33216 — Insert 1 Electrode Pm-defib
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INSERT 1 ELECTRODE PM-DEFIB (HCPCS 33216) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/33216?code_type=HCPCS
MLA (9th ed.)
“INSERT 1 ELECTRODE PM-DEFIB (HCPCS 33216) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/33216?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INSERT 1 ELECTRODE PM-DEFIB (HCPCS 33216) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/33216?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,057–$12,719 (25th–75th percentile) across 2,065 hospitals · 6,897 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 33216 — 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
$5,057
$8,538 typical
$12,719
The middle 50% of negotiated facility rates for this procedure, measured across 2,065 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. | $8,538 |
| Surgeon (professional fee) Estimate national typical Medicare $331 × 1.22 commercial. | $404 |
| 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 | $9,650 |
Surgical episode (typical)
~$9,650
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)
~$13,435
- 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 | — | — | $24,573.93 | $12,286.96 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $24,573.93 | $12,286.96 | 2024-12-15 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $5,506.00 | $1,629.78 | 2026-02-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $36,125.00 | $29,622.50 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $44,676.80 | $29,039.92 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $36,125.00 | $29,622.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $36,125.00 | $29,622.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $36,125.00 | $29,622.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $36,125.00 | $29,622.50 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $44,676.80 | $29,039.92 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $36,125.00 | $29,622.50 | 2025-11-26 | 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 ↗ |
| 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 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| CAPE CORAL HOSPITAL 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| 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 | 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 ↗ |
| 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 | CLARITEV/MULTIPLAN [250223] | CLARITEV MULTIPLAN NETWORK [25022301] | $1.60 | $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 ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH 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 ↗ |
| 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 ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $10.19 | $12,622.00 | $4,670.14 | 2026-03-31 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Cross | Blue Cross - MCS | $19.74 | $17,413.00 | $13,059.75 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | $19.74 | $17,413.00 | $13,059.75 | 2026-04-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $20.20 | $11,223.00 | $8,962.07 | 2024-12-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $8,468.00 | $5,504.20 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $8,468.00 | $5,504.20 | 2025-01-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $20.66 | — | — | 2026-04-14 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE ADVANTAGE TN | $24.93 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA MEDICARE | $24.93 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA MEDICARE | $24.93 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | MEDICARE | MEDICARE ADVANTAGE | $24.93 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA MEDICARE | $24.93 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $24.93 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA MEDICARE | $24.93 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | MEDICARE | MEDICARE ADVANTAGE | $24.93 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE ADVANTAGE TN | $24.93 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $24.93 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA MEDICARE | $25.18 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA MEDICARE | $25.18 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA MEDICARE | $25.43 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA MEDICARE | $25.43 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $25.55 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $25.55 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $25.68 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $25.68 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $26.56 | — | — | 2026-04-14 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | WELLCARE | WELLCARE MEDICARE | $27.42 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | WELLCARE | WELLCARE MEDICARE | $27.42 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $27.68 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $27.68 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $27.68 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $27.68 | $61.50 | $61.50 | 2026-03-27 | 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 | 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 ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | Aetna - PPO | $38.49 | $17,413.00 | $13,059.75 | 2026-04-01 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $42.53 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $42.53 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $42.53 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $42.53 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $42.53 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $42.53 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $42.53 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $42.53 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $42.53 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $44.87 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $44.87 | — | — | 2026-04-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $46.42 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $46.42 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $46.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $46.42 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $46.42 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $46.42 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $46.42 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $46.42 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $46.42 | — | — | 2026-04-14 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $47.97 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $47.97 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AMBETTER | AMBETTER COMMERCIAL | $49.86 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AMBETTER | AMBETTER COMMERCIAL | $49.86 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Aetna Better Health Ky | Managed Care Medicaid Plan | $50.50 | $202.00 | $103.02 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Humana Ky | Managed Care Medicaid Plan | $50.50 | $202.00 | $103.02 | 2026-05-09 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $51.98 | $385.00 | $288.75 | 2026-01-16 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Passport Ky | Managed Care Medicaid Plan | $52.52 | $202.00 | $103.02 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Wellcare Ky | Managed Care Medicaid Plan | $53.13 | $202.00 | $103.02 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | United Health Care Ky | Managed Care Medicaid Plan | $53.33 | $202.00 | $103.02 | 2026-05-09 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $54.69 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $54.69 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $54.69 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $54.69 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $54.69 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $54.69 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $54.69 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $54.69 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $54.69 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $57.68 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $57.68 | — | — | 2026-04-01 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $59.69 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $59.69 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $59.69 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $59.69 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $59.69 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $59.69 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $59.69 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $59.69 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $59.69 | — | — | 2026-04-14 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $61.50 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $61.50 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $61.50 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $61.50 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $61.50 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $61.50 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $61.50 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $61.50 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $61.50 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $61.50 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $61.50 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $61.50 | $61.50 | $61.50 | 2026-03-27 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $79.89 | $385.00 | $288.75 | 2026-01-16 | MRF ↗ |
| UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both | None | — | — | $83.78 | $82.10 | 2025-11-05 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $85.00 | $1,556.00 | $1,556.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $85.00 | $1,556.00 | $1,556.00 | 2025-10-04 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $25,477.00 | $4,585.86 | 2026-01-30 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $87.83 | — | — | 2026-03-18 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $88.00 | $25,468.00 | $10,187.20 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $88.00 | $25,468.00 | $10,187.20 | 2026-05-14 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $88.38 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $88.38 | — | — | 2026-03-18 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $5,944.00 | $5,052.40 | 2025-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS TRADITIONAL | 1147_SJPK BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $92.39 | $12,185.00 | $6,823.60 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS PPO | 1145_SJPK BLUE CROSS BLUE SHIELD PPO 20220401 | $92.39 | $12,185.00 | $6,823.60 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CARE NETWORK | 1143_SJPK BLUE CROSS BLUE SHIELD BCN 20220401 | $92.39 | $12,185.00 | $6,823.60 | 2026-01-01 | MRF ↗ |
| UMD UPPER CHESAPEAKE MEDICAL CENTER Both | None | — | — | $94.41 | $92.52 | 2025-11-05 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | $22,473.00 | $16,854.75 | 2025-01-31 | 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.