33214 — Upgrade Of Pacemaker System
Cite this view
HANK Price Transparency. (n.d.). UPGRADE OF PACEMAKER SYSTEM (CPT 33214) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/33214?code_type=CPT
“UPGRADE OF PACEMAKER SYSTEM (CPT 33214) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/33214?code_type=CPT. Accessed .
“UPGRADE OF PACEMAKER SYSTEM (CPT 33214) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/33214?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,411–$18,349 (25th–75th percentile) across 1,953 hospitals · 6,390 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 33214 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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.
The middle 50% of negotiated facility rates for this procedure, measured across 1,953 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. | $11,386 |
| Surgeon (professional fee) Estimate national typical Medicare $426 × 1.22 commercial. | $519 |
| 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 | $12,613 |
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.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $25,881.60 | $12,940.80 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $25,881.60 | $12,940.80 | 2024-12-15 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $4,237.00 | $1,254.16 | 2026-02-28 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $1.08 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $1.08 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $1.08 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $1.08 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $1.08 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $1.08 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | WELLPOINT [250265] | WELLPOINT FLORIDA [25026501] | $1.08 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $1.18 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $1.18 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $1.18 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $1.18 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $1.18 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $1.18 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | AVMED HEALTH PLAN [250204] | AVMED HEALTH PLAN CONTRACTED [25020401] | $1.18 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $1.23 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | BCBS [210001] | BC FL PPO [21000101] | $1.23 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $1.23 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $1.23 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $1.23 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | BCBS [210001] | BC FL PPO [21000101] | $1.23 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $1.23 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $1.30 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $1.30 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $1.30 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $1.30 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $1.30 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $1.30 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | GLOBAL EXCEL MANAGEMENT [250241] | GLOBAL EXCEL CONTRACTED [25024101] | $1.30 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $1.60 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $1.60 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $1.60 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $1.60 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $1.60 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $1.60 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $1.60 | $2.00 | $0.40 | 2026-03-26 | MRF ↗ |
| VALLEY MEDICAL CENTER Outpatient | GREAT WEST [190102] | CIGNA.COMMERCIAL.FACILITY.VMC | $6.56 | $47,894.55 | $33,526.18 | 2026-03-12 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $13.06 | $21,674.00 | $8,019.38 | 2026-03-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $13,416.00 | $8,720.40 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $13,416.00 | $8,720.40 | 2025-01-01 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.59 | — | — | 2026-04-14 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $34.19 | — | — | 2026-04-14 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $36.84 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $37.49 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $37.55 | $52,979.32 | $10,595.86 | 2026-03-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $48.24 | $26,799.00 | $11,340.16 | 2024-12-31 | 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 ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $54.75 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $54.75 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $54.75 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $54.75 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $54.75 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $54.75 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $54.75 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $54.75 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $54.75 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $57.75 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $57.75 | — | — | 2026-04-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $59.76 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $59.76 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $59.76 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $59.76 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $59.76 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $59.76 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $59.76 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $59.76 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $59.76 | — | — | 2026-04-14 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $66.42 | $492.00 | $369.00 | 2026-01-16 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $70.40 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $70.40 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $70.40 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $70.40 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $70.40 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $70.40 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $70.40 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $70.40 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $70.40 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $74.25 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $74.25 | — | — | 2026-04-01 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $76.83 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $76.83 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $76.83 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $76.83 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $76.83 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $76.83 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $76.83 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $76.83 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $76.83 | — | — | 2026-04-14 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $80.00 | $1,584.00 | $300.96 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $80.00 | $1,584.00 | $300.96 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $80.00 | $1,584.00 | $300.96 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $80.00 | $1,584.00 | $300.96 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $80.00 | $1,584.00 | $300.96 | 2026-01-31 | MRF ↗ |
| UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both | None | — | — | $83.78 | $82.10 | 2025-11-05 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS OF MICHIGAN [6000] | BCBS OF MICHIGAN [600001] | $83.45 | $31,586.05 | $31,586.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCN HURLEY EMPLOYEE [6007] | BCN HURLEY EMPLOYEE [600701] | $83.45 | $31,586.05 | $31,586.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS OF MICHIGAN [6000] | BCBS GM RETIREES [600002] | $83.45 | $31,586.05 | $31,586.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS ILLINOIS [600108] | $83.45 | $31,586.05 | $31,586.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS HURLEY EMPLOYEE [6002] | BCBS HURLEY EMPLOYEE [600201] | $83.45 | $31,586.05 | $31,586.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS OF MICHIGAN [6000] | BCBS MEDICARE SUPPLEMENTAL [600004] | $83.45 | $31,586.05 | $31,586.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS OF MICHIGAN [6000] | BLUE HIGH PERFORMANCE NETWORK [600003] | $83.45 | $31,586.05 | $31,586.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS PENNSYLVANIA [600110] | $83.45 | $31,586.05 | $31,586.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BLUE CARE NETWORK [6005] | BLUE CARE NETWORK AWAY FROM HOME [600503] | $83.45 | $31,586.05 | $31,586.05 | 2026-03-23 | 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.