30117 — Removal Of Intranasal Lesion
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REMOVAL OF INTRANASAL LESION (CPT 30117) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/30117?code_type=CPT
MLA (9th ed.)
“REMOVAL OF INTRANASAL LESION (CPT 30117) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/30117?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“REMOVAL OF INTRANASAL LESION (CPT 30117) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/30117?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,824–$4,704 (25th–75th percentile) across 1,814 hospitals · 4,782 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 30117 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,824
$3,308 typical
$4,704
The middle 50% of negotiated facility rates for this procedure, measured across 1,814 hospitals. The surgeon and 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. | $3,308 |
| Surgeon (professional fee) Estimate national typical Medicare $374 × 1.22 commercial. | $457 |
| Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $708 |
| Likely subtotal | $4,472 |
Surgical episode (typical)
~$4,472
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$8,257
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
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
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk
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 |
|---|---|---|---|---|---|---|---|
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.96 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.96 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $5.96 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.12 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.28 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $6.44 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.73 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.73 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $7.89 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.89 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.89 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $7.89 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $7.89 | $3,728.00 | $2,796.00 | 2025-03-07 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $8.05 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $8.22 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $8.38 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $8.70 | $1,611.00 | $1,530.45 | 2026-02-20 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $11.05 | $6,138.00 | $3,123.62 | 2024-12-31 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $18.94 | $946.00 | $946.00 | 2026-02-13 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | 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 ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $33.65 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $33.65 | — | — | 2026-04-01 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $33.78 | — | — | 2026-04-14 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna Better Health | Medicaid | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Health Partners Of Kansas | Commercial | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Sunflower | Commercial Exchange | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Individual Exchange | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Medica | Medicare Advantage | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Commercial Exchange | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Commercial Exchange | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Commercial/Self Insured | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Sunflower | Commercial Exchange | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wppa | Commercial | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Workers Compensation | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wppa | Commercial | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Corizon | Commercial | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicaid | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Health Partners Of Kansas | Commercial | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Compalliance | Compresults Workers Comp | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Corizon | Commercial | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicaid | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Commercial | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Commercial Exchange | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $38.38 | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Veterans Affairs Program | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $38.38 | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Commercial Exchange | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Medicare Advantage | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Compalliance | Compresults Workers Comp | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Providrs | Care Network | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Individual Exchange | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicaid | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | All Payer | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Workers Compensation | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Medicare Advantage | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Three Rivers Provider Networks | Workers Comp | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Commercial/Self Insured | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Medica | Medicare Advantage | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna Better Health | Medicaid | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | First Health | Commercial | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | First Health | Commercial | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Veterans Affairs Program | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Providrs | Care Network | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Centurion Of Kansas | Commercial | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicare | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Commercial | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Centurion Of Kansas | Commercial | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Three Rivers Provider Networks | Workers Comp | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicare | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicaid | — | $1,401.00 | $560.40 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | All Payer | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $1,401.00 | $560.40 | 2026-05-18 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $42.08 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $42.08 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $42.08 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $42.08 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $42.08 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $42.08 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $42.08 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $42.08 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $42.08 | — | — | 2026-04-14 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $2,150.00 | $1,612.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $2,150.00 | $1,612.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $2,150.00 | $1,612.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $2,150.00 | $1,612.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $2,150.00 | $1,612.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $2,150.00 | $1,612.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $2,150.00 | $1,612.50 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $43.55 | $2,150.00 | $1,612.50 | 2026-05-18 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $44.96 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $44.96 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $44.96 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $44.96 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $44.96 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $44.96 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $44.96 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $44.96 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $44.96 | — | — | 2026-04-14 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Health Net | All Medi-cal Plans | $45.42 | $10,899.00 | $5,449.50 | 2026-03-27 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $45.42 | $1,461.00 | $394.47 | 2026-01-31 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Health Net | All Medi-cal Plans | $45.42 | $10,899.00 | $5,449.50 | 2025-12-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $45.42 | $1,461.00 | $394.47 | 2026-01-31 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $47.11 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $47.11 | — | — | 2026-04-01 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $47.30 | — | — | 2026-04-14 | MRF ↗ |
| EAST COOPER 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 ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| FAULKTON AREA MEDICAL CENTER Both | Medica | General | $53.27 | $201.00 | $180.90 | 2026-05-13 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | United Healthcare | Default | — | $2,492.00 | $1,819.16 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Aetna | Default | $55.00 | $2,492.00 | $1,819.16 | 2026-05-09 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $58.91 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $58.91 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $58.91 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $58.91 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $58.91 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $58.91 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $58.91 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $58.91 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $58.91 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $62.94 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $62.94 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $62.94 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $62.94 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $62.94 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $62.94 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $62.94 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $62.94 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $62.94 | — | — | 2026-04-14 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Cal Optima | All Medi-cal Plans | $63.59 | $10,899.00 | $5,449.50 | 2026-03-27 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Cal Optima | All Medi-cal Plans | $63.59 | $10,899.00 | $5,449.50 | 2025-12-31 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $73.87 | — | — | 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 WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $73.87 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $73.87 | — | — | 2026-01-01 | 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.