27503 — Treatment Of Thigh Fracture
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TREATMENT OF THIGH FRACTURE (CPT 27503) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27503?code_type=CPT
MLA (9th ed.)
“TREATMENT OF THIGH FRACTURE (CPT 27503) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27503?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TREATMENT OF THIGH FRACTURE (CPT 27503) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27503?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,101–$2,888 (25th–75th percentile) across 1,762 hospitals · 4,197 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 27503 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,101
$1,733 typical
$2,888
The middle 50% of negotiated facility rates for this procedure, measured across 1,762 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,733 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $750 × 1.22 commercial. | $916 |
| Likely subtotal | $2,649 |
Surgical episode (typical)
~$2,649
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$6,433
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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Corizon Health | Yescare | $1.99 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Nhp | $2.94 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Health First Health Plan | Hfhp Individual Ppo/Marketplace | $2.97 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Florida Healthcare Plans | Florida Healthcare Plans Bnn | $3.17 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Cigna | Cigna | $4.10 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 2 | $4.99 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 1 | $4.99 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Aetna | Aetna Commercial | $5.67 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Disney Cruise Line | Disney Cruise Line | $5.97 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Prime Heath Services, Inc. | Prime Heath Services Inc | $7.46 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Multiplan | Multiplan | $7.96 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Choicecare | Choicecare | $8.96 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Aetna | Aetna Coventry First Health Facility Rental | $9.45 | $9.95 | $2.49 | 2026-05-08 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Partners | Managed Medicaid | $23.95 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Partners | Managed Medicaid | $23.95 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $24.31 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $24.55 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Behavioral Health | $24.55 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Carolina Complete Health | Managed Medicaid | $24.76 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Wellcare | Managed Medicaid | $24.76 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Healthy Blue | Managed Medicaid | $24.76 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Behavioral Health | $24.79 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Wellcare | Managed Medicaid | $25.00 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Healthy Blue | Managed Medicaid | $25.00 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Vaya | Managed Medicaid | $25.00 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Carolina Complete Health | Managed Medicaid | $25.00 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Vaya | Managed Medicaid | $25.24 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Managed Medicaid | $25.39 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Managed Medicaid | $25.51 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Trillium | Managed Medicaid | $25.51 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Trillium | Managed Medicaid | $25.75 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $27.02 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Behavioral Health | $27.28 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Wellcare | Managed Medicaid | $27.52 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Healthy Blue | Managed Medicaid | $27.52 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Carolina Complete Health | Managed Medicaid | $27.52 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Partners | Managed Medicaid | $27.78 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Vaya | Managed Medicaid | $27.78 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Managed Medicaid | $28.07 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Trillium | Managed Medicaid | $28.33 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Partners | Managed Medicaid | $28.74 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Behavioral Health | $28.76 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $29.00 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Healthy Blue | Managed Medicaid | $29.00 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Carolina Complete Health | Managed Medicaid | $29.00 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Vaya | Managed Medicaid | $29.29 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $29.29 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $29.39 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Managed Medicaid | $29.58 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Alliance | Behavioral Health | $29.67 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Trillium | Managed Medicaid | $29.87 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Wellcare | Managed Medicaid | $29.94 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Healthy Blue | Managed Medicaid | $29.94 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Carolina Complete Health | Managed Medicaid | $29.94 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Partners | Managed Medicaid | $30.18 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Vaya | Managed Medicaid | $30.25 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | United Healthcare | Managed Medicaid | $30.49 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Alliance | Managed Medicaid | $30.54 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Trillium | Managed Medicaid | $30.85 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Partners | Managed Medicaid | $31.14 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $31.37 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Alliance | Managed Medicaid | $31.69 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Healthy Blue | Managed Medicaid | $31.97 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Carolina Complete Health | Managed Medicaid | $31.97 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Wellcare | Managed Medicaid | $31.97 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | United Healthcare | Managed Medicaid | $32.09 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Vaya | Managed Medicaid | $32.28 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Trillium | Managed Medicaid | $32.93 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $110.00 | $55.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $110.00 | $55.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $110.00 | $55.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $110.00 | $55.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $110.00 | $55.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $110.00 | $55.00 | 2026-05-13 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Partners | Managed Medicaid | $33.53 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $33.79 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Carolina Complete Health | Managed Medicaid | $34.44 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Healthy Blue | Managed Medicaid | $34.44 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Wellcare | Managed Medicaid | $34.44 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Vaya | Managed Medicaid | $34.78 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Trillium | Managed Medicaid | $35.47 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Alliance | Managed Medicaid | $35.54 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | United Healthcare | Managed Medicaid | $35.83 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $35.83 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Alliance | Behavioral Health | $36.19 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | Managed Medicaid | $36.19 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Partners | Managed Medicaid | $36.50 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Healthy Blue | Managed Medicaid | $36.50 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Wellcare | Managed Medicaid | $36.50 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Carolina Complete Health | Managed Medicaid | $36.50 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Vaya | Managed Medicaid | $36.86 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Alliance | Managed Medicaid | $36.86 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Alliance | Behavioral Health | $37.05 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Trillium | Managed Medicaid | $37.60 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | United Healthcare | Managed Medicaid | $39.83 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Alliance | Behavioral Health | $40.09 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Magee Health Partners | Medicaid | $41.62 | — | — | 2026-03-18 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $42.06 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH NAVICENT PEACH OutpatientFacility | Aetna | Medicare Advantage | $49.98 | $238.00 | $119.00 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH NAVICENT PEACH OutpatientFacility | Pruitt Health | Medicare Advantage | $49.98 | $238.00 | $119.00 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH NAVICENT PEACH OutpatientFacility | Anthem | Medicare Advantage | $49.98 | $238.00 | $119.00 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH NAVICENT PEACH OutpatientFacility | Georgia Health Advantage | Medicare Advantage | $49.98 | $238.00 | $119.00 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH NAVICENT PEACH OutpatientFacility | United Healthcare | Medicare Advantage | $49.98 | $238.00 | $119.00 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH NAVICENT PEACH OutpatientFacility | Humana | Medicare Advantage | $49.98 | $238.00 | $119.00 | 2025-11-19 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER 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 | $1,616.00 | $1,616.00 | 2026-02-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN THUMB REGION Both | Tricare | Tricare | $50.00 | $145.00 | $72.00 | 2025-02-03 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | United Healthcare | Managed Medicaid | $50.13 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH NAVICENT PEACH OutpatientFacility | Clover | Medicare Advantage | $50.98 | $238.00 | $119.00 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH NAVICENT PEACH OutpatientFacility | Care Source | Medicare Advantage | $50.98 | $238.00 | $119.00 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH NAVICENT PEACH OutpatientFacility | Eon Health | Medicare Advantage | $50.98 | $238.00 | $119.00 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $52.23 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $52.23 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $52.40 | — | — | 2025-01-31 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Partners | Managed Medicaid | $52.69 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Partners | Managed Medicaid | $52.69 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Alliance | Behavioral Health | $52.74 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Behavioral Health | $52.74 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | United Healthcare | Managed Medicaid | $52.93 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Carolina Complete Health | Managed Medicaid | $53.17 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Healthy Blue | Managed Medicaid | $53.22 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Healthy Blue | Managed Medicaid | $53.22 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Carolina Complete Health | Managed Medicaid | $53.22 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Wellcare | Managed Medicaid | $53.22 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Wellcare | Managed Medicaid | $53.22 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Vaya | Managed Medicaid | $53.74 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Vaya | Managed Medicaid | $53.74 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Managed Medicaid | $54.27 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Alliance | Managed Medicaid | $54.27 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Trillium | Managed Medicaid | $54.82 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Trillium | Managed Medicaid | $54.82 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - United | Medicare - United | $56.00 | $145.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Humana | Medicare - Humana | $56.00 | $145.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | MI Amish Medical Board | MI Amish Medical Board | $56.00 | $145.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Employee Benefit Logistics | Medicare - Employee Benefit Logistics | $56.00 | $145.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Fidelis | Medicare - Fidelis | $56.00 | $145.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $56.00 | $145.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Molina | Medicare - Molina | $57.00 | $145.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Priority Health | Medicare - Priority Health | $57.00 | $145.00 | $72.00 | 2025-02-03 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | JNE Health Partners | JNE001_JNE002_JNE003 Medicaid | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | JNE Health Partners | JNE001_JNE002_JNE003 CHIP | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | JNE Health Partners | JNE001_JNE002_JNE003 CHIP | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | JNE Health Partners | JNE001_JNE002_JNE003 Medicaid | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | JAB Health Partners | JAB002 Medicaid | $57.80 | — | — | 2026-03-18 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Aetna | Connected North Carolina Individual HMO | $63.47 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Aetna | Connected North Carolina Individual HMO | $63.47 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Aetna | Connected North Carolina Individual HMO | $63.47 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Connected North Carolina Individual HMO | $63.47 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Aetna | Connected North Carolina Individual HMO | $63.47 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Aetna | Connected North Carolina Individual HMO | $63.47 | $239.50 | $119.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Aetna | Connected North Carolina Individual HMO | $63.47 | $239.50 | $119.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Aetna | Connected North Carolina Individual HMO | $63.47 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Aetna | Connected North Carolina Individual HMO | $63.47 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Aetna | Connected North Carolina Individual HMO | $63.47 | $239.50 | $119.75 | 2025-12-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | DUKE PLUS | DUKE PLUS | $65.28 | $204.00 | $55.08 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | DUKE PLUS | DUKE PLUS | $65.28 | $204.00 | $55.08 | 2025-03-27 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $65.39 | — | — | 2026-04-14 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Molina | Medicaid Kentucky | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL BothFacility | Humana | Choice Care Commercial | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Pathway HPN | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Choice Care | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Humana | Choice Care | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | WellCare | Medicaid | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | United Health Care | Veteran Affairs | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Anthem/Atena | Medicaid | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | $419.00 | $251.40 | 2025-01-22 | MRF ↗ |
| KNOX COUNTY HOSPITAL BothFacility | Aetna | Commercial Health | — | $419.00 | $251.40 | 2025-01-22 | 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.