29055 — Application Of Shoulder Cast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). APPLICATION OF SHOULDER CAST (CPT 29055) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/29055?code_type=CPT
MLA (9th ed.)
“APPLICATION OF SHOULDER CAST (CPT 29055) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/29055?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“APPLICATION OF SHOULDER CAST (CPT 29055) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/29055?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $255–$801 (25th–75th percentile) across 1,616 hospitals · 3,839 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 29055 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$255
$352 typical
$801
The middle 50% of negotiated facility rates for this procedure, measured across 1,616 hospitals. The the surgeon's fee 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. | $352 |
| Surgeon (professional fee) Estimate national typical Medicare $131 × 1.22 commercial. | $160 |
| Likely subtotal | $512 |
Surgical episode (typical)
~$512
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
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 ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.54 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.57 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.57 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $5.20 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $5.24 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $5.24 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $5.67 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $5.70 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $5.70 | — | — | 2026-03-18 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.50 | $391.00 | $89.93 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.50 | $391.00 | $86.02 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.50 | $391.00 | $105.57 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.50 | $391.00 | $86.02 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.50 | $391.00 | $101.66 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.50 | $391.00 | $93.84 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.50 | $391.00 | $86.02 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.50 | $391.00 | $101.66 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.50 | $391.00 | $93.84 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.50 | $391.00 | $89.93 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.50 | $391.00 | $86.02 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.50 | $391.00 | $105.57 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.50 | $391.00 | $74.29 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.50 | $391.00 | $89.93 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.50 | $391.00 | $86.02 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.50 | $391.00 | $86.02 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.50 | $391.00 | $86.02 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.50 | $391.00 | $74.29 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid CHC | $7.50 | $391.00 | $70.38 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.50 | $391.00 | $86.02 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.50 | $391.00 | $89.93 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Amerihealth | Amerihealth Medicaid HC | $7.50 | $391.00 | $70.38 | 2026-04-14 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $14.09 | — | — | 2026-03-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $23.57 | — | — | 2025-12-31 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $27.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $27.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $27.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $27.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $27.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $27.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $27.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $27.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $27.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $27.11 | — | — | 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 SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $27.11 | — | — | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $29.70 | $220.00 | $165.00 | 2026-01-16 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | WELL SENSE HEALTH PLAN | WELL SENSE HEALTH PLAN | $30.93 | $287.00 | $157.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | BEACON HEALTH | CARELON BEHAVIORAL HEALTH | $30.93 | $287.00 | $157.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS NH | AMERIHEALTH CARITAS NH | $32.53 | $287.00 | $157.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID PENDING | $32.85 | $287.00 | $157.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID DISABILITY | $32.85 | $287.00 | $157.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID | $32.85 | $287.00 | $157.85 | 2026-04-10 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $33.00 | $1,841.00 | $736.40 | 2026-05-06 | 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 ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM SHORT TERM LIMITED DURATION | 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM TRADITIONAL | 9233_ANTHEM TRADITIONAL VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC POS | 9228_ANTHEM HEALTHSYNC POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.70 | — | — | 2026-01-01 | 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 ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $36.30 | $1,841.00 | $736.40 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $36.30 | $1,841.00 | $736.40 | 2026-05-14 | MRF ↗ |
| BROWARD HEALTH CORAL SPRINGS OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $36.54 | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Aetna Healthcare of Florida/Vista Health Plan/Aetna Better Health | HMO | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $36.54 | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER OutpatientFacility | Simply Healthy Kids | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $36.54 | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER OutpatientFacility | Children's Medical Services/Sunshine Health | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Simply Healthcare/Clear Health Alliance | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH IMPERIAL POINT OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $36.54 | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BAYLOR SURGICAL HOSPITAL AT LAS COLINAS BothFacility | BLUE CROSS/BLUE SHIELD | BCBS DFW-TRADITIONAL | $44.00 | $80.00 | $48.00 | 2026-04-14 | MRF ↗ |
| BAYLOR SURGICAL HOSPITAL AT LAS COLINAS BothFacility | BLUE CROSS/BLUE SHIELD | BCBS DFW-TRADITIONAL | $44.00 | $80.00 | $48.00 | 2026-04-14 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA LOCALPLUS | 3193_CIGNA LOCALPLUS (DEKALB) 20250601 | $45.00 | — | — | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RIVER PARK HOSPITAL Outpatient | CIGNA LOCALPLUS | 3193_CIGNA LOCALPLUS (DEKALB) 20250601 | $45.00 | — | — | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | CIGNA LOCALPLUS | 3193_CIGNA LOCALPLUS (DEKALB) 20250601 | $45.00 | — | — | 2026-01-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $45.05 | $266.00 | $266.00 | 2026-03-23 | MRF ↗ |
| BAYLOR SURGICAL HOSPITAL AT LAS COLINAS BothFacility | BLUE CROSS/BLUE SHIELD | BCBS DFW-TRADITIONAL | $45.65 | $83.00 | $49.80 | 2026-04-14 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $45.65 | $220.00 | $165.00 | 2026-01-16 | MRF ↗ |
| BAYLOR SURGICAL HOSPITAL AT LAS COLINAS BothFacility | BLUE CROSS/BLUE SHIELD | BCBS DFW-TRADITIONAL | $45.65 | $83.00 | $49.80 | 2026-04-14 | MRF ↗ |
| BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH BothFacility | BLUE CROSS/BLUE SHIELD | BCBS DFW-TRADITIONAL | $46.20 | $84.00 | $50.40 | 2026-04-14 | MRF ↗ |
| BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH BothFacility | BLUE CROSS/BLUE SHIELD | BCBS DFW-TRADITIONAL | $46.75 | $85.00 | $51.00 | 2026-04-14 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Physicians Medical Group | MCD | $47.00 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | LA Care Health | Medi-cal | $47.00 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Molina | MCD | $47.00 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $47.34 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $47.34 | — | — | 2026-03-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $47.62 | — | — | 2026-03-31 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource Oh | Managed Care Medicaid Plan | $49.52 | $1,021.00 | $520.71 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem Oh | Managed Care Medicaid Plan | $49.52 | $1,021.00 | $520.71 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Oh | Managed Care Medicaid Plan | $49.52 | $1,021.00 | $520.71 | 2026-05-09 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $49.56 | $266.00 | $266.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $49.56 | $266.00 | $266.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $49.56 | $266.00 | $266.00 | 2026-03-23 | MRF ↗ |
| HILTON HEAD REGIONAL 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Amerihealth Caritas Oh | Managed Care Medicaid Plan | $50.94 | $1,021.00 | $520.71 | 2026-05-09 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Brand New Day | MCD | $51.70 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Gold Coast Health Plan | MCD | $51.70 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medi-Cal | $51.70 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Brand New Day | MCD | $51.70 | — | — | 2024-10-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Molina Oh | Managed Care Medicaid Plan | $51.88 | $1,021.00 | $520.71 | 2026-05-09 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $52.07 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $52.07 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $52.07 | — | — | 2026-03-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Buckeye Oh | Managed Care Medicaid Plan | $54.24 | $1,021.00 | $520.71 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $54.44 | $151.23 | $95.27 | 2026-01-27 | MRF ↗ |
| FAYETTE MEDICAL CENTER OutpatientFacility | TRADITIONAL MEDICAID | ALABAMA MEDICAID | $54.44 | — | — | 2026-03-26 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | TRADITIONAL MEDICAID | ALABAMA MEDICAID | $54.44 | — | — | 2026-03-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $54.72 | — | — | 2025-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | KLHP-KERN LEGACY EPO -ALL OTHER PLANS | $55.00 | $709.00 | $191.43 | 2026-01-31 | MRF ↗ |
| BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS OutpatientFacility | Imperial Health | Medicare Advantage | $55.17 | $1,779.81 | $1,423.85 | 2026-03-25 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | HealthSun Health Plan | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Florida Pace Center | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Sunshine State Health Plan Healthy Kids | HMO | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Florida Pace Center | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | United Healthcare Community Plan/Healthy Kids | HMO | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | United AARP | Medicare Complete | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | United | Select HMO/Options PPO/Cruise Lines | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Doctor's Healthcare | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Cigna Healthcare/SureFit | HMO/PPO/POS | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Sunshine State Health Plan | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Humana | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | United/WellMed | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Amerihealth Caritas | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | WellCare Healthy Kids | HMO | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | WellCare | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Clear Springs Healthcare | HMO | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Amerihealth Caritas | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Cigna Healthcare/SureFit | HMO/PPO/POS | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Freedom Health | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | WellCare/Stay Well | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Simply Healthcare | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | CarePlus Health Plan | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Aetna Health/Aetna Summit | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Aetna Healthcare of Florida/Vista Health Plan/Aetna Better Health | HMO | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Humana/Choice Care | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Aetna Health | HMO/PPO/Exchange | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Florida Pace Center | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Avmed | Exchange | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Community Care Plan | HMO | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Preferred Care Partners | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Community Care Plan | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Medica Healthcare | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Community Care Plan | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Simply Healthcare/Clear Health Alliance | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Humana/Choice Care | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | HealthSun Health Plan | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Community Care Plan | HMO | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Community Care Plan | PPO | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Neighborhood Health Partnership | HMO | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | WellCare Healthy Kids | HMO | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Sunshine State Health Plan | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | United | Select HMO/Options PPO/Cruise Lines | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | WellCare | Medicare Advantage | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Aetna Best Choice | HMO Employee Plan | $55.88 | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Community Care Plan | PPO | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Avmed | Exchange | — | $537.35 | $537.35 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Humana | Managed Medicaid | — | $537.35 | $537.35 | 2026-04-17 | 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.