26841 — Fusion Of Thumb
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FUSION OF THUMB (CPT 26841) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/26841?code_type=CPT
MLA (9th ed.)
“FUSION OF THUMB (CPT 26841) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/26841?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“FUSION OF THUMB (CPT 26841) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/26841?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,694–$8,913 (25th–75th percentile) across 1,583 hospitals · 2,929 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 26841 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$2,694
$6,827 typical
$8,913
The middle 50% of negotiated facility rates for this procedure, measured across 1,583 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $6,827 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $751 × 1.22 commercial. | $916 |
| Likely subtotal | $7,743 |
Surgical episode (typical)
~$7,743
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$11,528
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $20.52 | $11,398.00 | $7,262.33 | 2024-12-31 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $21.40 | $2,152.00 | $473.44 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $21.40 | $2,152.00 | $408.88 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $21.40 | $2,152.00 | $494.96 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $21.40 | $2,152.00 | $559.52 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $21.40 | $2,152.00 | $516.48 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $21.40 | $2,152.00 | $516.48 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $21.40 | $2,152.00 | $473.44 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $21.40 | $2,152.00 | $387.36 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $21.40 | $2,152.00 | $473.44 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $21.40 | $2,152.00 | $387.36 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $21.40 | $2,152.00 | $473.44 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $21.40 | $2,152.00 | $559.52 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $21.40 | $2,152.00 | $473.44 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $21.40 | $2,152.00 | $473.44 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $21.40 | $2,152.00 | $473.44 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $21.40 | $2,152.00 | $581.04 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $21.40 | $2,152.00 | $494.96 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $21.40 | $2,152.00 | $581.04 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $21.40 | $2,152.00 | $494.96 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $21.40 | $2,152.00 | $494.96 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $21.40 | $2,152.00 | $473.44 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $21.40 | $2,152.00 | $408.88 | 2026-04-14 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $26.00 | $2,748.00 | $522.12 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $26.00 | $2,748.00 | $522.12 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $26.00 | $2,748.00 | $522.12 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $26.00 | $2,748.00 | $522.12 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $26.00 | $2,748.00 | $522.12 | 2026-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $37.29 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $37.29 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $41.02 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $41.02 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $41.02 | — | — | 2026-03-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER 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 ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $54.07 | — | — | 2026-03-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CAREMORE [2028] | MEDI-CAL | $56.00 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $56.00 | — | — | 2026-05-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BRAND NEW DAY [1089] | MEDI-CAL | $56.00 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] | $56.00 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA MEDI-CAL | $56.00 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | MEDI-CAL | $56.00 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MEDI-CAL [1048] | MEDI-CAL | $56.00 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MEDI-CAL [2001] | MEDI-CAL | $56.00 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | VANTAGE [1092] | PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL | $56.00 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | XIMED [2016] | MEDI-CAL | $56.00 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY ELDERCARE [1027] | MEDI-CAL | $56.00 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $61.00 | $3,298.00 | $3,298.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $61.00 | $3,298.00 | $3,298.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $61.00 | $3,298.00 | $3,298.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $61.00 | $3,298.00 | $3,298.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $62.22 | $3,298.00 | $3,298.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $62.22 | $3,298.00 | $3,298.00 | 2025-10-04 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $63.52 | — | — | 2026-04-14 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $69.25 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $69.25 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $69.25 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $69.25 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $69.25 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $69.25 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $69.25 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL | $70.56 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL | $70.56 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL [12400001] | $70.56 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL COMMUNITY CARE [10550015] | $70.56 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL [10550002] | $70.56 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY HEALTH GROUP [1022] | COMMUNITY HEALTH GROUP (MEDI-CAL) | $72.24 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $72.71 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $72.71 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $72.71 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $72.73 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $72.73 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $72.73 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $72.73 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET [1039] | HEALTH NET MEDI-CAL | $75.60 | $79,675.11 | $43,821.31 | 2026-04-01 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $76.16 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | MOLINA CHIP [138201] | $76.16 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $76.16 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $76.17 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $76.17 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $76.17 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $76.17 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $76.17 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $76.17 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $76.17 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $76.17 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $76.17 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $79.30 | $3,298.00 | $3,298.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $79.30 | $3,298.00 | $3,298.00 | 2025-10-04 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $80.33 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $80.33 | — | — | 2026-03-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $83.18 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $83.18 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $83.18 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $83.18 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $83.18 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $83.18 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $83.18 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $83.18 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $83.18 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $83.63 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $83.63 | — | — | 2026-04-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $88.36 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $88.36 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $88.36 | — | — | 2026-03-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $93.41 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $93.41 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $93.41 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $93.41 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $93.41 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $93.41 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $93.41 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $93.41 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $93.41 | — | — | 2026-04-14 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $95.58 | $708.00 | $531.00 | 2026-01-16 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $95.72 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | SUPERIOR MEDICARE ADVANTAGE [1319] | ALLWELL SUPERIOR MEDICARE ADVANTAGE [131900] | $95.72 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | SUPERIOR MEDICARE ADVANTAGE [1319] | SUPERIOR DUAL MEDICARE-MEDICAID PLAN [131901] | $95.72 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | SUPERIOR MEDICARE ADVANTAGE [1319] | ALLWELL SUPERIOR MEDICARE ADVANTAGE [131900] | $95.72 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | SUPERIOR MEDICARE ADVANTAGE [1319] | SUPERIOR DUAL MEDICARE-MEDICAID PLAN [131901] | $95.72 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $95.72 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | SUPERIOR MEDICARE ADVANTAGE [1319] | ALLWELL SUPERIOR MEDICARE ADVANTAGE [131900] | $95.72 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | CARE IMPROVEMENT PLUS [1104] | CARE IMPROVEMENT PLUS [110400] | $95.72 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | SUPERIOR MEDICARE ADVANTAGE [1319] | SUPERIOR DUAL MEDICARE-MEDICAID PLAN [131901] | $95.72 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] | UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] | $96.18 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] | UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] | $96.18 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLCARE OF TEXAS [1330] | WELLCARE MEDICARE ADVANTAGE - UXR [133000] | $96.18 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT DUAL MEDICARE-MEDICAID PLAN [200902] | $96.18 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT MEDICARE ADVANTAGE [200901] | $96.18 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLCARE OF TEXAS [1330] | WELLCARE MEDICARE ADVANTAGE - UXR [133000] | $96.18 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT MEDICARE ADVANTAGE [200901] | $96.18 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT DUAL MEDICARE-MEDICAID PLAN [200902] | $96.18 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLCARE OF TEXAS [1330] | WELLCARE MEDICARE ADVANTAGE - UXR [133000] | $96.18 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE [1315] | UNITED HEALTHCARE MEDICARE ADVANTAGE [131500] | $96.18 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT MEDICARE ADVANTAGE [200901] | $96.18 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT MEDICARE ADVANTAGE [2009] | WELLPOINT DUAL MEDICARE-MEDICAID PLAN [200902] | $96.18 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $97.09 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $97.09 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PROCARE ADVANTAGE [2104] | PROCARE ADVANTAGE [210400] | $97.09 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA MEDICARE ADVANTAGE [1333] | MOLINA MEDICARE ADVANTAGE [133300] | $100.99 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA MEDICARE ADVANTAGE [1333] | MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] | $100.99 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA MEDICARE ADVANTAGE [1333] | MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] | $100.99 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA MEDICARE ADVANTAGE [1333] | MOLINA DUAL MEDICARE-MEDICAID PLAN [133301] | $100.99 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA MEDICARE ADVANTAGE [1333] | MOLINA MEDICARE ADVANTAGE [133300] | $100.99 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA MEDICARE ADVANTAGE [1333] | MOLINA MEDICARE ADVANTAGE [133300] | $100.99 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $101.97 | — | — | 2025-12-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $109.92 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $109.92 | $457.99 | $183.20 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $109.92 | $457.99 | $183.20 | 2026-03-31 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $116.48 | — | — | 2026-03-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $133.39 | — | — | 2026-04-14 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $138.68 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $138.68 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $138.68 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $138.68 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $138.68 | — | — | 2026-01-01 | 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.