276 — Procedures For Revision Or Removal Of Neurostimulator Devices
Cite this view
HANK Price Transparency. (n.d.). PROCEDURES FOR REVISION OR REMOVAL OF NEUROSTIMULATOR DEVICES (EAPG 276) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/276?code_type=EAPG
“PROCEDURES FOR REVISION OR REMOVAL OF NEUROSTIMULATOR DEVICES (EAPG 276) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/276?code_type=EAPG. Accessed .
“PROCEDURES FOR REVISION OR REMOVAL OF NEUROSTIMULATOR DEVICES (EAPG 276) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/276?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,186–$5,560 (25th–75th percentile) across 84 hospitals · 104 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 276 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| TAYLORVILLE MEMORIAL HOSPITAL Outpatient | Molina | Molina Medicaid Managed Care (Op) | $359.03 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid Managed Care (Op) | $359.03 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Outpatient | Bcbs | Bcbs Medicaid Managed Care (Op) | $359.03 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Outpatient | Meridian | Meridian Medicaid Managed Care Op) | $359.03 | — | — | 2026-10-09 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Anthem BCBS | Managed Medicaid | $641.20 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $641.20 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $641.20 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $641.20 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $641.20 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | GHC | Managed Medicaid | $641.20 | — | — | 2026-01-29 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $1,372.43 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $1,399.88 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $1,495.95 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $1,495.95 | — | — | 2026-03-24 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $1,496.14 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $1,496.14 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $1,496.14 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $1,496.14 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Essential Plan 1,2,5,6 | $1,496.14 | — | — | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID TRILOGY | $1,537.12 | — | — | 2026-03-24 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | MVP Health Care | Managed Medicaid | $1,541.87 | — | — | 2025-08-07 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Community Care Medicaid | Mco Community Care Family Care | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Dean Health Plan Medicaid | Mco Deancare | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Icare Medicaid | Mco Icare | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Anthem Medicaid | Mco Anthem | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Mercy Care Medicaid | Mco Mercycare | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | My Choice Medicaid | Mco Hmo My Choice | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | United Healthcare Medicaid | Mco United Healthcare | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $1,546.00 | — | — | 2026-07-15 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $1,548.46 | — | — | 2026-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $1,578.30 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | United Healthcare Insurance Company | WI MEDICAID UHC COMMUNITY PLAN | $1,679.00 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $1,679.00 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $1,712.58 | — | — | 2026-03-23 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Fidelis | Managed Medicaid | $1,713.19 | — | — | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | United Healthcare | Managed Medicaid | $1,713.19 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $1,713.19 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $1,713.19 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $1,713.19 | — | — | 2025-08-07 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | ICare | WI Medicaid I Care - CFV | $1,715.54 | — | — | 2026-03-24 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $1,730.63 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $1,730.63 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICAID 1708 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNIVERA HEALTHCARE 1706 | UNIVERA MEDICAID 170607, UNIVERA ESSENTIAL 3-4 170605, UNIVERA ESSENTIAL 1-2 200-250 2201, UNIVERA CHILD HEALTH PLUS 220118, UNIVERA HLTHY NY 220112 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICAID 1708 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICAID 1708 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | BLUE CHOICE OPTION MEDICAID 170601 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | BLUE CHOICE OPTION MEDICAID 170601 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | FIDELIS MEDICAID 1708 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNIVERA HEALTHCARE 1706 | UNIVERA MEDICAID 170607, UNIVERA ESSENTIAL 3-4 170605, UNIVERA ESSENTIAL 1-2 200-250 2201, UNIVERA CHILD HEALTH PLUS 220118, UNIVERA HLTHY NY 220112 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 | HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | BLUE CHOICE OPTION MEDICAID 170601 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | FIDELIS MEDICAID 1708 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $1,821.72 | — | — | 2026-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $1,830.11 | — | — | 2026-03-23 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | Galaxy Health | Workers Comp | $1,846.75 | — | — | 2026-05-22 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MY CHOICE | $1,880.48 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $1,880.48 | — | — | 2026-03-23 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | EmblemHealth | Medicaid | $1,884.49 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | EmblemHealth | Essential Plan 3/Essential Plan 4 | $1,884.49 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | United Healthcare | CHIP/Family Health Plus/Medicaid | $1,884.49 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | Hamaspik Choice | Medicaid | $1,884.49 | — | — | 2026-05-22 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Fidelis | Medicare Advantage | $1,884.51 | — | — | 2025-08-07 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $1,930.85 | — | — | 2026-03-23 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | WellCare | Child Health Plus/Family Health Plus/Medicaid | $1,978.73 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | MVP Health Care of NY | Child Health Plus/Family Health Plus/HARP/Medicaid | $1,978.73 | — | — | 2026-05-22 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 | $2,003.89 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 | $2,003.89 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $2,003.89 | — | — | 2026-01-01 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $2,047.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $2,047.40 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicaid | $2,053.61 | — | — | 2026-11-02 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid | $2,053.61 | — | — | 2026-11-02 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $2,053.61 | — | — | 2026-11-02 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $2,053.61 | — | — | 2026-11-02 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid | $2,055.83 | — | — | 2025-08-07 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $2,094.98 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $2,094.98 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $2,094.98 | — | — | 2026-01-01 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | ICare | WI MEDICAID I CARE | $2,098.75 | — | — | 2026-03-23 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | United Health Care | Medicaid | $2,135.75 | — | — | 2026-11-02 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Humana | Medicaid | $2,149.77 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Staywell | Wellcare Medicaid | $2,149.77 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Staywell | Wellcare Medicaid | $2,150.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Humana | Medicaid | $2,150.00 | — | — | 2026-07-15 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $2,167.85 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 | $2,186.06 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 | $2,186.06 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 | $2,186.06 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 | $2,186.06 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 | $2,186.06 | — | — | 2026-01-01 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Vivada | Medicaid | $2,190.71 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Vivada | Medicaid | $2,191.00 | — | — | 2026-07-15 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient | Blue Cross Blue Shield | Medicaid- Aca, Fhp, Icp | $2,191.52 | — | — | 2026-09-20 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $2,191.52 | — | — | 2026-02-11 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Meridian Health IL | Managed Medicaid | $2,191.52 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Aetna Better Health IL | Managed Medicaid | $2,191.52 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Molina IL | Managed Medicaid | $2,191.52 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $2,191.52 | — | — | 2026-02-13 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | MeridianHealth (IL) | Managed Medicaid | $2,191.52 | — | — | 2026-02-11 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Wellcare (IL) Medicaid | Managed Medicaid | $2,191.52 | — | — | 2026-02-11 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Aetna | Medicaid | $2,211.19 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Aetna | Medicaid | $2,211.19 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid | $2,217.90 | — | — | 2026-11-02 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $2,252.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Sunshine State Health | Medicaid | $2,252.14 | — | — | 2026-07-15 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient | Meridian | Medicaid | $2,257.27 | — | — | 2026-09-20 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | $2,258.97 | — | — | 2026-11-02 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | EmblemHealth | Essential Plan 1/Essential Plan 2 | $2,261.34 | — | — | 2026-05-22 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 | $2,277.15 | — | — | 2026-01-01 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Outpatient | Mgb Health Plan | Hmo/Ppo/Qhp (Unsubsidized) | $2,277.28 | — | — | 2026-11-02 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok Blue Lines | Hmo | $2,343.97 | — | — | 2026-11-02 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Advantage | $2,343.97 | — | — | 2026-11-02 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Community Care Plan | Medicaid | $2,361.65 | — | — | 2026-11-02 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | $2,439.60 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | $2,439.60 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | EmblemHealth | Managed Medicaid | $2,439.60 | — | — | 2025-10-28 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $2,456.88 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Simply | Medicaid | $2,456.88 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Simply | Medicaid | $2,457.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $2,457.00 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Prestige Health | Medicaid | $2,464.33 | — | — | 2026-11-02 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Uhc Community Plan Medicaid | Mco | $2,535.48 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Molina Medicaid | Mco | $2,535.48 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Humana Medicaid | Mco | $2,535.48 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Caresource Medicaid | Mco | $2,535.48 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Buckeye Community Health Plan Medicaid | Mco | $2,535.48 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Amerihealth Caritas Medicaid | Mco | $2,535.48 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Paramount Advantage Medicaid | Mco | $2,535.48 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $2,564.25 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Aetna Better Health | Mycare | $2,615.53 | — | — | 2026-08-01 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Boston Medical Center /Wellsense- | Non-Metals (Baco) | $2,641.14 | — | — | 2026-07-15 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Mass Health | Medicaid | $2,641.14 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $2,641.17 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Mycare | $2,641.17 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $2,641.17 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $2,641.17 | — | — | 2026-08-01 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Tufts Health Together | Medicaid | $2,659.82 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Masshealth | — | $2,659.82 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Fallon 365 / Wellforce | Medicaid | $2,659.82 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $2,666.82 | — | — | 2026-08-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2,683.56 | — | — | 2025-10-28 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $2,692.46 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $2,692.46 | — | — | 2026-08-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 | $2,732.58 | — | — | 2026-01-01 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Hne | Medicaid | $2,739.80 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bmc | Healthnet Plan | $2,739.80 | — | — | 2026-07-15 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | County Care | Medicaid All Plans | $2,757.94 | — | — | 2026-03-27 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | Meridian | Medicaid All Plans | $2,757.94 | — | — | 2026-03-27 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Outpatient | Wellsense | Mass Health | $2,784.69 | — | — | 2026-11-02 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $2,807.46 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Ohio Medicaid Ffs | Medicaid | $2,807.46 | — | — | 2026-07-15 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 | $2,823.67 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 | $2,823.67 | — | — | 2026-01-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA AH BLIND_DISABLED | $2,826.38 | $2,826.38 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA AH | $2,826.38 | $2,826.38 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $2,826.38 | $2,826.38 | — | 2024-07-01 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $2,870.11 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $2,870.11 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $2,870.11 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Meridian Health Plan | Managed Medicaid | $2,870.11 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Meridian Health Plan | Managed Medicaid | $2,870.11 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $2,870.11 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $2,870.11 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $2,870.11 | — | — | 2025-11-12 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Care Source | Caresource Medicaid | $2,874.10 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $2,874.10 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $2,874.10 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Non-contracted Medicaid | Non-contracted Medicaid | $2,874.10 | — | — | 2024-12-19 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Outpatient | Tufts Health Plan | Masshealth | $2,884.74 | — | — | 2026-11-02 | MRF ↗ |
| LAWRENCE GENERAL HOSPITAL Outpatient | Mgb Health Plan | Mass Health Aco | $2,884.74 | — | — | 2026-11-02 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $2,891.68 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $2,891.68 | — | — | 2026-07-15 | 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.