27369 — Njx Cntrst Kne Arthg/ct/mri
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NJX CNTRST KNE ARTHG/CT/MRI (HCPCS 27369) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27369?code_type=HCPCS
MLA (9th ed.)
“NJX CNTRST KNE ARTHG/CT/MRI (HCPCS 27369) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27369?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“NJX CNTRST KNE ARTHG/CT/MRI (HCPCS 27369) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27369?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $189–$838 (25th–75th percentile) across 2,583 hospitals · 6,356 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 27369 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$189
$452 typical
$838
The middle 50% of negotiated facility rates for this procedure, measured across 2,583 hospitals. The the surgeon's fee 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. | $452 |
| Surgeon (professional fee) Estimate national typical Medicare $34 × 1.22 commercial. | $42 |
| Likely subtotal | $493 |
Surgical episode (typical)
~$493
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $189–$838.
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 |
|---|---|---|---|---|---|---|---|
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | — | $729.00 | $510.30 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | — | $486.00 | $340.20 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | — | $486.00 | $340.20 | 2025-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | $1,436.00 | $1,077.00 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | $1,594.00 | $1,195.50 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | Marketplace | $0.30 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | FirstCare Star | Managed Medicaid | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | FirstCare Star | Managed Medicaid | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | Marketplace | $0.30 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | FirstCare Star | Managed Medicaid | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | Marketplace | $0.30 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | HMO | $0.33 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | HMO | $0.33 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | HMO | $0.33 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Baylor Scott and White Health Plan | Commercial | $0.49 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Baylor Scott and White Health Plan | Commercial | $0.49 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Baylor Scott and White Health Plan | Commercial | $0.49 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem | HMO/PPO/Traditional | — | $845.00 | $253.50 | 2026-02-09 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $340.00 | — | 2026-07-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.65 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.65 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $1,004.00 | $297.19 | 2026-02-28 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.65 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $1,004.00 | $297.19 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $1,004.00 | $424.70 | 2026-02-28 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.66 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.66 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.66 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $0.67 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $0.67 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $0.67 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | United Healthcare | Medicare Advantage | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | United Healthcare | Commercial | $0.73 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Ambetter | Marketplace | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Wellpoint | Managed Medicaid/CHIP | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | Traditional | $0.73 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | FirstCare Star | Managed Medicaid | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Texas | Traditional | $0.73 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Texas | Traditional | $0.73 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.91 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.91 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | UMR Hendrick Employee Plan | Commercial | $0.91 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,436.00 | $1,077.00 | 2026-05-20 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners MSHO HMO | — | $751.00 | $503.17 | 2024-12-10 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,436.00 | $1,077.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $1,436.00 | $1,077.00 | 2026-05-20 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $1,520.00 | $1,140.00 | 2024-12-11 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $1,520.00 | $1,140.00 | 2024-12-11 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Optum | UBH Optum | — | $751.00 | $503.17 | 2024-12-10 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,436.00 | $1,077.00 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica Commercial | — | $751.00 | $503.17 | 2024-12-10 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $1,436.00 | $1,077.00 | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $1,436.00 | $1,077.00 | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $201.00 | $150.75 | 2024-12-11 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $1,594.00 | $1,195.50 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $1.00 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $1,436.00 | $1,077.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $1,436.00 | $1,077.00 | 2026-05-20 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | America's PPO | HealthEz - America's PPO | — | $751.00 | $503.17 | 2024-12-10 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,594.00 | $1,195.50 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $1.00 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,436.00 | $1,077.00 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $157.00 | $78.50 | 2026-07-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $1,594.00 | $1,195.50 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1,072.01 | $696.81 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $236.00 | $118.00 | 2026-07-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $1,594.00 | $1,195.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $1,594.00 | $1,195.50 | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Sanford | Sanford Health Plan | — | $751.00 | $503.17 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | Cigna APWU | — | $751.00 | $503.17 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial | — | $751.00 | $503.17 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica Community Health Plan | — | $751.00 | $503.17 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners Commercial | — | $751.00 | $503.17 | 2024-12-10 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica IFB | — | $751.00 | $503.17 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners Community Health Plan | — | $751.00 | $503.17 | 2024-12-10 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,436.00 | $1,077.00 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,436.00 | $1,077.00 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIOUX FALLS SPECIALTY HOSPITAL | Bcbs Ppo Hmo Blue Card | — | $1.00 | $970.80 | $728.10 | 2026-07-16 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE - MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,594.00 | $1,195.50 | 2026-09-02 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $201.00 | $150.75 | 2024-12-11 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,594.00 | $1,195.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,594.00 | $1,195.50 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,594.00 | $1,195.50 | 2026-09-02 | MRF ↗ |
| SIOUX FALLS SPECIALTY HOSPITAL | Regence | — | $1.00 | $970.80 | $728.10 | 2026-07-16 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE ADVANTAGE HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $166.00 | $124.50 | 2024-12-11 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $1.00 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $1,594.00 | $1,195.50 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,594.00 | $1,195.50 | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,072.01 | $696.81 | 2025-11-26 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $166.00 | $124.50 | 2024-12-11 | MRF ↗ |
| SIOUX FALLS SPECIALTY HOSPITAL | Bcbs Mn | — | $1.00 | $970.80 | $728.10 | 2026-07-16 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Aetna | Commercial | $1.05 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $1.05 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Aetna | Commercial | $1.05 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.07 | $596.00 | — | 2024-12-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $157.00 | $78.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $236.00 | $118.00 | 2026-07-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Private Healthcare Systems | Commercial | $1.08 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Private Healthcare Systems | Commercial | $1.08 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Private Healthcare Systems | Commercial | $1.08 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $236.00 | $118.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $157.00 | $78.50 | 2026-07-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Healthsmart | Commercial | $1.12 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Blue Cross Blue Shield of Texas | Marketplace | $1.14 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE ADVANTAGE HMO | $1.15 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $236.00 | $118.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $157.00 | $78.50 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.18 | $99.00 | $18.81 | 2026-01-25 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Blue Cross Blue Shield of Texas | HMO | $1.18 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.18 | $136.00 | $25.84 | 2026-08-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $236.00 | $118.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $157.00 | $78.50 | 2026-07-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $1.25 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Omni Networks | Commercial | $1.25 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Omni Networks | Commercial | $1.25 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Omni Networks | Commercial | $1.25 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $1.25 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $1.25 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Blue Cross Blue Shield of Texas | PPO | $1.28 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Private Healthcare Systems | Commercial | $1.33 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Private Healthcare Systems | Commercial | $1.33 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Private Healthcare Systems | Commercial | $1.33 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Blue Cross Blue Shield of Texas | Traditional | $1.34 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Aetna | HMO/PPO/POS | $1.36 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Omni Networks | Commercial | $1.41 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Omni Networks | Commercial | $1.41 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Omni Networks | Commercial | $1.41 | $1.66 | $1.66 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Private Healthcare Systems | Commercial | $1.42 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE ADVANTAGE HMO | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | MultiPlan | Commercial | $1.44 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $157.00 | $78.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $236.00 | $118.00 | 2026-07-01 | 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.