31603 — Emer Tracheostomy Ttrach
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EMER TRACHEOSTOMY TTRACH (HCPCS 31603) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/31603?code_type=HCPCS
MLA (9th ed.)
“EMER TRACHEOSTOMY TTRACH (HCPCS 31603) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/31603?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“EMER TRACHEOSTOMY TTRACH (HCPCS 31603) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/31603?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,003–$2,749 (25th–75th percentile) across 2,047 hospitals · 6,271 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 31603 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,003
$1,716 typical
$2,749
The middle 50% of negotiated facility rates for this procedure, measured across 2,047 hospitals. The the surgeon's fee are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,716 |
| Surgeon (professional fee) Estimate national typical Medicare $279 × 1.22 commercial. | $340 |
| Likely subtotal | $2,056 |
Surgical episode (typical)
~$2,056
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 |
|---|---|---|---|---|---|---|---|
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $2.02 | $2,017.00 | $605.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $2.02 | $2,017.00 | $605.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $2.02 | $2,017.00 | $605.10 | 2026-04-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $7.22 | $3,876.11 | $2,325.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $7.22 | $3,876.11 | $2,325.67 | 2025-08-11 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $10.23 | $482.00 | $313.30 | 2026-05-07 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | UCare for Seniors | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Primewest Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | United Healthcare | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Blue Plus Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Humana | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Medica Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Aetna | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Blue Cross Blue Shield | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Medica | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| WINDOM AREA HEALTH InpatientFacility | Ucare Minnesota Senior Health Options (MSHO) | Medicare Replacement | — | $29.00 | $19.72 | 2026-02-03 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $11.50 | $46.00 | $32.20 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | $11.50 | $46.00 | $32.20 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $11.50 | $46.00 | $32.20 | 2025-09-16 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.20 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.28 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.28 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $15.12 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $15.22 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $15.22 | — | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $15.63 | $1,532.00 | $995.80 | 2026-03-14 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.47 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.57 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.57 | — | — | 2026-03-18 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | HomeState | All Products | $16.74 | $46.00 | $32.20 | 2025-09-16 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $30.00 | $2,520.00 | $2,520.00 | 2025-12-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $30.78 | $228.00 | $171.00 | 2026-01-16 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Aetna | All Products | $32.20 | $46.00 | $32.20 | 2025-09-16 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | TRICARE | TRICARE | $32.76 | $70.00 | $70.00 | 2025-07-29 | 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 ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | HealthLink | All Products | $34.50 | $46.00 | $32.20 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | UHC | All Products | $34.50 | $46.00 | $32.20 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Cigna | All Products | $34.50 | $46.00 | $32.20 | 2025-09-16 | 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 ↗ |
| MAYERS MEMORIAL HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $35.00 | $1,515.00 | $1,515.00 | 2026-05-12 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $35.56 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $37.20 | $3,876.11 | $2,325.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $37.20 | $3,876.11 | $2,325.67 | 2025-08-11 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MEDICAID_IOWA | IOWA MEDICAID | $38.50 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_IA_TOTALCARE | MANAGED CARE IOWA MEDICAID | $38.50 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_UNITEDHEALTHCARE | MANAGED CARE IOWA MEDICAID | $38.50 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_AMERIHEALTH | MANAGED CARE IOWA MEDICAID | $38.50 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_AMERIGROUP | MANAGED CARE IOWA MEDICAID | $38.89 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Coventry | All Products | $39.10 | $46.00 | $32.20 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Humana | All Products | $39.10 | $46.00 | $32.20 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Anthem | All Products | $39.10 | $46.00 | $32.20 | 2025-09-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $39.53 | $122.00 | $61.00 | 2026-03-24 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $40.00 | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Blue Advantage | PPO | $40.00 | $1,625.30 | — | 2026-01-23 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $40.00 | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Banner | Medicare Advantage | $40.00 | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $40.00 | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Arizona Complete (Allwell) | Medicare Advantage | $40.00 | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $40.00 | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID | CARESOURCE MCAID | $40.86 | $570.53 | $285.27 | 2026-05-05 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | AR TOTAL CARE MCAID - ALL PLANS | AR TOTAL CARE MCAID - ALL PLANS | $40.86 | $570.53 | $285.27 | 2026-05-05 | MRF ↗ |
| LANE REGIONAL MEDICAL CENTER Outpatient | Humana Inc. | Commercial | $42.00 | $248.00 | $87.00 | 2026-05-27 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | MOLINA MCR ADV - ALL PLANS | MOLINA MCR ADV - ALL PLANS | $42.24 | $122.00 | $61.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | UHC MCR ADV | UHC MCR ADV | $43.92 | $122.00 | $61.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | UNIVERSITY HEALTH CARE MCR ADV | UNIVERSITY HEALTH CARE MCR ADV | $43.92 | $122.00 | $61.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | AETNA MCR ADV | AETNA MCR ADV | $43.92 | $122.00 | $61.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $43.92 | $122.00 | $61.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | UHC VA CCN | UHC VA CCN | $43.92 | $122.00 | $61.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $43.92 | $122.00 | $61.00 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | WELLCARE MCR ADV | WELLCARE MCR ADV | $43.92 | $122.00 | $61.00 | 2026-03-24 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | Medicaid | HMO | $44.00 | $1,625.30 | — | 2026-01-23 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $47.06 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $47.31 | $228.00 | $171.00 | 2026-01-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | AMBETTER COMM/EXCH - ALL PLANS | AMBETTER COMM/EXCH - ALL PLANS | $48.31 | $122.00 | $61.00 | 2026-03-24 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,735.00 | $1,041.00 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,735.00 | $1,041.00 | 2026-05-18 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Outpatient | Aetna Teachers' Retirement System | HMO | $49.10 | $1,625.30 | — | 2026-01-23 | 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 ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $50.00 | $462.00 | $462.00 | 2026-02-10 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Traditional and PPO | PPO | $50.00 | $1,625.30 | — | 2026-01-23 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Blue Essentials HMO | PPO | $50.00 | $1,625.30 | — | 2026-01-23 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MAHP | MEDICAL ASSOCIATES HEALTH PLAN | $52.50 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | CASH_PAY_W_DISCOUNT | CASH DISCOUNT | $52.50 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | UNITED_HEALTHCARE | UNITED HEALTHCARE | $53.41 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM SHORT TERM LIMITED DURATION | 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC HMO | 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 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 RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $54.32 | — | — | 2026-01-01 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | UMR | UMR | $54.39 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | United Healthcare | Default | — | $905.00 | $660.65 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Aetna | Default | $55.00 | $905.00 | $660.65 | 2026-05-09 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Outpatient | Cigna Marketplace | PPO | $56.44 | $1,625.30 | — | 2026-01-23 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | UHC_RIVER_VALLEY | UHC RIVER VALLEY COMMERCIAL | $56.63 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | UHC_PREMIER_JDEERE | UHC JOHN DEERE PREMIER | $56.63 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | AETNA_COVENTRY | AETNA COVENTRY | $58.73 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | HEALTH_CHOICES | HEALTH CHOICES - PREFERRED HEALTH CHOICES | $59.50 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $60.00 | $1,067.00 | $693.55 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $60.00 | $1,067.00 | $693.55 | 2026-02-10 | MRF ↗ |
| WHEATLAND MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $63.26 | $712.00 | $712.00 | 2026-02-12 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Outpatient | Cigna Commercial | PPO | $63.70 | $1,625.30 | — | 2026-01-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $66.00 | $3,105.00 | $1,242.00 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $66.00 | $3,105.00 | $1,242.00 | 2026-05-14 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | CHIP | $66.88 | $4,164.00 | $1,486.88 | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | Managed Medicaid | $66.88 | $4,164.00 | $1,486.88 | 2025-12-02 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $67.13 | $2,017.00 | $605.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $67.13 | $2,017.00 | $605.10 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $67.34 | $1,036.00 | $673.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $67.34 | $1,036.00 | $673.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $67.34 | $1,036.00 | $673.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $67.34 | $1,036.00 | $673.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $67.34 | $1,036.00 | $673.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $67.34 | $1,036.00 | $673.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $67.34 | $1,036.00 | $673.40 | 2026-03-12 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Health New England | MassHealth | $67.78 | — | — | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | Health New England | MassHealth | $67.78 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Health New England | MassHealth | $67.78 | — | — | 2025-01-01 | MRF ↗ |
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | Health New England | MassHealth | $67.78 | — | — | 2025-01-01 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MIDLANDS_CHOICE | MIDLANDS CHOICE | $67.90 | $70.00 | $70.00 | 2025-07-29 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Oscar | HMO | $68.92 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $71.44 | $1,099.00 | $714.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $71.44 | $1,099.00 | $714.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $71.44 | $1,099.00 | $714.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $71.44 | $1,099.00 | $714.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $71.44 | $1,099.00 | $714.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $71.44 | $1,099.00 | $714.35 | 2026-03-12 | MRF ↗ |
| BENSON HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL InpatientFacility | Banner | Medicare Advantage | — | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL InpatientFacility | Arizona Complete (Allwell) | Medicare Advantage | — | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL InpatientFacility | Blue Cross Blue Shield | All Commercial Plans | — | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $75.00 | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $125.00 | $60.00 | 2025-03-27 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Molina | Managed Medicaid | $75.38 | $4,871.55 | $2,435.78 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Molina | Managed Medicaid | $75.38 | $4,871.55 | $2,435.78 | 2025-12-04 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Oscar | HMO | $75.83 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP MEDICAID [350080] | MVP ESSENTIAL PLAN 3+4 [35008002] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC HMO MEDICAID / COMMUNITY [35001303] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS CHILD HEALTH PLUS [35008101] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | VOUCHER [500013] | VOUCHER [50001301] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NYS DEPARTMENT OF CORRECTIONS [500014] | NYS DEPARTMENT OF CORRECTIONS [50001401] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP [100257] | MVP PPO [10025703] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS WORK COMP [700028] | WC TRAVELERS [70002801] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS HMO MEDICAID APG [35008201] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ONEIDA COUNTY JAIL [500016] | ONEIDA COUNTY JAIL [50001601] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ALLSTATE AUTO INSURANCE [800001] | NF ALLSTATE [80000101] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID ALTERNATE [350064] | MEDICAID ALTERNATE [35006402] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID ALTERNATE [350064] | ADHC ALTERNATE PLAN [35006401] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CDPHP MEDICAID [350076] | CDPHP CHILD HEALTH PLUS [35007602] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | SEDGWICK [700027] | WC SEDGWICK [70002701] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL WORK COMP [700016] | WC LIBERTY MUTUAL [70001601] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CARELON BEHAVIORAL HEALTH MEDICAID [350075] | CARELON BEHAVIORAL HEALTH HMO MEDICAID [35007501] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CDPHP MEDICAID [350076] | CDPHP ESSENTIAL PLAN [35007603] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID PENDING [309998] | MEDICAID PENDING [30999801] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP MEDICAID [350080] | MVP HMO MEDICAID [35008003] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CARELON BEHAVIORIAL HEALTH MEDICARE [450115] | CARELON BEHAVIORAL MEDICARE [45011501] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP MEDICAID [350080] | MVP CHILD HEALTH PLUS [7] | — | $1,551.00 | $930.60 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS HMO MEDICAID [35005801] | — | $1,551.00 | $930.60 | 2025-01-17 | 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.