25999 — Unlisted Px Forearm/wrist
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). UNLISTED PX FOREARM/WRIST (CPT 25999) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25999?code_type=CPT
MLA (9th ed.)
“UNLISTED PX FOREARM/WRIST (CPT 25999) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25999?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“UNLISTED PX FOREARM/WRIST (CPT 25999) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25999?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $254–$2,060 (25th–75th percentile) across 1,578 hospitals · 2,951 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 25999 — 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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | HIGHMARK [114] | EMPIRE BLUE CROSS (NYC)|HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|FEDERAL BLUE CROSS & BLUE SHIELD | $1.35 | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP|CIGNA|GWH CIGNA|NALC CIGNA | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP ESSENTIAL 1&2 | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MULTIPLAN [141] | COMMERCIAL|MULTIPLAN|MULTIPLAN/PHCS GENERIC|CDPHP COMMERCIAL | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH MEDICAID | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | AETNA [100] | AETNA|AETNA DENTAL|MERITAIN HEALTH | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|BLUE CROSS & BLUE SHIELD|UNIVERA|EXCELLUS BCBS RIT | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4 | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EMBLEM GHI [113] | EMBLEM GHI|GHI ALT | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP GOLD HMO | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MAGNACARE [115] | MAGNACARE | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC CHPS|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS INDEMNITY [127] | HEALTHY NY | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|UNIVERA ESSENTIAL 1&2 | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | HIGHMARK [114] | HIGHMARK MEDICAID|HIGHMARK CHP | — | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | HIGHMARK [114] | HIGHMARK MEDICARE | $1.35 | $8,137.68 | $5,289.49 | 2024-12-30 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - CANNON FALLS OutpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $4.81 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - CANNON FALLS OutpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $4.81 | — | — | 2026-03-31 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY OutpatientFacility | BLUE CROSS BLUE SHIELD NY [1022] | BCBS INDIVIDUAL NETWORK [102218] | $5.56 | — | $17,034.17 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.84 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $8.84 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $8.84 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.84 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $10.40 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $10.40 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $10.40 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $10.40 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Work Partners | Workers Comp | — | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Tricare | East Region | — | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Work Partners | Workers Comp | — | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Tricare | East Region | — | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Work Partners | Workers Comp | — | $289.00 | $173.40 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | US Family Health Plan | Tricare Prime | — | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.59 | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.59 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $289.00 | $173.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | $289.00 | $173.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | US Family Health Plan | Tricare Prime | — | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | — | — | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $18.77 | $637.00 | $382.20 | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $20.40 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $24.00 | $1,659.00 | $1,659.00 | 2026-02-09 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | BCBS BAV | BCBS BAV | $24.00 | $1,659.00 | $1,659.00 | 2026-02-09 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | BCBS PPO AND TRAD - ALL OTHER PLANS | BCBS PPO AND TRAD - ALL OTHER PLANS | $24.00 | $1,659.00 | $1,659.00 | 2026-02-09 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | BCBS HMO | BCBS HMO | $24.00 | $1,659.00 | $1,659.00 | 2026-02-09 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $24.00 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $24.00 | $1,659.00 | $1,659.00 | 2026-02-09 | MRF ↗ |
| MERCY MEDICAL CTR OutpatientFacility | CARELON HEALTH MEDICAID | CARELON MEDICAID | $28.16 | — | $8,597.55 | 2026-03-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| Westchester Medical Center T C OutpatientFacility | None | — | — | $55.00 | $33.00 | 2026-04-02 | MRF ↗ |
| MERCY MEDICAL CTR OutpatientFacility | WELLSENSE HEALTH PLAN | WELLSENSE SILVER | $30.84 | — | $8,597.55 | 2026-03-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Upmc | All Commercial Plans | $31.08 | — | — | 2026-04-01 | 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 ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | UHC | Medicaid|STAR | $34.25 | — | — | 2026-02-28 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $34.38 | — | — | 2026-04-14 | 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 ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICA CONTRACTED [320239] | HB STLO MEDICA EXCHANGE | $35.50 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $36.72 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AMBETTER [20452] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $36.72 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $36.72 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AMBETTER CONTRACTED [320452] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $36.72 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | NOVASYS CONTRACTED [320285] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $36.72 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | Commercial | $36.78 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | Commercial | $36.78 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | UPMC Health Plan | Commercial | $37.70 | $637.00 | $382.20 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | UPMC Health Plan | Commercial | $38.01 | — | — | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICA CONTRACTED [320239] | HB STLO MEDICA EXCHANGE | $41.76 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $41.78 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $41.86 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $41.86 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $43.01 | — | — | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $43.20 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AMBETTER CONTRACTED [320452] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $43.20 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AMBETTER [20452] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $43.20 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | NOVASYS CONTRACTED [320285] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $43.20 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $43.20 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Univera | Univera_Medicare_Hamot_2024 | $43.35 | $289.00 | $173.40 | 2026-03-06 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $44.79 | — | — | 2026-04-14 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | CONSUMERS LIFE INS-ALL PLANS | CONSUMERS LIFE INS-ALL PLANS | $45.00 | $1,559.44 | $1,169.58 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $45.00 | $1,559.44 | $1,169.58 | 2026-04-27 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $46.52 | $637.00 | $382.20 | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA CONTRACTED [320008] | HB STLO AETNA COMMERCIAL NEW 070123 | $47.60 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Neighborhood Network | $47.71 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Neighborhood Network | $47.71 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | Tricare | East Region | — | $182.00 | $109.20 | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | UPMC Work Partners | Workers Comp | — | $182.00 | $109.20 | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | US Family Health Plan | Tricare Prime | — | $182.00 | $109.20 | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | UPMC Health Plan | Commercial | $47.94 | $182.00 | $109.20 | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $48.24 | $182.00 | $109.20 | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Focus Healthcare | Workers Compensation | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | Commercial | $48.99 | — | — | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | Focus Healthcare | Workers Compensation | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | Commercial | $48.99 | — | — | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $49.24 | — | — | 2026-03-04 | MRF ↗ |
| EAST COOPER 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 ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $51.36 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| METHODIST HOSPITALS INC OutpatientFacility | None | — | — | $0.01 | $0.01 | 2026-04-16 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | EBMS - ALL PLANS | EBMS - ALL PLANS | $52.00 | $1,972.00 | $1,873.40 | 2026-05-13 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Home Depot Employer Group | $52.07 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Home Depot Employer Group | $52.07 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | Neighborhood Network | $52.33 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | Neighborhood Network | $52.33 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $52.97 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $52.97 | — | — | 2025-12-23 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | NBR ASO/FI | $53.01 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | NBR ASO/FI | $53.01 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO ANTHEM PATHWAY/EXCHANGE EFF 011520 | $53.04 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | TriWest | Community Care Network | $54.06 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $54.31 | — | — | 2026-03-06 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | INTERWEST HEALTH PPO - ALL OTHER PLANS | INTERWEST HEALTH PPO - ALL OTHER PLANS | $54.50 | $1,972.00 | $1,873.40 | 2026-05-13 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Managed Care | $55.95 | — | — | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA CONTRACTED [320008] | HB STLO AETNA COMMERCIAL NEW 070123 | $56.00 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | INTERWEST HEALTH TRADITIONAL | INTERWEST HEALTH TRADITIONAL | $56.00 | $1,972.00 | $1,873.40 | 2026-05-13 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care | $56.06 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care | $56.06 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $56.17 | $289.00 | $173.40 | 2026-03-06 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | UNITED | Medicaid|STARPLUS | $56.25 | — | — | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | UNITED | Medicaid|STARPLUS | $56.25 | — | — | 2026-02-28 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Medicare | Medicare | $56.27 | $331.00 | $231.70 | 2026-04-01 | MRF ↗ |
| KNAPP MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $56.41 | $1,030.95 | $270.00 | 2024-12-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Prime Health Services | Worker's Compensation | $56.64 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | CORVEL | Worker's Compensation | $56.64 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | ProCare Advantage | Medicare Advantage | $56.76 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | HealthSpring | Medicare Advantage | $56.76 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Superior Health Plan | Medicare HMO/Medicare PPO | $56.76 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | American Health Plan | Medicare Advantage | $56.76 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $56.76 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | Home Depot Employer Group | $56.94 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | Home Depot Employer Group | $56.94 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | NBR ASO/FI | $58.14 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Cigna | New Business ASO | $58.14 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Cigna | New Business ASO | $58.14 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | NBR ASO/FI | $58.14 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB STLO DEC EMCAP EBSO | $58.48 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC TOWN AND COUNTRY SUPERMARKETS-NEW 7.1.24 | $58.48 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC ASI DEC NEW 010124 | $58.48 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC DEC HYDROMAT | $58.48 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | MONTANA HEALTH COOP - ALL PLANS | MONTANA HEALTH COOP - ALL PLANS | $59.00 | $1,972.00 | $1,873.40 | 2026-05-13 | MRF ↗ |
| KNAPP MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $59.38 | $1,030.95 | $270.00 | 2024-12-19 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $59.44 | $182.00 | $109.20 | 2026-03-06 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicaid|STARPLUS | $59.50 | — | — | 2026-02-28 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Bravo | Medicare | $59.85 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Bravo | Medicare | $59.85 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $61.20 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $61.20 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH | $61.20 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Managed Care | $62.29 | $637.00 | $382.20 | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO ANTHEM PATHWAY/EXCHANGE EFF 011520 | $62.40 | $160.00 | $104.00 | 2026-03-12 | MRF ↗ |
| SANFORD BAGLEY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $62.46 | $258.00 | $206.40 | 2026-03-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO ANTHEM BLUE PREFERRED EFF 011520 | $62.56 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | PHCS-ALL PLANS | PHCS-ALL PLANS | $63.00 | $1,559.44 | $1,169.58 | 2026-04-27 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicaid|STARPLUS | $63.25 | — | — | 2026-02-28 | MRF ↗ |
| GOLDEN PLAINS COMMUNITY HOSPITAL Outpatient | Cigna | All Commercial | $63.66 | $346.00 | $242.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $64.60 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Small Group | $64.87 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | EBR FI | $64.98 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | EBR FI | $64.98 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| DOCTORS HOSPITAL OF LAREDO Both | None | — | — | $1,007.00 | $402.80 | 2026-01-01 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $65.00 | $1,972.00 | $1,873.40 | 2026-05-13 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | CHIP | $66.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | UPMC Health Plan | CHIP | $66.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC KANE OutpatientFacility | UPMC Health Plan | CHIP | $66.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Health Plan | CHIP | $66.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Health Plan | CHIP | $66.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | CHIP | $66.53 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | CHIP | $66.53 | $171.00 | $102.60 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | UPMC Health Plan | CHIP | $66.53 | — | — | 2026-03-06 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Injury Management Organization | Med Select Network | $67.16 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Sedgwick | Preferred Network | $67.16 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | CareWorks fka Rockport | Worker's Compensation | $67.16 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Individual | $67.87 | $415.85 | $249.51 | 2026-02-21 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicaid|STARPLUS | $68.00 | — | — | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MC ANTHEM [20455] | HB STLO ANTHEM ACCESS CHOICE PPO | $68.00 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO ANTHEM ACCESS CHOICE PPO | $68.00 | $136.00 | $88.40 | 2026-03-12 | 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.