26725 — Treat Finger Fracture Each
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TREAT FINGER FRACTURE EACH (HCPCS 26725) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/26725?code_type=HCPCS
MLA (9th ed.)
“TREAT FINGER FRACTURE EACH (HCPCS 26725) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/26725?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TREAT FINGER FRACTURE EACH (HCPCS 26725) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/26725?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $268–$864 (25th–75th percentile) across 2,597 hospitals · 8,583 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 26725 — 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
$268
$442 typical
$864
The middle 50% of negotiated facility rates for this procedure, measured across 2,597 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. | $442 |
| Surgeon (professional fee) Estimate national typical Medicare $322 × 1.22 commercial. | $393 |
| 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 | $1,542 |
Surgical episode (typical)
~$1,542
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)
~$5,327
- 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 Inpatient | HealthNet of California, Inc. | HMO | — | $2,892.39 | $1,880.05 | 2025-11-26 | MRF ↗ |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER OutpatientFacility | Blue Cross NC | PPO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER OutpatientFacility | Blue Cross NC | HMO | — | — | — | 2026-03-30 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $1,516.00 | $1,243.12 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $1,516.00 | $1,243.12 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $1,516.00 | $1,243.12 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $1,516.00 | $1,243.12 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $1,516.00 | $1,243.12 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $1,516.00 | $1,243.12 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $1,516.00 | $1,243.12 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $2,892.39 | $1,880.05 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $1,516.00 | $1,243.12 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $1,516.00 | $1,243.12 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,892.39 | $1,880.05 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $1,516.00 | $1,243.12 | 2025-11-26 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $1,463.75 | $1,097.81 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $1,463.75 | $1,097.81 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $1,463.75 | $1,097.81 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $1.23 | $1,463.75 | $1,097.81 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $1,463.75 | $1,097.81 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $1,463.75 | $1,097.81 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $1,463.75 | $1,097.81 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $1,463.75 | $1,097.81 | 2026-05-18 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $2.57 | $211.00 | $158.25 | 2026-03-26 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Corizon Health | Yescare | $2.67 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.54 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.54 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.54 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.63 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.73 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.82 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Nhp | $3.94 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Health First Health Plan | Hfhp Individual Ppo/Marketplace | $3.98 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Florida Healthcare Plans | Florida Healthcare Plans Bnn | $4.26 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.59 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.59 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $4.68 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.68 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.68 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.68 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.78 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.88 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.97 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $5.16 | $956.00 | $908.20 | 2026-02-20 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $5.48 | $540.00 | $405.00 | 2025-03-07 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Cigna | Cigna | $5.50 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | MEDI-CAL | MEDI-CAL | $6.00 | $1,452.00 | $332.46 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $6.00 | $1,452.00 | $332.46 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $6.00 | $1,452.00 | $332.46 | 2026-02-25 | 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 | MEDICAID | MEDICAID BEACON HEALTH | $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 ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $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) | $6.60 | $821.18 | $492.71 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $6.60 | $821.18 | $492.71 | 2025-08-11 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 1 | $6.70 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 2 | $6.70 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $7.09 | $682.05 | $682.05 | 2026-04-24 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Aetna | Aetna Commercial | $7.61 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Disney Cruise Line | Disney Cruise Line | $8.01 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $8.73 | $475.00 | $475.00 | 2026-03-09 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $9.60 | $392.00 | $254.80 | 2026-05-07 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Prime Heath Services, Inc. | Prime Heath Services Inc | $10.01 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $10.39 | $1,042.00 | $385.54 | 2026-03-31 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Multiplan | Multiplan | $10.68 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| MAYERS MEMORIAL HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $11.00 | $1,560.00 | $1,560.00 | 2026-05-12 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $11.60 | — | — | 2024-10-01 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $12.00 | $1,298.00 | $519.20 | 2026-05-06 | 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 | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $12.00 | $1,120.00 | $302.40 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $1,120.00 | $302.40 | 2026-01-31 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $1,090.00 | $1,090.00 | 2025-12-03 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Choicecare | Choicecare | $12.02 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Aetna | Aetna Coventry First Health Facility Rental | $12.68 | $13.35 | $3.34 | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $13.20 | $1,026.00 | $410.40 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $13.20 | $1,026.00 | $410.40 | 2026-05-14 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $13.86 | $395.00 | $158.00 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $13.86 | $395.00 | $158.00 | 2026-05-13 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Bcbs Of Ky | Anthem Hix | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Bluegrass Family Health | Baptist Health Medicare | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Unicare | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Bcbs Of Ky | Bcbs Of Ky Hmo/Ppo | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Ky Health Cooperative | Ky Health | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Healthstar | Healthstar | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Sterling | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Ppo Next | Ppo Usa | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Bcbs Of Ky | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Pyramid | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Definity | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Direct Care | Direct Care | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Uhc | Uhc Managed Medicare | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Uhc | Uhc All Payer | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Aetna | Aetna Medicare | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Prime Health | Prime Health Indigent | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Devoted Health | Devoted | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Humana | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Amerigroup | Amerigroup Medicare Advantage | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Ky Health Cooperative | Ky Health | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Definity | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Direct Care | Direct Care | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Bluegrass Family Health | Baptist Health Medicare | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Ppo Next | Ppo Usa | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Healthstar | Healthstar | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Humana | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Tricare | Tricare | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Amerigroup | Amerigroup Medicare Advantage | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Devoted Health | Devoted | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Bcbs Of Ky | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Unicare | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Uhc | Uhc Managed Medicare | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Pyramid | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Uhc | Uhc All Payer | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Bcbs Of Ky | Bcbs Of Ky Hmo/Ppo | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Secure Horizons | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Tricare | Tricare | — | $58.89 | $23.56 | 2026-05-18 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Secure Horizons | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Aetna | Aetna Medicare | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Prime Health | Prime Health Indigent | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Sterling | Managed Medicare 100% | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| LAKE CUMBERLAND REGIONAL HOSPITAL Outpatient | Bcbs Of Ky | Anthem Hix | — | $58.89 | $23.56 | 2026-05-08 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $17.00 | $464.00 | $301.60 | 2026-02-10 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $17.00 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $17.00 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $17.00 | $1,120.00 | $212.80 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $17.00 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $17.00 | $1,120.00 | $212.80 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $17.00 | $1,120.00 | $212.80 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $17.00 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $17.00 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $17.00 | $874.00 | $611.80 | 2026-03-17 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $17.00 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $17.00 | $1,120.00 | $212.80 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $17.00 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $17.00 | $1,120.00 | $212.80 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $17.00 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $17.00 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $17.00 | $464.00 | $301.60 | 2026-02-10 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $17.00 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $17.00 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | LA CARE MEDI-CAL-ALL OTHER PLANS | LA CARE MEDI-CAL-ALL OTHER PLANS | $17.00 | $874.00 | $611.80 | 2026-03-17 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $17.46 | $281.00 | $281.00 | 2026-02-13 | 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 | Blue Essentials | $19.00 | $24.00 | $18.00 | 2025-04-15 | MRF ↗ |
| CATALINA ISLAND MEDICAL CENTER Outpatient | MOLINA MEDICAID-ALL OTHER PLANS | MOLINA MEDICAID-ALL OTHER PLANS | $19.55 | $874.00 | $611.80 | 2026-03-17 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Traditional Indemnity | $20.00 | $24.00 | $18.00 | 2025-04-15 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $20.25 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $20.40 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | BCBS | ALL PRODUCTS | $23.75 | $25.00 | $24.00 | 2025-12-28 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $23.80 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $23.80 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $23.80 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $23.80 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $23.80 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $23.80 | $1,204.00 | $216.72 | 2026-01-30 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | UHC | ALL PRODUCTS | $24.00 | $25.00 | $24.00 | 2025-12-28 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | VA CCN -ALL PLANS | VA CCN -ALL PLANS | $24.52 | $68.10 | $61.29 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRICARE- ALL PLANS | TRICARE- ALL PLANS | $24.52 | $68.10 | $61.29 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MEDICAL ASSOCIATES-ALL PLANS | MEDICAL ASSOCIATES-ALL PLANS | $24.52 | $68.10 | $61.29 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRIWEST WELLMARK-ALL PLANS | TRIWEST WELLMARK-ALL PLANS | $24.52 | $68.10 | $61.29 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | WELLMARK MCR ADV- ALL PLANS | WELLMARK MCR ADV- ALL PLANS | $24.76 | $68.10 | $61.29 | 2026-01-03 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | MIDLANDS CHOICE | ALL PRODUCTS | $25.00 | $25.00 | $24.00 | 2025-12-28 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $657.00 | $328.50 | 2026-05-13 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $25.07 | $887.00 | $195.14 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $25.07 | $887.00 | $195.14 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $25.07 | $887.00 | $195.14 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $25.07 | $887.00 | $195.14 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $25.07 | $887.00 | $195.14 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $25.07 | $887.00 | $159.66 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $25.07 | $887.00 | $195.14 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $25.07 | $887.00 | $195.14 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $25.07 | $887.00 | $195.14 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $25.07 | $887.00 | $212.88 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $25.07 | $887.00 | $212.88 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $25.07 | $887.00 | $230.62 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $25.07 | $887.00 | $204.01 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $25.07 | $887.00 | $239.49 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $25.07 | $887.00 | $204.01 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $25.07 | $887.00 | $239.49 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $25.07 | $887.00 | $204.01 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $25.07 | $887.00 | $230.62 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $25.07 | $887.00 | $168.53 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $25.07 | $887.00 | $168.53 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $25.07 | $887.00 | $204.01 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $25.07 | $887.00 | $159.66 | 2026-04-14 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC MCR ADV | UHC MCR ADV | $25.25 | $68.10 | $61.29 | 2026-01-03 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $25.67 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $25.67 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $25.67 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $25.67 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $25.67 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $25.67 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $25.67 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $25.67 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $25.67 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $25.67 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $25.67 | — | — | 2026-04-14 | 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.