Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV

33289 — Tcat Impl Wrls P-art Prs Snr

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $27,692

Usually $11,516–$38,669 (25th–75th percentile) across 2,067 hospitals · 4,612 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 33289 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

Also priced as a different code

The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the CPT/HCPCS 33289 table above — including hospitals that only publish the bundled version.

MS_DRG 264 — CardioMEMS wireless pulmonary artery pressure sensor implant Inpatient stay bundle
2,875 facilities · 957 not in the CPT/HCPCS table

An MS-DRG / APR-DRG price is the hospital’s single bundled charge for the entire inpatient stay — operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies — so it’s a broader, usually higher figure than the CPT/HCPCS 33289 line above, which prices the procedure alone. Neither includes the surgeon’s or anesthesiologist’s professional fees, which 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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$11,516 $27,692 typical $38,669

The middle 50% of negotiated facility rates for this procedure, measured across 2,067 hospitals. The physician 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. $27,692
Physician fee Estimate national typical Medicare $284 × 1.22 commercial. $347
Likely subtotal $28,039
Complete-episode estimate (typical) ~$28,039

Not included in this estimate:

  • Rehab, physical therapy, and other post-acute care after discharge
  • Complications, revisions, or readmissions
  • Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)

The biggest swing: which insurer's rate applies — negotiated prices here run $11,516–$38,669.

How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Physician fee (estimate)
rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient $75,922.13 $37,961.06 2024-12-15 MRF ↗
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient $75,922.13 $37,961.06 2024-12-15 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage $87,584.50 $56,929.93 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $87,584.50 $56,929.93 2025-11-26 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $19.10 $1,598.00 $1,598.00 2026-02-13 MRF ↗
INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient Ccbh - Behavioral Health Behavioral 2026-07-19 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PREFERRED MEDI-CAL PREFERRED MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MEDI-CAL MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ACCESS MEDI-CAL ACCESS MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BC MEDI-CAL BC MEDI-CAL $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $55.10 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $65.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MEDI-CAL MEDI-CAL $65.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $65.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $65.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $65.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH ST HELENA Outpatient MEDI-CAL MEDI-CAL $65.00 $1,165.00 $174.75 2026-07-15 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BC MEDI-CAL BC MEDI-CAL $65.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PREFERRED MEDI-CAL PREFERRED MEDI-CAL $65.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $65.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ACCESS MEDI-CAL ACCESS MEDI-CAL $65.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $65.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $65.00 $1,148.00 $206.64 2026-05-23 MRF ↗
UNIVERSITY OF MARYLAND MEDICAL CENTER Both $66.91 $65.57 2025-11-05 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHNET MCAL HEALTHNET MCAL $65.62 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $66.12 $1,148.00 $206.64 2026-01-30 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $70.59 $39,215.00 $29,978.89 2024-12-31 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - Meridian Medicaid - Meridian $74.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - United Medicaid - United $75.00 $733.00 $366.00 2025-02-03 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient EL PROYECTO MCAL PROFEE ONLY EL PROYECTO MCAL PROFEE ONLY $77.14 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient AHP MEDI-CAL AHP MEDI-CAL $77.14 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient GLOBAL CARE MCAL PROFEE ONLY GLOBAL CARE MCAL PROFEE ONLY $77.14 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HCLA MCAL PROFEE ONLY HCLA MCAL PROFEE ONLY $77.14 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $77.14 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $77.14 $1,148.00 $206.64 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHNET MCAL HEALTHNET MCAL $77.42 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $78.00 $1,148.00 $206.64 2026-05-23 MRF ↗
Lac Harbor-ucla Medical Center Outpatient [Medi-Cal Managed Care] [Kaiser] $79.04 2026-07-15 MRF ↗
LOS ANGELES GENERAL MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [Kaiser] $79.04 2026-07-15 MRF ↗
LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [Kaiser] $79.04 2026-07-15 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $80.25 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $80.25 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $80.25 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $80.25 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 $80.25 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $80.25 2026-01-01 MRF ↗
CARLE BROMENN MEDICAL CENTER OutpatientFacility Cigna PPO $82.00 $32,324.00 $32,324.00 2026-04-15 MRF ↗
UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both $83.78 $82.10 2025-11-05 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Brighton Health Plan All Products $82.15 $39,215.00 $29,978.89 2024-12-31 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $83.00 $733.00 $366.00 2025-02-03 MRF ↗
Lac Harbor-ucla Medical Center Outpatient [Medi-Cal Managed Care] [Anthem Blue Cross] $83.78 2026-07-15 MRF ↗
LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient [Medi-Cal Managed Care] [Anthem Blue Cross] $85.36 2026-07-15 MRF ↗
LOS ANGELES GENERAL MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [Anthem Blue Cross] $85.36 2026-07-15 MRF ↗
LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [Anthem Blue Cross] $85.36 2026-07-15 MRF ↗
LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient [Medi-Cal Managed Care] [Kaiser] $86.94 2026-07-15 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MOLINA MEDI-CAL MOLINA MEDI-CAL $88.16 $1,148.00 $206.64 2026-01-30 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $89.00 $733.00 $366.00 2025-02-03 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility MVP Individual Plan $89.00 $11,029.00 $9,374.65 2025-01-01 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $91.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HCLA MCAL PROFEE ONLY HCLA MCAL PROFEE ONLY $91.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient AHP MEDI-CAL AHP MEDI-CAL $91.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $91.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient EL PROYECTO MCAL PROFEE ONLY EL PROYECTO MCAL PROFEE ONLY $91.00 $1,148.00 $206.64 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient GLOBAL CARE MCAL PROFEE ONLY GLOBAL CARE MCAL PROFEE ONLY $91.00 $1,148.00 $206.64 2026-05-23 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $93.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $93.00 $733.00 $366.00 2025-02-03 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ST VINCENT HEART CENTER Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT JENNINGS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ST VINCENT HEART CENTER Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT JENNINGS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 $85,154.00 $51,092.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 $96,961.00 $58,176.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 $85,154.00 $51,092.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $97.03 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 $96,961.00 $58,176.60 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $97.03 2026-01-01 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - United Medicaid - United $98.00 $733.00 $366.00 2025-02-03 MRF ↗
LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [L.A. Care] [Jan 2026-Jun 2026] $98.80 2026-07-15 MRF ↗
LOS ANGELES GENERAL MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [L.A. Care] [Jan 2026-Jun 2026] $98.80 2026-07-15 MRF ↗
Lac Harbor-ucla Medical Center Outpatient [Medi-Cal Managed Care] [L.A. Care] [Term Jan 2026-Jun 2026] $98.80 2026-07-15 MRF ↗
LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient [Medi-Cal Managed Care] [L.A. Care] [Term Jan 2026-Jun 2026] $98.80 2026-07-15 MRF ↗
Lac Harbor-ucla Medical Center Outpatient [Medi-Cal Managed Care] [L.A. Care] [Term Jul 2026-Dec 2026] $98.80 2026-07-15 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient Humana Ky Managed Care Medicaid Plan $99.50 $398.00 $202.98 2026-07-18 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient Aetna Better Health Ky Managed Care Medicaid Plan $99.50 $398.00 $202.98 2026-07-18 MRF ↗
LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [L.A. Care] [Jul 2026-Dec 2026] $102.75 2026-07-15 MRF ↗
LOS ANGELES GENERAL MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [L.A. Care] [Jul 2026-Dec 2026] $102.75 2026-07-15 MRF ↗
LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient [Medi-Cal Managed Care] [L.A. Care] [Term Jul 2026-Dec 2026] $102.75 2026-07-15 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient Passport Ky Managed Care Medicaid Plan $103.48 $398.00 $202.98 2026-07-18 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MOLINA MEDI-CAL MOLINA MEDI-CAL $104.00 $1,148.00 $206.64 2026-05-23 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $104.00 $733.00 $366.00 2025-02-03 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient Wellcare Ky Managed Care Medicaid Plan $104.67 $398.00 $202.98 2026-07-18 MRF ↗
HURLEY MEDICAL CENTER Both UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] UNITED HEALTH CARE MEDICAID [900401] $104.69 $635.00 $635.00 2026-03-23 MRF ↗
Rehabilitation Institute Of Michigan Outpatient Hap HAPHMO $104.79 2025-01-31 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $105.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Meridian Medicaid - Meridian $105.00 $733.00 $366.00 2025-02-03 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient United Health Care Ky Managed Care Medicaid Plan $105.07 $398.00 $202.98 2026-07-18 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $106.00 $733.00 $366.00 2025-02-03 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility Empire Medicare Advantage $107.00 $11,029.00 $9,374.65 2025-01-01 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - United Medicaid - United $107.00 $733.00 $366.00 2025-02-03 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO $87,584.50 $56,929.93 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 $87,584.50 $56,929.93 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 $87,584.50 $56,929.93 2025-11-26 MRF ↗
Lac Harbor-ucla Medical Center Outpatient [Medi-Cal Managed Care] [Blue Shield Promise] [Term Jun 2026-Dec 2026] $110.66 2026-07-15 MRF ↗
LOS ANGELES GENERAL MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [Blue Shield Promise] [Term Jan 2026-May 2026] $110.66 2026-07-15 MRF ↗
Lac Harbor-ucla Medical Center Outpatient [Medi-Cal Managed Care] [Blue Shield Promise] [Term Jan 2026-May 2026] $110.66 2026-07-15 MRF ↗
LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [Blue Shield Promise] [Term Jan 2026-May 2026] $110.66 2026-07-15 MRF ↗
LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [Blue Shield Promise] [Term Jun 2026-Dec 2026] $110.66 2026-07-15 MRF ↗
LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient [Medi-Cal Managed Care] [Blue Shield Promise] [Term Jun 2026-Dec 2026] $110.66 2026-07-15 MRF ↗
LOS ANGELES GENERAL MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [Blue Shield Promise] [Term Jun 2026-Dec 2026] $110.66 2026-07-15 MRF ↗
LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient [Medi-Cal Managed Care] [Blue Shield Promise] [Term Jan 2026-May 2026] $110.66 2026-07-15 MRF ↗
MCKAY-DEE HOSPITAL Inpatient Donor Connect Other $111.45 $11,145.23 $8,358.92 2026-07-31 MRF ↗
MCLAREN OAKLAND Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $114.00 $733.00 $366.00 2025-02-03 MRF ↗
LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [Health Net] $114.61 2026-07-15 MRF ↗
LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient [Medi-Cal Managed Care] [Health Net] $114.61 2026-07-15 MRF ↗
Lac Harbor-ucla Medical Center Outpatient [Medi-Cal Managed Care] [Health Net] $114.61 2026-07-15 MRF ↗
LOS ANGELES GENERAL MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [Health Net] $114.61 2026-07-15 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] GENESEE HEALTH PLAN B [102204] $115.16 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both KEY BENEFIT ADMINISTRATORS [1089] KEY BENEFIT ADMINISTRATORS [108901] $115.16 $635.00 $635.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] $115.16 $635.00 $635.00 2026-03-23 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient BCN LOCAL NETWORK SOUTHEAST 1149_SJPK BLUE CROSS BLUE SHIELD BCN LOCAL NETWORK SE 20220401 $115.38 $50,332.00 $28,185.92 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient BC METRO DETROIT HMO 1141_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT HMO 20220401 $115.38 $50,332.00 $28,185.92 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient BC METRO DETROIT EPO 1139_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT EPO 20220401 $115.38 $50,332.00 $28,185.92 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient BLUE CARE NETWORK 1143_SJPK BLUE CROSS BLUE SHIELD BCN 20220401 $115.38 $50,332.00 $28,185.92 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient BLUE CROSS TRADITIONAL 1147_SJPK BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 $115.38 $50,332.00 $28,185.92 2026-01-01 MRF ↗
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient BLUE CROSS PPO 1145_SJPK BLUE CROSS BLUE SHIELD PPO 20220401 $115.38 $50,332.00 $28,185.92 2026-01-01 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid Nhhf $116.16 $1,264.00 $379.20 2026-07-15 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $119.00 $733.00 $366.00 2025-02-03 MRF ↗
LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [Molina] $120.93 2026-07-15 MRF ↗
LOS ANGELES GENERAL MEDICAL CENTER Outpatient [Medi-Cal Managed Care] [Molina] $120.93 2026-07-15 MRF ↗
LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient [Medi-Cal Managed Care] [Molina] $120.93 2026-07-15 MRF ↗
Lac Harbor-ucla Medical Center Outpatient [Medi-Cal Managed Care] [Molina] $120.93 2026-07-15 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 1&2 [18803] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MULTIPLAN [141] MULTIPLAN [14101] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK ESSENTIALS [11404] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK MEDICARE [11402] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient GENERIC MEDICARE HMO [125] GENERIC MEDICARE HMO [12505] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient HIGHMARK [114] HIGHMARK [11401] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient GENERIC CARRIER [107] COMMERCIAL [10701] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE [10301] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 3&4 [18804] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI [11301] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN [10104] $121.86 $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED BEHAVORIAL HEALTH [120] UNITED BEHAVORIAL HEALTH [12001] $536.53 $536.53 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA MEDICAID MANAGED CARE [18801] $536.53 $536.53 2024-12-30 MRF ↗
ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility United Behavioral Health All Products $124.10 $52,752.00 $29,013.60 2025-01-01 MRF ↗
ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility United Behavioral Health All Products $124.10 $52,752.00 $29,013.60 2025-01-01 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid-Trad $126.40 $1,264.00 $379.20 2026-07-15 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - United Medicaid - United $127.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $127.00 $733.00 $366.00 2025-02-03 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid-Amerihealth Medicaid-Amerihealth $127.66 $1,264.00 $379.20 2026-07-15 MRF ↗
HURLEY MEDICAL CENTER Both PACE MEDICARE HMO [7023] GENESYS PACE MEDICARE HMO [702301] $128.30 $635.00 $635.00 2026-03-23 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Molina Medicaid - Molina $131.00 $733.00 $366.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Tricare Tricare $132.00 $733.00 $366.00 2025-02-03 MRF ↗
INTERMOUNTAIN MEDICAL CENTER Inpatient Donor Connect Other $133.74 $11,145.23 $8,358.92 2026-07-17 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Molina Medicaid - Molina $136.00 $733.00 $366.00 2025-02-03 MRF ↗
Utmb Galveston Transplant Both Superior Medicaid Foster Care $136.32 $852.00 $349.32 2026-07-15 MRF ↗
Utmb Galveston Transplant Both Superior Medicaid $136.32 $852.00 $349.32 2026-07-15 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - Molina Medicaid - Molina $139.00 $733.00 $366.00 2025-02-03 MRF ↗
Utmb Galveston Transplant Inpatient Veteran'S Administration Triwest $140.01 $852.00 $523.92 2026-07-15 MRF ↗
Utmb Galveston Transplant Inpatient Blue Cross Medicare $140.01 $852.00 $523.92 2026-07-15 MRF ↗
Utmb Galveston Transplant Inpatient Cigna Medicare $140.01 $852.00 $523.92 2026-07-15 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicare - United Medicare - United $141.00 $733.00 $366.00 2025-02-03 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.