29240 — Strapping Of Shoulder
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). STRAPPING OF SHOULDER (CPT 29240) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/29240?code_type=CPT
MLA (9th ed.)
“STRAPPING OF SHOULDER (CPT 29240) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/29240?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“STRAPPING OF SHOULDER (CPT 29240) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/29240?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $115–$297 (25th–75th percentile) across 2,441 hospitals · 8,170 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 29240 — 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 figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$115
$170 typical
$297
The middle 50% of negotiated facility rates for this procedure, measured across 2,441 hospitals. Surgeon & 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. | $170 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $15 × 1.22 commercial. | $19 |
| Likely subtotal | $188 |
Surgical episode (typical)
~$188
Your recovery plan — adjust to what your surgeon told you
After surgery, 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)
~$3,973
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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $594.66 | $297.33 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $594.66 | $297.33 | 2024-12-15 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.13 | $143.00 | $107.25 | 2025-03-07 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.41 | $262.50 | $157.50 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.41 | $262.50 | $157.50 | 2025-08-11 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $0.54 | $55.00 | $55.00 | 2026-03-09 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $0.59 | $76.00 | $49.40 | 2026-05-07 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.89 | $225.00 | $83.25 | 2026-03-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $285.00 | $233.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $285.00 | $233.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $285.00 | $233.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $285.00 | $233.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $285.00 | $233.70 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $285.00 | $233.70 | 2025-11-26 | 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 ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.09 | $200.70 | $200.70 | 2026-04-24 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $2.21 | $217.00 | $141.05 | 2026-03-14 | 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 ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.49 | — | — | 2026-03-18 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - PEDIATRIC | $2.93 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - ADULT | $2.93 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $2.93 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $2.93 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | OHANA | QUEST - NON-ABD | $2.98 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | OHANA | NON-ABD | $2.98 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.08 | $262.50 | $157.50 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.08 | $262.50 | $157.50 | 2025-08-11 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $3.11 | $155.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $3.11 | $155.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $3.11 | $155.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $3.11 | $155.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $3.11 | $155.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $3.11 | $155.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $3.11 | $155.50 | — | 2026-03-31 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $3.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $3.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $3.75 | $268.00 | $160.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $3.75 | $268.00 | $160.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $3.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $3.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $3.75 | $268.00 | $160.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $3.75 | $167.00 | $100.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $3.75 | $264.00 | $158.40 | 2026-01-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL Both | United Health Care | PPO | — | $48.40 | $19.36 | 2025-05-21 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL Both | Blue Cross Blue Shield AL | PPO | — | $48.40 | $19.36 | 2025-05-21 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL Both | Humana | PPO | — | $48.40 | $19.36 | 2025-05-21 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $4.05 | $30.00 | $22.50 | 2026-01-16 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | OHP WESTERN | OHP WESTERN OREGON ADV HEALTH | $4.09 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $716.00 | $587.12 | 2025-11-26 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | LIFEWISE | LIFEWISE | $4.54 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Both | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $4.59 | $10.00 | $10.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Both | AETNA MCR | AETNA MCR | $4.60 | $10.00 | $10.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Both | HUMANA MCARE ADV | HUMANA MCARE ADV | $4.60 | $10.00 | $10.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Both | WELLMARK TRIWEST | WELLMARK TRIWEST | $4.65 | $10.00 | $10.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Both | AMERIGROUP MCAID - ALL OTHER PLANS | AMERIGROUP MCAID - ALL OTHER PLANS | $4.68 | $10.00 | $10.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Both | AMERIGROUP MCARE | AMERIGROUP MCARE | $4.69 | $10.00 | $10.00 | 2026-01-24 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $4.80 | $48.00 | $31.20 | 2026-04-17 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Both | IOWA TOTAL CARE MCARE | IOWA TOTAL CARE MCARE | $4.83 | $10.00 | $10.00 | 2026-01-24 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Humana Inc. | Commercial | $5.00 | $30.00 | $11.00 | 2026-05-27 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE | $5.19 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | CIGNA | CIGNA | $5.52 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MHCP-ALL OTHER PLANS | BCBS MN MHCP-ALL OTHER PLANS | $5.55 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | REGENCE BCBS OF OREGON | BCBS PREFERRED | $5.63 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | PROVIDENCE HEALTH PLAN | PROVIDENCE HEALTH PLAN | $5.63 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $5.65 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | REGENCE BCBS OF OREGON | BCBS PARTICIPATING | $5.87 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | PACIFICSOURCE HEALTH PLANS | PACIFICSOURCE HEALTH PLANS - COMMERCIAL NETWORKS | $5.97 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | HEALTH NET HEALTH PLAN OF OREGON, INC | HEALTH NET HEALTH PLAN OF OREGON, INC | $5.97 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | FIRST CHOICE HEALTH NETWORK | FIRST CHOICE HEALTH NETWORK | $5.97 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | MODA | MODA ODS HEALTH PLAN | $6.04 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | AETNA | AETNA | $6.17 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $6.21 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $6.21 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $6.21 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $6.23 | $30.00 | $22.50 | 2026-01-16 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $6.30 | $21.00 | $12.18 | 2026-02-28 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Both | CENTIVO HMO - ALL PLANS | CENTIVO HMO - ALL PLANS | $6.36 | $10.00 | $10.00 | 2026-01-24 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $6.49 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | HEALTH NET HEALTH PLAN OF OREGON, INC | HEALTH NET MEDICARE | $6.49 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | REGENCE BCBS OF OREGON | BCBS MEDICARE | $6.49 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | PACIFICSOURCE HEALTH PLANS | PACIFIC SOURCE MEDICARE | $6.49 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $6.71 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $6.74 | $337.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $6.74 | $337.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $6.74 | $337.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $6.74 | $337.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $6.74 | $337.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $6.74 | $337.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $6.74 | $337.00 | — | 2026-03-31 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $6.75 | $18.74 | $11.81 | 2026-01-27 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MEDICARE SELECT | BCBS MN MEDICARE SELECT | $6.80 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $6.80 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $6.80 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR HEALTH OPTIONS | UCARE MN SENIOR HEALTH OPTIONS | $6.80 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $6.80 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | PRIME WEST HEALTH MEDICARE-ALL PLANS | PRIME WEST HEALTH MEDICARE-ALL PLANS | $6.80 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $6.93 | $21.00 | $12.18 | 2026-02-28 | MRF ↗ |
| PERHAM HEALTH Outpatient | UHC MEDICAID | UHC MEDICAID | $7.00 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Medicare | Part B | $7.00 | $66.00 | $33.00 | 2025-06-12 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | $7.00 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Both | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $7.00 | $10.00 | $10.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Both | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $7.00 | $10.00 | $10.00 | 2026-01-24 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Both | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $7.00 | $10.00 | $10.00 | 2026-01-24 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | $7.14 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE | UCARE MN SPECIAL NEEDS BASIC CARE | $7.20 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR CARE PLUS | UCARE MN SENIOR CARE PLUS | $7.20 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Integrated Health Plan | Commercial (PPO) | $7.20 | $48.00 | $31.20 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Integrated Health Plan | Commercial (All Contracted Plans) | $7.20 | $48.00 | $31.20 | 2026-04-17 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MINNESOTA CARE | UCARE MN MINNESOTA CARE | $7.20 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MEDICAL ASSISTANCE | UCARE MN MEDICAL ASSISTANCE | $7.20 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICAID | SOUTH COUNTRY HA-MEDICAID | $7.21 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $7.28 | $21.00 | $12.18 | 2026-02-28 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $7.32 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| HANSEN FAMILY HOSPITAL Both | IOWA TOTAL CARE EXCH - ALL OTHER PLANS | IOWA TOTAL CARE EXCH - ALL OTHER PLANS | $7.36 | $10.00 | $10.00 | 2026-01-24 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $7.45 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $7.45 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $7.45 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $7.45 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $7.45 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $7.45 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | MODA | MODA MEDICARE | $7.46 | $6.49 | $4.54 | 2024-12-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.48 | $115.00 | $74.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.48 | $115.00 | $74.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $7.48 | $115.00 | $74.75 | 2026-03-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | MIMOH | ALL PRODUCTS | $7.50 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | CALVOS | SELECT CARE | $7.50 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.54 | $116.00 | $75.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $7.54 | $116.00 | $75.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.54 | $116.00 | $75.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $7.54 | $116.00 | $75.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.54 | $116.00 | $75.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.54 | $116.00 | $75.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $7.54 | $116.00 | $75.40 | 2026-03-12 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MEDICARE ADV PLANS | UCARE MEDICARE ADV PLANS | $7.56 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $7.56 | $21.00 | $12.18 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $7.56 | $21.00 | $12.18 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $7.77 | $21.00 | $12.18 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $7.77 | $21.00 | $12.18 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $7.94 | $21.00 | $12.18 | 2026-02-28 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | HWMG/HMAA | ALL PRODUCTS | $7.98 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | MDX | ALL PRODUCTS | $8.00 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | KAISER | ALL PRODUCTS | $8.00 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL InpatientFacility | MULTIPLAN | ALL PRODUCTS | $8.00 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | VERDEGARD | UNION TRUST FUND | $8.00 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Kaiser Permanente | Commercial | — | $10.00 | $4.00 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | HCHA | ALL PRODUCTS | $8.00 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| ASHLAND HEALTH CENTER Outpatient | BCBS-ALL PLANS | BCBS-ALL PLANS | $8.04 | $24.00 | $19.20 | 2026-03-02 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $8.20 | $82.00 | $53.30 | 2026-04-17 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $285.00 | $233.70 | 2025-11-26 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MN (MSHO) | MEDICA MN (MSHO) | $8.24 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $8.26 | $127.00 | $82.55 | 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 | $8.26 | $127.00 | $82.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $8.26 | $127.00 | $82.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.26 | $127.00 | $82.55 | 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 | $8.26 | $127.00 | $82.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.26 | $127.00 | $82.55 | 2026-03-12 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE INDIVIDUAL AND FAMILY PLAN-ALL OTHER PLANS | UCARE INDIVIDUAL AND FAMILY PLAN-ALL OTHER PLANS | $8.28 | $20.00 | $13.00 | 2026-02-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $8.29 | $26.75 | $9.63 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $8.29 | $26.75 | $9.63 | 2026-01-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HUMANA MILITARY [1098] | HUMANA MILITARY TRICARE EAST [109801] | $8.41 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE WEST [105601] | $8.41 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE FOR LIFE [105602] | $8.41 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VHA OFFICE OF COMMUNITY CARE [1011] | CHAMPVA [101101] | $8.41 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | MULTIPLAN | ALL PRODUCTS | $8.50 | $10.00 | $6.00 | 2026-02-12 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $8.55 | $21.00 | $12.18 | 2026-02-28 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH ADVANTAGE [103801] | $8.59 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH PLAN COMMUNITY [103802] | $8.59 | $84.00 | $84.00 | 2026-03-23 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $8.63 | $63.00 | $50.40 | 2026-04-24 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.78 | $135.00 | $87.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.78 | $135.00 | $87.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $8.78 | $135.00 | $87.75 | 2026-03-12 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $8.85 | $239.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $8.85 | $239.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $8.85 | $239.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $8.85 | $239.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $8.85 | $239.00 | — | 2025-06-28 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $8.88 | $37.00 | $33.30 | 2025-06-26 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.91 | $137.00 | $89.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.91 | $137.00 | $89.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $8.91 | $137.00 | $89.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $8.91 | $137.00 | $89.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $8.91 | $137.00 | $89.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.91 | $137.00 | $89.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.91 | $137.00 | $89.05 | 2026-03-12 | MRF ↗ |
| ATHOL MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $9.00 | $26.00 | $26.00 | 2025-04-16 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Superior Health Plan | Medicare Advantage | $9.06 | $37.00 | $33.30 | 2025-06-26 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $9.14 | $29.50 | $10.62 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $9.14 | $29.50 | $10.62 | 2026-01-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $9.16 | $469.00 | $281.40 | 2024-07-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $9.16 | $469.00 | $281.40 | 2024-07-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $9.16 | $469.00 | $281.40 | 2024-07-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $9.16 | $469.00 | $281.40 | 2024-07-01 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $9.29 | $239.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $9.30 | $154.00 | — | 2025-06-28 | 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.