Price Transparency 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 →

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27632 — Exc Leg/ankle Les Sc 3 Cm/>

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 $3,050

Usually $1,972–$4,545 (25th–75th percentile) across 1,925 hospitals · 5,266 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 27632 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees 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
$1,972 $3,050 typical $4,545

The middle 50% of negotiated facility rates for this procedure, measured across 1,925 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. $3,050
Surgeon (professional fee) Estimate national typical Medicare $393 × 1.22 commercial. $480
Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. $708
Likely subtotal $4,238
Surgical episode (typical) ~$4,238

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) ~$8,023
How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Surgeon (professional fee) (estimate)
rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Anesthesia (estimate)
base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 2026-02-28 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE NORTHWEST [3050608] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE GEORGIA [3050605] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient VETERANS ADMINISTRATION [80002] VETERANS ADMINISTRATION [8000201] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MEDICARE [10001] MEDICARE PART A [1000101] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP CAL MEDI-CONNECT MEDICARE ADVANTAGE [10512] IEHP INLAND VALLEY IPA MEDICARE ADV [1051203] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE WASHINGTON [3050609] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MEDICARE [10001] RAILROAD MEDICARE [1000104] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADV MID-ATLANTIC STATES [3050607] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE HAWAII [3050606] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP [20502] IEHP INLAND VALLEY IPA [2050203] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP [20502] IEHP LASALLE MEDICAL ASSOCIATES [2050204] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE NORTHERN CA [3050601] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient ASCEND HOSPICE [32000] ASCEND HOSPICE [3200001] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE SOUTHERN CA [3050602] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MEDICARE [10001] MEDICARE PART B [1000103] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP [20502] INLAND EMPIRE HEALTH PLAN [2050201] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP CAL MEDI-CONNECT MEDICARE ADVANTAGE [10512] IEHP LASALLE MED ASSOC MEDICARE ADV [1051204] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient CHAMPVA [80001] VHA OFFICE OF COMMUNITY CARE [8000101] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MEDICARE [10001] MEDICARE PART A & B [1000102] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER OUT OF AREA MEDICARE ADVANTAGE [3050603] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient MOLINA MCAL HMO [20503] MOLINA MCAL HMO [2050301] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient GENERIC FIRST AID [30063] FIRST AID WORK COMP [3006301] $4.00 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] KAISER MEDICARE ADVANTAGE COLORADO [3050604] $4.00 $1,084.00 2026-04-02 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $4.37 $1,181.00 $1,121.95 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $4.37 $1,181.00 $1,121.95 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $4.37 $1,181.00 $1,121.95 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $4.49 $1,181.00 $1,121.95 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $4.61 $1,181.00 $1,121.95 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $4.72 $1,181.00 $1,121.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $5.67 $1,181.00 $1,121.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $5.67 $1,181.00 $1,121.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $5.79 $1,181.00 $1,121.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $5.79 $1,181.00 $1,121.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $5.79 $1,181.00 $1,121.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $5.79 $1,181.00 $1,121.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $5.91 $1,181.00 $1,121.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $6.02 $1,181.00 $1,121.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $6.14 $1,181.00 $1,121.95 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $6.38 $1,181.00 $1,121.95 2026-02-20 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) MH [8] Plans $7.46 $11,247.50 $11,247.50 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient GRANTS [20507] All TB GETCHELL [226] Plans $8.73 $11,247.50 $11,247.50 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient MASSHEALTH [20302] All MASSHEALTH MH [90] Plans $9.09 $11,247.50 $11,247.50 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO MH [221] Plans $9.09 $11,247.50 $11,247.50 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON ACO MH [80] Plans $9.09 $11,247.50 $11,247.50 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient INSTITUTION [10406] All WORCESTER RECOVERY MH [234] Plans $9.09 $11,247.50 $11,247.50 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO MH [202] Plans $9.09 $11,247.50 $11,247.50 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER MH [123] Plans $9.09 $11,247.50 $11,247.50 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON MCO MH [225] Plans $9.09 $11,247.50 $11,247.50 2025-12-08 MRF ↗
UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) MH [256] Plans $9.33 $11,247.50 $11,247.50 2025-12-08 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $10.75 $5,973.00 $2,836.20 2024-12-31 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $11.94 $1,016.00 $193.04 2026-01-25 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $12.34 $16,430.61 $9,858.37 2026-03-24 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Sunflower Medicaid $2,190.00 $1,642.50 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Phcs/Multiplan Commercial $2,190.00 $1,642.50 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Wppa/Providrscare Commercial $2,190.00 $1,642.50 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient United Healthcare Commercial $2,190.00 $1,642.50 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Hpk (Incl. Cigna) Commercial $2,190.00 $1,642.50 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Aetna Commercial $2,190.00 $1,642.50 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Healthy Blue Medicaid $2,190.00 $1,642.50 2026-05-18 MRF ↗
CITIZENS MEDICAL CENTER Outpatient Blue Cross Blue Shield Of Ks Commercial $19.64 $2,190.00 $1,642.50 2026-05-18 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER MEDI-CAL- AFTER 10/01/21 [30505] KAISER MEDI-CAL HMO [3050501] $29.40 $1,084.00 2026-04-02 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 2024-12-08 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $33.37 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $33.37 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $33.37 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $33.37 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $33.37 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $33.37 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $33.37 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $33.37 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $33.37 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $33.37 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $33.37 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $33.37 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $33.37 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $33.37 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $33.37 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $33.37 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $33.37 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $33.37 2026-04-14 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 ↗
EISENHOWER MEDICAL CENTER Inpatient IEHP COVERED CA [20523] IEHP COVERED CA [2052301] $38.22 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER-AFTER 10/01/2021 [40006] KAISER MID ATLANTIC STATES [4000608] $39.69 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER-AFTER 10/01/2021 [40006] KAISER NORTHERN CA [4000601] $39.69 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER-AFTER 10/01/2021 [40006] KAISER SOUTHERN CA [4000602] $39.69 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER-AFTER 10/01/2021 [40006] KAISER HAWAII [4000607] $39.69 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER-AFTER 10/01/2021 [40006] KAISER EPO [4000604] $39.69 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER-AFTER 10/01/2021 [40006] KAISER NORTHWEST [4000609] $39.69 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER-AFTER 10/01/2021 [40006] KAISER WASHINGTON [4000610] $39.69 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER-AFTER 10/01/2021 [40006] KAISER COLORADO [4000605] $39.69 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER-AFTER 10/01/2021 [40006] KAISER OUT OF AREA [4000603] $39.69 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient KAISER-AFTER 10/01/2021 [40006] KAISER GEORGIA [4000611] $39.69 $1,084.00 2026-04-02 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Medicare $43.70 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $43.70 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Medicare $43.70 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Medicare $43.70 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Medicare $43.70 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $43.70 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Medicare $43.70 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Medicare $43.70 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Medicare $43.70 2026-04-14 MRF ↗
BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility Univera Medicare Managed Care Plan $43.84 2026-04-01 MRF ↗
OLEAN GENERAL HOSPITAL OutpatientFacility Univera Medicare Managed Care Plan $43.84 2026-04-01 MRF ↗
GOOD SAMARITAN HOSPITAL Outpatient Physicians Medical Group MCD $44.00 2024-10-01 MRF ↗
Riverside Community Hospital Outpatient Molina MCD $44.00 2026-03-01 MRF ↗
Riverside Community Hospital Outpatient LA Care Health Medi-cal $44.00 2026-03-01 MRF ↗
RIVERSIDE COMMUNITY HOSPITAL Outpatient LA Care Health Medi-cal $44.00 2024-10-01 MRF ↗
RIVERSIDE COMMUNITY HOSPITAL Outpatient Molina MCD $44.00 2024-10-01 MRF ↗
ADVENTIST HEALTH TILLAMOOK Outpatient PACIFICSOURCE - ALL PLANS PACIFICSOURCE - ALL PLANS $48.00 $1,592.00 $859.68 2026-01-31 MRF ↗
HAMMOND HENRY HOSPITAL Outpatient QUAD CITY COMMUNITY HC-ALL PLANS QUAD CITY COMMUNITY HC-ALL PLANS $48.00 $2,027.00 $1,824.30 2026-01-22 MRF ↗
Thousand Oaks Surgical Hospital Outpatient Gold Coast Health Plan MCD $48.40 2026-03-01 MRF ↗
Riverside Community Hospital Outpatient Brand New Day MCD $48.40 2026-03-01 MRF ↗
LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient Gold Coast Health Plan MCD $48.40 2024-10-01 MRF ↗
Thousand Oaks Surgical Hospital Outpatient Brand New Day MCD $48.40 2026-03-01 MRF ↗
LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient Brand New Day MCD $48.40 2024-10-01 MRF ↗
GOOD SAMARITAN HOSPITAL Outpatient Anthem Medi-Cal $48.40 2024-10-01 MRF ↗
RIVERSIDE COMMUNITY HOSPITAL Outpatient Brand New Day MCD $48.40 2024-10-01 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Commercial $49.07 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Commercial $49.07 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Commercial $49.07 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Commercial $49.07 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Commercial $49.07 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Commercial $49.07 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Commercial $49.07 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $49.07 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $49.07 2026-04-14 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
EAST COOPER 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 $1,269.00 $1,269.00 2026-02-10 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Simply Healthcare Oncology Medicaid HMO $53.70 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Sunshine State Oncology Medicaid HMO $53.70 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Simply Healthcare Oncology Healthy Kids $53.70 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Molina Oncology Medicaid HMO $55.24 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Molina Oncology Healthy Kids $55.24 2025-08-01 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $56.03 $415.00 $311.25 2026-01-16 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Community Care Plan Oncology Medicaid HMO $56.26 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Amerihealth Caritas Oncology Medicaid HMO $56.26 2025-08-01 MRF ↗
RICHLAND HOSPITAL OutpatientFacility Dean Health Plan DHI/DHP Products and ASO Managed Care $57.54 $420.00 $336.00 2026-04-24 MRF ↗
ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both Medicare B NY Upstate JK Default $58.49 $640.00 $396.80 2026-03-16 MRF ↗
ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both Blue Cross Blue Shield of NY Empire Medicare Advantage $62.66 $640.00 $396.80 2026-03-16 MRF ↗
Riverside Community Hospital Outpatient Inland Empire Health Plan MGMCD $63.80 2026-03-01 MRF ↗
RIVERSIDE COMMUNITY HOSPITAL Outpatient Inland Empire Health Plan MGMCD $63.80 2024-10-01 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Peia Other Governmental $63.87 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Peak Health Medicare $63.87 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Highmark Blue Cross Ppo/Pos $63.87 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Aetna Medicare $63.87 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient United Healthcare Medicare $63.87 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Humana Medicare $63.87 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Highmark Blue Cross Medicare $63.87 2026-05-06 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Blue Cross Oncology Medicare Advantage $65.15 2025-08-01 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient HEALTH NET [30004] HEALTHNET AMBETTER COVERED CALIF HMO [3000405] $66.16 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient HEALTH NET [30004] HEALTHNET PPO [3000402] $66.16 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient HEALTH NET [30004] HEALTHNET AMBETTER COVERED CALIF PPO [3000401] $66.16 $1,084.00 2026-04-02 MRF ↗
EISENHOWER MEDICAL CENTER Inpatient DESERT OASIS HEALTH CARE [30001] HEALTHNET POS DOHC [3000109] $66.16 $1,084.00 2026-04-02 MRF ↗
Shepherd Center Outpatient Medicare Commercial $66.90 2026-05-06 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Devoted Medicare Advantage Prevailing (MMG) $67.37 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Humana Medicare Advantage (MMG) $67.37 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Devoted Medicare Advantage (MMG) $67.37 2025-10-24 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient Florida Community Care Oncology Medicaid HMO $67.51 2025-08-01 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient UNIVERSAL IPA MCAL OP/PROFEE ONLY UNIVERSAL IPA MCAL OP/PROFEE ONLY $68.13 $1,422.00 $383.94 2026-01-31 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient MEDI-CAL MEDI-CAL $68.13 $1,422.00 $383.94 2026-01-31 MRF ↗
ADVENTIST HEALTH TULARE Outpatient UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY $68.13 $1,422.00 $270.18 2026-01-31 MRF ↗
ADVENTIST HEALTH TULARE Outpatient CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $68.13 $1,422.00 $270.18 2026-01-31 MRF ↗
ADVENTIST HEALTH TULARE Outpatient MEDI-CAL MEDI-CAL $68.13 $1,422.00 $270.18 2026-01-31 MRF ↗
ADVENTIST HEALTH TULARE Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $68.13 $1,422.00 $270.18 2026-01-31 MRF ↗
ADVENTIST HEALTH TULARE Outpatient HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $68.13 $1,422.00 $270.18 2026-01-31 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Humana HMO/PPO $68.20 2025-10-24 MRF ↗
LIBERTY HOSPITAL Outpatient Blue Cross Blue Shield Freedom Network Select $68.44 2026-05-26 MRF ↗
LIBERTY HOSPITAL Outpatient Blue Cross Blue Shield Freedom Network $68.44 2026-05-26 MRF ↗
Shepherd Center Outpatient Bcbs Ppo $68.54 2026-05-06 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient United Healthcare Oncology Medicare Advantage $68.88 2025-08-01 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient United Healthcare Oncology Commercial $68.95 2025-08-01 MRF ↗
GOODALL WITCHER HOSPITAL Inpatient BCBS Blue Advantage Blue Advantage $69.92 $420.00 $294.00 2026-01-13 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Healthy New York $70.07 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Univera Univera Essential Plan $70.07 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Essential Plan $70.07 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Essential Plan $70.07 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Univera Univera Healthy New York $70.07 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Essential Plan $70.07 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $70.07 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Univera Univera Healthy New York $70.07 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Healthy New York $70.07 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Univera Univera Healthy New York $70.07 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $70.07 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Univera Univera Essential Plan $70.07 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Essential Plan $70.07 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Healthy New York $70.07 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $70.07 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $70.07 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Univera Univera Essential Plan $70.07 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Inpatient Univera Univera Healthy New York $70.07 2026-04-14 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient CarePlus Medicare Advantage (MMG) $70.74 2025-10-24 MRF ↗
SARASOTA MEMORIAL HOSPITAL Outpatient WellCare Oncology Medicare Advantage $71.41 2025-08-01 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Baycare Medicare Advantage (MMG) $72.09 2025-10-24 MRF ↗

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