29806 — Sho Arthrs Srg Capsulorraphy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SHO ARTHRS SRG CAPSULORRAPHY (HCPCS 29806) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/29806?code_type=HCPCS
MLA (9th ed.)
“SHO ARTHRS SRG CAPSULORRAPHY (HCPCS 29806) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/29806?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“SHO ARTHRS SRG CAPSULORRAPHY (HCPCS 29806) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/29806?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,040–$9,490 (25th–75th percentile) across 2,010 hospitals · 4,747 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 29806 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $3,484.00 | $2,613.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $3,484.00 | $2,613.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $3,484.00 | $2,613.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $3,484.00 | $2,613.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $3,484.00 | $2,613.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $3,484.00 | $2,613.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $0.12 | $3,484.00 | $2,613.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $3,484.00 | $2,613.00 | 2026-05-18 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $3.29 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $3.29 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $3.29 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $3.29 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $3.29 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $3.29 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $3.29 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $3.29 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $3.30 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $3.30 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $3.46 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $3.46 | $16.95 | — | 2026-05-23 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE ALTERNATE [100260] | UHC EMPIRE ALTERNATE [10026001] | $3.94 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE ALTERNATE [100260] | UHC EMPIRE ALTERNATE [10026001] | $3.94 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $5.74 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $5.74 | $16.95 | — | 2026-05-13 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Molina | MCD | $6.00 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | LA Care Health | Medi-cal | $6.00 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $6.00 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $6.00 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $6.00 | $499.00 | $134.73 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $6.00 | $499.00 | $134.73 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Physicians Medical Group | MCD | $6.00 | — | — | 2024-10-01 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL WORKER'S COMP [700062] | WC UTICA NATIONAL INS [70006201] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NY CTRL MUTUAL NF [800004] | NF NY CTRL MUTUAL [80000401] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL AUTO INSURANCE [800008] | NF LIBERTY MUTUAL AUTO INS [80000801] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL WORK COMP [700016] | WC LIBERTY MUTUAL [70001601] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL NO FAULT [800007] | NF UTICA NATIONAL INS [80000701] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STRATEGIC COMP SERVICES [700061] | WC STRATEGIC COMP SERVICES [70006101] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MADISON ONEIDA HERK WC [700056] | WC MADISON ONEIDA HERK [70005601] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CHARTIS WC [700029] | WC CHARTIS [70002901] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL NO FAULT [800007] | NF UTICA NATIONAL INS [80000701] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CORVEL CORP WC [700054] | WC CORVEL CORP [70005401] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CHARTIS WC [700029] | WC CHARTIS [70002901] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S MVHS EMPLOYEE [70005903] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HARTFORD INS WC [700055] | WC HARTFORD INS [70005501] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ESIS WORK COMP [700010] | WC ESIS [70001001] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL WORK COMP [700016] | WC LIBERTY MUTUAL [70001601] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MET LIFE AUTO INSURANCE [800009] | NF MET LIFE AUTO INS [80000901] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GALLAGHER BASSETT WORK COMP [700013] | WC GALLAGHER BASSETT [70001301] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL AUTO INSURANCE [800008] | NF LIBERTY MUTUAL AUTO INS [80000801] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NF MISC. [809999] | NF MISC. [80999901] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | SEDGWICK [700027] | WC SEDGWICK [70002701] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PROGRESSIVE AUTO INSURANCE [800005] | NF PROGRESSIVE AUTO INSURANCE [80000501] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GEICO AUTO INSURANCE [800003] | NF GEICO AUTO INSURANCE [80000301] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA FSLH EMPLOYEE [70005901] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MET LIFE AUTO INSURANCE [800009] | NF MET LIFE AUTO INS [80000901] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ALLSTATE AUTO INSURANCE [800001] | NF ALLSTATE [80000101] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NYSIF [700058] | WC NY STATE INSURANCE FUND [70005801] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WC MISC. [709999] | WC MISC. [70999901] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STATE FARM AUTO INSURANCE NF [800026] | NF STATE FARM AUTO INSURANCE [80002601] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S SEMC EMPLOYEE [70005904] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WC MISC. [709999] | WC MISC. [70999901] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STATE FARM AUTO INSURANCE NF [800026] | NF STATE FARM AUTO INSURANCE [80002601] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS WORK COMP [700028] | WC TRAVELERS [70002801] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PMA WORK COMP [700031] | WC PMA [70003101] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ALLSTATE AUTO INSURANCE [800001] | NF ALLSTATE [80000101] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GEICO AUTO INSURANCE [800003] | NF GEICO AUTO INSURANCE [80000301] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NCA WC [700057] | WC NCA [70005701] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MADISON ONEIDA HERK WC [700056] | WC MADISON ONEIDA HERK [70005601] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PMA WORK COMP [700031] | WC PMA [70003101] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PROGRESSIVE AUTO INSURANCE [800005] | NF PROGRESSIVE AUTO INSURANCE [80000501] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | SEDGWICK [700027] | WC SEDGWICK [70002701] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NCA WC [700057] | WC NCA [70005701] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GALLAGHER BASSETT WORK COMP [700013] | WC GALLAGHER BASSETT [70001301] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA SEMC EMPLOYEE [70005902] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ESIS WORK COMP [700010] | WC ESIS [70001001] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STRATEGIC COMP SERVICES [700061] | WC STRATEGIC COMP SERVICES [70006101] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HARTFORD INS WC [700055] | WC HARTFORD INS [70005501] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NF MISC. [809999] | NF MISC. [80999901] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NY CTRL MUTUAL NF [800004] | NF NY CTRL MUTUAL [80000401] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NYSIF [700058] | WC NY STATE INSURANCE FUND [70005801] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ERIE INS NF [800002] | NF ERIE INS [80000201] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA FSLH EMPLOYEE [70005901] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS WORK COMP [700028] | WC TRAVELERS [70002801] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S SEMC EMPLOYEE [70005904] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS NO FAULT [800006] | NF TRAVELERS [80000601] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CORVEL CORP WC [700054] | WC CORVEL CORP [70005401] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS NO FAULT [800006] | NF TRAVELERS [80000601] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S MVHS EMPLOYEE [70005903] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA SEMC EMPLOYEE [70005902] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ERIE INS NF [800002] | NF ERIE INS [80000201] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL WORKER'S COMP [700062] | WC UTICA NATIONAL INS [70006201] | $6.53 | $47,154.08 | $28,292.45 | 2025-01-17 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Brand New Day | MCD | $6.60 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $6.60 | — | — | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Gold Coast Health Plan | MCD | $6.60 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Brand New Day | MCD | $6.60 | — | — | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $6.60 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $6.60 | — | — | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medi-Cal | $6.60 | — | — | 2024-10-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $6.75 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $6.75 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $7.41 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $7.41 | $16.95 | — | 2026-05-23 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | INSTITUTION [10406] | All WORCESTER RECOVERY HA [235] Plans | $7.59 | $44,637.51 | $44,637.51 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | HNE MEDICAID [10905] | All HEALTH NEW ENGLAND/MINUTEMAN MCO HA [223] Plans | $7.59 | $44,637.51 | $44,637.51 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | MASSHEALTH [20302] | All MASSHEALTH HA [93] Plans | $7.59 | $44,637.51 | $44,637.51 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | MGB MEDICAID [10906] | All MGB (FORMERLY AHP) ACO HA [197] Plans | $7.59 | $44,637.51 | $44,637.51 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | FALLON MEDICAID [10904] | All FALLON ACO HA [79] Plans | $7.59 | $44,637.51 | $44,637.51 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | TUFTS MEDICAID [10908] | All TUFTS TOGETHER HA [122] Plans | $7.59 | $44,637.51 | $44,637.51 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient | TUFTS MEDICAID [10908] | All TUFTS TOGETHER HR [124] Plans | $7.59 | $46,615.75 | $46,615.75 | 2026-04-03 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | FALLON MEDICAID [10904] | All FALLON MCO HA [55] Plans | $7.59 | $44,637.51 | $44,637.51 | 2026-03-26 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $8.70 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $8.70 | — | — | 2026-03-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $9.32 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $9.32 | $16.95 | — | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $11.00 | $499.00 | $94.81 | 2026-01-31 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $11.00 | $4,813.00 | $4,813.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $11.00 | $4,813.00 | $4,813.00 | 2025-10-04 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $11.00 | $499.00 | $94.81 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $11.00 | $499.00 | $94.81 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $11.00 | $499.00 | $94.81 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $11.00 | $499.00 | $94.81 | 2026-01-31 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $11.00 | $4,813.00 | $4,813.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $11.00 | $4,813.00 | $4,813.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $11.22 | $4,813.00 | $4,813.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $11.22 | $4,813.00 | $4,813.00 | 2025-10-04 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Commercial | $12.94 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Commercial | $12.94 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Commercial | $13.40 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Commercial | $13.40 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Multiplan | — | $13.56 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Magnacare | — | $13.56 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Emblemghi | — | $13.56 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Harvardpilgrim | — | $13.56 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Magnacare | — | $13.56 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Emblemghi | — | $13.56 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Harvardpilgrim | — | $13.56 | $16.95 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Multiplan | — | $13.56 | $16.95 | — | 2026-05-13 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $14.30 | $4,813.00 | $4,813.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $14.30 | $4,813.00 | $4,813.00 | 2025-10-04 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Martins Point | Default | $14.40 | $40.00 | $30.00 | 2026-05-18 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Threeriversprovidernetwork | — | $14.41 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Threeriversprovidernetwork | — | $14.41 | $16.95 | — | 2026-05-13 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Ppo | $14.83 | $40.00 | $30.00 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Federal | $14.83 | $40.00 | $30.00 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Default | $14.83 | $40.00 | $30.00 | 2026-05-18 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Coventry | — | $15.26 | $16.95 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Coventry | — | $15.26 | $16.95 | — | 2026-05-13 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $22.55 | $12,526.00 | $7,262.33 | 2024-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $30.08 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $30.08 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $30.08 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $30.08 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $30.08 | — | — | 2026-03-28 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CAREMORE [2028] | MEDI-CAL | $31.00 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | XIMED [2016] | MEDI-CAL | $31.00 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY ELDERCARE [1027] | MEDI-CAL | $31.00 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $31.00 | — | — | 2026-05-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | MEDI-CAL | $31.00 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA MEDI-CAL | $31.00 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MEDI-CAL [1048] | MEDI-CAL | $31.00 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] | $31.00 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BRAND NEW DAY [1089] | MEDI-CAL | $31.00 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $31.00 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $31.00 | — | — | 2026-03-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MEDI-CAL [2001] | MEDI-CAL | $31.00 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | VANTAGE [1092] | PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL | $31.00 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $34.10 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $34.10 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $34.10 | — | — | 2026-03-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MEDICAL ASSOCIATES-ALL PLANS | MEDICAL ASSOCIATES-ALL PLANS | $37.01 | $102.80 | $92.52 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRIWEST WELLMARK-ALL PLANS | TRIWEST WELLMARK-ALL PLANS | $37.01 | $102.80 | $92.52 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | VA CCN -ALL PLANS | VA CCN -ALL PLANS | $37.01 | $102.80 | $92.52 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRICARE- ALL PLANS | TRICARE- ALL PLANS | $37.01 | $102.80 | $92.52 | 2026-01-03 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Harvard Pilgrim Healthcare | Default | $37.20 | $40.00 | $30.00 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Harvard Pilgrim Healthcare | Pos | $37.20 | $40.00 | $30.00 | 2026-05-18 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | WELLMARK MCR ADV- ALL PLANS | WELLMARK MCR ADV- ALL PLANS | $37.38 | $102.80 | $92.52 | 2026-01-03 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | United Healthcare | Default | $38.00 | $40.00 | $30.00 | 2026-05-18 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC MCR ADV | UHC MCR ADV | $38.12 | $102.80 | $92.52 | 2026-01-03 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL COMMUNITY CARE [10550015] | $39.06 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL | $39.06 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL | $39.06 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL [12400001] | $39.06 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL [10550002] | $39.06 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY HEALTH GROUP [1022] | COMMUNITY HEALTH GROUP (MEDI-CAL) | $39.99 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET [1039] | HEALTH NET MEDI-CAL | $41.85 | $46,919.95 | $25,805.97 | 2026-04-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $44.95 | — | — | 2026-03-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $2,897.00 | $1,738.20 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $2,897.00 | $1,738.20 | 2026-05-18 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $50.00 | $3,175.00 | $3,175.00 | 2026-02-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| STOUGHTON HOSPITAL Outpatient | DEAN HEALTH INSURANCE COMM - ALL OTHER PLANS | DEAN HEALTH INSURANCE COMM - ALL OTHER PLANS | $52.20 | $7,566.38 | $4,161.51 | 2026-01-19 | 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.