27130 — Total Hip Arthroplasty
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TOTAL HIP ARTHROPLASTY (CPT 27130) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27130?code_type=CPT
MLA (9th ed.)
“TOTAL HIP ARTHROPLASTY (CPT 27130) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27130?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TOTAL HIP ARTHROPLASTY (CPT 27130) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27130?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,679–$17,449 (25th–75th percentile) across 2,151 hospitals · 5,024 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 27130 — 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
$4,679
$13,100 typical
$17,449
The middle 50% of negotiated facility rates for this procedure, measured across 2,151 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. | $13,100 |
| Surgeon Estimate national typical Medicare $1,162 × 1.5 commercial. | $1,743 |
| Anesthesia Estimate national typical 01214, ~120 min typical. Medicare $328 × 3.14 commercial. | $1,030 |
| Likely subtotal | $15,873 |
You might also be billed (if it applies to your case)
| Assistant surgeon Estimate ~12% of cases 16% of the surgeon's fee (CMS modifier convention). | $279 |
| Radiology read Estimate ~70% of cases · modeled Medicare $11 × 1.8 commercial. | $19 |
| Pathology Estimate ~10% of cases · modeled Medicare $35 × 2.166 commercial. | $76 |
| Typical added cost weighted by how often each applies | ~$55 |
Surgical episode (typical)
~$15,927
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)
~$19,712
- Some components show how often they typically apply (modeled from clinical/coding literature, not claims-measured); the total is the expected typical cost.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban Institute ortho 1.5x
- 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
- Assistant surgeon (estimate)
- rule: 16% of primary surgeon (CMS Pub 100-04)
- Radiology read (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban radiology 1.8x
- Pathology (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: in-house pt_negotiated_rates 88305-26 ÷ CMS PFS-26 (n=16216); supersedes 1.18 global proxy
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 ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Blue Shield Of California | Ppo | — | $119,291.00 | $83,503.70 | 2026-05-23 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | MEDICAID [20301] | All MEDICAID OF CT [28] Plans | $1.44 | $60,115.71 | $60,115.71 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | MEDICAID [20301] | All MEDICAID OF CT [28] Plans | $1.44 | $74,925.45 | $74,925.45 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | MEDICAID [20301] | All MEDICAID OF CT [28] Plans | $1.44 | $60,409.51 | $60,409.51 | 2026-03-26 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $5,706.00 | $4,279.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $5,706.00 | $4,279.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $5,706.00 | $4,279.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $5,706.00 | $4,279.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $1.51 | $5,706.00 | $4,279.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $5,706.00 | $4,279.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $5,706.00 | $4,279.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $5,706.00 | $4,279.50 | 2026-05-18 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $1.92 | — | $28,335.83 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | IDAHO DEPT HEALTH AND WELLFARE | IDAHO DEPARTMENT OF HEALTH WELFARE | $5.42 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | MAGELLAN BEHAVIORAL HEALTH MEDICAID | MAGELLAN MEDICAID | $5.42 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | ADA COUNTY JAIL INMATE INS | MEDICAID COUNTY | $5.42 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | ID COUNTY ADA | MEDICAID COUNTY | $5.42 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | ID COUNTY PAYETTE | MEDICAID COUNTY | $5.42 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | ID COUNTY CANYON | MEDICAID COUNTY | $5.42 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | CENTURION OF IDAHO | MEDICAID COUNTY | $5.42 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | ID COUNTY CAT FUND | MEDICAID COUNTY | $5.42 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | MEDICAID - OR | MEDICAID | $6.87 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE MEDICAID (FORMERLY BMC) MH [8] Plans | $7.46 | $87,593.20 | $87,593.23 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans | $7.46 | $67,724.50 | $67,724.50 | 2026-03-26 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NH (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ID | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - DC (CAREFIRST) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL ALTERNATE | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OK | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NE | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VT | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - SC | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - PA (HIGHMARK) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IN (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AZ | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NM | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WV (HIGHMARK) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - WA (REGENCE) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NV (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MT | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - TN | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BCBS GENERIC | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | WC DOMESTIC | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | PRE-EMPLOYMENT | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NJ (HORIZON) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AL | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - LA | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ME (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - FL | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OR (REGENCE) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OH (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - GA (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - FEDERAL | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BCN DOMESTIC | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MS | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MI | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AR | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - RI | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CT (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WI (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MA | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - DE (HIGHMARK) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AK (PREMERA) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | KAISER DOMESTIC | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - HI | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (EXCELLUS) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NC | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - PA (CAPITAL) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - KS | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (CAREFIRST) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - UT (REGENCE) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CO (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MN | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - TX | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - PA (INDEPENDENCE) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - CA | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - SD (WELLMARK) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CA (ANTHEM) | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE DISTINCTION TRANSPLANT | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ND | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS DOMESTIC | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WY | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK HMO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CARE NETWORK | WELLMARK PPO | $7.65 | — | $42,385.43 | 2026-03-31 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans | $8.67 | $66,600.46 | $66,600.46 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans | $8.67 | $74,925.45 | $74,925.45 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | GRANTS [20507] | All TB GETCHELL [226] Plans | $8.73 | $87,593.20 | $87,593.20 | 2025-12-08 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY | $8.83 | $32,441.15 | $21,086.75 | 2024-12-30 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | — | $55,955.68 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | — | $42,087.80 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | — | $34,016.02 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | — | $34,016.02 | 2026-03-31 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | BOSTON MEDICAL CENTER - WELLSENSE [50003] | CHA HB MEDICAID-STANDARD | $9.31 | $16,747.20 | $16,747.20 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | TUFTS TOGETHER W CHA [75001] | CHA HB MEDICAID-STANDARD | $9.31 | $16,747.20 | $16,747.20 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | UNITED HEALTH [40002] | CHA HB MEDICAID-STANDARD | $9.31 | $16,747.20 | $16,747.20 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | OOS MEDICAID [70002] | CHA HB MEDICAID-STANDARD | $9.31 | $16,747.20 | $16,747.20 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | OTHER TUFTS HEALTH PUBLIC PLAN [75002] | CHA HB MEDICAID-STANDARD | $9.31 | $16,747.20 | $16,747.20 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | MASS GENERAL BRIGHAM [50021] | CHA HB MEDICAID-STANDARD | $9.31 | $16,747.20 | $16,747.20 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | MASS HEALTH [70001] | CHA HB MEDICAID-STANDARD | $9.31 | $16,747.20 | $16,747.20 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | FALLON [50006] | CHA HB MEDICAID-STANDARD | $9.31 | $16,747.20 | $16,747.20 | 2026-03-20 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE SPECIAL KIDS (FORMERLY BMC) MH [256] Plans | $9.33 | $87,593.20 | $87,593.23 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans | $9.33 | $67,724.50 | $67,724.50 | 2026-03-26 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | RR MEDICARE [60002] | CHA HB MEDICARE | $10.56 | $16,747.20 | $16,747.20 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | MEDICARE [60001] | CHA HB MEDICARE | $10.56 | $16,747.20 | $16,747.20 | 2026-03-20 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans | $10.84 | $66,600.46 | $66,600.46 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans | $10.84 | $74,925.45 | $74,925.45 | 2026-03-26 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | MOUNTAIN HEALTH CO-OP | MOUNTAIN HEALTH COOPERATIVE | $10.85 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | GRANTS [20507] | All TB GETCHELL [226] Plans | $10.89 | $84,858.60 | $84,858.60 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE MEDICAID (FORMERLY BMC) MH [8] Plans | $11.34 | $84,858.60 | $84,858.61 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE SPECIAL KIDS (FORMERLY BMC) MH [256] Plans | $11.34 | $84,858.60 | $84,858.61 | 2025-12-08 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | PACIFICSOURCE HEALTH PLANS | PACIFICSOURCE | $13.20 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | COLUMBIA HEALTH NETWORK | COLUMBIA HEALTH FIRST CHOICE NETWORK | $13.20 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $13.37 | $32,441.15 | $21,086.75 | 2024-12-30 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | ALLEGIANCE | WOODGRAIN MILLWORK | $13.38 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | WEBTPA | FIRST CHOICE HEALTH | $15.37 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | PROVIDENCE | FIRST CHOICE HEALTH | $15.37 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | FIRST CHOICE HEALTH | FIRST CHOICE HEALTH | $15.37 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | EMPLOYEE BENEFIT MANAGEMENT | FIRST CHOICE HEALTH | $15.37 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | FALLON MEDICAID [10904] | All FALLON MCO MH [225] Plans | $15.94 | $87,593.20 | $87,593.23 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | FALLON MEDICAID [10904] | All FALLON ACO MH [80] Plans | $15.94 | $87,593.20 | $87,593.23 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | MGB MEDICAID [10906] | All MGB (FORMERLY AHP) ACO MH [202] Plans | $15.94 | $87,593.20 | $87,593.23 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | HNE MEDICAID [10905] | All HEALTH NEW ENGLAND/MINUTEMAN MCO MH [221] Plans | $15.94 | $87,593.20 | $87,593.23 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | TUFTS MEDICAID [10908] | All TUFTS TOGETHER MH [123] Plans | $15.94 | $87,593.20 | $87,593.23 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | MASSHEALTH [20302] | All MASSHEALTH MH [90] Plans | $15.94 | $87,593.20 | $87,593.23 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | INSTITUTION [10406] | All WORCESTER RECOVERY MH [234] Plans | $15.94 | $87,593.20 | $87,593.23 | 2025-12-08 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | MODA HEALTH | MODA HEALTH ODS OEBB | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | MODA HEALTH | MODA ODS PPO | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | SELECTHEALTH | ST LUKE'S HEALTH SYSTEM | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | PARAMOUNT HMO | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | TRINITY HEALTH SHARE | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | PAI | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | PAN-AMERICAN LIFE | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | INTERNATIONAL BENEFIT ADMINISTRATORS | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | LIFETIME BENEFIT SOLUTIONS | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | FALLON HEALTH | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | MANHATTAN LIFE | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | GHC SCW | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | DEAN HEALTH | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | HEALTHNET | FIRST HEALTH | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | CHRISTIAN CARE MINISTRY | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | FIRST HEALTH | FIRST HEALTH | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | MEDI SHARE | FIRST HEALTH | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | ASRM - RELIANCE STANDARD LIFE INSURANCE | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | PHCS | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | FAMILY LIFE INSURANCE COMPANY | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | ALLIED NATIONAL GLOBAL CARE | MULTIPLAN | $16.27 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| ATLANTIC GENERAL HOSPITAL Outpatient | All Payors | All Payors | $16.36 | $16.36 | $16.36 | 2026-04-10 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | RURAL CARRIER HEALTH BENEFIT PLAN | AETNA | $16.60 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | ASR HEALTH BENEFITS | AETNA | $16.60 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | MERITAIN | AETNA | $16.60 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | LUMINARE HEALTH (DETROIT) | AETNA | $16.60 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | HEALTHEZ | AETNA | $16.60 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | BOON CHAPMAN | AETNA | $16.60 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | AMERIBEN | AETNA | $16.60 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $16.60 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $16.60 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | AETNA | AETNA | $16.60 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | GEHA | AETNA | $16.60 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | GRANTS [20507] | All TB GETCHELL [226] Plans | $17.46 | $74,925.45 | $74,925.45 | 2026-03-26 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $18.08 | $18.08 | $11.75 | 2026-03-31 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | FALLON MEDICAID [10904] | All FALLON ACO MH [80] Plans | $18.19 | $84,858.60 | $84,858.61 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | MGB MEDICAID [10906] | All MGB (FORMERLY AHP) ACO MH [202] Plans | $18.19 | $84,858.60 | $84,858.61 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | MASSHEALTH [20302] | All MASSHEALTH MH [90] Plans | $18.19 | $84,858.60 | $84,858.61 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | HNE MEDICAID [10905] | All HEALTH NEW ENGLAND/MINUTEMAN MCO MH [221] Plans | $18.19 | $84,858.60 | $84,858.61 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | FALLON MEDICAID [10904] | All FALLON MCO MH [225] Plans | $18.19 | $84,858.60 | $84,858.61 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | TUFTS MEDICAID [10908] | All TUFTS TOGETHER MH [123] Plans | $18.19 | $84,858.60 | $84,858.61 | 2025-12-08 | MRF ↗ |
| UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient | INSTITUTION [10406] | All WORCESTER RECOVERY MH [234] Plans | $18.19 | $84,858.60 | $84,858.61 | 2025-12-08 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $21.35 | $40,997.95 | $25,214.69 | 2025-12-19 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | VA CCN -ALL PLANS | VA CCN -ALL PLANS | $22.16 | $61.55 | $55.40 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MEDICAL ASSOCIATES-ALL PLANS | MEDICAL ASSOCIATES-ALL PLANS | $22.16 | $61.55 | $55.40 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRICARE- ALL PLANS | TRICARE- ALL PLANS | $22.16 | $61.55 | $55.40 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRIWEST WELLMARK-ALL PLANS | TRIWEST WELLMARK-ALL PLANS | $22.16 | $61.55 | $55.40 | 2026-01-03 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CHARGERS FOOTBALL COMPANY [1109] | CHARGER FOOTBALL COMPANY [11090001] | $22.34 | $92,475.35 | $50,861.44 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PADRES [2014] | GLOBAL SPORTS SERVICES PROVIDER ALLIANCE (PADRES) | $22.34 | $92,475.35 | $50,861.44 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PADRES WORKERS COMPENSATION [2013] | GLOBAL SPORTS SERVICES PROVIDER ALLIANCE (PADRES) | $22.34 | $92,475.35 | $50,861.44 | 2026-04-01 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | WELLMARK MCR ADV- ALL PLANS | WELLMARK MCR ADV- ALL PLANS | $22.38 | $61.55 | $55.40 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC MCR ADV | UHC MCR ADV | $22.82 | $61.55 | $55.40 | 2026-01-03 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | TUFTS MEDICAID [10908] | All TUFTS TOGETHER HA [122] Plans | $25.11 | $60,115.71 | $60,115.71 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | TUFTS MEDICAID [10908] | All TUFTS TOGETHER HA [122] Plans | $25.11 | $60,409.51 | $60,409.51 | 2026-03-26 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL PRIORITY HEALTH PLAN [106814] | $28.22 | $66,363.65 | $66,363.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL CIGNA PRIORITY HEALTH [106826] | $28.22 | $66,363.65 | $66,363.65 | 2026-03-23 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $29.20 | $16,225.00 | $14,325.75 | 2024-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL HUMANA LABS [106813] | $30.79 | $66,363.65 | $66,363.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL HUMANA CARE LABS [700905] | $30.79 | $66,363.65 | $66,363.65 | 2026-03-23 | 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.