25635 — Cltx Carpl Fx W/mnpj Ea B1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CLTX CARPL FX W/MNPJ EA B1 (HCPCS 25635) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25635?code_type=HCPCS
MLA (9th ed.)
“CLTX CARPL FX W/MNPJ EA B1 (HCPCS 25635) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25635?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“CLTX CARPL FX W/MNPJ EA B1 (HCPCS 25635) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25635?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $898–$2,461 (25th–75th percentile) across 1,890 hospitals · 5,435 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 25635 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$898
$1,648 typical
$2,461
The middle 50% of negotiated facility rates for this procedure, measured across 1,890 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,648 |
| Surgeon (professional fee) Estimate national typical Medicare $423 × 1.22 commercial. | $516 |
| Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $708 |
| Likely subtotal | $2,873 |
Surgical episode (typical)
~$2,873
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$6,658
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Health First Health Plan | Health First Health Plan Medicare | $0.29 | $431.70 | $107.93 | 2026-05-08 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $12.00 | $1,550.00 | $294.50 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $12.00 | $1,550.00 | $294.50 | 2026-01-31 | MRF ↗ |
| MAYERS MEMORIAL HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $800.00 | $800.00 | 2026-05-12 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $1,550.00 | $294.50 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $12.00 | $1,550.00 | $294.50 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $12.00 | $1,550.00 | $294.50 | 2026-01-31 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $24.06 | $1,876.00 | $1,876.00 | 2026-02-13 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $25.71 | $2,471.85 | $2,471.85 | 2026-04-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $29.31 | $1,225.00 | $294.00 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $29.31 | $1,225.00 | $281.75 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $29.31 | $1,225.00 | $281.75 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $29.31 | $1,225.00 | $269.50 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $29.31 | $1,225.00 | $232.75 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $29.31 | $1,225.00 | $269.50 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $29.31 | $1,225.00 | $269.50 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $29.31 | $1,225.00 | $269.50 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $29.31 | $1,225.00 | $232.75 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $29.31 | $1,225.00 | $318.50 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $29.31 | $1,225.00 | $330.75 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $29.31 | $1,225.00 | $294.00 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $29.31 | $1,225.00 | $220.50 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $29.31 | $1,225.00 | $220.50 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $29.31 | $1,225.00 | $281.75 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $29.31 | $1,225.00 | $330.75 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $29.31 | $1,225.00 | $318.50 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $29.31 | $1,225.00 | $269.50 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $29.31 | $1,225.00 | $269.50 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $29.31 | $1,225.00 | $281.75 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $29.31 | $1,225.00 | $269.50 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $29.31 | $1,225.00 | $269.50 | 2026-04-14 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $32.00 | $1,550.00 | $418.50 | 2026-01-31 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $32.00 | $2,009.00 | $436.65 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $32.00 | $1,550.00 | $418.50 | 2026-01-31 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $32.00 | $2,009.00 | $436.65 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | MEDI-CAL | MEDI-CAL | $32.00 | $2,009.00 | $436.65 | 2026-02-25 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $35.47 | — | — | 2026-04-14 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $35.56 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $37.00 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $37.00 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $37.00 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $37.00 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $37.00 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $37.00 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $37.00 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $37.00 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $37.00 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $37.00 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $37.00 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Magee Health Partners | Medicaid | $41.62 | — | — | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $44.07 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $44.40 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $46.07 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $46.07 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $46.45 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $46.45 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $46.45 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $46.45 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $46.45 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $46.45 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $46.45 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $46.45 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $46.45 | — | — | 2026-04-14 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $47.06 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC LCD | ALL PRODUCTS | $47.56 | $3,404.00 | — | 2026-01-01 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $47.56 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $47.56 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $47.56 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $47.56 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $47.56 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $47.56 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC LCD | ALL PRODUCTS | $47.56 | $3,404.00 | — | 2026-01-01 | MRF ↗ |
| PIONEER MEMORIAL HOSPITAL - CAH InpatientFacility | United Healthcare | Medicare Advantage | $48.30 | $138.00 | $138.00 | 2026-04-30 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,075.00 | $645.00 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,075.00 | $645.00 | 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 ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $50.71 | $398.00 | $69.65 | 2026-02-28 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $51.00 | $1,913.00 | $363.47 | 2026-02-27 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $51.74 | $398.00 | $69.65 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $51.74 | $398.00 | $69.65 | 2026-02-28 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $51.80 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $51.80 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $51.80 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $51.80 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $51.80 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $51.80 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $52.16 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $52.16 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $52.16 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $52.16 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $52.16 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $52.16 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $52.16 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $52.16 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $52.16 | — | — | 2026-04-14 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $52.40 | — | — | 2025-01-31 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $52.78 | $398.00 | $69.65 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $53.30 | $398.00 | $69.65 | 2026-02-28 | MRF ↗ |
| ATHOL MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $54.00 | $163.00 | $163.00 | 2025-04-16 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | United Healthcare | Default | — | $1,161.00 | $847.53 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Aetna | Default | $55.00 | $1,161.00 | $847.53 | 2026-05-09 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $55.37 | $398.00 | $69.65 | 2026-02-28 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | JNE Health Partners | JNE001_JNE002_JNE003 CHIP | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | JAB Health Partners | JAB002 Medicaid | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | JNE Health Partners | JNE001_JNE002_JNE003 Medicaid | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | JNE Health Partners | JNE001_JNE002_JNE003 CHIP | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | JNE Health Partners | JNE001_JNE002_JNE003 Medicaid | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $59.20 | $1,668.00 | $300.24 | 2026-01-30 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $59.40 | $440.00 | $330.00 | 2026-01-16 | MRF ↗ |
| ATHOL MEMORIAL HOSPITAL Outpatient | Commonwealth Care Alliance | MedicareAdvantage | $60.00 | $163.00 | $163.00 | 2025-04-16 | MRF ↗ |
| ATHOL MEMORIAL HOSPITAL Outpatient | Fallon | MedicarePlusHMO | $62.00 | $163.00 | $163.00 | 2025-04-16 | MRF ↗ |
| ATHOL MEMORIAL HOSPITAL Outpatient | Fallon | MedicarePlusCentralHMO | $62.00 | $163.00 | $163.00 | 2025-04-16 | MRF ↗ |
| ATHOL MEMORIAL HOSPITAL Outpatient | Fallon | NaviCare | $62.00 | $163.00 | $163.00 | 2025-04-16 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Choice Care | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | CareSource | Medicare Just for Me | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Humana | Choice Care | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL BothFacility | Humana | Choice Care Commercial | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Molina | Medicaid Kentucky | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL BothFacility | Aetna | Commercial Health | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | WellCare | Medicaid | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Pathway HPN | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Pathway HMO | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | United Health Care | Veteran Affairs | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem/Atena | Medicaid | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Cigna_HealthCare | HMO_PPO | $68.00 | $8,375.25 | $4,187.62 | 2024-12-15 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $68.01 | $2,013.00 | $301.95 | 2026-02-27 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Oscar | HMO | $68.92 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | CareSource | Medicare Just for Me | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL BothFacility | Aetna | Commercial Health | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Humana | Choice Care | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | United Health Care | Veteran Affairs | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL BothFacility | Humana | Choice Care Commercial | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Humana | Medicare Choice Care | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem/Atena | Medicaid | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Molina | Medicaid Kentucky | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | WellCare | Medicaid | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem | Pathway HMO | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | Anthem | Pathway HPN | — | $412.00 | $247.20 | 2025-01-22 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Meridian | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Health Alliance | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Molina | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Aetna | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | UHC | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Wellcare | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Wellcare | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Health Alliance | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | UHC | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Aetna | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Molina | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON OutpatientFacility | Meridian | Medicare Advantage | $72.22 | $200.60 | $100.30 | 2025-01-21 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $455.00 | $273.00 | 2025-01-22 | 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.