27428 — Reconstruction Knee
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RECONSTRUCTION KNEE (CPT 27428) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27428?code_type=CPT
MLA (9th ed.)
“RECONSTRUCTION KNEE (CPT 27428) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27428?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RECONSTRUCTION KNEE (CPT 27428) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27428?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,595–$15,371 (25th–75th percentile) across 1,671 hospitals · 3,280 payers.
“Negotiated” is what insurers actually pay hospitals for this CPT/HCPCS 27428 — the consumer-grade median across the country.
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 |
|---|---|---|---|---|---|---|---|
| AHN WEXFORD HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $9.70 | $3,163.00 | $822.38 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $9.70 | $3,163.00 | $695.86 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $9.70 | $3,163.00 | $569.34 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER | Amerihealth | Amerihealth Medicaid CHC | $9.70 | $3,163.00 | $727.49 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $9.70 | $3,163.00 | $727.49 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER | Amerihealth | Amerihealth Medicaid HC | $9.70 | $3,163.00 | $727.49 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $9.70 | $3,163.00 | $569.34 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $9.70 | $3,163.00 | $759.12 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $9.70 | $3,163.00 | $759.12 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Medicaid HC | $9.70 | $3,163.00 | $695.86 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $9.70 | $3,163.00 | $600.97 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $9.70 | $3,163.00 | $695.86 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Medicaid CHC | $9.70 | $3,163.00 | $695.86 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $9.70 | $3,163.00 | $600.97 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $9.70 | $3,163.00 | $727.49 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $9.70 | $3,163.00 | $854.01 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $9.70 | $3,163.00 | $695.86 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Medicaid CHC | $9.70 | $3,163.00 | $695.86 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $9.70 | $3,163.00 | $822.38 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Medicaid HC | $9.70 | $3,163.00 | $695.86 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $9.70 | $3,163.00 | $695.86 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $9.70 | $3,163.00 | $854.01 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER | Amerihealth | Amerihealth Medicaid HC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Medicaid CHC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Medicaid HC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Medicaid CHC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER | Amerihealth | Amerihealth Medicaid CHC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Medicaid HC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL | Amerihealth | Amerihealth Medicaid CHC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL | Amerihealth | Amerihealth Medicaid HC | $11.42 | — | — | 2026-04-14 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $13.37 | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL | 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 | $17.24 | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| MONMOUTH MEDICAL CENTER | Clover | Managed Medicare | $26.96 | $14,980.00 | $14,325.75 | 2024-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Tyler Memorial Hospital | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $2,134.00 | $1,280.40 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $2,134.00 | $1,280.40 | 2026-05-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 1&2 | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $75.20 | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | HIGHMARK [114] | HIGHMARK ESSENTIALS | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | MVP [109] | MVP ESSENTIAL 3&4 | $75.20 | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $76.98 | $3,180.00 | $3,180.00 | 2026-02-09 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|Blue Cross Blue Shield Ip|Negotiated_Percentage | — | $91.00 | $2,134.00 | $1,280.40 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|Blue Cross Blue Shield Ip|Negotiated_Percentage | — | $91.00 | $2,134.00 | $1,280.40 | 2026-05-21 | MRF ↗ |
| SAINT VINCENT HOSPITAL | Univera | Univera Healthy New York | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL | Univera | Univera Essential Plan | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL | Univera | Univera Healthy New York | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER | Univera | Univera Healthy New York | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL | Univera | Univera Healthy New York | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL | Univera | Univera Essential Plan | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER | Univera | Univera Essential Plan | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL | Univera | Univera Healthy New York | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL | Univera | Univera Healthy New York | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL | Univera | Univera Healthy New York | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL | Univera | Univera Essential Plan | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL | Univera | Univera Essential Plan | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL | Univera | Univera Essential Plan | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Univera | Univera Healthy New York | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Univera | Univera Healthy New York | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Univera | Univera Essential Plan | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Univera | Univera Essential Plan | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL | Univera | Univera Essential Plan | $91.14 | — | — | 2026-04-14 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $92.01 | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|Blue Cross Blue Shield Op|Negotiated_Percentage | — | $93.00 | $2,134.00 | $1,280.40 | 2026-05-21 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|Blue Cross Blue Shield Op|Negotiated_Percentage | — | $93.00 | $2,134.00 | $1,280.40 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|Multiplan|Negotiated_Percentage | — | $95.00 | $2,134.00 | $1,280.40 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|Aetna|Negotiated_Percentage | — | $95.00 | $2,134.00 | $1,280.40 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|Aetna|Negotiated_Percentage | — | $95.00 | $2,134.00 | $1,280.40 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|Multiplan|Negotiated_Percentage | — | $95.00 | $2,134.00 | $1,280.40 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|United Healthcare|Negotiated_Percentage | — | $95.00 | $2,134.00 | $1,280.40 | 2026-05-18 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY | MEDI-CAL | MEDI-CAL | $95.00 | $530.00 | $143.10 | 2026-01-31 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | MEDI-CAL [1048] | MEDI-CAL | $95.00 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $95.00 | $530.00 | $143.10 | 2026-01-31 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | BLUE CROSS [1013] | BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] | $95.00 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | COMMUNITY ELDERCARE [1027] | MEDI-CAL | $95.00 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | ALTERNATE MEDI-CAL [2001] | MEDI-CAL | $95.00 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | CAREMORE [2028] | MEDI-CAL | $95.00 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | XIMED [2016] | MEDI-CAL | $95.00 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | AETNA [1003] | AETNA MEDI-CAL | $95.00 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | BRAND NEW DAY [1089] | MEDI-CAL | $95.00 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | BLUE CROSS [1013] | MEDI-CAL | $95.00 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|United Healthcare|Negotiated_Percentage | — | $95.00 | $2,134.00 | $1,280.40 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|Cigna|Negotiated_Percentage | — | $95.00 | $2,134.00 | $1,280.40 | 2026-05-18 | MRF ↗ |
| Southwest Healthcare System-wildomar | Anthem Blue Cross Blue Shield | Medicaid | $95.00 | — | — | 2026-05-06 | MRF ↗ |
| PROWERS MEDICAL CENTER | Standard_Charged|Cigna|Negotiated_Percentage | — | $95.00 | $2,134.00 | $1,280.40 | 2026-05-21 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | VANTAGE [1092] | PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL | $95.00 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| GOUVERNEUR HOSPITAL | GENERIC MEDICARE HMO [125] | WELLCARE TODAY'S OPTIONS [12503] | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| GOUVERNEUR HOSPITAL | 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 | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| GOUVERNEUR HOSPITAL | GENERIC CARRIER [107] | ST REGIS MOHAWK [10724] | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| GOUVERNEUR HOSPITAL | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| GOUVERNEUR HOSPITAL | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| GOUVERNEUR HOSPITAL | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| GOUVERNEUR HOSPITAL | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $23,663.19 | $15,381.07 | 2024-12-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $100.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $100.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $100.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | MEDI-CAL | MEDI-CAL | $100.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE | MEDI-CAL | MEDI-CAL | $100.00 | $530.00 | $100.70 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $100.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | BC MEDI-CAL | BC MEDI-CAL | $100.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $100.00 | $530.00 | $100.70 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $100.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE | BLUE CROSS MCAL | BLUE CROSS MCAL | $100.00 | $530.00 | $100.70 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $100.00 | $530.00 | $100.70 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $100.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $100.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $100.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $100.00 | $530.00 | $100.70 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $100.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| Rehabilitation Institute Of Michigan | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | HEALTHNET MCAL | HEALTHNET MCAL | $119.10 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL | Univera | Univera Medicare | $119.36 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Univera | Univera Medicare | $119.36 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL | Univera | Univera Medicare | $119.36 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL | Univera | Univera Medicare | $119.36 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL | Univera | Univera Medicare | $119.36 | — | — | 2026-04-14 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC | Univera | Medicare Managed Care Plan | $119.36 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Univera | Univera Medicare | $119.36 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL | Univera | Medicare Managed Care Plan | $119.36 | — | — | 2026-04-01 | MRF ↗ |
| FORBES HOSPITAL | Univera | Univera Medicare | $119.36 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER | Univera | Univera Medicare | $119.36 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL | Univera | Univera Medicare | $119.36 | — | — | 2026-04-14 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL | $119.70 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL [12400001] | $119.70 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | MOLINA [1055] | MOLINA MEDI-CAL COMMUNITY CARE [10550015] | $119.70 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | MOLINA [1055] | MOLINA MEDI-CAL [10550002] | $119.70 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | MOLINA [1055] | MOLINA MEDI-CAL | $119.70 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $120.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | COMMUNITY HEALTH GROUP [1022] | COMMUNITY HEALTH GROUP (MEDI-CAL) | $122.55 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR | HEALTH NET [1039] | HEALTH NET MEDI-CAL | $128.25 | $54,507.06 | $29,978.88 | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Univera | Univera Commercial | $134.03 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL | Univera | Univera Commercial | $134.03 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL | Univera | Univera Commercial | $134.03 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL | Univera | Univera Commercial | $134.03 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER | Univera | Univera Commercial | $134.03 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Univera | Univera Commercial | $134.03 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL | Univera | Univera Commercial | $134.03 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL | Univera | Univera Commercial | $134.03 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL | Univera | Univera Commercial | $134.03 | — | — | 2026-04-14 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL | Physicians Medical Group | MCD | $136.00 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL | Molina | MCD | $136.00 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL | LA Care Health | Medi-cal | $136.00 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital | Molina | MCD | $136.27 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital | LA Care Health | Medi-cal | $136.27 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $140.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $140.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $140.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $140.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | AHP MEDI-CAL | AHP MEDI-CAL | $140.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $140.00 | $567.00 | $102.06 | 2026-01-30 | MRF ↗ |
| GROVE CITY MEDICAL CENTER | Aetna | Aetna Better Health CHIP | $142.00 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL | Aetna | Aetna Better Health CHIP | $142.00 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL | Aetna | Aetna Better Health CHIP | $142.00 | — | — | 2026-04-14 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL | Simply Healthcare Oncology | Healthy Kids | $146.44 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL | Simply Healthcare Oncology | Medicaid HMO | $146.44 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL | Sunshine State Oncology | Medicaid HMO | $146.44 | — | — | 2025-08-01 | MRF ↗ |
| WEST PENN HOSPITAL | Amerihealth | Amerihealth Caritas D-SNP Medicare | $149.10 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Caritas D-SNP Medicare | $149.10 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Caritas Medicare (NY) | $149.10 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Caritas D-SNP Medicare | $149.10 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Caritas Medicare (NY) | $149.10 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL | Amerihealth | Amerihealth Caritas Medicare (NY) | $149.10 | — | — | 2026-04-14 | 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.