26641 — Treat Thumb Dislocation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TREAT THUMB DISLOCATION (HCPCS 26641) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/26641?code_type=HCPCS
MLA (9th ed.)
“TREAT THUMB DISLOCATION (HCPCS 26641) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/26641?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TREAT THUMB DISLOCATION (HCPCS 26641) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/26641?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $253–$774 (25th–75th percentile) across 2,167 hospitals · 6,921 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 26641 — 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
$253
$404 typical
$774
The middle 50% of negotiated facility rates for this procedure, measured across 2,167 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. | $404 |
| Surgeon (professional fee) Estimate national typical Medicare $384 × 1.22 commercial. | $469 |
| 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 | $1,581 |
Surgical episode (typical)
~$1,581
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)
~$5,366
- 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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $1,534.00 | $1,257.88 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $1,534.00 | $1,257.88 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $1,534.00 | $1,257.88 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $1,534.00 | $1,257.88 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $1,534.00 | $1,257.88 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $1,534.00 | $1,257.88 | 2025-11-26 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.25 | $1,108.90 | $665.34 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.25 | $1,108.90 | $665.34 | 2025-08-11 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $9.97 | $580.00 | $580.00 | 2026-03-09 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $10.97 | $392.00 | $254.80 | 2026-05-07 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $11.00 | $1,403.00 | $266.57 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $11.00 | $1,403.00 | $266.57 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $11.00 | $1,403.00 | $266.57 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $11.00 | $1,403.00 | $266.57 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $11.00 | $1,403.00 | $266.57 | 2026-01-31 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | United Healthcare | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Primewest Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Medica | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Aetna | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | UCare for Seniors | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Ucare Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Humana | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Blue Plus Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Blue Cross Blue Shield | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Medica Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $11.60 | — | — | 2024-10-01 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $1,604.00 | $1,604.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $12.00 | $1,604.00 | $1,604.00 | 2025-10-04 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Advantage HMO | $12.00 | $24.00 | $18.00 | 2025-04-15 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $1,403.00 | $378.81 | 2026-01-31 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $12.00 | $1,298.00 | $519.20 | 2026-05-06 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $12.00 | $1,403.00 | $378.81 | 2026-01-31 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $12.00 | $1,604.00 | $1,604.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $1,604.00 | $1,604.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $12.24 | $1,604.00 | $1,604.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $12.24 | $1,604.00 | $1,604.00 | 2025-10-04 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $13.20 | $1,133.00 | $453.20 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $13.20 | $1,133.00 | $453.20 | 2026-05-14 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $15.60 | $1,604.00 | $1,604.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $15.60 | $1,604.00 | $1,604.00 | 2025-10-04 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $17.55 | $1,108.00 | $254.84 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $17.55 | $1,108.00 | $210.52 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $17.55 | $1,108.00 | $265.92 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $17.55 | $1,108.00 | $254.84 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $17.55 | $1,108.00 | $243.76 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $17.55 | $1,108.00 | $254.84 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $17.55 | $1,108.00 | $299.16 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $17.55 | $1,108.00 | $199.44 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $17.55 | $1,108.00 | $265.92 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $17.55 | $1,108.00 | $243.76 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $17.55 | $1,108.00 | $299.16 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $17.55 | $1,108.00 | $254.84 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $17.55 | $1,108.00 | $243.76 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $17.55 | $1,108.00 | $243.76 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $17.55 | $1,108.00 | $288.08 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $17.55 | $1,108.00 | $243.76 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $17.55 | $1,108.00 | $199.44 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $17.55 | $1,108.00 | $243.76 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $17.55 | $1,108.00 | $243.76 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $17.55 | $1,108.00 | $210.52 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $17.55 | $1,108.00 | $243.76 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $17.55 | $1,108.00 | $288.08 | 2026-04-14 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Essentials | $19.00 | $24.00 | $18.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO/POS Network Participation | $19.00 | $24.00 | $18.00 | 2025-04-15 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Traditional Indemnity | $20.00 | $24.00 | $18.00 | 2025-04-15 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $28.00 | $823.56 | $658.85 | 2026-03-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD MISC | MCD MISC OP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD LA HLTH CONN | MCD LHC IP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD UHC | MCD UHC OP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD LA HLTH CONN | MCD LHC OP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD HEALTHY BLUE | MCD HEALTHY BLUE OP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD HEALTHY BLUE | MCD HEALTHY BLUE IP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICAID LA | MEDICAID OP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AETNA BETTER HLTH | MCD AETNA IP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD MISC | MCD MISC IP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD UHC | MCD UHC IP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICAID LA | MEDICAID IP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AETNA BETTER HLTH | MCD AETNA OP | $29.81 | $508.00 | $304.80 | 2025-12-04 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $32.07 | — | — | 2026-04-14 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | BLUE CROSS-ALL PLANS | BLUE CROSS-ALL PLANS | $32.96 | $103.00 | $82.40 | 2026-03-04 | MRF ↗ |
| DECATUR COUNTY HOSPITAL Both | BLUE CROSS-ALL PLANS | BLUE CROSS-ALL PLANS | $32.96 | $103.00 | $82.40 | 2026-03-04 | 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 ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE IP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE OP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA IP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE IP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE OP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID IP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA OP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC OP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC IP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE OP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC IP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID REHAB | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE IP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC OP | $33.31 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $33.77 | $265.00 | $46.38 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $34.45 | $265.00 | $46.38 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $34.45 | $265.00 | $46.38 | 2026-02-28 | 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 ↗ |
| HUMBOLDT COUNTY MEMORIAL HOSPITAL OutpatientFacility | None | — | — | $50.00 | $45.00 | 2026-03-30 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $35.14 | $265.00 | $46.38 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $35.49 | $265.00 | $46.38 | 2026-02-28 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE IP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA OP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC IP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | UNITED HEALTH MEDICAID | MCD UHC OP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE IP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AETNA BETTER HEALTH | MCD AETNA IP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC OP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID OUT OF STATE OP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | LA HEALTHCARE CONN MDCAID | MCD LHC IP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID IP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HEALTHY BLUE | MCD HEALTHY BLUE OP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | MEDICAID | MEDICAID REHAB | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE OP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | CORRECT CARE INT HTH | CORRECT CARE IP | $36.32 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID UNITED HEALTHCAR | DOWNGRADE MEDICAID UHC | $36.61 | $489.50 | $269.22 | 2026-05-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA OP | $36.65 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| BYRD REGIONAL HOSPITAL Both | HUMANA MEDICAID | MCD HUMANA IP | $36.65 | $256.50 | $76.95 | 2025-12-04 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $36.87 | $265.00 | $46.38 | 2026-02-28 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $37.06 | $823.56 | $658.85 | 2026-03-24 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Outpatient | Geisinger | Managed Medicaid | $38.50 | $1,129.00 | $677.40 | 2026-02-12 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | Health Partners | Health Partners Plan Medicaid | $38.50 | $999.15 | $292.00 | 2024-12-19 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Cigna | Cigna | — | $1,395.00 | $864.90 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Capital - Enhanced Network Rates | — | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | — | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Wyoming Seminary | Wyoming Seminary | — | $1,395.00 | $864.90 | 2025-07-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $38.50 | $999.15 | $242.00 | 2026-03-17 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $38.50 | $999.15 | $292.00 | 2024-12-19 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | — | $1,395.00 | $864.90 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Capital - Special Network Rates | — | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Capital - Enhanced Network Rates | — | $1,395.00 | $864.90 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Capital - Basic Network Rates | — | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Capital - Basic Network Rates | — | $1,395.00 | $864.90 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Multiplan | Multiplan/Private Health Care System | — | $1,395.00 | $864.90 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Special Risk International | Special Risk International - United Resource Network | — | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Medicaid | Medicaid | $38.50 | $1,395.00 | $864.90 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | North Central Secure Treatment Unit | North Central Secure Treatment Unit | — | $1,395.00 | $864.90 | 2025-07-01 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $38.50 | $461.00 | $124.47 | 2025-01-14 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Wyoming Seminary | Wyoming Seminary | — | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Congregation of the Sister Servants | Congregation of the Sister Servants | — | $1,395.00 | $864.90 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Medicaid | Medicaid | $38.50 | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Outpatient | Health Partners | Managed Medicaid | $38.50 | $1,129.00 | $677.40 | 2026-02-12 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Community Care | Community Care - Behavioral Health | — | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Shepard International Health Care | Shepard International Health Care - Allegheny International | — | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $38.50 | $599.00 | $161.73 | 2026-03-27 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $38.50 | $461.00 | $124.47 | 2024-12-30 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $38.50 | $999.15 | $242.00 | 2026-03-17 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Outpatient | Health Partners | Managed Medicaid | $38.50 | $1,129.00 | $677.40 | 2025-02-18 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $38.50 | — | — | 2026-04-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $38.50 | $999.15 | $300.00 | 2024-12-19 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | Unison | Med Plus | $38.50 | $2,266.00 | $355.86 | 2026-04-08 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Outpatient | Amerihealth | Managed Medicaid | $38.50 | $1,129.00 | $677.40 | 2025-02-18 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Integrated Health Plan | Integrated Health Plan | — | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Aetna | Medicaid | $38.50 | $4,043.00 | $2,425.80 | 2026-03-06 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Managed Health Network | Managed Health Network - Behavioral Health | — | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Aetna | Aetna | — | $1,395.00 | $864.90 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Tricare | Humana Tricare | — | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Aetna | Aetna | — | $930.00 | $576.60 | 2025-07-01 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $38.50 | $412.24 | $82.45 | 2026-03-27 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Managed Health Network | Managed Health Network - Behavioral Health | — | $1,395.00 | $864.90 | 2025-07-01 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $38.50 | $461.00 | $124.47 | 2025-01-14 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.