32160 — Open Chest Heart Massage
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OPEN CHEST HEART MASSAGE (CPT 32160) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/32160?code_type=CPT
MLA (9th ed.)
“OPEN CHEST HEART MASSAGE (CPT 32160) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/32160?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“OPEN CHEST HEART MASSAGE (CPT 32160) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/32160?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $981–$4,730 (25th–75th percentile) across 1,533 hospitals · 3,581 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 32160 — 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
$981
$2,329 typical
$4,730
The middle 50% of negotiated facility rates for this procedure, measured across 1,533 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. | $2,329 |
| Surgeon (professional fee) Estimate national typical Medicare $772 × 1.22 commercial. | $942 |
| 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 | $3,979 |
Surgical episode (typical)
~$3,979
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)
~$7,764
- 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $8,957.44 | $5,822.34 | 2025-11-26 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $8,957.44 | $5,822.34 | 2025-11-26 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $2.23 | $2,227.00 | $668.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $2.23 | $2,227.00 | $668.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $2.23 | $2,227.00 | $668.10 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | $7.48 | $3,097.00 | $2,322.75 | 2026-04-01 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | $12.63 | $149.10 | $74.55 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $149.10 | $74.55 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $149.10 | $74.55 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $149.10 | $74.55 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $149.10 | $74.55 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $149.10 | $74.55 | 2026-05-13 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Aetna | Aetna - PPO | $14.14 | $3,097.00 | $2,322.75 | 2026-04-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Anthem | Indemnity | — | $32.91 | $19.75 | 2025-01-01 | 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 ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $17.86 | $1,484.23 | $890.54 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $17.86 | $1,484.23 | $890.54 | 2025-08-11 | 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 | Exchange | $22.25 | $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 | Aetna | Commerical | $23.80 | $32.91 | $19.75 | 2025-01-01 | 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 | 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 | AETNA [100101] | CCMC HB AETNA MIDDLESEX HOSP CONTRACT | $25.66 | $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 | 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 | WELLPOINT [100150] | CCMC HB BCBS ANTHEM REIMB CONTRACT | $27.01 | $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 | MVP HEALTH PLAN [100144] | 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 | GREAT WEST HEALTHCARE [100107] | CCMC HB CIGNA REIMB CONTRACT | $28.15 | $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 | MERITAIN HEALTH [100149] | CCMC HB AETNA REIMB CONTRACT | $28.51 | $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 | AETNA [100101] | 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 | 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 | GOVERNMENT EMPLOYEES HOSPITAL ASSOC [100115] | 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 ↗ |
| 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 | 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 | GENERIC MULTIPLAN [1001130] | 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 | 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 | CONNECTICARE [100105] | 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 | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California | Medi-Cal | — | $3,201.80 | $2,081.17 | 2025-11-26 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Uhc | Hmo Ppo | $47.64 | $149.10 | $74.55 | 2026-05-13 | 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 ↗ |
| REGIONAL ONE HEALTH Outpatient | Summit | Arkansas Medicaid PASSE | $51.00 | $1,878.51 | $1,029.42 | 2025-01-06 | MRF ↗ |
| REGIONAL ONE HEALTH Outpatient | Summit | Arkansas Medicaid PASSE | $51.00 | $1,878.51 | $1,029.42 | 2025-01-06 | MRF ↗ |
| MCGEHEE HOSPITAL Outpatient | Medicaid Arkansas | Default | $51.00 | $3,445.00 | $2,308.15 | 2026-04-09 | MRF ↗ |
| MCGEHEE HOSPITAL Outpatient | Arkansas Total Care | Medicaid Replacement | $51.00 | $3,445.00 | $2,308.15 | 2026-04-09 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $52.59 | $311.00 | $174.16 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $52.59 | $311.00 | $174.16 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $53.12 | $311.00 | $174.16 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | WELLCARE [1320] | WELLCARE [380] | $53.37 | $311.00 | $174.16 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | AMERIHEALTH MCAID ADV [1316] | AMERIHEALTH [376] | $53.65 | $311.00 | $174.16 | 2026-03-24 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $3,201.80 | $2,081.17 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | Medicare Advantage | — | $3,201.80 | $2,081.17 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $63.74 | — | — | 2026-04-14 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $67.13 | $2,227.00 | $668.10 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $67.13 | $2,227.00 | $668.10 | 2026-04-01 | MRF ↗ |
| ECU HEALTH NORTH HOSPITAL Both | TRILLIUM [1296] | TRILLIUM [1575] | $67.83 | $357.00 | $199.92 | 2026-03-24 | MRF ↗ |
| ECU HEALTH NORTH HOSPITAL Both | TRILLIUM [1296] | TRILLIUM [1575] | $67.83 | $357.00 | $199.92 | 2026-03-24 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $3,201.80 | $2,081.17 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $3,201.80 | $2,081.17 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $3,201.80 | $2,081.17 | 2025-11-26 | MRF ↗ |
| VIDANT ROANOKE CHOWAN HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $72.24 | $294.00 | $164.64 | 2026-04-01 | MRF ↗ |
| VIDANT ROANOKE CHOWAN HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $72.24 | $294.00 | $164.64 | 2026-04-01 | MRF ↗ |
| VIDANT ROANOKE CHOWAN HOSPITAL Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $72.97 | $294.00 | $164.64 | 2026-04-01 | MRF ↗ |
| VIDANT ROANOKE CHOWAN HOSPITAL Both | WELLCARE [1320] | WELLCARE [380] | $73.32 | $294.00 | $164.64 | 2026-04-01 | MRF ↗ |
| VIDANT ROANOKE CHOWAN HOSPITAL Both | AMERIHEALTH MCAID ADV [1316] | AMERIHEALTH [376] | $73.68 | $294.00 | $164.64 | 2026-04-01 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Molina | Managed Medicaid | $75.38 | $2,104.00 | $1,052.00 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Molina | Managed Medicaid | $75.38 | $2,104.00 | $1,052.00 | 2025-12-04 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID HIP [230] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARETAKER HIP [232] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE [220] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID [200] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | FRANCISCAN ACO [236] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $75.80 | $8,244.00 | $4,946.40 | 2026-04-01 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $77.62 | $308.00 | $172.48 | 2026-04-01 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $77.62 | $308.00 | $172.48 | 2026-04-01 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | NC DEPT OF PUBLIC SAFETY [1095] | NC DEPT OF PUBLIC SAFETY [1098] | $78.37 | $311.00 | $174.16 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $78.39 | $308.00 | $172.48 | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $78.48 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $78.48 | — | — | 2026-04-01 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | WELLCARE [1320] | WELLCARE [380] | $78.79 | $308.00 | $172.48 | 2026-04-01 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | AMERIHEALTH MCAID ADV [1316] | AMERIHEALTH [376] | $79.16 | $308.00 | $172.48 | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $79.38 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $79.38 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $79.38 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $79.38 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $79.38 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $79.38 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $79.38 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $79.38 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $79.38 | — | — | 2026-04-14 | MRF ↗ |
| Vidant Beaufort Hospital Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $81.60 | $344.00 | $182.32 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $81.60 | $344.00 | $182.32 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $81.60 | $344.00 | $182.32 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $81.60 | $344.00 | $182.32 | 2026-04-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $5,745.00 | — | 2024-12-31 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $82.42 | $344.00 | $182.32 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $82.42 | $344.00 | $182.32 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | WELLCARE [1320] | WELLCARE [380] | $82.84 | $344.00 | $182.32 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | WELLCARE [1320] | WELLCARE [380] | $82.84 | $344.00 | $182.32 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | AMERIHEALTH MCAID ADV [1316] | AMERIHEALTH [376] | $83.21 | $344.00 | $182.32 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | AMERIHEALTH MCAID ADV [1316] | AMERIHEALTH [376] | $83.21 | $344.00 | $182.32 | 2026-03-24 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $84.82 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $84.82 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $84.82 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $84.82 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $84.82 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $84.82 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $84.82 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $84.82 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $84.82 | — | — | 2026-04-14 | MRF ↗ |
| ECU HEALTH NORTH HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $86.47 | $357.00 | $199.92 | 2026-03-24 | MRF ↗ |
| ECU HEALTH NORTH HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $86.47 | $357.00 | $199.92 | 2026-03-24 | MRF ↗ |
| ECU HEALTH NORTH HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $86.47 | $357.00 | $199.92 | 2026-03-24 | MRF ↗ |
| ECU HEALTH NORTH HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $86.47 | $357.00 | $199.92 | 2026-03-24 | MRF ↗ |
| ECU HEALTH NORTH HOSPITAL Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $87.47 | $357.00 | $199.92 | 2026-03-24 | MRF ↗ |
| ECU HEALTH NORTH HOSPITAL Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $87.47 | $357.00 | $199.92 | 2026-03-24 | MRF ↗ |
| ECU HEALTH NORTH HOSPITAL Both | WELLCARE [1320] | WELLCARE [380] | $87.75 | $357.00 | $199.92 | 2026-03-24 | MRF ↗ |
| ECU HEALTH NORTH HOSPITAL Both | WELLCARE [1320] | WELLCARE [380] | $87.75 | $357.00 | $199.92 | 2026-03-24 | MRF ↗ |
| ECU HEALTH NORTH HOSPITAL Both | AMERIHEALTH MCAID ADV [1316] | AMERIHEALTH [376] | $88.18 | $357.00 | $199.92 | 2026-03-24 | MRF ↗ |
| ECU HEALTH NORTH HOSPITAL Both | AMERIHEALTH MCAID ADV [1316] | AMERIHEALTH [376] | $88.18 | $357.00 | $199.92 | 2026-03-24 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $1,950.00 | $1,657.50 | 2025-01-01 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $89.24 | — | — | 2026-04-14 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $90.96 | $303.00 | $169.68 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $90.96 | $303.00 | $169.68 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $91.87 | $303.00 | $169.68 | 2026-03-24 | 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.