30100030 — Hc Macroprolactin
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC MACROPROLACTIN (CDM 30100030) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/30100030?code_type=CDM
MLA (9th ed.)
“HC MACROPROLACTIN (CDM 30100030) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/30100030?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC MACROPROLACTIN (CDM 30100030) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/30100030?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $38–$215 (25th–75th percentile) across 13 hospitals · 61 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 30100030 — 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 |
|---|---|---|---|---|---|---|---|
| Ascension NE Wisconsin - Mercy Campus Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $17.40 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $19.80 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $19.80 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $19.80 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $19.80 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $19.80 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $19.80 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $20.10 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $20.40 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $20.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $20.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $20.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $20.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $20.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $20.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $20.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $20.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $20.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $20.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $20.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $20.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $21.00 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $21.00 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $21.00 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $21.00 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $21.60 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $21.60 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $21.60 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $24.00 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $24.00 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $24.30 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $24.90 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $26.10 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $26.10 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $26.40 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $26.40 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $26.70 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $26.70 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $27.00 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $27.00 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CIGNA | 1004_CIGNA 20230701 | $27.60 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $28.50 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $30.00 | $30.00 | $17.10 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $30.15 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $30.15 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $30.60 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $30.60 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 908_NETWORK HEALTH PLAN ACA CAWI 20220101 | $31.05 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 937_NETWORK HEALTH PLAN CAWI 20230101 | $31.05 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 937_NETWORK HEALTH PLAN CAWI 20230101 | $31.05 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 908_NETWORK HEALTH PLAN ACA CAWI 20220101 | $31.05 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA | 837_NEHA ASCENSION ONLY CAWI 20220101 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 268_SEHN CAWI 20160101 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA | 837_NEHA ASCENSION ONLY CAWI 20220101 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 268_SEHN CAWI 20160101 | $31.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 960_ANTHEM PATHWAYS CAWI 20230101 | $32.40 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $32.40 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $32.40 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 960_ANTHEM PATHWAYS CAWI 20230101 | $32.40 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 902_ANTHEM BLUE CONNECTION CAWI 20230101 | $35.10 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 902_ANTHEM BLUE CONNECTION CAWI 20230101 | $35.10 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $36.00 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $36.00 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $36.00 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $36.00 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $36.45 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $36.45 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 473_AETNA CAWI 20170701 | $37.35 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $37.35 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 473_AETNA CAWI 20170701 | $37.35 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $37.35 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ANDERSON HOSPITAL InpatientFacility | — | — | — | $50.00 | $25.00 | 2026-02-06 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | HEALTH NET MCR ADV | HEALTH NET MCR ADV | $38.12 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | HEALTH NET MCR ADV | HEALTH NET MCR ADV | $38.12 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 528_CCHP CAWI 20180101 | $38.25 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 879_HUMANA PPO CAWI 20221001 | $38.25 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1010_WISCONSIN PHYSICIAN SERVICES CAWI 20230701 | $38.25 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1010_WISCONSIN PHYSICIAN SERVICES CAWI 20230701 | $38.25 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 528_CCHP CAWI 20180101 | $38.25 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 879_HUMANA PPO CAWI 20221001 | $38.25 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1011_CENTIVO NW3 CAWI 20220101 | $38.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 877_ARISE PREMIER CAWI 20221001 | $38.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 877_ARISE PREMIER CAWI 20221001 | $38.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1011_CENTIVO NW3 CAWI 20220101 | $38.70 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM HMO POS | 903_ANTHEM HMO POS CAWI 20230101 | $39.15 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM HMO POS | 903_ANTHEM HMO POS CAWI 20230101 | $39.15 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PPO | 904_ANTHEM PPO CAWI 20230101 | $39.15 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 994_ALLIANCE CAWI 20210701 | $39.15 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PPO | 904_ANTHEM PPO CAWI 20230101 | $39.15 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 994_ALLIANCE CAWI 20210701 | $39.15 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $39.60 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $39.60 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $39.60 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $39.60 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $40.05 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $40.05 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $40.05 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $40.05 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $40.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 878_HUMANA HMO POS CAWI 20221001 | $40.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $40.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE PPO | 123_UNITED HEALTH CARE PPO CAWI 20130101 | $40.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 880_HUMANA WVN CAWI 20221001 | $40.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE PPO | 123_UNITED HEALTH CARE PPO CAWI 20130101 | $40.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 880_HUMANA WVN CAWI 20221001 | $40.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 878_HUMANA HMO POS CAWI 20221001 | $40.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $40.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $40.50 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE POS | 1003_UNITED HEALTH CARE POS CAWI 20230401 | $40.95 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE POS | 1003_UNITED HEALTH CARE POS CAWI 20230401 | $40.95 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CIGNA | 1004_CIGNA 20230701 | $41.40 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1006_TRILOGY CAWI 20230701 | $41.40 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CIGNA | 1004_CIGNA 20230701 | $41.40 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1006_TRILOGY CAWI 20230701 | $41.40 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 806_CENTIVO NW1 CAWI 20220101 | $41.85 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 806_CENTIVO NW1 CAWI 20220101 | $41.85 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| COMMUNITY HOSPITAL OF STAUNTON InpatientFacility | — | — | — | $50.00 | $25.00 | 2026-02-09 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $42.75 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $42.75 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $45.00 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $45.00 | $45.00 | $25.65 | 2026-01-01 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $48.51 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $48.51 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $51.98 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $51.98 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $54.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $54.20 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | HEALTHNET-ALL OTHER PLANS | HEALTHNET-ALL OTHER PLANS | $54.29 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | HEALTHNET-ALL OTHER PLANS | HEALTHNET-ALL OTHER PLANS | $54.29 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | REGENCE BCBS-ALL PLANS | REGENCE BCBS-ALL PLANS | $55.44 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | REGENCE BCBS-ALL PLANS | REGENCE BCBS-ALL PLANS | $55.44 | $57.75 | $31.19 | 2025-12-08 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon Medicare Blue | JNE002_JNE003 Medicare | $56.99 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $66.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $66.20 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | St Agnes | Medicare | $67.26 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | St Agnes | Medicare | $67.26 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $67.90 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $67.90 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $67.90 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $67.90 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNE002 JNE003 Commercial Exchange | $70.80 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $70.80 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $70.80 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $70.80 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNJ001_JNJ002_JNJ003 Commercial Exchange | $70.80 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $70.80 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid MCO | $70.98 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid CHIP | $70.98 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid CHIP | $70.98 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid MCO | $70.98 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $78.59 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $78.59 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $106.20 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $106.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $106.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB001 Medicare | $106.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB002 Medicare | $106.20 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Optum Health Transplant | Commercial | $106.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | UPMC Medicare Advantage | JNE002_JNE003 Medicare | $106.20 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $106.20 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $126.52 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $126.52 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $126.52 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $126.52 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | JNE PPO_Indemnity | $143.09 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $143.09 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $143.33 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $143.33 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Commercial | $149.74 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Commercial | $149.74 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Highmark | JCC001_JCC002 ACA | $150.45 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Highmark | JCC001_JCC002 ACA | $150.45 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Highmark | JMR001 ACA | $150.45 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ ACA | $152.68 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ ACA | $152.68 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | New Jersey Amerigroup | Medicaid | $159.30 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | New Jersey Amerigroup | Medicaid | $159.30 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 ACA | $160.47 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 ACA | $160.79 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $160.82 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Commercial | $163.55 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | United Healthcare | Commercial | $163.55 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid CHIP | $163.58 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid MCO | $163.58 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Other Comm | $164.26 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Other Comm | $164.26 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Highmark | JAB001 ACA | $165.42 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Innovage | JMR001 Medicare | $177.00 | $354.00 | $22.29 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Aetna Better Health | JAB001 CHIP | $177.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Optum Health Transplant | Commercial | $177.00 | — | — | 2026-03-18 | 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.