27222 — Treat Hip Socket Fracture
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TREAT HIP SOCKET FRACTURE (HCPCS 27222) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27222?code_type=HCPCS
MLA (9th ed.)
“TREAT HIP SOCKET FRACTURE (HCPCS 27222) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27222?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TREAT HIP SOCKET FRACTURE (HCPCS 27222) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27222?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $557–$2,884 (25th–75th percentile) across 1,583 hospitals · 3,488 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 27222 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$557
$1,432 typical
$2,884
The middle 50% of negotiated facility rates for this procedure, measured across 1,583 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,432 |
| Surgeon (professional fee) Estimate national typical Medicare $915 × 1.22 commercial. | $1,117 |
| Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $708 |
| Likely subtotal | $3,257 |
Surgical episode (typical)
~$3,257
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$7,042
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare A MS JH | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Select Health Care | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Advanced Health | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Primewell Vantage Health Plan | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicaid Mississippi | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | GEHA Multiplan Network | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Connecticut General Cigna | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare B MS JH | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | First Choice Health Network | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Magnolia Health Plan MCD Rep | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $12.95 | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Private Healthcare Systems PHCS | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Multiplan Inc. for American Family | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Physicians Care Network | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | UHC Community Plan MS | Default | — | $1,457.00 | $1,092.75 | 2025-03-07 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | TCHP | Medicaid|All Plans | $14.73 | $221.40 | $77.49 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | TCHP | Medicaid|All Plans | $14.73 | $221.40 | $77.49 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | CHC | Medicaid|All Plans | $14.73 | $221.40 | $77.49 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | CHC | Medicaid|All Plans | $14.73 | $221.40 | $77.49 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Wellpoint | Medicaid|All Plans | $15.50 | $221.40 | $77.49 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Wellpoint | Medicaid|All Plans | $15.50 | $221.40 | $77.49 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|All Other Plans | $15.81 | $221.40 | $77.49 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|All Other Plans | $15.81 | $221.40 | $77.49 | 2026-02-28 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | LOCAL STATE NON-MEDICAID | CORRECT CARE OP | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO LA HLTH CR CONNCT | MCD LHC OP | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MEDICAID | MEDICAID PSYCH | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO LA CARE | MCD AMERIHEALTH OP | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MDMC AETNA BETTER HEALTH | MCD AETNA OP | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO LA CARE | MCD AMERIHEALTH IP | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MEDICAID | MEDICAID IP | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MEDICAID | MEDICAID OP | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO AMERIGROUP | MCD HEALTHY BLUE IP | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO LA HLTH CR CONNCT | MCD LHC IP | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MANAGED MEDICAID | DEACTIVATE MDMC HEALTHY B | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO AMERIGROUP | MCD HEALTHY BLUE OP | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | LOCAL STATE NON-MEDICAID | CORRECT CARE IP | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MEDICAID | MEDICAID REHAB | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MDMC AETNA BETTER HEALTH | MCD AETNA IP | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MEDICAID | DEACTIVATE MEDICAID MCARE | $19.52 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO UNITED HEALTHCARE | MCD UHC OP | $19.71 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO UNITED HEALTHCARE | MCD UHC IP | $19.71 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|STAR | $21.24 | $221.40 | $77.49 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|STAR | $21.24 | $221.40 | $77.49 | 2026-02-28 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO COM HLTH SOLUTION | MCD HUMANA IP | $21.47 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | MCD HMO COM HLTH SOLUTION | MCD HUMANA OP | $21.47 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Multiplan | Multiplan | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Highmark Wv - Ma | All Facilities | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Cigna | Cigna | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Cigna | Cigna | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Multiplan | Multiplan | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Caresource | Caresource | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna Rental | First Health | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Caresource | Caresource | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Maryland Physician Care | Maryland Physician Care | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna | Aetna | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna | Better Health | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna Rental | First Health | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna | Aetna | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Maryland Physician Care | Maryland Physician Care | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna | Better Health | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Highmark Wv - Ma | All Facilities | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $523.00 | $261.50 | 2026-05-22 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $523.00 | $261.50 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $523.00 | $261.50 | 2026-05-22 | 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 | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Wellpoint | Medicaid|All Other Plans | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Wellpoint | Medicaid|CHIP | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Wellpoint | Medicaid|STARKIDS | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | CHC | Medicaid|All Other Plans | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | TCHP | Medicaid|STARKIDS | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Wellpoint | Medicaid|STARKIDS | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Wellpoint | Medicaid|CHIP | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | CHC | Medicaid|All Other Plans | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Wellpoint | Medicaid|CHIP | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Wellpoint | Medicaid|All Other Plans | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Wellpoint | Medicaid|STARKIDS | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHP | Medicaid|Lakeside | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | TCHP | Medicaid|STARKIDS | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | TCHP | Medicaid|All Other Plans | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHP | Medicaid|Lakeside | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Wellpoint | Medicaid|All Other Plans | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | CHC | Medicaid|All Other Plans | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | CHC | Medicaid|All Other Plans | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHP | Medicaid|STARKIDS | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Wellpoint | Medicaid|STARKIDS | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHP | Medicaid|STARKIDS | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Wellpoint | Medicaid|All Other Plans | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Wellpoint | Medicaid|CHIP | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | TCHP | Medicaid|All Other Plans | $43.92 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UHC | Medicaid|STARKIDS | $44.80 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $44.80 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UHC | Medicaid|STARKIDS | $44.80 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $44.80 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UHC | Medicaid|CHIP | $44.80 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | UHC | Medicaid|CHIP | $44.80 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | UHC | Medicaid|CHIP | $44.80 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $44.80 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | UNITED | Medicaid|All Other Plans | $44.80 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | UHC | Medicaid|STARKIDS | $44.80 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | UHC | Medicaid|STARKIDS | $44.80 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | UHC | Medicaid|CHIP | $44.80 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | BCBS | Medicaid|All Plans | $46.12 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | BCBS | Medicaid|All Plans | $46.12 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | BCBS | Medicaid|All Plans | $46.12 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | BCBS | Medicaid|All Plans | $46.12 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $47.84 | $999.15 | — | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $47.84 | $999.15 | — | 2024-12-19 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|STARPLUS | $48.36 | $221.40 | $77.49 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|STARPLUS | $48.36 | $221.40 | $77.49 | 2026-02-28 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | CHARITY/MAP | SELF PAY OP | $48.45 | $161.50 | $48.45 | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | CHARITY/MAP | SELF PAY IP | $48.45 | $161.50 | $48.45 | 2026-02-02 | 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 ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $50.00 | $1,978.00 | $1,978.00 | 2026-02-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $50.36 | $999.15 | — | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $50.36 | $999.15 | — | 2024-12-19 | MRF ↗ |
| METHODIST HOSPITALS INC OutpatientFacility | None | — | — | $0.01 | $0.01 | 2026-04-16 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | TCHP | Medicaid|STARKIDS | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Montgomery Hospital District | Commercial|All Plans | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Wellpoint | Medicaid|CHIP | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | TCHP | Medicaid|All Other Plans | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Wellpoint | Medicaid|All Other Plans | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Wellpoint | Medicaid|STARKIDS | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | CHC | Medicaid|All Other Plans | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Wellpoint | Medicaid|CHIP | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Wellpoint | Medicaid|STARKIDS | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | CHC | Medicaid|All Other Plans | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Montgomery Hospital District | Commercial|All Plans | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | TCHP | Medicaid|STARKIDS | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Wellpoint | Medicaid|All Other Plans | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Wellpoint | Medicaid|STARKIDS | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Wellpoint | Medicaid|All Other Plans | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | CHC | Medicaid|All Other Plans | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | TCHP | Medicaid|STARKIDS | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | TCHP | Medicaid|All Other Plans | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Wellpoint | Medicaid|CHIP | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Montgomery Hospital District | Commercial|All Plans | $54.90 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | UHC | Medicaid|STARKIDS | $56.00 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $56.00 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | UHC | Medicaid|STARKIDS | $56.00 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | UHC | Medicaid|STARKIDS | $56.00 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $56.00 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | BCBS | Medicaid|All Plans | $57.65 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | BCBS | Medicaid|All Plans | $57.65 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | BCBS | Medicaid|All Plans | $57.65 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHP | Medicaid|STAR | $58.86 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | CHC | Medicaid|STAR | $58.86 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Wellpoint | Medicaid|STAR | $58.86 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | TCHP | Medicaid|STAR | $58.86 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | CHC | Medicaid|STAR | $58.86 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Wellpoint | Medicaid|STAR | $58.86 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | CHC | Medicaid|STAR | $58.86 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Wellpoint | Medicaid|STAR | $58.86 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Wellpoint | Medicaid|STAR | $58.86 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | TCHP | Medicaid|STAR | $58.86 | $549.00 | $192.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | TCHP | Medicaid|STAR | $58.86 | $549.00 | $192.15 | 2026-02-28 | 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.