33300 — Repair Of Heart Wound
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REPAIR OF HEART WOUND (HCPCS 33300) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/33300?code_type=HCPCS
MLA (9th ed.)
“REPAIR OF HEART WOUND (HCPCS 33300) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/33300?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“REPAIR OF HEART WOUND (HCPCS 33300) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/33300?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,314–$8,172 (25th–75th percentile) across 1,304 hospitals · 1,790 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 33300 — 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
$2,314
$4,096 typical
$8,172
The middle 50% of negotiated facility rates for this procedure, measured across 1,304 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. | $4,096 |
| Surgeon (professional fee) Estimate national typical Medicare $2,269 × 1.22 commercial. | $2,768 |
| 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 | $7,572 |
Surgical episode (typical)
~$7,572
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)
~$11,357
- 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 Outpatient | HealthNet of California, Inc. | HMO | — | $8,738.51 | $5,680.03 | 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 | SCAN Health Plan | Medicare Advantage | — | $8,738.51 | $5,680.03 | 2025-11-26 | 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 ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | $2.05 | $49.35 | $24.68 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Uhc | Hmo Ppo | $9.07 | $49.35 | $24.68 | 2026-05-13 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $15.76 | $8,753.00 | — | 2024-12-31 | 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 ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID TN-TENNCARE UHC COMMUNITY PLAN [3231] | PHTN HB UHC COMMUNITY PLAN - BLOUNT | $50.00 | $8,751.00 | $2,712.81 | 2026-03-01 | 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | 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 ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARETAKER HIP [232] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID [200] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID HIP [230] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE [220] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | FRANCISCAN ACO [236] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $75.80 | $11,350.00 | $6,810.00 | 2026-04-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Fidelis | Health Benefit Exchange | $83.33 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Fidelis | Medicare Advantage | $83.33 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHP/Medicare Advantage Special Needs HMO | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | BCBS Pathway/HMO | HMO | $100.00 | $6,723.79 | — | 2026-03-24 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | BCBS Pathway/HMO | HMO | $100.00 | $6,723.79 | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | All Products | $104.16 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MVP Commercial | CIGNA All Products | $104.16 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student Health Plan | $104.16 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Emblem | SelectCare | $111.10 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Emblem_GHI | Commercial_All Products | $111.10 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $111.10 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products-Transplant | $111.10 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | All Products | $111.10 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | United Healthcare | Broad Networks | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Cigna | Broad Networks | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Cigna | Medicare Advantage | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | United Healthcare | Select Colorado | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | CMS | Medicare | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Select Health | Individual ACA | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Humana | Medicare Advantage | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | United Healthcare | Navigate/Charter/Core | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Employee High Deductible Health Plan | PPO | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Pathway | Colorado Option | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Simplified Benefits Administration | Tiered Benefits | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Simplified Benefits Administration | Narrow Network Exclusive Plan (EPO) | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem | HMO/PPO | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Kaiser | PPO | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Kaiser | HMO | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem | Medicare Advantage | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Employee | HMO/PPO | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Pathway Individual/Small Group | Commercial | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | PHCS | Commercial | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Midlands Choice | Commercial | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Denver Health Medical Plan | Medicare Advantage | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Rocky Mountain Health Plan | Commercial | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Aetna Core/Meritain | Commercial | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Cigna | Local Plus/SureFit/Connect | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Devoted Health | Medicare Advantage | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Select Health | Medicare Advantage | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Cigna | Colorado Rockies | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | First Health | Commercial | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | United Healthcare | Medicare Advantage | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem City of Colorado Springs Employer Group | Commercial | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Anthem CU Trust | Commercial | $116.26 | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Kaiser | Medicare Advantage | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Kaiser Public Option | Commercial | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Aetna | Medicare Advantage | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Select Health | Individual Colorado Option | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Rocky Mountain Health Plan | Colorado Option | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Pathway | Commercial | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Aetna ASA | Commercial | — | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Multiplan | PPO | $118.05 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $134.83 | — | — | 2026-04-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $138.88 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | Indemnity_PPO | $138.88 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | Veterans Affairs Community Care Network (VACCN) | $138.88 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | HMO_POS | $138.88 | $138.88 | $69.44 | 2025-12-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | PPO | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $151.20 | — | — | 2026-04-14 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Rocky Mountain Health Plan | Colorado Option | $157.32 | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $27,244.00 | $17,708.60 | 2026-03-30 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $173.35 | — | — | 2026-04-14 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Denver Health Medical Plan | HighPoint | $178.34 | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $185.13 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $185.13 | — | — | 2026-04-01 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL OutpatientFacility | Denver Health Medical Plan | Medicaid Choice | $186.59 | — | — | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Kaiser Public Option | Commercial | $188.17 | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $189.49 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $189.49 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $189.49 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $189.49 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $189.49 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $189.49 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $189.49 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $189.49 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $189.49 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $190.08 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $190.08 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $190.08 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $190.08 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $190.08 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $190.08 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $190.08 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $190.08 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $190.08 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $190.08 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $190.08 | — | — | 2026-04-14 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Denver Health Medical Plan | Elevate | $192.80 | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Cigna | Local Plus/SureFit/Connect | $193.28 | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Simplified Benefits Administration | Narrow Network Exclusive Plan (EPO) | $194.25 | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Cigna | Colorado Rockies | $196.17 | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Simplified Benefits Administration | Tiered Benefits | $207.26 | $482.00 | $168.70 | 2025-11-01 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $208.80 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Geisinger | Geisinger CHIP | $208.80 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare Medicaid | $208.80 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Geisinger | Geisinger Medicaid HC | $208.80 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $208.80 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $208.80 | — | — | 2026-04-14 | 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.