29530 — Strapping Of Knee
Cite this view
HANK Price Transparency. (n.d.). STRAPPING OF KNEE (CPT 29530) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/29530?code_type=CPT
“STRAPPING OF KNEE (CPT 29530) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/29530?code_type=CPT. Accessed .
“STRAPPING OF KNEE (CPT 29530) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/29530?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $115–$289 (25th–75th percentile) across 2,367 hospitals · 7,776 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 29530 — 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 the surgeon's fee are estimated 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 2,367 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. | $168 |
| Surgeon (professional fee) Estimate national typical Medicare $15 × 1.22 commercial. | $19 |
| Likely subtotal | $187 |
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 | — | — | $320.30 | $160.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $320.30 | $160.15 | 2024-12-15 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.13 | $100.00 | $75.00 | 2025-03-07 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.41 | $165.49 | $99.29 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.41 | $165.49 | $99.29 | 2025-08-11 | 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] | $0.88 | $411.00 | $152.07 | 2026-03-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | 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 | 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 Outpatient | Health Net of California, 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 ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $1.55 | $145.00 | $116.00 | 2026-03-26 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $1.98 | $190.75 | $190.75 | 2026-04-24 | 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 ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | OHP WESTERN | OHP WESTERN OREGON ADV HEALTH | $2.04 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | LIFEWISE | LIFEWISE | $2.27 | $3.24 | $2.27 | 2024-12-12 | 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 ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE | $2.59 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | CIGNA | CIGNA | $2.75 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | PROVIDENCE HEALTH PLAN | PROVIDENCE HEALTH PLAN | $2.81 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | REGENCE BCBS OF OREGON | BCBS PREFERRED | $2.81 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | REGENCE BCBS OF OREGON | BCBS PARTICIPATING | $2.93 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | FIRST CHOICE HEALTH NETWORK | FIRST CHOICE HEALTH NETWORK | $2.98 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | HEALTH NET HEALTH PLAN OF OREGON, INC | HEALTH NET HEALTH PLAN OF OREGON, INC | $2.98 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | PACIFICSOURCE HEALTH PLANS | PACIFICSOURCE HEALTH PLANS - COMMERCIAL NETWORKS | $2.98 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | MODA | MODA ODS HEALTH PLAN | $3.01 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.08 | $165.49 | $99.29 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.08 | $165.49 | $99.29 | 2025-08-11 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | AETNA | AETNA | $3.08 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | HEALTH NET HEALTH PLAN OF OREGON, INC | HEALTH NET MEDICARE | $3.24 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | REGENCE BCBS OF OREGON | BCBS MEDICARE | $3.24 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $3.24 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | PACIFICSOURCE HEALTH PLANS | PACIFIC SOURCE MEDICARE | $3.24 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $3.39 | $169.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $3.39 | $169.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $3.39 | $169.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $3.39 | $169.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $3.39 | $169.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $3.39 | $169.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $3.39 | $169.50 | — | 2026-03-31 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $3.72 | $179.00 | $107.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.72 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $3.72 | $179.00 | $107.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.72 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $3.72 | $179.00 | $107.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $3.72 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $3.72 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $3.72 | $194.00 | $116.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $3.72 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $3.72 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $3.72 | $133.00 | $79.80 | 2026-01-01 | MRF ↗ |
| COQUILLE VALLEY HOSPITAL Outpatient | MODA | MODA MEDICARE | $3.73 | $3.24 | $2.27 | 2024-12-12 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $3.75 | $25.00 | $3.75 | 2025-12-23 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $3.92 | $29.00 | $21.75 | 2026-01-16 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $4.18 | $209.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $4.18 | $209.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $4.18 | $209.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $4.18 | $209.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $4.18 | $209.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $4.18 | $209.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $4.18 | $209.00 | — | 2026-03-31 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - PEDIATRIC | $4.99 | $17.00 | $10.20 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - ADULT | $4.99 | $17.00 | $10.20 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $4.99 | $17.00 | $10.20 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $4.99 | $17.00 | $10.20 | 2026-02-12 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Healthlink | Healthlink | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Humana | Humana Medicare Ppo | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Managed Medicare 100% | Managed Medicare 100% | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Wellcare | Managed Medicare 100% | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Secure Horizons | Managed Medicare 100% | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Anthem Hix | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Prime Health | Prime Health | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Managed Medicare 100% | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Humana | Humana Medicare Hmo | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Todays Options | Managed Medicare 100% | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Uhc | Uhc All Payer | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Uhc | Uhc Managed Medicare | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Unicare | Managed Medicare 100% | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Humana | Humana Hix | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Prime Health | Prime Health Indigent | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Tricare | Managed Medicare 100% | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Ccn | Ccn | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Passport | Managed Medicare 100% | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Aetna | Aetna | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Phcs | Phcs | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Bcbs Of Ky Hmo/Ppo | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Aetna | Aetna Medicare | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Centercare Network | Centercare | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Essence | Managed Medicare 100% | — | $16.80 | $6.72 | 2026-05-22 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | OHANA | QUEST - NON-ABD | $5.07 | $17.00 | $10.20 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | OHANA | NON-ABD | $5.07 | $17.00 | $10.20 | 2026-02-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $5.75 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $6.00 | $458.00 | $183.20 | 2026-05-06 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $6.00 | $458.00 | $183.20 | 2026-05-06 | MRF ↗ |
| MAYERS MEMORIAL HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $6.00 | $1,137.00 | $1,137.00 | 2026-05-12 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $6.00 | $62.00 | $11.78 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $6.00 | $62.00 | $11.78 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $6.00 | $62.00 | $11.78 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $6.00 | $62.00 | $11.78 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $6.00 | $62.00 | $11.78 | 2026-01-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $6.02 | $29.00 | $21.75 | 2026-01-16 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Aetna (Medicaid) | Aetna Better Health | $6.24 | $52.00 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | WellCare (Medicaid) | WellCare of Kentucky | $6.24 | $52.00 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicaid) | United Healthcare Community Plan | $6.30 | $52.00 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicaid) | Passport Health Plan by Molina Healthcare | $6.30 | $52.00 | — | 2026-04-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $6.33 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $6.33 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $6.33 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $6.60 | $581.00 | $232.40 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $6.60 | $581.00 | $232.40 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $6.60 | $581.00 | $232.40 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $6.60 | $581.00 | $232.40 | 2026-05-23 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicaid) | Humana Healthy Horizons | $6.61 | $52.00 | — | 2026-04-01 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Healthplan (Hometown) | Medicare Advantage | $6.63 | $19.50 | $14.63 | 2025-11-11 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | UHC OF FL | POS/HMO | $6.63 | $25.00 | $3.75 | 2025-12-23 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Summacare | Medicare Advantage | $6.63 | $19.50 | $14.63 | 2025-11-11 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $6.75 | $18.74 | $11.81 | 2026-01-27 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $6.84 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| PARKVIEW HOSPITAL Both | Amerigroup Corporation Texas Plans | Default | $6.84 | $38.00 | $32.30 | 2024-12-30 | MRF ↗ |
| PARKVIEW HOSPITAL Both | Medicaid Texas | Default | $6.84 | $38.00 | $32.30 | 2024-12-30 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $6.85 | $50.00 | $40.00 | 2026-04-24 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Ohio Crippled Childrens Fund (OCCF | All Products | $7.02 | $19.50 | $14.63 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Northern Ohio Handicapped Fund (NOHF | All Products | $7.02 | $19.50 | $14.63 | 2025-11-11 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD LA HLTH CONN | MCD LHC IP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICAID LA | MEDICAID IP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD HEALTHY BLUE | MCD HEALTHY BLUE IP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD LA HLTH CONN | MCD LHC OP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD UHC | MCD UHC IP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD UHC | MCD UHC OP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD HEALTHY BLUE | MCD HEALTHY BLUE OP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AETNA BETTER HLTH | MCD AETNA IP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AETNA BETTER HLTH | MCD AETNA OP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD MISC | MCD MISC IP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICAID LA | MEDICAID OP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD MISC | MCD MISC OP | $7.16 | $122.00 | $73.20 | 2025-12-04 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | HOSPICE REGENCY | ALL PRODUCTS | $7.50 | $25.00 | $3.75 | 2025-12-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $7.60 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $7.60 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $7.60 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $7.60 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $7.60 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $7.60 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $7.75 | $31.00 | $21.70 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | $7.75 | $31.00 | $21.70 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $7.75 | $31.00 | $21.70 | 2025-09-16 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $7.83 | $25.25 | $9.09 | 2026-01-01 | 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 ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $7.93 | $122.00 | $79.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.93 | $122.00 | $79.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $7.93 | $122.00 | $79.30 | 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 | $7.93 | $122.00 | $79.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $7.93 | $122.00 | $79.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.93 | $122.00 | $79.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $7.93 | $122.00 | $79.30 | 2026-03-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL HEALTH PLUS CAID [300604] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | CMH LAPEER COUNTY [901004] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | CMH OAKLAND COUNTY [901005] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MICHIGAN COMPLETE HEALTH MEDICAID [9019] | MICHIGAN COMPLETE HEALTH MEDICAID [901901] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | OUT OF COUNTY CMH [901001] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | CMH SAGINAW COUNTY [901002] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | CMH CLINTON EATON & INGHAM COUNTY [901006] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF COUNTY CMH [9010] | CMH SHIAWASSEE COUNTY [901003] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | GENESEE COUNTY CMH [9003] | GENESEE COUNTY CMH [900301] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL GREAT LAKES [300602] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PACE MEDICAID HMO [9020] | GENESYS PACE [902001] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID [300001] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $7.97 | $73.00 | $73.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $7.97 | $73.00 | $73.00 | 2026-03-23 | 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.