | 2026-05-06 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Nonoptions | $0.12 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | United | Exchange | $0.12 | $28.56 | $14.28 | 2026-05-06 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Options | $0.12 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | United | Exchange | $0.12 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Exchange | $0.12 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Options | $0.12 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Nonoptions | $0.12 | $28.56 | $14.28 | 2026-05-14 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Cigna | — | $0.13 | $2.61 | $1.30 | 2026-05-08 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | Independent Medical Systems | — | $0.13 | $0.25 | $0.25 | 2026-05-17 | MRF ↗ |
| MAGNOLIA REGIONAL HEALTH CENTER | Payer Negotiated Charge: Blue Cross Blue Shield Of Ar (Plan: Ppo) | — | $0.13 | $2.00 | $1.20 | 2026-05-22 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Aetna | Managed Care | $0.13 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Health Net Federal | — | $0.13 | $2.61 | $1.30 | 2026-05-08 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Sentara Health | Exchange | $0.17 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Heritage Provider Network | Medical Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Health Net | Medical Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Sentara Health | Exchange | $0.17 | $28.56 | $14.28 | 2026-05-14 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | La Care | Medical Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Synermed | Medical Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Sentara Health | Exchange | $0.17 | $28.56 | $14.28 | 2026-05-06 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Sentara Health | Exchange | $0.17 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Molina Healthcare | Medical Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Accountable Healthcare Ipa | Medical Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Altamed | Medical Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Sentara Health | Exchange | $0.17 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Sentara Health | Exchange | $0.17 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Sentara Health | Exchange | $0.17 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Anthem Blue Cross | Medical Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Brand New Day | Medical Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Blue Shield | Medical Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Kaiser | Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Care First | Medical Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Benevolence Healthcare | Medical Managed Care | $0.17 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Bcbs | Ppo And Hmo | $0.19 | $2.61 | $1.30 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Bcbs | Blue Connect | $0.19 | $2.61 | $1.30 | 2026-05-08 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Inpatient | Multiplan | — | $0.19 | $0.25 | $0.25 | 2026-05-17 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | La Care | Pascseiu/Ihss | $0.20 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Health Net | Medical Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Anthem Blue Cross | Medical Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Brand New Day | Medical Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | La Care | Medical Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Molina Healthcare | Medical Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Cigna | — | $0.21 | $57.80 | $28.90 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Health Net Federal | — | $0.21 | $57.80 | $28.90 | 2026-05-08 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Synermed | Medical Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Blue Shield | Medical Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Heritage Provider Network | Medical Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Kaiser | Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Benevolence Healthcare | Medical Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Care First | Medical Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Altamed | Medical Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Accountable Healthcare Ipa | Medical Managed Care | $0.21 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Sentara Health | Hmo | $0.23 | $28.56 | $14.28 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Sentara Health | Ppo | $0.23 | $28.56 | $14.28 | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Sentara Health | Ppo | $0.23 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Sentara Health | Ppo | $0.23 | $28.56 | $14.28 | 2026-05-06 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Sentara Health | Hmo | $0.23 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Aetna | Managed Care | $0.23 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Sentara Health | Hmo | $0.23 | $28.56 | $14.28 | 2026-05-06 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Sentara Health | Ppo | $0.23 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Sentara Health | Hmo | $0.23 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Bcbs | Ppo And Hmo | $0.23 | $57.80 | $28.90 | 2026-05-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM Inpatient | Bcbs | Blue Connect | $0.23 | $57.80 | $28.90 | 2026-05-08 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Sentara Health | Ppo | $0.23 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Sentara Health | Hmo | $0.23 | $28.56 | $14.28 | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Sentara Health | Hmo | $0.23 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Sentara Health | Ppo | $0.23 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| MAGNOLIA REGIONAL HEALTH CENTER | Payer Negotiated Charge: Blue Cross Blue Shield Of Ar (Plan: Ppo) | — | $0.23 | $3.00 | $1.80 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Sentara Health | Hmo | $0.23 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Sentara Health | Ppo | $0.23 | $28.56 | $14.28 | 2026-05-22 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | La Care | Pascseiu/Ihss | $0.25 | $109.00 | $81.75 | 2026-05-06 | MRF ↗ |
| MAGNOLIA REGIONAL HEALTH CENTER | Payer Negotiated Charge: Blue Cross Blue Shield Of Ar (Plan: Ppo) | — | $0.36 | $2.00 | $1.20 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Hmo | $0.38 | $3.80 | $1.90 | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Cigna | Exchange | $0.38 | $3.80 | $1.90 | 2026-05-06 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Ppo | $0.38 | $3.80 | $1.90 | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Cigna | Hmo | $0.38 | $3.80 | $1.90 | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Cigna | Ppo | $0.38 | $3.80 | $1.90 | 2026-05-06 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Exchange | $0.38 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Exchange | $0.38 | $3.80 | $1.90 | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Hmo | $0.38 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Ppo | $0.38 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Exchange | $0.38 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Hmo | $0.38 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Exchange | $0.38 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Hmo | $0.38 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Exchange | $0.38 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Ppo | $0.38 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Ppo | $0.38 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Hmo | $0.38 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Exchange | $0.38 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Cigna | Ppo | $0.38 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Hmo | $0.38 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Ppo | $0.38 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Aetna | Managed Care | $0.39 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | United | Exchange | $0.46 | $3.80 | $1.90 | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | United | Nonoptions | $0.46 | $3.80 | $1.90 | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | United | Options | $0.46 | $3.80 | $1.90 | 2026-05-06 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | United | Nonoptions | $0.46 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | United | Exchange | $0.46 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Nonoptions | $0.46 | $3.80 | $1.90 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Nonoptions | $0.46 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Options | $0.46 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Exchange | $0.46 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Nonoptions | $0.46 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Nonoptions | $0.46 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Options | $0.46 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Exchange | $0.46 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Options | $0.46 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | United | Exchange | $0.46 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | United | Nonoptions | $0.46 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | United | Options | $0.46 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Exchange | $0.46 | $3.80 | $1.90 | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | United | Options | $0.46 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Options | $0.46 | $3.80 | $1.90 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Exchange | $0.46 | $3.80 | $1.90 | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Exchange Hmo | $0.48 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Exchange Ppo | $0.48 | $3.80 | $1.90 | 2026-05-14 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Heritage Provider Network | Medical Managed Care | $0.48 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Ppo | $0.48 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Hmo | $0.48 | $3.80 | $1.90 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Ppo | $0.48 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Exchange Hmo | $0.48 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Exchange Ppo | $0.48 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Hmo | $0.48 | $3.80 | $1.90 | 2026-05-13 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Altamed | Medical Managed Care | $0.48 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Molina Healthcare | Medical Managed Care | $0.48 | $725.00 | $543.75 | 2026-05-06 | MRF ↗ |
| COLLEGE MEDICAL CENTER Outpatient | Accountable Healthcare Ipa | Medical Managed Care | $0.48 | $725.00 | $543.75 | 2026-05-06 | 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.