Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV

27506 — Treatment Of Thigh Fracture

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $4,881

Usually $1,947–$9,193 (25th–75th percentile) across 1,844 hospitals · 2,982 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 27506 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

Also priced as a different code

The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the CPT/HCPCS 27506 table above — including hospitals that only publish the bundled version.

MS_DRG 480 — Femoral shaft fracture ORIF with intramedullary nail Inpatient stay bundle
3,061 facilities · 1,401 not in the CPT/HCPCS table
MS_DRG 481 — Femoral shaft fracture ORIF with intramedullary nail Inpatient stay bundle
3,118 facilities · 1,448 not in the CPT/HCPCS table
MS_DRG 482 — Femoral shaft fracture ORIF with intramedullary nail Inpatient stay bundle
3,092 facilities · 1,427 not in the CPT/HCPCS table

An MS-DRG / APR-DRG price is the hospital’s single bundled charge for the entire inpatient stay — operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies — so it’s a broader, usually higher figure than the CPT/HCPCS 27506 line above, which prices the procedure alone. Neither includes the surgeon’s or anesthesiologist’s professional fees, which are billed separately.

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.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$1,947 $4,881 typical $9,193

The middle 50% of negotiated facility rates for this procedure, measured across 1,844 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. $4,881
Surgeon (professional fee) Estimate national typical Medicare $1,223 × 1.22 commercial. $1,492
Anesthesia Estimate national typical 01230, ~90 min typical. Medicare $246 × 3.14 commercial. $772
Likely subtotal $7,146
Surgical episode (typical) ~$7,146

Not included in this estimate:

  • Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
  • 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 $1,947–$9,193.

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.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$10,930
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

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
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $8.27 $4,596.00 — 2024-12-31 MRF ↗
WINNMED Outpatient AETNA/FIRST HEALTH PPO-ALL OTHER PLANS AETNA/FIRST HEALTH PPO-ALL OTHER PLANS $19.59 $5,090.00 $3,563.00 2026-07-14 MRF ↗
WINNMED Outpatient AETNA/FIRST HEALTH PHO AETNA/FIRST HEALTH PHO $19.59 $5,090.00 $3,563.00 2026-07-14 MRF ↗
WINNMED Outpatient AETNA/FIRST HEALTH HMO AETNA/FIRST HEALTH HMO $19.59 $5,090.00 $3,563.00 2026-07-14 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Blue Cross Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both America'S First Choice Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both First Choice Select Health Managed Medicaid — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both United Health Care Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Cigna Commercial — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Aetna Commercial — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Molina Mangaged Medicare — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Absolute Total Care Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Aetna Managed Medicare — — — 2026-10-03 MRF ↗
ADVENTIST HEALTH CASTLE Outpatient PACIFIC ADMIN PPO - ALL PLANS PACIFIC ADMIN PPO - ALL PLANS $29.27 $3,352.00 $1,072.64 2026-05-18 MRF ↗
SCHNECK MEDICAL CENTER Both — — — $71.00 $49.70 2024-12-31 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $38.64 $738.00 $140.22 2026-05-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $38.64 $3,362.00 $638.78 2026-01-25 MRF ↗
INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient Ccbh - Behavioral Health Behavioral — — — 2026-07-19 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ACCESS MEDI-CAL ACCESS MEDI-CAL $45.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $45.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $45.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MEDI-CAL MEDI-CAL $45.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient CAL VIVA HLTH MCAL - ALL PLANS CAL VIVA HLTH MCAL - ALL PLANS $45.00 $738.00 $140.22 2026-05-20 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $45.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $45.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS $45.00 $738.00 $140.22 2026-05-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient BC MCAL BC MCAL $45.00 $738.00 $140.22 2026-05-20 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $45.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $45.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient BC MEDI-CAL BC MEDI-CAL $45.00 $738.00 $110.70 2026-10-05 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient MEDI-CAL MEDI-CAL $45.00 $738.00 $140.22 2026-05-20 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PREFERRED MEDI-CAL PREFERRED MEDI-CAL $45.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BC MEDI-CAL BC MEDI-CAL $45.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient UPN MCAL PROFEE ONLY-ALL OTHER PLANS UPN MCAL PROFEE ONLY-ALL OTHER PLANS $45.00 $738.00 $140.22 2026-05-20 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $45.00 $738.00 $110.70 2026-10-05 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient CENTRAL CA ALLIANCE MCAL PROFEE ONLY CENTRAL CA ALLIANCE MCAL PROFEE ONLY $45.00 $738.00 $140.22 2026-05-20 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $45.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient MEDI-CAL MEDI-CAL $45.00 $738.00 $110.70 2026-10-05 MRF ↗
HURON REGIONAL MEDICAL CENTER Outpatient AVERA ACA PPO - ALL OTHER PLANS AVERA ACA PPO - ALL OTHER PLANS $46.00 $5,140.00 $3,084.00 2025-12-20 MRF ↗
HURON REGIONAL MEDICAL CENTER Outpatient AVERA HMO AVERA HMO $46.00 $5,140.00 $3,084.00 2025-12-20 MRF ↗
HURON REGIONAL MEDICAL CENTER Outpatient AVERA ASO PPO AVERA ASO PPO $48.00 $5,140.00 $3,084.00 2025-12-20 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHNET MCAL HEALTHNET MCAL $53.60 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $54.00 $671.00 $120.78 2026-01-30 MRF ↗
HURON REGIONAL MEDICAL CENTER Outpatient AVERA NONACA PPO AVERA NONACA PPO $54.00 $5,140.00 $3,084.00 2025-12-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient KERN HEALTH SYSTEMS MCAL-ALL PLANS KERN HEALTH SYSTEMS MCAL-ALL PLANS $56.25 $738.00 $140.22 2026-05-20 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HCLA MCAL PROFEE ONLY HCLA MCAL PROFEE ONLY $63.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $63.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient GLOBAL CARE MCAL PROFEE ONLY GLOBAL CARE MCAL PROFEE ONLY $63.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient AHP MEDI-CAL AHP MEDI-CAL $63.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $63.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient EL PROYECTO MCAL PROFEE ONLY EL PROYECTO MCAL PROFEE ONLY $63.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $63.45 $738.00 $110.70 2026-10-05 MRF ↗
ADVENTIST HEALTH UKIAH VALLEY Outpatient BLUE CROSS MCS-ALL OTHER PLANS BLUE CROSS MCS-ALL OTHER PLANS $66.41 $738.00 $147.60 2026-05-24 MRF ↗
ADVENTIST HEALTH UKIAH VALLEY Outpatient BLUE CROSS NON-MCS BLUE CROSS NON-MCS $66.41 $738.00 $147.60 2026-05-24 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P $67.50 $738.00 $140.22 2026-05-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient CENTRAL CA ALLIANCE CCS PROFEE ONLY CENTRAL CA ALLIANCE CCS PROFEE ONLY $67.50 $738.00 $140.22 2026-05-20 MRF ↗
SEARHC WRANGELL MEDICAL CENTER & LTC Outpatient UHC-ALL PLANS UHC-ALL PLANS $72.00 $6,569.06 $6,569.06 2024-12-09 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MOLINA MEDI-CAL MOLINA MEDI-CAL $72.00 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient BC MCAL BC MCAL $75.00 $738.00 $140.22 2026-05-19 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient UNIVERSAL HC MCAL PROFEE UNIVERSAL HC MCAL PROFEE $75.00 $738.00 $140.22 2026-05-19 MRF ↗
NATIVIDAD MEDICAL CENTER Outpatient MEDI-CAL MEDI-CAL $75.00 $3,764.00 $3,764.00 2026-08-14 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient KAISER MCAL KAISER MCAL $75.00 $738.00 $140.22 2026-05-19 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient MEDI-CAL MEDI-CAL $75.00 $738.00 $140.22 2026-05-19 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient HEALTHNET MCAL HEALTHNET MCAL $75.00 $738.00 $140.22 2026-05-19 MRF ↗
St Anthony Regional Hospital & Nursing Home Outpatient MIDLANDS CHOICE - ALL PLANS MIDLANDS CHOICE - ALL PLANS $76.98 $3,803.00 $3,803.00 2026-02-09 MRF ↗
BELLEVUE MEDICAL CENTER Outpatient AETNA COMM-ALL OTHER PLANS AETNA COMM-ALL OTHER PLANS $78.57 $5,419.65 $3,522.77 2026-08-10 MRF ↗
ADVENTIST HEALTH ST HELENA Outpatient MEDI-CAL MEDI-CAL $80.00 $818.00 $122.70 2026-07-15 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient CENTRAL CA ALLIANCE CHDP PROFEE ONLY CENTRAL CA ALLIANCE CHDP PROFEE ONLY $90.00 $738.00 $140.22 2026-05-20 MRF ↗
Riverside Community Hospital Outpatient MedCare Partners MGMCR — — — 2026-03-01 MRF ↗
Thousand Oaks Surgical Hospital Outpatient MedCare Partners MGMCR — — — 2026-03-01 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient VALLEY CHILDRENS - ALL PLANS VALLEY CHILDRENS - ALL PLANS $126.00 $738.00 $140.22 2026-05-19 MRF ↗
Bradford Regional Medical Center OutpatientFacility Univera Medicare Managed Care Plan $142.56 — — 2026-04-01 MRF ↗
BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility Univera Medicare Managed Care Plan $142.56 — — 2026-04-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Vaccn Medicare $155.49 $620.00 $465.00 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Medicare Medicare $155.49 $6,201.00 $4,650.75 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Vaccn Medicare $155.49 $6,201.00 $4,650.75 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Bcbs Medicare Medicare $155.49 $620.00 $465.00 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Bcbs Medicare Medicare $155.49 $6,201.00 $4,650.75 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Medicare Medicare $155.49 $620.00 $465.00 2026-10-01 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient UPN MCAL PROFEE UPN MCAL PROFEE $157.00 $628.00 $119.32 2026-05-19 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $160.09 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH UKIAH VALLEY Outpatient KAISER MEDI-CAL KAISER MEDI-CAL $160.09 $738.00 $147.60 2026-05-24 MRF ↗
ADVENTIST HEALTH UKIAH VALLEY Outpatient MEDI-CAL MEDI-CAL $160.09 $738.00 $147.60 2026-05-24 MRF ↗
ADVENTIST HEALTH SONORA Outpatient MEDI-CAL MEDI-CAL $160.09 $738.00 $125.46 2026-05-23 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient BC MEDI-CAL BC MEDI-CAL $160.09 $671.00 $100.65 2026-07-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PREFERRED MEDI-CAL PREFERRED MEDI-CAL $160.09 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $160.09 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BC MEDI-CAL BC MEDI-CAL $160.09 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH SONORA Outpatient CENTRAL CA ALLIANCE MCAL CENTRAL CA ALLIANCE MCAL $160.09 $738.00 $125.46 2026-05-23 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $160.09 $671.00 $100.65 2026-07-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $160.09 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC MCAL BC MCAL $160.09 $738.00 $125.46 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $160.09 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $160.09 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $160.09 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH SONORA Outpatient CELTIC CA HLTH WELL MCAL - ALL PLANS CELTIC CA HLTH WELL MCAL - ALL PLANS $160.09 $738.00 $125.46 2026-05-23 MRF ↗
ADVENTIST HEALTH SONORA Outpatient HEALTHNET MCAL HEALTHNET MCAL $160.09 $738.00 $125.46 2026-05-23 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient MOLINA MCAL MOLINA MCAL $160.09 $671.00 $100.65 2026-07-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MEDI-CAL MEDI-CAL $160.09 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ACCESS MEDI-CAL ACCESS MEDI-CAL $160.09 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $160.09 $671.00 $120.78 2026-05-23 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient MEDI-CAL MEDI-CAL $160.09 $671.00 $100.65 2026-07-30 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient HERITAGE MCAL HERITAGE MCAL $169.70 $671.00 $100.65 2026-07-30 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $181.71 $1,346.00 $1,009.50 2026-01-16 MRF ↗
ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both Medicare B NY Upstate JK Default $182.01 $3,264.00 $2,023.68 2026-03-16 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient UPN MCAL PROFEE UPN MCAL PROFEE $184.50 $738.00 $140.22 2026-05-19 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHNET MCAL HEALTHNET MCAL $190.67 $671.00 $120.78 2026-05-23 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient HEALTHNET MCAL HEALTHNET MCAL $190.67 $671.00 $100.65 2026-07-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $192.11 $671.00 $120.78 2026-05-23 MRF ↗
TOMAH MEMORIAL HOSPITAL Outpatient SECURITY HP MCAID SECURITY HP MCAID $192.83 $6,044.00 $3,475.30 2026-03-03 MRF ↗
TOMAH MEMORIAL HOSPITAL Outpatient QUARTZ MCAID QUARTZ MCAID $192.83 $6,044.00 $3,475.30 2026-03-03 MRF ↗
TOMAH MEMORIAL HOSPITAL Outpatient BCBS MCAID BCBS MCAID $192.83 $6,044.00 $3,475.30 2026-03-03 MRF ↗
TOMAH MEMORIAL HOSPITAL Outpatient INDEPENDENT CARE MCAID INDEPENDENT CARE MCAID $192.83 $6,044.00 $3,475.30 2026-03-03 MRF ↗
WITHAM HEALTH SERVICES Outpatient ANTHEM EXCH ANTHEM EXCH $193.35 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient ANTHEM EXCH ANTHEM EXCH $193.35 $311.85 $218.30 2026-03-31 MRF ↗
ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both Blue Cross Blue Shield of NY Empire Medicare Advantage $195.01 $3,264.00 $2,023.68 2026-03-16 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN $201.30 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PROSPECT MG MCAL PROFEE ONLY PROSPECT MG MCAL PROFEE ONLY $201.30 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PROSPECT MG MCAL PROFEE ONLY PROSPECT MG MCAL PROFEE ONLY $201.30 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PROSPECT MG MCR ADV PROFEE ONLY PROSPECT MG MCR ADV PROFEE ONLY $201.30 $671.00 $120.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN $201.30 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PROSPECT MG MCR ADV PROFEE ONLY PROSPECT MG MCR ADV PROFEE ONLY $201.30 $671.00 $120.78 2026-05-23 MRF ↗
WITHAM HEALTH SERVICES Outpatient ANTHEM PPO ANTHEM PPO $214.83 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient ANTHEM HMO ANTHEM HMO $214.83 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient ANTHEM PPO ANTHEM PPO $214.83 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient ANTHEM HMO ANTHEM HMO $214.83 $311.85 $218.30 2026-03-31 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient EL PROYECTO MCAL PROFEE ONLY EL PROYECTO MCAL PROFEE ONLY $224.13 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $224.13 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient GLOBAL CARE MCAL PROFEE ONLY GLOBAL CARE MCAL PROFEE ONLY $224.13 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient AHP MEDI-CAL AHP MEDI-CAL $224.13 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $224.13 $671.00 $120.78 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HCLA MCAL PROFEE ONLY HCLA MCAL PROFEE ONLY $224.13 $671.00 $120.78 2026-05-23 MRF ↗
WITHAM HEALTH SERVICES Outpatient AETNA-ALL OTHER PLANS AETNA-ALL OTHER PLANS $230.77 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient AETNA-ALL OTHER PLANS AETNA-ALL OTHER PLANS $230.77 $311.85 $218.30 2026-03-31 MRF ↗
ADVENTIST HEALTH SONORA Outpatient CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA $240.14 $738.00 $125.46 2026-05-23 MRF ↗
ADVENTIST HEALTH SONORA Outpatient CENTRAL CA ALLIANCE CCS MCAL CENTRAL CA ALLIANCE CCS MCAL $240.14 $738.00 $125.46 2026-05-23 MRF ↗
WITHAM HEALTH SERVICES Outpatient UHC-ALL PLANS UHC-ALL PLANS $243.24 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient UHC-ALL PLANS UHC-ALL PLANS $243.24 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient ANTHEM TRAD-ALL OTHER PLANS ANTHEM TRAD-ALL OTHER PLANS $245.55 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient ANTHEM TRAD-ALL OTHER PLANS ANTHEM TRAD-ALL OTHER PLANS $245.55 $311.85 $218.30 2026-03-31 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MOLINA MEDI-CAL MOLINA MEDI-CAL $256.14 $671.00 $120.78 2026-05-23 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 — — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 — — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 — — — 2026-01-01 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Group Health Coop (Ghc) Ghc Commercial (Kaiser) $263.60 $2,636.00 $2,636.00 2026-07-15 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED AT&T-ALL PLANS UNITED AT&T-ALL PLANS $279.30 $1,346.00 $1,009.50 2026-01-16 MRF ↗
WITHAM HEALTH SERVICES Outpatient PHCS/MULTIPLAN-ALL PLANS PHCS/MULTIPLAN-ALL PLANS $283.78 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient PHCS/MULTIPLAN-ALL PLANS PHCS/MULTIPLAN-ALL PLANS $283.78 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient SAGAMORE-ALL PLANS SAGAMORE-ALL PLANS $286.90 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient SAGAMORE-ALL PLANS SAGAMORE-ALL PLANS $286.90 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient ANTHEM EXCH ANTHEM EXCH $289.70 $467.25 $327.08 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient ANTHEM EXCH ANTHEM EXCH $289.70 $467.25 $327.08 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient HUMANA CHOICE CARE-ALL PLANS HUMANA CHOICE CARE-ALL PLANS $290.02 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient HUMANA CHOICE CARE-ALL PLANS HUMANA CHOICE CARE-ALL PLANS $290.02 $311.85 $218.30 2026-03-31 MRF ↗
STEELE MEMORIAL MEDICAL CENTER Outpatient AETNA MCR ADV AETNA MCR ADV $291.60 $648.00 $486.00 2026-02-26 MRF ↗
WITHAM HEALTH SERVICES Outpatient BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $293.14 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $293.14 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient ENCORE-ALL PLANS ENCORE-ALL PLANS $296.26 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient ENCORE-ALL PLANS ENCORE-ALL PLANS $296.26 $311.85 $218.30 2026-03-31 MRF ↗
Bradford Regional Medical Center OutpatientFacility Univera Medicare Managed Care Plan $299.38 — — 2026-04-01 MRF ↗
BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility Univera Medicare Managed Care Plan $299.38 — — 2026-04-01 MRF ↗
STEELE MEMORIAL MEDICAL CENTER Outpatient WINDSOR HP MCR ADV - ALL PLANS WINDSOR HP MCR ADV - ALL PLANS $304.56 $648.00 $486.00 2026-02-26 MRF ↗
STEELE MEMORIAL MEDICAL CENTER Outpatient PACIFIC SOURCE MCR ADV PACIFIC SOURCE MCR ADV $304.56 $648.00 $486.00 2026-02-26 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Avmed Commercial (MMG) $307.33 — — 2025-10-24 MRF ↗
STEELE MEMORIAL MEDICAL CENTER Outpatient SELECT HEALTH MCR ADV SELECT HEALTH MCR ADV $307.61 $648.00 $486.00 2026-02-26 MRF ↗
STEELE MEMORIAL MEDICAL CENTER Outpatient BCBS IDAHO MCR ADV BCBS IDAHO MCR ADV $310.65 $648.00 $486.00 2026-02-26 MRF ↗
WITHAM HEALTH SERVICES Outpatient ANTHEM MEDICAID ANTHEM MEDICAID $311.85 $311.85 $218.30 2026-03-31 MRF ↗
WITHAM HEALTH SERVICES Outpatient ANTHEM MEDICAID ANTHEM MEDICAID $311.85 $311.85 $218.30 2026-03-31 MRF ↗
COLUMBIA MEMORIAL HOSPITAL BothFacility MEDICARE RHC ASTORIA - Medicare MEDICARE RHC ASTORIA - Medicare $311.89 $3,650.00 $2,920.00 2026-01-05 MRF ↗
Shepherd Center Outpatient Aetna Commercial $314.01 — — 2026-05-06 MRF ↗
Shepherd Center Outpatient Aetna Commercial $314.01 — — 2026-09-21 MRF ↗
GOOD SAMARITAN HOSPITAL Outpatient Encore Prime Commercial $314.45 — — 2026-07-17 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Blue Cross Oncology Blue Select $315.30 — — 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Blue Cross Oncology UPW Blue Select $315.30 — — 2026-06-30 MRF ↗
MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility Anthem HMO/PPO/Traditional $315.50 — — 2026-02-13 MRF ↗
Shepherd Center Outpatient Cigna Commercial $316.58 — — 2026-05-06 MRF ↗
Shepherd Center Outpatient Cigna Commercial $316.58 — — 2026-09-21 MRF ↗
COLUMBIA MEMORIAL HOSPITAL BothFacility MEDICARE RHC SEASIDE - Medicare MEDICARE RHC SEASIDE - Medicare $317.52 $3,650.00 $2,920.00 2026-01-05 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Outpatient AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $320.00 $35,023.72 $7,705.22 2026-03-19 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility United Healthcare Care Improvement Plus — — — 2026-04-08 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Outpatient AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $320.00 $35,023.72 $7,705.22 2026-03-19 MRF ↗
ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility Empower MANAGED MEDICAID $320.00 — — 2025-07-01 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Outpatient AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $320.00 $35,023.72 $7,705.22 2026-03-19 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility Humana Medicare — — — 2026-04-08 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility Corvel Workers Comp — — — 2026-04-08 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility United Healthcare VA CCN — — — 2026-04-08 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility Ambetter Exchange All Plans — — — 2026-04-08 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility Summit Community Care Medicaid $320.00 — — 2026-04-08 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Arkansas Total Care Medicaid $320.00 — — 2026-07-15 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility Arkansas Superior Select Tribute All Plans — — — 2026-04-08 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility Vantage Medicare — — — 2026-04-08 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility Aetna All Plans — — — 2026-04-08 MRF ↗
METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $320.00 $35,023.72 $7,705.22 2026-03-19 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility Tricare All Plans — — — 2026-04-08 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility Wellcare Medicare — — — 2026-04-08 MRF ↗
BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility Summit Community Care Medicaid $320.00 — — 2026-02-27 MRF ↗
LAWRENCE MEMORIAL HOSPITAL OutpatientFacility Arkansas Total Care Managed Medicaid $320.00 — — 2024-11-12 MRF ↗
WHITE RIVER MEDICAL CENTER Outpatient Summit Community Care Medicaid $320.00 $3,004.00 $2,253.00 2026-03-19 MRF ↗
WHITE RIVER MEDICAL CENTER Outpatient Aetna Medicaid Medicaid $320.00 $3,004.00 $2,253.00 2026-03-19 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Outpatient AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $320.00 $35,023.72 $7,705.22 2026-03-19 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.