25609 — Optx Dst Rd Xart Fx/ep Sep3+
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OPTX DST RD XART FX/EP SEP3+ (HCPCS 25609) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25609?code_type=HCPCS
MLA (9th ed.)
“OPTX DST RD XART FX/EP SEP3+ (HCPCS 25609) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25609?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“OPTX DST RD XART FX/EP SEP3+ (HCPCS 25609) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25609?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,995–$10,229 (25th–75th percentile) across 2,127 hospitals · 5,105 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 25609 — 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
$3,995
$7,254 typical
$10,229
The middle 50% of negotiated facility rates for this procedure, measured across 2,127 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. | $7,254 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $968 × 1.22 commercial. | $1,181 |
| Likely subtotal | $8,435 |
Surgical episode (typical)
~$8,435
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)
~$12,220
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 |
|---|---|---|---|---|---|---|---|
| MERCYONE NORTH IOWA MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $0.36 | — | $59,053.40 | 2026-03-31 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $1.96 | $32,086.03 | $19,785.56 | 2025-12-19 | MRF ↗ |
| BRODSTONE HEALTHCARE Outpatient | Medica | Medicare Advantage | $2.00 | $3.00 | $3.00 | 2026-05-22 | MRF ↗ |
| BRODSTONE HEALTHCARE Outpatient | Ambetter | Commercial | $3.00 | $3.00 | $3.00 | 2026-05-22 | MRF ↗ |
| BRODSTONE HEALTHCARE Outpatient | Blue Cross Blue Shield of Nebraska | Commercial | $3.00 | $3.00 | $3.00 | 2026-05-22 | MRF ↗ |
| BRODSTONE HEALTHCARE Outpatient | Medica | Commercial | $3.00 | $3.00 | $3.00 | 2026-05-22 | MRF ↗ |
| BRODSTONE HEALTHCARE Outpatient | Midlands Choice | Commercial | $3.00 | $3.00 | $3.00 | 2026-05-22 | MRF ↗ |
| BRODSTONE HEALTHCARE Outpatient | Coventry Health Care | Commercial | $3.00 | $3.00 | $3.00 | 2026-05-22 | MRF ↗ |
| BRODSTONE HEALTHCARE Outpatient | United Healthcare | Commercial | $3.00 | $3.00 | $3.00 | 2026-05-22 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | FALLON MEDICAID [10904] | All FALLON ACO UM [130] Plans | $3.78 | $49,999.47 | $49,999.47 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | FALLON MEDICAID [10904] | All FALLON MCO UM [104] Plans | $3.78 | $49,999.47 | $49,999.47 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | TUFTS MEDICAID [10908] | All TUFTS TOGETHER UM [121] Plans | $3.78 | $49,999.47 | $49,999.47 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | MASSHEALTH [20302] | All MASSHEALTH UM [10] Plans | $3.78 | $49,999.47 | $49,999.47 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | MGB MEDICAID [10906] | All MGB (FORMERLY AHP) ACO UM [212] Plans | $3.78 | $49,999.47 | $49,999.47 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans | $3.78 | $49,999.47 | $49,999.47 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | INSTITUTION [10406] | All WORCESTER RECOVERY UM [233] Plans | $3.78 | $49,999.47 | $49,999.47 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | HNE MEDICAID [10905] | All HEALTH NEW ENGLAND/MINUTEMAN MCO UM [222] Plans | $3.78 | $49,999.47 | $49,999.47 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans | $4.73 | $49,999.47 | $49,999.47 | 2026-03-26 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $5.18 | $2,551.00 | $1,530.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $5.18 | $2,551.00 | $1,530.60 | 2026-02-12 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $6.85 | — | $14,553.92 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $6.85 | — | $14,553.92 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $6.85 | — | $14,553.92 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $6.85 | — | $14,553.92 | 2026-03-31 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Bcbs Of Ky Hmo/Ppo | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Anthem Hix | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Secure Horizons | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Managed Medicare 100% | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Prime Health | Prime Health Indigent | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Humana | Humana Hix | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Todays Options | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Humana | Humana Medicare Ppo | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Prime Health | Prime Health | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Ccn | Ccn | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Essence | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Uhc | Uhc All Payer | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Centercare Network | Centercare | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Healthlink | Healthlink | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Humana | Humana Medicare Hmo | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Aetna | Aetna | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Uhc | Uhc Managed Medicare | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Tricare | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Phcs | Phcs | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Aetna | Aetna Medicare | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Unicare | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Wellcare | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Passport | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | Blue Cross Blue Shield Of Mn | Default | $16.84 | $22.86 | $22.86 | 2026-05-06 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | Medica | Default | $17.03 | $22.86 | $22.86 | 2026-05-06 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY OutpatientFacility | BLUE CROSS BLUE SHIELD NY [1022] | BCBS INDIVIDUAL NETWORK [102218] | $19.58 | — | $23,694.95 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $20.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $20.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $20.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $20.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $20.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $20.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $20.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $20.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $20.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $20.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $20.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | Healthpartners | Default | $20.39 | $22.86 | $22.86 | 2026-05-06 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $23.82 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $24.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $25.83 | $14,351.00 | $7,262.33 | 2024-12-31 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY OutpatientFacility | BLUE CROSS BLUE SHIELD NY [1022] | BCBS INDIVIDUAL NETWORK [102218] | $27.78 | — | $23,694.95 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $28.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $28.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $28.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $28.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $28.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $28.00 | $538.00 | $96.84 | 2026-01-30 | MRF ↗ |
| MERCY MEDICAL CTR OutpatientFacility | CARELON HEALTH MEDICAID | CARELON MEDICAID | $28.16 | — | $14,487.39 | 2026-03-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $30.26 | $2,687.00 | $510.53 | 2026-01-25 | MRF ↗ |
| MERCY MEDICAL CTR OutpatientFacility | WELLSENSE HEALTH PLAN | WELLSENSE SILVER | $30.84 | — | $14,487.39 | 2026-03-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $32.00 | $538.00 | $96.84 | 2026-01-30 | 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 ↗ |
| St Elizabeth Medical Center Outpatient | MADISON ONEIDA HERK WC [700056] | WC MADISON ONEIDA HERK [70005601] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ESIS WORK COMP [700010] | WC ESIS [70001001] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | SEDGWICK [700027] | WC SEDGWICK [70002701] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CORVEL CORP WC [700054] | WC CORVEL CORP [70005401] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S MVHS EMPLOYEE [70005903] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GEICO AUTO INSURANCE [800003] | NF GEICO AUTO INSURANCE [80000301] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL AUTO INSURANCE [800008] | NF LIBERTY MUTUAL AUTO INS [80000801] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS WORK COMP [700028] | WC TRAVELERS [70002801] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S SEMC EMPLOYEE [70005904] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NYSIF [700058] | WC NY STATE INSURANCE FUND [70005801] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NF MISC. [809999] | NF MISC. [80999901] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA FSLH EMPLOYEE [70005901] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ERIE INS NF [800002] | NF ERIE INS [80000201] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ALLSTATE AUTO INSURANCE [800001] | NF ALLSTATE [80000101] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | SEDGWICK [700027] | WC SEDGWICK [70002701] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS NO FAULT [800006] | NF TRAVELERS [80000601] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CHARTIS WC [700029] | WC CHARTIS [70002901] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MADISON ONEIDA HERK WC [700056] | WC MADISON ONEIDA HERK [70005601] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NY CTRL MUTUAL NF [800004] | NF NY CTRL MUTUAL [80000401] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HARTFORD INS WC [700055] | WC HARTFORD INS [70005501] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GALLAGHER BASSETT WORK COMP [700013] | WC GALLAGHER BASSETT [70001301] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PMA WORK COMP [700031] | WC PMA [70003101] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS WORK COMP [700028] | WC TRAVELERS [70002801] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PROGRESSIVE AUTO INSURANCE [800005] | NF PROGRESSIVE AUTO INSURANCE [80000501] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CHARTIS WC [700029] | WC CHARTIS [70002901] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL WORK COMP [700016] | WC LIBERTY MUTUAL [70001601] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HARTFORD INS WC [700055] | WC HARTFORD INS [70005501] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NCA WC [700057] | WC NCA [70005701] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CORVEL CORP WC [700054] | WC CORVEL CORP [70005401] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA SEMC EMPLOYEE [70005902] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WC MISC. [709999] | WC MISC. [70999901] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NCA WC [700057] | WC NCA [70005701] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PMA WORK COMP [700031] | WC PMA [70003101] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STATE FARM AUTO INSURANCE NF [800026] | NF STATE FARM AUTO INSURANCE [80002601] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA SEMC EMPLOYEE [70005902] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STRATEGIC COMP SERVICES [700061] | WC STRATEGIC COMP SERVICES [70006101] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL AUTO INSURANCE [800008] | NF LIBERTY MUTUAL AUTO INS [80000801] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S MVHS EMPLOYEE [70005903] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S SEMC EMPLOYEE [70005904] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL WORKER'S COMP [700062] | WC UTICA NATIONAL INS [70006201] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STATE FARM AUTO INSURANCE NF [800026] | NF STATE FARM AUTO INSURANCE [80002601] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STRATEGIC COMP SERVICES [700061] | WC STRATEGIC COMP SERVICES [70006101] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WC MISC. [709999] | WC MISC. [70999901] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL NO FAULT [800007] | NF UTICA NATIONAL INS [80000701] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NF MISC. [809999] | NF MISC. [80999901] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA FSLH EMPLOYEE [70005901] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NY CTRL MUTUAL NF [800004] | NF NY CTRL MUTUAL [80000401] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GEICO AUTO INSURANCE [800003] | NF GEICO AUTO INSURANCE [80000301] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ERIE INS NF [800002] | NF ERIE INS [80000201] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NYSIF [700058] | WC NY STATE INSURANCE FUND [70005801] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GALLAGHER BASSETT WORK COMP [700013] | WC GALLAGHER BASSETT [70001301] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MET LIFE AUTO INSURANCE [800009] | NF MET LIFE AUTO INS [80000901] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL NO FAULT [800007] | NF UTICA NATIONAL INS [80000701] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ESIS WORK COMP [700010] | WC ESIS [70001001] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS NO FAULT [800006] | NF TRAVELERS [80000601] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL WORK COMP [700016] | WC LIBERTY MUTUAL [70001601] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MET LIFE AUTO INSURANCE [800009] | NF MET LIFE AUTO INS [80000901] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ALLSTATE AUTO INSURANCE [800001] | NF ALLSTATE [80000101] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PROGRESSIVE AUTO INSURANCE [800005] | NF PROGRESSIVE AUTO INSURANCE [80000501] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL WORKER'S COMP [700062] | WC UTICA NATIONAL INS [70006201] | $43.66 | $34,065.33 | $20,439.20 | 2025-01-17 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $3,076.00 | $1,845.60 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $3,076.00 | $1,845.60 | 2026-05-21 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $50.00 | $3,222.00 | $3,222.00 | 2026-02-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $50.00 | $5,474.00 | $5,474.00 | 2025-12-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Aetna | Default | $55.00 | $2,015.00 | $1,470.95 | 2026-05-09 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS Blue Advantage | Blue Advantage | $69.92 | $1,063.00 | $744.10 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | UHC Commercial | PPO | $74.50 | $1,063.00 | $744.10 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | Baylor Scott And White Commercial | UNKNOWN | $75.00 | $1,063.00 | $744.10 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS HMO | HMO | $76.00 | $1,063.00 | $744.10 | 2026-01-13 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $76.98 | $2,989.00 | $2,989.00 | 2026-02-09 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Medicare A AZ JF | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Sierra Health and Life MCR Adv | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | VA Community Care Network VACCN Region 4 Triwest | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Presbyterian Health Plan MCR Adv | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Health Choice Pathway MCR Adv | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare East Region DOS lt 01012025 | Federal | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Humana | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | ASAGEHA | Federal | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | United Healthcare | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Humana | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Health Choice Pathway MCR Adv | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Humana | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | United Healthcare | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Health Choice Pathway MCR Adv | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare East Region DOS lt 01012025 | Federal | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare West | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Health Choice Pathway MCR Adv | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Medicare A AZ JF | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Humana | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | United Healthcare | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Medicare A AZ JF | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | VA Community Care Network VACCN Region 4 Triwest | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Arizona Foundation for Medical Care (AFMC) | PPO | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Cigna | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | ASAGEHA | Federal | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Federal | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Cigna | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Arizona Foundation for Medical Care (AFMC) | PPO | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Cigna | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | UMR Wausau/UHIS | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | UMR Wausau/UHIS | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Cigna | Medicare Advantage | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare East Region DOS lt 01012025 | Federal | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare East Region DOS lt 01012025 | Federal | — | $11,326.20 | $6,455.93 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Default | — | $11,326.20 | $6,455.93 | 2026-03-16 | 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.