29520 — Strapping Of Hip
Cite this view
HANK Price Transparency. (n.d.). STRAPPING OF HIP (CPT 29520) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/29520?code_type=CPT
“STRAPPING OF HIP (CPT 29520) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/29520?code_type=CPT. Accessed .
“STRAPPING OF HIP (CPT 29520) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/29520?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $120–$300 (25th–75th percentile) across 1,892 hospitals · 4,914 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 29520 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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.
The middle 50% of negotiated facility rates for this procedure, measured across 1,892 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. | $163 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $15 × 1.22 commercial. | $19 |
| Likely subtotal | $182 |
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.
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 HOSPITAL MANSFIELD Inpatient | None | — | — | $164.55 | $82.28 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $164.55 | $82.28 | 2024-12-15 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $1.84 | — | — | 2025-12-31 | 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 ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.49 | — | — | 2026-03-18 | 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 CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 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 KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 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 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $3.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $3.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $3.75 | $142.00 | $85.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $3.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.75 | — | — | 2026-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $4.32 | $32.00 | $24.00 | 2026-01-16 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $5.86 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Humana Inc. | Commercial | $6.00 | $33.00 | $12.00 | 2026-05-27 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $6.45 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $6.45 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $6.45 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $6.58 | $48.00 | $38.40 | 2026-04-24 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $6.64 | $32.00 | $24.00 | 2026-01-16 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $6.84 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $6.89 | $106.00 | $68.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $6.89 | $106.00 | $68.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $6.89 | $106.00 | $68.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $6.89 | $106.00 | $68.90 | 2026-03-12 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | TCHP | Medicaid|All Plans | $7.43 | $111.60 | $39.06 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | CHC | Medicaid|All Plans | $7.43 | $111.60 | $39.06 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | TCHP | Medicaid|All Plans | $7.43 | $111.60 | $39.06 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | CHC | Medicaid|All Plans | $7.43 | $111.60 | $39.06 | 2026-02-28 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $7.60 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $7.60 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $7.60 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $7.60 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $7.60 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $7.60 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $7.81 | $57.00 | $45.60 | 2026-04-24 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Wellpoint | Medicaid|All Plans | $7.82 | $111.60 | $39.06 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Wellpoint | Medicaid|All Plans | $7.82 | $111.60 | $39.06 | 2026-02-28 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $7.83 | $25.25 | $9.09 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $7.83 | $25.25 | $9.09 | 2026-01-01 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $7.90 | $21.94 | $13.82 | 2026-01-27 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Peak Health | Commercial | $7.94 | $46.00 | $32.20 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Peak Health | Commercial | $7.94 | $46.00 | $32.20 | 2025-08-07 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|All Other Plans | $7.97 | $111.60 | $39.06 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|All Other Plans | $7.97 | $111.60 | $39.06 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.13 | $125.00 | $81.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.13 | $125.00 | $81.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $8.13 | $125.00 | $81.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $8.13 | $125.00 | $81.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.13 | $125.00 | $81.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.13 | $125.00 | $81.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $8.13 | $125.00 | $81.25 | 2026-03-12 | 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 | TRICARE [1056] | TRICARE WEST [105601] | $8.75 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE FOR LIFE [105602] | $8.75 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HUMANA MILITARY [1098] | HUMANA MILITARY TRICARE EAST [109801] | $8.75 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VHA OFFICE OF COMMUNITY CARE [1011] | CHAMPVA [101101] | $8.75 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.84 | $136.00 | $88.40 | 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 | $8.84 | $136.00 | $88.40 | 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 | $8.84 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $8.84 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $8.84 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $8.84 | $136.00 | $88.40 | 2026-03-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH PLAN COMMUNITY [103802] | $8.93 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH ADVANTAGE [103801] | $8.93 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $9.21 | $284.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $9.21 | $284.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $9.21 | $284.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $9.21 | $284.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $9.21 | $284.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $9.67 | $284.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | McLaren | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $9.77 | $156.00 | — | 2025-06-28 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM TRADITIONAL | 9233_ANTHEM TRADITIONAL VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | $142.00 | $85.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | $574.00 | $344.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | $142.00 | $85.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | $225.00 | $135.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | $225.00 | $135.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | $574.00 | $344.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | $574.00 | $344.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | — | — | 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 Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | $574.00 | $344.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.84 | — | — | 2026-01-01 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $10.61 | $258.64 | $151.00 | 2024-12-19 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Blue Cross Complete | MEDICAID | $10.65 | $156.00 | — | 2025-06-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|STAR | $10.71 | $111.60 | $39.06 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | UNITED | Medicaid|STAR | $10.71 | $111.60 | $39.06 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | SUPERIOR | Medicaid|CHIP | $10.72 | $134.00 | $23.45 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | SUPERIOR | Medicaid|CHIP | $10.72 | $134.00 | $23.45 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | UNITED | Medicaid|All Other Plans | $10.94 | $134.00 | $23.45 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | UNITED | Medicaid|STARKIDS | $10.94 | $134.00 | $23.45 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $10.94 | $134.00 | $23.45 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | UNITED | Medicaid|STARKIDS | $10.94 | $134.00 | $23.45 | 2026-02-28 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $10.98 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $10.98 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $11.00 | $63.00 | $17.01 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $11.00 | $63.00 | $17.01 | 2026-01-31 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $11.17 | $258.64 | $151.00 | 2024-12-19 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | BCBS | Medicaid|STARKIDS | $11.26 | $134.00 | $23.45 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | Wellpoint | Medicaid|All Other Plans | $11.26 | $134.00 | $23.45 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | SUPERIOR | Medicaid|All Other Plans | $11.26 | $134.00 | $23.45 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | BCBS | Medicaid|STARKIDS | $11.26 | $134.00 | $23.45 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | Wellpoint | Medicaid|All Other Plans | $11.26 | $134.00 | $23.45 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | SUPERIOR | Medicaid|All Other Plans | $11.26 | $134.00 | $23.45 | 2026-02-28 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ESIS [8011] | ESIS [801101] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GENERIC NO FAULT AUTO [8000] | COFINITY GENERIC AUTO [800002] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE 9229 [800302] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA TEXAS [803602] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AAA AUTO INSURANCE [8001] | AAA AUTO INSURANCE [800102] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE 9231 [800303] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | NATIONWIDE [8028] | NATIONWIDE [802801] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FARMERS AUTO INSURANCE [8013] | FARMERS 27260 [801302] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CITIZENS AUTO INSURANCE [8008] | CITIZENS AUTO INSURANCE [800801] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BRISTOL WEST [8007] | BRISTOL WEST [800701] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PIONEER STATE MUTUAL AUTO [8030] | PIONEER STATE MUTUAL AUTO [803001] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | NATIONAL GENERAL INS [8017] | NATIONAL GENERAL INS [801701] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEMPER INSURANCE [8024] | KEMPER INSURANCE [802401] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GRANGE INSURANCE [8018] | GRANGE INSURANCE 182657 [801802] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FARMERS AUTO INSURANCE [8013] | FARMERS AUTO INSURANCE [801301] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FARM BUREAU AUTO INSURANCE [8012] | FARM BUREAU AUTO INSURANCE [801201] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HANOVER INSURANCE [8019] | HANOVER INSURANCE [801901] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE AUTO INSURANCE [800301] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ESURANCE [8039] | ESURANCE [803901] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FREMONT INSURANCE [8015] | FREMONT INSURANCE [801501] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | STATE AUTO GROUP [8033] | STATE AUTO GROUP [803301] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ENCOMPASS INSURANCE [8010] | ENCOMPASS INSURANCE [801001] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GEICO INSURANCE [8016] | GEICO INSURANCE [801601] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GRANGE INSURANCE [8018] | GRANGE INSURANCE [801801] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HARTFORD AUTO INSURANCE [8021] | HARTFORD AUTO INSURANCE [802101] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | LIBERTY MUTUAL [8025] | LIBERTY MUTUAL [802501] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEEMIC INSURANCE [8026] | MEEMIC INSURANCE [802601] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | SAFECO-AUTO [8037] | SAFECO-AUTO [803701] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | STATE FARM AUTO INSURANCE [8034] | STATE FARM AUTO INSURANCE [803401] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MITCHELL WCS FRANKENMUTH 135801 [8014] | MITCHELL WCS FRANKENMUTH 135801 [801401] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AUTO OWNERS AUTO INSURANCE [8006] | AUTO OWNERS AUTO INSURANCE [800601] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA TEXAS 26001 [803603] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA [803601] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MACKINAW ADMINISTRATORS [8040] | MACKINAW ADMINISTRATORS AUTO [804001] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HASTINGS MUTUAL [8022] | HASTINGS MUTUAL [802201] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PROGRESSIVE AUTO INSURANCE [8031] | PROGRESSIVE AUTO INSURANCE [803101] | $11.27 | $68.00 | $68.00 | 2026-03-23 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Medicaid Georgia | Default | $11.47 | $71.00 | $53.25 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Medicaid Georgia | Default | $11.47 | $71.00 | $53.25 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Amerigroup NM, GA, DC | Default | $11.50 | $71.00 | $53.25 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Amerigroup NM, GA, DC | Default | $11.50 | $71.00 | $53.25 | 2026-04-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $11.60 | — | — | 2024-10-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | WellCare of Georgia | Default | $11.73 | $71.00 | $53.25 | 2026-04-01 | 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.