32110 — Explore/repair Chest
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EXPLORE/REPAIR CHEST (CPT 32110) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/32110?code_type=CPT
MLA (9th ed.)
“EXPLORE/REPAIR CHEST (CPT 32110) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/32110?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“EXPLORE/REPAIR CHEST (CPT 32110) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/32110?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,468–$5,395 (25th–75th percentile) across 1,406 hospitals · 2,692 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 32110 — 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
$1,468
$2,936 typical
$5,395
The middle 50% of negotiated facility rates for this procedure, measured across 1,406 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. | $2,936 |
| Surgeon (professional fee) Estimate national typical Medicare $1,396 × 1.22 commercial. | $1,703 |
| 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 | $5,347 |
Surgical episode (typical)
~$5,347
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)
~$9,132
- 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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Health Spring | Commercial | $4.00 | $10.00 | $2.00 | 2026-01-28 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Cigna | Commercial | $4.25 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $5.00 | $10.00 | $2.00 | 2026-01-28 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Medicare | Medicare | $5.10 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Medicare | Medicare | $5.10 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Tricare Va | Commercial | $5.10 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $5.10 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Peoples Health | Commercial | $5.10 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Zelis Ppo | Commercial | $5.20 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Dignity Health | Commercial | $5.21 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $7.65 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $7.83 | $4,352.00 | — | 2024-12-31 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Commercial | Commercial | $8.51 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Amerihealth | Commercial | $9.45 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $9.45 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Louisana Healthcare Connections | Medicaid | $9.45 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Humana Medicaid | Medicaid | $9.45 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $10.00 | $10.00 | $2.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | HMO | $10.00 | $10.00 | $2.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | PPO | $10.00 | $10.00 | $2.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Alabama | Medicare Advantage | $10.00 | $10.00 | $2.00 | 2026-01-28 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MEDICARE [10001] | MEDICARE PART A & B [1000102] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER OUT OF AREA MEDICARE ADVANTAGE [3050603] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE NORTHERN CA [3050601] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MEDICARE [10001] | RAILROAD MEDICARE [1000104] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP [20502] | IEHP INLAND VALLEY IPA [2050203] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE HAWAII [3050606] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP [20502] | IEHP LASALLE MEDICAL ASSOCIATES [2050204] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MEDICARE [10001] | MEDICARE PART A [1000101] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE COLORADO [3050604] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | VETERANS ADMINISTRATION [80002] | VETERANS ADMINISTRATION [8000201] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MOLINA MCAL HMO [20503] | MOLINA MCAL HMO [2050301] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADV MID-ATLANTIC STATES [3050607] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | GENERIC FIRST AID [30063] | FIRST AID WORK COMP [3006301] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | ASCEND HOSPICE [32000] | ASCEND HOSPICE [3200001] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP [20502] | INLAND EMPIRE HEALTH PLAN [2050201] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | CHAMPVA [80001] | VHA OFFICE OF COMMUNITY CARE [8000101] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE SOUTHERN CA [3050602] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP CAL MEDI-CONNECT MEDICARE ADVANTAGE [10512] | IEHP LASALLE MED ASSOC MEDICARE ADV [1051204] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MEDICARE [10001] | MEDICARE PART B [1000103] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE WASHINGTON [3050609] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE GEORGIA [3050605] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP CAL MEDI-CONNECT MEDICARE ADVANTAGE [10512] | IEHP INLAND VALLEY IPA MEDICARE ADV [1051203] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE NORTHWEST [3050608] | $13.93 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Anthem | Individual Exchange | $17.04 | $32.91 | $19.75 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Multiplan | Multiplan | — | $32.91 | $19.75 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Anthem | Indemnity | — | $32.91 | $19.75 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Cigna | Cigna | $20.80 | $32.91 | $19.75 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Anthem | State Preferred | $21.30 | $32.91 | $19.75 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Anthem | Commerical | $21.30 | $32.91 | $19.75 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | United Healthcare/Oxford | United Healthcare/Oxford | $21.40 | $32.91 | $19.75 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Aetna | Middlesex Employees | $21.43 | $32.91 | $19.75 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Connecticare | Commerical | $22.25 | $32.91 | $19.75 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Connecticare | Exchange | $22.25 | $32.91 | $19.75 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Aetna | Commerical | $23.80 | $32.91 | $19.75 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | HARVARD PILGRIM [1001134] | CCMC HB HARVARD REIMB CONTRACT | $24.73 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | MULTIPLAN [1001126] | CCMC HB HARVARD REIMB CONTRACT | $24.73 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | OPTUM BEHAVIORAL HEALTH [100900] | CCMC HB HARVARD REIMB CONTRACT | $24.73 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | AETNA [100101] | CCMC HB AETNA MIDDLESEX HOSP CONTRACT | $25.66 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | WELLPOINT [100150] | CCMC HB BCBS ANTHEM REIMB CONTRACT | $27.01 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | BLUE CROSS [110001] | CCMC HB BCBS ANTHEM REIMB CONTRACT | $27.01 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | BLUE CROSS [110001] | CCMC HB BCBS STATE PREF CONTRACT | $27.01 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | UNICARE [100148] | CCMC HB BCBS ANTHEM REIMB CONTRACT | $27.01 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | TUFTS HEALTH PLAN [100114] | CCMC HB CIGNA REIMB CONTRACT | $28.15 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | MVP HEALTH PLAN [100144] | CCMC HB CIGNA REIMB CONTRACT | $28.15 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | GREAT WEST HEALTHCARE [100107] | CCMC HB CIGNA REIMB CONTRACT | $28.15 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | CIGNA [100102] | CCMC HB CIGNA REIMB CONTRACT | $28.15 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | HEALTH PARTNERS [110229] | CCMC HB CIGNA REIMB CONTRACT | $28.15 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | HUMANA [100116] | CCMC HB AETNA REIMB CONTRACT | $28.51 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | YALE HEALTH PLAN [100162] | CCMC HB AETNA REIMB CONTRACT | $28.51 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | MERITAIN HEALTH [100149] | CCMC HB AETNA REIMB CONTRACT | $28.51 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | AETNA [100101] | CCMC HB AETNA REIMB CONTRACT | $28.51 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | NIPPON LIFE INS CO OF AMERICA [100112] | CCMC HB AETNA REIMB CONTRACT | $28.51 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | 1199 NATIONAL BENEFIT FUND [100134] | CCMC HB AETNA REIMB CONTRACT | $28.51 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | GOVERNMENT EMPLOYEES HOSPITAL ASSOC [100115] | CCMC HB AETNA REIMB CONTRACT | $28.51 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | CDPHP/COMM [100199] | CCMC HB MULTIPLAN REIMB CONTRACT | $28.82 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | GENERIC MULTIPLAN [1001130] | CCMC HB MULTIPLAN REIMB CONTRACT | $28.82 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | MULTIPLAN [1001126] | CCMC HB MULTIPLAN REIMB CONTRACT | $28.82 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | ULTRABENEFITS/COMM [100181] | CCMC HB MULTIPLAN REIMB CONTRACT | $28.82 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | CONNECTICARE [100105] | CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT | $28.83 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | CONNECTICARE [100105] | CCMC HB CONNECTICARE REIMB CONTRACT | $30.42 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | OPTUM BEHAVIORAL HEALTH [100900] | CCMC HB CONNECTICARE REIMB CONTRACT | $30.42 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | EMBLEM HEALTH MEDICAID [1001103] | CCMC HB CONNECTICARE REIMB CONTRACT | $30.42 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | EMBLEM HEALTH COMMERCIAL [1001108] | CCMC HB CONNECTICARE REIMB CONTRACT | $30.42 | $33.90 | $20.34 | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $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 ↗ |
| EAST COOPER MEDICAL CENTER 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 ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MCGEHEE HOSPITAL Outpatient | Medicaid Arkansas | Default | $51.00 | $4,232.00 | $2,835.44 | 2026-04-09 | MRF ↗ |
| MCGEHEE HOSPITAL Outpatient | Arkansas Total Care | Medicaid Replacement | $51.00 | $4,232.00 | $2,835.44 | 2026-04-09 | MRF ↗ |
| REGIONAL ONE HEALTH Outpatient | Summit | Arkansas Medicaid PASSE | $51.00 | $2,351.33 | $1,288.53 | 2025-01-06 | MRF ↗ |
| REGIONAL ONE HEALTH Outpatient | Summit | Arkansas Medicaid PASSE | $51.00 | $2,351.33 | $1,288.53 | 2025-01-06 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $60.16 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $60.16 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $60.16 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $60.16 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $60.16 | — | — | 2026-03-28 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Medicare Advantage | $75.00 | $16,983.00 | $11,888.10 | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Medicare Advantage | $75.00 | $16,983.00 | $11,888.10 | 2026-03-27 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Molina | Managed Medicaid | $75.38 | $1,019.85 | $509.93 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Molina | Managed Medicaid | $75.38 | $1,019.85 | $509.93 | 2025-12-04 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $84.80 | $6,229.00 | $6,229.00 | 2026-02-13 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $90.00 | $3,982.00 | $3,982.00 | 2025-12-03 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $95.00 | $4,874.00 | $1,315.98 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $95.00 | $4,874.00 | $1,315.98 | 2026-01-31 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | BCBS Pathway/HMO | HMO | $100.00 | $3,938.15 | — | 2026-05-14 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | BCBS Pathway/HMO | HMO | $100.00 | $3,938.15 | — | 2026-03-24 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Partners | Managed Medicaid | $101.99 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Partners | Managed Medicaid | $101.99 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Broughton Cardinal Partners | Commercial | — | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDI-CAL- AFTER 10/01/21 [30505] | KAISER MEDI-CAL HMO [3050501] | $102.40 | $3,769.00 | — | 2026-04-02 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $103.51 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $104.53 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Behavioral Health | $104.53 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Wellcare | Managed Medicaid | $105.45 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Carolina Complete Health | Managed Medicaid | $105.45 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Healthy Blue | Managed Medicaid | $105.45 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Behavioral Health | $105.55 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Carolina Complete Health | Managed Medicaid | $106.47 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Wellcare | Managed Medicaid | $106.47 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Healthy Blue | Managed Medicaid | $106.47 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Vaya | Managed Medicaid | $106.47 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Vaya | Managed Medicaid | $107.49 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Managed Medicaid | $108.10 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Managed Medicaid | $108.61 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Trillium | Managed Medicaid | $108.61 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Trillium | Managed Medicaid | $109.63 | $1,019.85 | $509.93 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $115.04 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Behavioral Health | $116.16 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Healthy Blue | Managed Medicaid | $117.18 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Carolina Complete Health | Managed Medicaid | $117.18 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Wellcare | Managed Medicaid | $117.18 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $117.58 | — | — | 2026-04-14 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Partners | Managed Medicaid | $118.30 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Vaya | Managed Medicaid | $118.30 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Managed Medicaid | $119.53 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Trillium | Managed Medicaid | $120.65 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Physician Reach Out | Plan H | — | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Partners | Managed Medicaid | $122.38 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Broughton Cardinal Partners | Commercial | — | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Behavioral Health | $122.48 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $123.50 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Carolina Complete Health | Managed Medicaid | $123.50 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Healthy Blue | Managed Medicaid | $123.50 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Vaya | Managed Medicaid | $124.73 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $124.73 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Broughton Cardinal Partners | Commercial | — | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $125.14 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Managed Medicaid | $125.95 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Alliance | Behavioral Health | $126.36 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $126.53 | — | — | 2026-04-14 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Trillium | Managed Medicaid | $127.18 | $1,019.85 | $509.93 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Carolina Complete Health | Managed Medicaid | $127.48 | $1,019.85 | $509.93 | 2025-12-01 | 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.