28208 — Repair Of Foot Tendon
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REPAIR OF FOOT TENDON (CPT 28208) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/28208?code_type=CPT
MLA (9th ed.)
“REPAIR OF FOOT TENDON (CPT 28208) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/28208?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“REPAIR OF FOOT TENDON (CPT 28208) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/28208?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,751–$4,956 (25th–75th percentile) across 1,897 hospitals · 5,416 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 28208 — 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 fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,751
$3,359 typical
$4,956
The middle 50% of negotiated facility rates for this procedure, measured across 1,897 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. | $3,359 |
| Surgeon (professional fee) Estimate national typical Medicare $310 × 1.22 commercial. | $378 |
| 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 | $4,445 |
Surgical episode (typical)
~$4,445
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.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$8,229
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $16,289.40 | $10,588.11 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $16,289.40 | $10,588.11 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $16,289.40 | $10,588.11 | 2025-11-26 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $6.84 | $7,647.28 | $4,588.37 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $6.84 | $7,647.28 | $4,588.37 | 2025-08-11 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $9,845.56 | $6,399.61 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | — | $9,845.56 | $6,399.61 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | — | $9,845.56 | $6,399.61 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $9,845.56 | $6,399.61 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | — | $9,845.56 | $6,399.61 | 2024-12-30 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | VETERANS [99909] | UVA HB VETERANS CHOICE | $9.32 | $17,866.54 | $10,719.92 | 2026-03-24 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | United Healthcare | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | UCare for Seniors | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Aetna | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Medica Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Medica | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Blue Plus Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Ucare Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Primewest Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Humana | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Blue Cross Blue Shield | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $14.43 | $5,520.00 | $2,042.40 | 2026-03-31 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $18.22 | $7,245.00 | $7,245.00 | 2026-02-13 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | AMBETTER NH HEALTHY FAMILIES | NH HEALTHY FAMILIES AMBETTER | $25.00 | $725.00 | $390.77 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | NH HEALTHY FAMILIES | NH HEALTHY FAMILIES | $26.00 | $725.00 | $390.77 | 2026-01-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $26.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $28.28 | $908.00 | $172.52 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $28.28 | $908.00 | $199.76 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $28.28 | $908.00 | $245.16 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $28.28 | $908.00 | $199.76 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $28.28 | $908.00 | $199.76 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $28.28 | $908.00 | $217.92 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $28.28 | $908.00 | $208.84 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $28.28 | $908.00 | $199.76 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $28.28 | $908.00 | $199.76 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $28.28 | $908.00 | $199.76 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $28.28 | $908.00 | $217.92 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $28.28 | $908.00 | $245.16 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $28.28 | $908.00 | $172.52 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $28.28 | $908.00 | $208.84 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $28.28 | $908.00 | $236.08 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $28.28 | $908.00 | $163.44 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $28.28 | $908.00 | $208.84 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $28.28 | $908.00 | $163.44 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $28.28 | $908.00 | $208.84 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $28.28 | $908.00 | $199.76 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $28.28 | $908.00 | $236.08 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $28.28 | $908.00 | $199.76 | 2026-04-14 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | 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 ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $34.59 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $34.59 | — | — | 2026-04-01 | 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 ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $34.70 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $34.70 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $34.70 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $34.70 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $34.70 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $34.70 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $34.70 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $34.70 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $34.70 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $38.97 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $38.97 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $38.97 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $38.97 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $38.97 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $38.97 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $38.97 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $38.97 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $38.97 | — | — | 2026-04-14 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MHCP | BCBS MHCP | $44.03 | $120.00 | $105.60 | 2026-02-03 | 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 ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $1,668.50 | $1,201.32 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $1,668.50 | $1,201.32 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $1,668.50 | $1,201.32 | 2026-05-04 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $51.92 | $4,992.15 | $4,992.15 | 2026-04-24 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $53.87 | $399.00 | $299.25 | 2026-01-16 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | United Healthcare | Default | — | $4,700.00 | $3,431.00 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Aetna | Default | $55.00 | $4,700.00 | $3,431.00 | 2026-05-09 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MCAID | MEDICA MCAID | $55.44 | $120.00 | $105.60 | 2026-02-03 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $55.65 | — | — | 2026-04-14 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $56.40 | $120.00 | $105.60 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $56.40 | $120.00 | $105.60 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $56.40 | $120.00 | $105.60 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR SELECT | UCARE MCR SELECT | $60.00 | $120.00 | $105.60 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE SR HLTH OPTIONS (MSHO) | UCARE SR HLTH OPTIONS (MSHO) | $60.00 | $120.00 | $105.60 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR ADV | UCARE MCR ADV | $60.00 | $120.00 | $105.60 | 2026-02-03 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $61.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $61.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $61.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $61.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $61.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $61.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $61.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $61.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $61.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $61.81 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $61.81 | — | — | 2026-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $16,289.40 | $10,588.11 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $16,289.40 | $10,588.11 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $16,289.40 | $10,588.11 | 2025-11-26 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $70.00 | $1,080.00 | $950.40 | 2026-02-03 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $72.63 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $72.63 | — | — | 2026-04-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $72.88 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $72.88 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $72.88 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $72.88 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $72.88 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $72.88 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $72.88 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $72.88 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $72.88 | — | — | 2026-04-14 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MSHO | MEDICA MSHO | $74.64 | $120.00 | $105.60 | 2026-02-03 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD PROMISE [1017] | BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) | $75.00 | $39,726.24 | $21,849.43 | 2026-04-01 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $75.00 | $785.00 | $510.25 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $75.00 | $785.00 | $510.25 | 2026-02-10 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $76.50 | $255.00 | $127.50 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Outpatient | Medicaid West Virginia UNISYS | Default | $76.50 | $255.00 | $127.50 | 2026-04-07 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $77.84 | $7,647.28 | $4,588.37 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $77.84 | $7,647.28 | $4,588.37 | 2025-08-11 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID NY [300033] | MEDICAID [30003301] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC HMO MEDICAID / COMMUNITY [35001303] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | BCBS SEMC EMPLOYEES [20004104] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 1+2 [35001305] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC CHILD HEALTH PLUS [35001304] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE ALTERNATE [400002] | MEDICARE COVID-19 ALTERNATE [40000106] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WELLCARE MEDICAID [350022] | WELLCARE HMO MEDICAID [35002201] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS ESSENTIAL 1+2 [35005803] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS CHILD HEALTH PLUS [35005802] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS HEALTHY NY EPO [20004107] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS HEALTH LIFE/ESSENTIAL 3&4 [35005804] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE ALTERNATE [400002] | MEDICARE PART B ALTERNATE [40000201] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CHAMPVA [600007] | CHAMPVA [60000701] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS EXCHANGE [100254] | FIDELIS EXCHANGE [10025401] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EMPIRE [200040] | BCBS EMPIRE NYS [20004001] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WELLPATH [500030] | WELLPATH [50003002] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | BCBS CENTRAL NY [20004102] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS OUT OF STATE [209999] | BCBS ANTHEM [20999901] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | VETERANS ADMINISTRATION [600004] | VETERANS CHOICE [60000402] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ACCESS COMPLIANCE [109956] | ACCESS COMPLIANCE [10995601] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP [100257] | MVP HMO [10025702] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | UNIVERA HEALTHCARE [20004106] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY WESTERN NEW YORK [200042] | BCBS WESTERN NEW YORK [20004201] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS ALTERNATE - FSLH [350060] | FIDELIS ALTERNATE - FSLH [35006001] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS ESSENTIAL [350062] | FIDELIS ESSENTIAL PLAN 1/2/5 [35006203] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | VETERANS ADMINISTRATION [600004] | VETERANS ADMINISTRATION [60000401] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRIWEST [600008] | TRIWEST [60000801] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS EXCHANGE [20004105] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS HMO/PPO [20004101] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS MEDICARE [450117] | FIDELIS MEDICARE ADVANTAGE [45011701] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP [100257] | MVP PPO [10025703] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EMPIRE [200040] | BCBS EMPIRE NON NYS [20004002] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE SHIELD NY NORTHEASTERN NEW YORK [200043] | BCBS NORTHEASTERN NEW YORK [20004301] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | US FAMILY HEALTH PLAN [600002] | US FAMILY HEALTH PLAN [60000201] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ESIS WORK COMP [700010] | WC ESIS [70001001] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GALLAGHER BASSETT WORK COMP [700013] | WC GALLAGHER BASSETT [70001301] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS WORK COMP [700028] | WC TRAVELERS [70002801] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CDPHP [100253] | CDPHP [10025301] | — | $653.00 | $391.80 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS FEDERAL [200063] | BCBS FEDERAL PROGRAM [20006301] | — | $653.00 | $391.80 | 2025-01-17 | 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.