29126 — Apply Forearm Splint
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). APPLY FOREARM SPLINT (CPT 29126) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/29126?code_type=CPT
MLA (9th ed.)
“APPLY FOREARM SPLINT (CPT 29126) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/29126?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“APPLY FOREARM SPLINT (CPT 29126) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/29126?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $129–$377 (25th–75th percentile) across 2,336 hospitals · 7,285 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 29126 — 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
$129
$208 typical
$377
The middle 50% of negotiated facility rates for this procedure, measured across 2,336 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. | $208 |
| Surgeon (professional fee) Estimate national typical Medicare $45 × 1.22 commercial. | $55 |
| Likely subtotal | $263 |
Surgical episode (typical)
~$263
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 | $128.00 | $37.89 | 2026-02-28 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.73 | $210.00 | $157.50 | 2025-03-07 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $798.00 | $654.36 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $798.00 | $654.36 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $798.00 | $654.36 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $798.00 | $654.36 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $798.00 | $654.36 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $798.00 | $654.36 | 2025-11-26 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.04 | $135.20 | $81.12 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.04 | $135.20 | $81.12 | 2025-08-11 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $1.40 | $110.00 | $110.00 | 2026-03-09 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Multiplan | Multiplan | $1.56 | $1,249.00 | $936.75 | 2026-04-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.01 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.01 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $2.29 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $2.30 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $2.30 | — | — | 2026-03-18 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $2.37 | $411.00 | $152.07 | 2026-03-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.49 | — | — | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.08 | $135.20 | $81.12 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.08 | $135.20 | $81.12 | 2025-08-11 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $798.00 | $654.36 | 2025-11-26 | MRF ↗ |
| MAYERS MEMORIAL HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $5.00 | $1,832.00 | $1,832.00 | 2026-05-12 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $5.72 | $139.34 | $151.00 | 2024-12-19 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $6.02 | $139.34 | $151.00 | 2024-12-19 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | LA Care Health | Medi-cal | $7.00 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Physicians Medical Group | MCD | $7.00 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Molina | MCD | $7.00 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $7.17 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $7.17 | — | — | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Brand New Day | MCD | $7.70 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Gold Coast Health Plan | MCD | $7.70 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medi-Cal | $7.70 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Brand New Day | MCD | $7.70 | — | — | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $7.89 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $7.89 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $7.89 | — | — | 2026-03-01 | MRF ↗ |
| KNAPP MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $8.21 | $150.00 | $146.00 | 2024-12-19 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $8.22 | $60.00 | $48.00 | 2026-04-24 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Medicare A Ky J15 | Default | $8.53 | $29.00 | $17.40 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $8.53 | $29.00 | $17.40 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Humana | Default | — | $29.00 | $17.40 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $8.53 | $29.00 | $17.40 | 2026-05-22 | MRF ↗ |
| KNAPP MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $8.64 | $150.00 | $146.00 | 2024-12-19 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Uhc Group Medicare Advantage | Medicare Advantage | $9.28 | $29.00 | $17.40 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Wellcare Health Plan Mcd Rep | Medicaid Replacement | $9.28 | $29.00 | $17.40 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Ky Anthem | Medicaid Replacement | $9.28 | $29.00 | $17.40 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Ky Anthem | Medicare Advantage | $9.28 | $29.00 | $17.40 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Medicaid Kentucky | Default | $9.28 | $29.00 | $17.40 | 2026-05-22 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $9.54 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $9.54 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $9.54 | $358.00 | $214.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $9.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $9.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $9.54 | $284.00 | $170.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $9.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $9.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $9.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $9.54 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $9.54 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $10.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $10.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $10.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $10.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $10.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $10.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $10.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $10.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $10.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $10.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $10.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $10.15 | — | — | 2024-10-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $10.40 | $77.00 | $57.75 | 2026-01-16 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $10.40 | — | — | 2026-03-01 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Parkland Medicaid | Parkland Community Health Plan Star Medicaid | $11.26 | $139.34 | $151.00 | 2024-12-19 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $11.91 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $12.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $12.48 | $192.00 | $124.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $12.48 | $192.00 | $124.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $12.48 | $192.00 | $124.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $12.48 | $192.00 | $124.80 | 2026-03-18 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $12.83 | $315.00 | $236.25 | 2025-01-31 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | $390.00 | $234.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | $448.00 | $268.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | $358.00 | $214.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | $448.00 | $268.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | $358.00 | $214.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | $390.00 | $234.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | $284.00 | $170.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | $448.00 | $268.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | $284.00 | $170.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | $448.00 | $268.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $12.96 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $12.96 | $366.00 | $219.60 | 2026-01-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Medicaid Georgia | Default | $13.57 | $84.00 | $63.00 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Medicaid Georgia | Default | $13.57 | $84.00 | $63.00 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Amerigroup NM, GA, DC | Default | $13.61 | $84.00 | $63.00 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Amerigroup NM, GA, DC | Default | $13.61 | $84.00 | $63.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $13.72 | $211.00 | $137.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.72 | $211.00 | $137.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $13.72 | $211.00 | $137.15 | 2026-03-12 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | WellCare of Georgia | Default | $13.88 | $84.00 | $63.00 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | WellCare of Georgia | Default | $13.88 | $84.00 | $63.00 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $14.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $14.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $14.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $14.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $14.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $14.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | CareSource GA | Default | $14.25 | $84.00 | $63.00 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | CareSource GA | Default | $14.25 | $84.00 | $63.00 | 2026-04-01 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $14.52 | $106.00 | $84.80 | 2026-04-24 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.56 | $224.00 | $145.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $14.56 | $224.00 | $145.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.56 | $224.00 | $145.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.56 | $224.00 | $145.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $14.56 | $224.00 | $145.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $14.56 | $224.00 | $145.60 | 2026-03-12 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $15.00 | $70.00 | $59.50 | 2026-02-28 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $15.00 | $118.00 | $59.00 | 2025-02-03 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | United Healthcare | Default | $15.12 | $84.00 | $63.00 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | United Healthcare | Default | $15.12 | $84.00 | $63.00 | 2026-04-01 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $15.29 | $319.44 | $146.00 | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $15.29 | $319.44 | $146.00 | 2024-12-19 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $15.29 | $70.00 | $59.50 | 2026-02-28 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $15.34 | $26.00 | $26.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $15.34 | $26.00 | $26.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellmark | Commercial | — | $26.00 | $26.00 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $15.34 | $26.00 | $26.00 | 2025-05-01 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Medicare Advantage | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Managed Medicaid | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Cigna | Commercial | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Managed Medicaid | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Medicare Advantage | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC | HMO | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | IlliniCare | Medicare Advantage | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | My Choice | Managed Medicaid | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Prevea 360 | Medicare Advantage | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | IlliniCare | Medicare Advantage | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Managed Medicaid | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - South Central WI | Managed Medicaid | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | MeridianCare | Medicare Advantage | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Medicare Advantage | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC | HMO | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - Eau Claire | Managed Medicaid | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - Eau Claire | Managed Medicaid | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Cigna | Commercial | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $15.57 | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Humana | Medicare Advantage | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Health Partners Open Network | Commercial | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Managed Medicaid | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Dean Health Plan | Managed Medicaid | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Quartz | HMO | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Medicare Advantage | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Commercial | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | My Choice | Managed Medicaid | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - South Central WI | Managed Medicaid | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Health Partners Open Network | Commercial | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Dean Health Plan | Managed Medicaid | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Quartz | HMO | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | MeridianCare | Medicare Advantage | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $15.57 | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Commercial | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Humana | Medicare Advantage | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Prevea 360 | Medicare Advantage | — | $67.69 | $54.16 | 2026-01-28 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $15.98 | $77.00 | $57.75 | 2026-01-16 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $118.00 | $59.00 | 2025-02-03 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $16.00 | $187.00 | $33.66 | 2026-01-30 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $16.08 | $94.00 | $94.00 | 2026-03-23 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $16.10 | $319.44 | $146.00 | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $16.10 | $319.44 | $146.00 | 2024-12-19 | MRF ↗ |
| UPMC COLE OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $16.35 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | United Healthcare | Medicare | $16.52 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | UPMC Health Plan | Managed Medicare | $16.52 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | AmeriHealth Caritas | Medicare | $16.52 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | Humana | Medicare | $16.69 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | HIP / Emblem Health | All Plans | $16.72 | $119.43 | $62.10 | 2026-01-01 | MRF ↗ |
| UPMC COLE OutpatientFacility | AmeriHealth Caritas | Medicaid | $16.93 | $59.00 | $35.40 | 2026-03-06 | 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.