27193 — Treat Pelvic Ring Fracture
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TREAT PELVIC RING FRACTURE (CPT 27193) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27193?code_type=CPT
MLA (9th ed.)
“TREAT PELVIC RING FRACTURE (CPT 27193) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27193?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TREAT PELVIC RING FRACTURE (CPT 27193) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27193?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $605–$3,958 (25th–75th percentile) across 539 hospitals · 466 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 27193 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CAPE CANAVERAL HOSPITAL Outpatient | Corizon Health | Yescare | $2.25 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Nhp | $3.32 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Health First Health Plan | Hfhp Individual Ppo/Marketplace | $3.35 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Florida Healthcare Plans | Florida Healthcare Plans Bnn | $3.59 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Cigna | Cigna | $4.64 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 2 | $5.65 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 1 | $5.65 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Aetna | Aetna Commercial | $6.41 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Disney Cruise Line | Disney Cruise Line | $6.75 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Prime Heath Services, Inc. | Prime Heath Services Inc | $8.44 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Multiplan | Multiplan | $9.00 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Choicecare | Choicecare | $10.13 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Aetna | Aetna Coventry First Health Facility Rental | $10.69 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL OutpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Medicaid | $51.00 | $425.00 | $242.25 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Empower Healthcare Solutions | Managed Medicaid | $51.00 | $425.00 | $242.25 | 2024-11-12 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $72.10 | $103.00 | $72.10 | 2026-02-02 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $74.35 | $11.25 | $2.81 | 2026-05-08 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Commercial | $100.00 | — | — | 2025-01-28 | MRF ↗ |
| WAYNE COUNTY HOSPITAL Outpatient | WELLMARK BCBS PPO-ALL OTHER PLANS | WELLMARK BCBS PPO-ALL OTHER PLANS | $100.00 | $2,400.00 | $2,400.00 | 2026-03-03 | MRF ↗ |
| WAYNE COUNTY HOSPITAL Outpatient | WELLMARK BCBS HMO | WELLMARK BCBS HMO | $100.00 | $2,400.00 | $2,400.00 | 2026-03-03 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $101.00 | $202.00 | $193.92 | 2025-12-28 | MRF ↗ |
| SAINT THOMAS RIVER PARK HOSPITAL Outpatient | COMMUNITY PLAN | 1351_RPTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 | $106.92 | — | — | 2026-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $107.06 | $793.00 | $594.75 | 2026-01-16 | MRF ↗ |
| ASCENSION GENESYS HOSPITAL Outpatient | CIGNA | 638_CIGNA 20241001 | $119.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | CIGNA | 638_CIGNA 20241001 | $119.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | JVHL - MEDICAID REPLACEMENT | 1245_SJPK,SJPR MEDICAID REPLACEMENT HMO JVHL OUTPATIENT 20250101 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | JVHL - MEDICAID REPLACEMENT | 1079_SJPK,SJPR MEDICAID HMO JVHL INPATIENT 20211001 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | MERIDIAN HEALTH PLAN | 1945_MEDICAID REPLACEMENT MERIDIAN HEALTH OUTPATIENT 20220101 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | MOLINA HEALTH | 1081_SJPK,SJPR MEDICAID REPLACEMENT MOLINA HEALTH INPATIENT 20211001 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | JVHL - MEDICAID REPLACEMENT | 1079_SJPK,SJPR MEDICAID HMO JVHL INPATIENT 20211001 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Both | MERIDIAN HEALTH PLAN | 1945_MEDICAID REPLACEMENT MERIDIAN HEALTH OUTPATIENT 20220101 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | HEALTH PLAN OF MI MEDICAID HMO | 1083_SJPK,SJPR MERIDIAN HEALTH INPATIENT 20211001 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Both | MERIDIAN HEALTH PLAN | 1945_MEDICAID REPLACEMENT MERIDIAN HEALTH OUTPATIENT 20220101 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | HEALTH PLAN OF MI MEDICAID HMO | 1083_SJPK,SJPR MERIDIAN HEALTH INPATIENT 20211001 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Both | MERIDIAN HEALTH PLAN | 1945_MEDICAID REPLACEMENT MERIDIAN HEALTH OUTPATIENT 20220101 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | MOLINA HEALTH | 1081_SJPK,SJPR MEDICAID REPLACEMENT MOLINA HEALTH INPATIENT 20211001 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | JVHL - MEDICAID REPLACEMENT | 1245_SJPK,SJPR MEDICAID REPLACEMENT HMO JVHL OUTPATIENT 20250101 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | MERIDIAN HEALTH PLAN | 1945_MEDICAID REPLACEMENT MERIDIAN HEALTH OUTPATIENT 20220101 | $124.92 | — | — | 2026-01-01 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | NE TOTAL CARE | MEDICAID HMO | $129.28 | $202.00 | $193.92 | 2025-12-28 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | MOLINA | MEDICAID HMO | $129.28 | $202.00 | $193.92 | 2025-12-28 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | NEBRASKA MEDICAID | MEDICAID | $129.28 | $202.00 | $193.92 | 2025-12-28 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | UHC | MEDICAID HMO | $129.28 | $202.00 | $193.92 | 2025-12-28 | MRF ↗ |
| SUMMIT SURGICAL, LLC Both | United Healthcare | Default | $129.52 | $259.05 | $207.24 | 2025-07-29 | MRF ↗ |
| SUMMIT SURGICAL, LLC Both | United Healthcare | Default | $129.52 | $259.05 | $207.24 | 2025-07-29 | MRF ↗ |
| Northeast Rehabilitation Hospital OutpatientFacility | Harvard Pilgrim | All Commercial Plans | $133.65 | — | — | 2026-04-01 | MRF ↗ |
| WAMEGO HEALTH CENTER Both | TRICARE | 623_TRICARE OUTPATIENT 20230101 | $133.65 | — | — | 2026-01-01 | MRF ↗ |
| WAYNE COUNTY HOSPITAL Both | AETNA MCR ADV | AETNA MCR ADV | $140.25 | $425.00 | $425.00 | 2026-03-03 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $145.40 | — | — | 2025-09-05 | MRF ↗ |
| J PAUL JONES HOSPITAL OutpatientFacility | Cigna | All Products | $148.72 | $228.80 | $228.80 | 2026-04-17 | MRF ↗ |
| FITZGIBBON HOSPITAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $154.60 | $237.85 | $190.28 | 2026-02-02 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $155.58 | — | — | 2025-09-05 | MRF ↗ |
| FITZGIBBON HOSPITAL Outpatient | BCBS PREFERRED BLUE RISK PPO | BCBS PREFERRED BLUE RISK PPO | $158.65 | $237.85 | $190.28 | 2026-02-02 | MRF ↗ |
| WAYNE COUNTY HOSPITAL Both | UHC MEDICAID-ALL PLANS | UHC MEDICAID-ALL PLANS | $161.50 | $425.00 | $425.00 | 2026-03-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $164.55 | $793.00 | $594.75 | 2026-01-16 | MRF ↗ |
| TYLER HOLMES MEMORIAL HOSPITAL CAH Both | UHC- ALL PLANS | UHC- ALL PLANS | $167.56 | $284.00 | $213.00 | 2026-02-10 | MRF ↗ |
| FITZGIBBON HOSPITAL Outpatient | BCBS BLUE LEASED PPO - ALL OTHER PLANS | BCBS BLUE LEASED PPO - ALL OTHER PLANS | $172.68 | $237.85 | $190.28 | 2026-02-02 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $172.84 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $172.84 | — | — | 2025-12-27 | MRF ↗ |
| FITZGIBBON HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $173.63 | $237.85 | $190.28 | 2026-02-02 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Inpatient | UHC | Medicaid HMO | — | $2,731.50 | $1,638.90 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Inpatient | Humana | Caresource KY | — | $2,731.50 | $1,638.90 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Inpatient | Anthem | Medicaid HMO | — | $2,731.50 | $1,638.90 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Inpatient | Wellcare | Medicaid HMO | — | $2,731.50 | $1,638.90 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Inpatient | Passport | Medicaid HMO | — | $2,731.50 | $1,638.90 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Inpatient | Aetna | Medicaid HMO | — | $2,731.50 | $1,638.90 | 2025-01-01 | MRF ↗ |
| FITZGIBBON HOSPITAL Outpatient | UHC ALL PAYER - ALL PLANS | UHC ALL PAYER - ALL PLANS | $179.58 | $237.85 | $190.28 | 2026-02-02 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | BCBS | ALL PRODUCTS | $191.90 | $202.00 | $193.92 | 2025-12-28 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | UHC | ALL PRODUCTS | $193.92 | $202.00 | $193.92 | 2025-12-28 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $195.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $195.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $195.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $195.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | MIDLANDS CHOICE | ALL PRODUCTS | $202.00 | $202.00 | $193.92 | 2025-12-28 | MRF ↗ |
| SUMMIT SURGICAL, LLC Both | Blue Cross Blue Shield of KS | Default | $202.06 | $259.05 | $207.24 | 2025-07-29 | MRF ↗ |
| SUMMIT SURGICAL, LLC Both | Blue Cross Blue Shield of KS | Default | $202.06 | $259.05 | $207.24 | 2025-07-29 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $203.68 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $203.68 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $203.68 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $203.68 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $203.68 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $203.68 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $203.68 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $203.68 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $203.68 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $203.68 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $203.68 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $203.68 | — | — | 2026-03-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $206.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $206.72 | — | — | 2025-01-01 | MRF ↗ |
| SCK HEALTH Outpatient | AMBETTER COMM OP ONLY - ALL OTHER PLANS | AMBETTER COMM OP ONLY - ALL OTHER PLANS | $212.50 | $850.00 | $850.00 | 2026-05-04 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $213.83 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $214.99 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $214.99 | — | — | 2025-01-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $215.00 | $1,042.00 | $782.00 | 2025-10-01 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | Anthem | Medicare Advantage | $215.00 | $1,042.00 | $782.00 | 2025-10-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $217.06 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $217.06 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $217.06 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $217.06 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $219.12 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $219.12 | — | — | 2025-01-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD VA | BLUE SHIELD VA | $219.42 | $1,537.00 | $1,152.75 | 2025-12-23 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $221.19 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $221.19 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $221.19 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $221.19 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $221.19 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $221.19 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $221.19 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $221.19 | — | — | 2025-01-01 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | REGENCE BLUE SHIELD - ALL PLANS | REGENCE BLUE SHIELD - ALL PLANS | $222.38 | $103.00 | $72.10 | 2026-02-02 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Humana ChoiceCare | Medicare Advantage | $225.25 | $425.00 | $242.25 | 2024-11-12 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $225.32 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $225.32 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $225.32 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $225.32 | — | — | 2025-01-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | PGBA TRICARE-ALL PLANS | PGBA TRICARE-ALL PLANS | $226.21 | $1,537.00 | $1,152.75 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | ASPIRE HP-ALL PLANS | ASPIRE HP-ALL PLANS | $226.21 | $1,537.00 | $1,152.75 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD TRICARE | BLUE SHIELD TRICARE | $226.21 | $1,537.00 | $1,152.75 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $226.21 | $1,537.00 | $1,152.75 | 2025-12-23 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | HEALTHNET TRICARE | HEALTHNET TRICARE | $226.21 | $1,537.00 | $1,152.75 | 2025-12-23 | MRF ↗ |
| TYLER HOLMES MEMORIAL HOSPITAL CAH Both | AHS BCBS | AHS BCBS | $227.20 | $284.00 | $213.00 | 2026-02-10 | MRF ↗ |
| TYLER HOLMES MEMORIAL HOSPITAL CAH Both | BCBS - ALL OTHER PLANS | BCBS - ALL OTHER PLANS | $227.20 | $284.00 | $213.00 | 2026-02-10 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $229.46 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $229.46 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $229.46 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $229.46 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $229.46 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $229.46 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $229.46 | — | — | 2026-01-01 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | $229.76 | $425.00 | $242.25 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Amerigroup by Anthem | Medicare Advantage | $232.01 | $425.00 | $242.25 | 2024-11-12 | MRF ↗ |
| SUMMIT SURGICAL, LLC Both | Aetna | Default | $233.14 | $259.05 | $207.24 | 2025-07-29 | MRF ↗ |
| SUMMIT SURGICAL, LLC Both | Aetna | Default | $233.14 | $259.05 | $207.24 | 2025-07-29 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRICARE- ALL PLANS | TRICARE- ALL PLANS | $233.43 | $1,614.85 | $1,453.37 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MEDICAL ASSOCIATES-ALL PLANS | MEDICAL ASSOCIATES-ALL PLANS | $233.43 | $1,614.85 | $1,453.37 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRIWEST WELLMARK-ALL PLANS | TRIWEST WELLMARK-ALL PLANS | $233.43 | $1,614.85 | $1,453.37 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | WELLMARK MCR ADV- ALL PLANS | WELLMARK MCR ADV- ALL PLANS | $235.76 | $1,614.85 | $1,453.37 | 2026-01-03 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Cigna Healthspring | Medicare Advantage | $236.51 | $425.00 | $242.25 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Superior Select | Dual Eligible Plans | $236.51 | $425.00 | $242.25 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Provider Partners Health Plans | All Plans | $236.51 | $425.00 | $242.25 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Wellcare Health Plans | All Plans | $236.51 | $425.00 | $242.25 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Wellcare by Allwell | All Plans | $236.51 | $425.00 | $242.25 | 2024-11-12 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Inpatient | Bcbs Ks | All Commercial Products | — | $279.00 | $223.20 | 2026-05-08 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Inpatient | Wppa | All Commercial Products | $237.15 | $279.00 | $223.20 | 2026-05-08 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Bcbs | Ppo | $241.56 | — | — | 2026-04-01 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Bcbs | Hmo | $241.56 | — | — | 2026-04-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $250.00 | $811.00 | $811.00 | 2025-07-03 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Inpatient | Aetna | All Commercial Products | $251.10 | $279.00 | $223.20 | 2026-05-08 | 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.