30469 — Rpr Nsl Vlv Collapse W/rmdlg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RPR NSL VLV COLLAPSE W/RMDLG (CPT 30469) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/30469?code_type=CPT
MLA (9th ed.)
“RPR NSL VLV COLLAPSE W/RMDLG (CPT 30469) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/30469?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RPR NSL VLV COLLAPSE W/RMDLG (CPT 30469) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/30469?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,544–$8,629 (25th–75th percentile) across 1,389 hospitals · 2,350 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 30469 — 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 figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$3,544
$5,938 typical
$8,629
The middle 50% of negotiated facility rates for this procedure, measured across 1,389 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $5,938 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $130 × 1.22 commercial. | $158 |
| Likely subtotal | $6,096 |
Surgical episode (typical)
~$6,096
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$9,881
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 |
|---|---|---|---|---|---|---|---|
| METROWEST MEDICAL CENTER Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Point32Health | TuftsPublicPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Anthem Affiliates | Unicare | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | BCBS-MA | BCBSMAIndemnity | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Point32Health | TuftsBehavioralHealth | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | EternalHealth | EternalHealthMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Contigo Health | ContigoHealthWCfkaThreeRiversWC | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Point32Health | TuftsMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Fallon | FallonCommunityCare | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | United Healthcare | EvercareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Point32Health | TuftsUnifyMedicareDual | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Humana | HumanaBehavioralMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | United Healthcare | HealthSmartMgdWC | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | BCBS-MA | BCBSMAHMO | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Point32Health | TuftsPublicPlanHIXSubsidized | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | SeniorWholeHealthMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Wingate Sudbury | WingateSudbury | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Mass General Brigham | MassGeneralBrighamHMO | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | BCBS-MA | BCBSMAPreferredProviderArrangement | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Aetna | AetnaNarrowNetwork | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Magellan | MagellanBehavioral | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Mass Advantage | MassAdvantage | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Point32Health | TuftsPublicPlanHIXUnsubsidized | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | WellSense Health Plan | WellSenseBMCHQHPSilverHIX | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Humana | HumanaBehavioralHealthCommercialHIX | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | Beacon Health Options | BeaconHealthOptionsBehavioralCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Outpatient | WellSense Health Plan | WellSenseBMCHMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $17.03 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $17.03 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $17.03 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $17.49 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $17.95 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $18.41 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $22.09 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $22.09 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $22.55 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $22.55 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $22.55 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $22.55 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $23.01 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $23.29 | — | — | 2025-12-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $23.47 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $23.93 | $4,602.00 | $4,371.90 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $24.85 | $4,602.00 | $4,371.90 | 2026-02-20 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA CHOICE CARE [1602302] | $68.77 | $519.00 | $8,429.00 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA ACCESSABILITY [1602301] | $68.77 | $519.00 | $8,429.00 | 2026-01-01 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $75.58 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $75.58 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $75.58 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $75.58 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $75.58 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $79.36 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $82.39 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | McLaren | MEDICAID | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $82.39 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $82.39 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $82.39 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $82.39 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $82.39 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $82.71 | $630.00 | $412.02 | 2026-04-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $87.50 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $87.50 | — | — | 2026-03-01 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Blue Cross Complete | MEDICAID | $89.81 | $6,643.00 | — | 2025-06-28 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $96.06 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716,UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601,UNITED HEALTHCARE ESSENTIAL 3-4 171602,UNITED HEALTHCARE ESSENTIAL 1-2 515812, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $97.96 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $98.92 | $10,595.00 | $6,886.75 | 2026-04-01 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - Molina | Medicaid - Molina | $99.90 | $6,028.40 | $3,014.20 | 2025-12-31 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $102.25 | — | — | 2025-10-24 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | $102.36 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Humana | Humana Military East | $102.36 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Medicare | $102.36 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Medicare | $102.36 | $13,074.00 | $7,059.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Humana | Humana Military East | $102.36 | $13,074.00 | $7,059.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | $102.36 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Humana | Humana Military East | $102.36 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Humana | Humana Military East | $102.36 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $103.68 | — | — | 2026-04-01 | MRF ↗ |
| TRIGG COUNTY HOSPITAL Both | Medicare A KY J15 | Default | $104.59 | $368.00 | $147.20 | 2026-03-02 | MRF ↗ |
| TRIGG COUNTY HOSPITAL Both | Blue Cross Blue Shield of KY Anthem | Medicare Advantage | $104.59 | $368.00 | $147.20 | 2026-03-02 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Community Plan/DSNP | $105.43 | $13,074.00 | $7,059.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Community Plan/DSNP | $105.43 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Community Plan/DSNP | $105.43 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Community Plan/DSNP | $105.43 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| TRIGG COUNTY HOSPITAL Both | VA Community Care Network VACCN Region 1-3 Optum | Default | $106.72 | $368.00 | $147.20 | 2026-03-02 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $107.12 | — | — | 2025-10-24 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Medicare | $107.48 | $13,074.00 | $7,059.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Medicare | $107.48 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Medicare | $107.48 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Medicare | $107.48 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Unicare | Wv Medicaid | $107.60 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | The Healthplan | Wv Medicaid | $107.60 | — | — | 2026-05-06 | MRF ↗ |
| DAVIS MEDICAL CENTER OutpatientFacility | Correctional Medical Systems | Commercial | $108.04 | — | — | 2025-08-07 | MRF ↗ |
| DAVIS MEDICAL CENTER OutpatientFacility | Correctional Medical Systems | Commercial | $108.04 | — | — | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC OutpatientFacility | Correctional Medical Systems | Commercial | $108.04 | — | — | 2025-08-07 | MRF ↗ |
| BROADDUS HOSPITAL ASSOCIATION, INC OutpatientFacility | Correctional Medical Systems | Commercial | $108.04 | — | — | 2025-08-07 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | MVP MEDICAID 1712, MVP 2900 | MVP OPTION MEDICAID 171201, MVP ESSENTIAL (W/ MEDICAID) 171204, MVP CHILD HEALTH PLUS 290004, MVP ESSENTIAL (NO MEDICAID) 290005 | $109.98 | — | — | 2026-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Medicare | $110.55 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Cigna | Cigna Medicare | $110.55 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Cigna | Cigna Medicare | $110.55 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Medicare | $110.55 | $13,074.00 | $7,059.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Medicare | $110.55 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Cigna | Cigna Medicare | $110.55 | $13,074.00 | $7,059.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Medicare | $110.55 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Cigna | Cigna Medicare | $110.55 | $13,074.00 | $3,791.46 | 2025-10-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901,SECUREHORIZONS DIRECT 130902,UNITED HEALTHCARE DUAL COMPLETE 130904,UHC MEDICARE COMPLETE 130905 | $110.89 | — | — | 2026-01-01 | MRF ↗ |
| TRIGG COUNTY HOSPITAL Both | Blue Cross Blue Shield of KY Anthem | Medicare Advantage | $110.98 | $390.50 | $156.20 | 2026-03-02 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $111.72 | — | — | 2026-04-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | WellCare of TN | WellCare of TN | $112.60 | $13,074.00 | $3,791.46 | 2025-10-01 | 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.