28435 — Treatment Of Ankle Fracture
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TREATMENT OF ANKLE FRACTURE (CPT 28435) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/28435?code_type=CPT
MLA (9th ed.)
“TREATMENT OF ANKLE FRACTURE (CPT 28435) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/28435?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TREATMENT OF ANKLE FRACTURE (CPT 28435) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/28435?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $973–$2,933 (25th–75th percentile) across 1,982 hospitals · 5,834 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 28435 — 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
$973
$1,763 typical
$2,933
The middle 50% of negotiated facility rates for this procedure, measured across 1,982 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. | $1,763 |
| Surgeon (professional fee) Estimate national typical Medicare $329 × 1.22 commercial. | $401 |
| 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 | $2,873 |
Surgical episode (typical)
~$2,873
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)
~$6,657
- 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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| MCLAREN THUMB REGION Both | Tricare | Tricare | $0.75 | $2.10 | $1.05 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Tricare | Tricare | $0.75 | $2.10 | $1.05 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Cofinity group 15892 & 15893 | Cofinity group 15892 & 15893 | $1.00 | $1.00 | — | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Cofinity Auto | Cofinity Auto | $1.00 | $1.00 | — | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Cofinity | Cofinity | $1.00 | $1.00 | — | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | United Healthcare | United Healthcare | $1.00 | $1.00 | — | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | HAP - HMO | HAP - HMO | $1.00 | $1.00 | — | 2025-02-03 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.72 | $949.00 | $208.78 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.72 | $949.00 | $170.82 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.72 | $949.00 | $208.78 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.72 | $949.00 | $180.31 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.72 | $949.00 | $227.76 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.72 | $949.00 | $170.82 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.72 | $949.00 | $256.23 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.72 | $949.00 | $218.27 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.72 | $949.00 | $218.27 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.72 | $949.00 | $246.74 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.72 | $949.00 | $218.27 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.72 | $949.00 | $208.78 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.72 | $949.00 | $208.78 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.72 | $949.00 | $227.76 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.72 | $949.00 | $208.78 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.72 | $949.00 | $218.27 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.72 | $949.00 | $180.31 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.72 | $949.00 | $256.23 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.72 | $949.00 | $246.74 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $5.72 | $949.00 | $208.78 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.72 | $949.00 | $208.78 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $5.72 | $949.00 | $208.78 | 2026-04-14 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $6.06 | $895.00 | $671.25 | 2025-03-07 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $15.00 | $1,525.00 | $1,525.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $15.00 | $1,525.00 | $1,525.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $15.00 | $1,525.00 | $1,525.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $15.00 | $1,525.00 | $1,525.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $19.50 | $1,525.00 | $1,525.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $19.50 | $1,525.00 | $1,525.00 | 2025-10-04 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $27.45 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $27.45 | — | — | 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 | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $35.66 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $35.66 | — | — | 2026-04-01 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $35.95 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $35.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $35.95 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $35.95 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $35.95 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $35.95 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $35.95 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $35.95 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $35.95 | — | — | 2026-04-14 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Blue Cross Blue Shield | Blue Local Individual | $36.91 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Optum Transplant | Transplant Services | — | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Local Individual | $39.03 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Distinctions Transplant Services | — | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Local Individual | $40.25 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $40.37 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $40.37 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $40.37 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $40.37 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $40.37 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $40.37 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $40.37 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $40.37 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $40.37 | — | — | 2026-04-14 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Magee Health Partners | Medicaid | $41.62 | — | — | 2026-03-18 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $42.20 | $308.00 | $246.40 | 2026-04-24 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $43.34 | $321.00 | $240.75 | 2026-01-16 | MRF ↗ |
| Davie Medical Center OutpatientFacility | MedCost | Employee Managed Care | $44.75 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California | Medi-Cal | — | $8,103.82 | $5,267.48 | 2025-11-26 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $45.42 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $45.42 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $45.42 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $45.42 | — | — | 2026-04-16 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE APIPA | $45.42 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC LCD | ALL PRODUCTS | $45.42 | $3,404.00 | — | 2026-01-01 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | MOLINA | MOLINA COMPLETE CARE MEDICAID | $45.42 | — | — | 2026-04-16 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC LCD | ALL PRODUCTS | $45.42 | $3,404.00 | — | 2026-01-01 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Carolina Complete | Medicaid Managed Care | $45.78 | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Amerihealth | Medicaid Managed Care | $45.78 | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Aetna | Medicare Advantage | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Partners | Medicaid Tailored Plan | $45.78 | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Healthy Blue | Medicaid Managed Care | $45.78 | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | United Healthcare | Medicaid Managed Care | $46.24 | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Vaya | Medicaid Tailored Plan | $46.24 | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Wellcare | Medicaid Managed Care | $46.24 | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Alliance | Medicaid Tailored Plan | $46.70 | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Trillium | Medicaid Tailored Plan | $47.17 | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | MedCost | Employee Managed Care | $47.32 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $50.00 | $4,933.00 | $4,933.00 | 2025-12-03 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL 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 ↗ |
| Davie Medical Center OutpatientFacility | Blue Cross Blue Shield | HPN | $50.56 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $1,932.00 | $1,391.04 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $1,932.00 | $1,391.04 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $1,932.00 | $1,391.04 | 2026-05-04 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $51.00 | $1,921.00 | $364.99 | 2026-02-27 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Carolina Complete | Medicaid Managed Care | $51.08 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Partners | Medicaid Tailored Plan | $51.08 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Amerihealth | Medicaid Managed Care | $51.08 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Health Blue | Medicaid Managed Care | $51.08 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Vaya | Medicaid Tailored Plan | $51.60 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | United Healthcare | Medicaid Managed Care | $51.73 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Wellcare | Medicaid Managed Care | $51.73 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Blue Cross Blue Shield | Blue Local Individual | $51.76 | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Alliance | Medicaid Tailored Plan | $52.09 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Trillium | Medicaid Tailored Plan | $52.61 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Blue Cross Blue Shield | Blue Value | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Ambetter | Managed Care | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | United Healthcare | Medicaid Managed Care | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Amerihealth | Managed Care | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | United Healthcare | IEX Individual | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Devoted | Medicare Advantage | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Wellcare | Medicare Advantage | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Trillium | Medicaid Tailored Plan | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Cigna Healthsprings | Medicare Advantage | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Healthy Blue | Medicaid Managed Care | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Blue Cross Blue Shield | HMO/PPO | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Partners | Medicaid Tailored Plan | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Amerihealth | Medicaid Managed Care | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Vaya | Medicaid Tailored Plan | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Alliance | Medicaid Tailored Plan | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | United Healthcare | Managed Care | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Humana | Medicare Advantage | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Blue Cross Blue Shield | Blue Local Individual | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Apex | Medicare Advantage | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Blue Cross Blue Shield | HPN | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | MedCost | Employee Managed Care | $53.22 | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | United Healthcare | Medicare Advantage | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Wellcare | Medicaid Managed Care | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | HealthTeam | Medicare Advantage | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Alignment Medicare | Medicare Advantage | — | $243.00 | $121.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | HPN | $53.46 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna | IVL Exchange | $53.56 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $992.00 | $744.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $992.00 | $744.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $992.00 | $744.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $992.00 | $744.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $992.00 | $744.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $992.00 | $744.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $53.76 | $992.00 | $744.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $992.00 | $744.00 | 2026-05-18 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Health Blue | Medicaid Managed Care | $54.01 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Carolina Complete | Medicaid Managed Care | $54.01 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Partners | Medicaid Tailored Plan | $54.01 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Amerihealth | Medicaid Managed Care | $54.01 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $8,103.82 | $5,267.48 | 2025-11-26 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Vaya | Medicaid Tailored Plan | $54.56 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | United Healthcare | Medicaid Managed Care | $54.71 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Wellcare | Medicaid Managed Care | $54.71 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | HPN | $54.87 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Aetna | Default | $55.00 | $1,194.00 | $871.62 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | United Healthcare | Default | — | $1,194.00 | $871.62 | 2026-05-09 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Alliance | Medicaid Tailored Plan | $55.09 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Trillium | Medicaid Tailored Plan | $55.64 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $55.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $55.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $55.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $55.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $55.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $55.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $55.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $55.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $55.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $55.74 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $55.74 | — | — | 2026-01-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Aetna | IVL Exchange | $56.64 | $239.00 | $119.50 | 2025-10-08 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Blue Cross Blue Shield | Blue Value | $57.18 | $226.00 | $113.00 | 2025-10-21 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $57.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $57.65 | — | — | 2026-04-14 | 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.