33340 — Perq Clsr Tcat L Atr Apndge
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PERQ CLSR TCAT L ATR APNDGE (HCPCS 33340) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/33340?code_type=HCPCS
MLA (9th ed.)
“PERQ CLSR TCAT L ATR APNDGE (HCPCS 33340) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/33340?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PERQ CLSR TCAT L ATR APNDGE (HCPCS 33340) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/33340?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,190–$17,957 (25th–75th percentile) across 1,975 hospitals · 4,521 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 33340 — 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 33340 table above — including hospitals that only publish the bundled version.
2,763 facilities · 898 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
- Advanced Specialty Hospital Of Toledo, Toledo • only here
2,764 facilities · 895 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
- ADVANCED SURGICAL HOSPITAL, WASHINGTON • only here
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 33340 line above, which prices the procedure alone. Neither includes the surgeon’s or anesthesiologist’s professional fees, which 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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$2,190
$8,112 typical
$17,957
The middle 50% of negotiated facility rates for this procedure, measured across 1,975 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. | $8,112 |
| Physician fee Estimate national typical Medicare $619 × 1.22 commercial. | $755 |
| Likely subtotal | $8,866 |
Complete-episode estimate (typical)
~$8,866
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 $2,190–$17,957.
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 | — | — | — | $34,749.40 | $17,374.70 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $34,749.40 | $17,374.70 | 2024-12-15 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Passe Empower Plan | Commercial | $0.03 | $31,575.00 | $23,681.25 | 2026-07-17 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Passe Ar Total Care Plan | Commercial | $0.03 | $31,575.00 | $23,681.25 | 2026-07-17 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $80,956.18 | $52,621.52 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $27,695.00 | $22,709.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $1,501.00 | $1,230.82 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $1,501.00 | $1,230.82 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $80,956.18 | $52,621.52 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $11,810.00 | $9,684.20 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $1,501.00 | $1,230.82 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $11,810.00 | $9,684.20 | 2025-11-26 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $4.00 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $19.72 | $10,954.00 | — | 2024-12-31 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | PAMLICO CO JAIL-ALL PLANS | PAMLICO CO JAIL-ALL PLANS | $21.28 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | UNITED HEALTHCARE-ALL PLANS | UNITED HEALTHCARE-ALL PLANS | $28.00 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | MEDCOST PPO ULTRA (EMPLOYEES) | MEDCOST PPO ULTRA (EMPLOYEES) | $52.53 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | MEDCOST PPO EMPLOYEES AND RETIREES | MEDCOST PPO EMPLOYEES AND RETIREES | $52.53 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | BCBS PPO/POS/HMO-ALL PLANS | BCBS PPO/POS/HMO-ALL PLANS | $55.86 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | MEDCOST PPO CITY EMPLOYEES | MEDCOST PPO CITY EMPLOYEES | $58.27 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | MEDCOST PPO COUNTY EMPLOYEE | MEDCOST PPO COUNTY EMPLOYEE | $60.60 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | MEDI-CAL | MEDI-CAL | $65.00 | $2,712.00 | $406.80 | 2026-07-15 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | MOLINA MCAL | MOLINA MCAL | $65.00 | $2,671.00 | $400.65 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $65.00 | $2,671.00 | $400.65 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $65.00 | $2,671.00 | $400.65 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BC MEDI-CAL | BC MEDI-CAL | $65.00 | $2,671.00 | $400.65 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | — | — | — | $66.91 | $65.57 | 2025-11-05 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | BENEFIT MGMT, SVCS-ALL PLANS | BENEFIT MGMT, SVCS-ALL PLANS | $68.00 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | HERITAGE MCAL | HERITAGE MCAL | $68.90 | $2,671.00 | $400.65 | 2026-07-30 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | MEDCOST BENEFIT SVC-ALL OTHER PLANS | MEDCOST BENEFIT SVC-ALL OTHER PLANS | $70.70 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | ACS CONSULT SVC INC-ALL PLANS | ACS CONSULT SVC INC-ALL PLANS | $72.26 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | MEDCOST PPO STANDARD | MEDCOST PPO STANDARD | $72.26 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $72.80 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | Molina | Medicare Advantage | $75.00 | $11,000.00 | $7,150.00 | 2025-01-01 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Medicare Advantage | $75.00 | $37,077.00 | $25,953.90 | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Medicare Advantage | $75.00 | $37,077.00 | $25,953.90 | 2026-03-27 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $77.42 | $2,671.00 | $400.65 | 2026-07-30 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $1,850.85 | $1,203.05 | 2026-08-10 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $112,693.00 | $20,284.74 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $112,693.00 | $20,284.74 | 2026-01-30 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $46,360.00 | $39,406.00 | 2025-01-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $95.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $95.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $95.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $95.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $95.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $95.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $95.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $95.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $95.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $95.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $95.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | Empire | Medicare Advantage | $107.00 | $46,360.00 | $39,406.00 | 2025-01-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $113.15 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $114.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $11,800.00 | $6,490.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $11,800.00 | $6,490.00 | 2025-01-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $133.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $133.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $133.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $133.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $133.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $133.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $135.52 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $135.52 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $135.52 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $135.52 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $135.52 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $135.52 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $135.52 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $135.52 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $135.52 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $135.52 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $135.52 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $152.00 | $2,671.00 | $480.78 | 2026-05-23 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | United | Medicaid|Community Plan | $155.04 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | United | Medicaid|Community Plan | $155.04 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Centene | Medicaid|NE Total Care | $155.04 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Centene | Medicaid|NE Total Care | $155.04 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | BSNENY | Medicare Advantage | $157.00 | $46,360.00 | $39,406.00 | 2025-01-01 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $11,203.00 | $8,962.40 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $11,203.00 | $8,962.40 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $11,203.00 | $8,962.40 | 2025-11-21 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC NEXUS | UHC NEXUS | $160.00 | $26,833.00 | $13,416.50 | 2026-01-17 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | CRAVEN CO. JAIL SYSTEMS - ALL PLANS | CRAVEN CO. JAIL SYSTEMS - ALL PLANS | $160.00 | $80.00 | $48.00 | 2026-07-17 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $161.40 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC EXCHANGE | UHC EXCHANGE | $162.00 | $26,833.00 | $13,416.50 | 2026-01-17 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $162.62 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | United | Medicaid|Community Plan | $164.73 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Centene | Medicaid|NE Total Care | $164.73 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | United | Medicaid|Community Plan | $164.73 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $164.73 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Centene | Medicaid|NE Total Care | $164.73 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|NE Total Care | $164.73 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | United | Medicaid|Community Plan | $164.73 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Centene | Medicaid|NE Total Care | $164.73 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | $2,243.00 | $663.93 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | BCBS - TN | Commercial|Network S | $167.00 | $2,243.00 | $948.79 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | $2,243.00 | $663.93 | 2026-02-28 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $44,270.00 | $28,775.50 | 2026-03-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $174.22 | $4,080.00 | $4,080.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $174.22 | $4,080.00 | $4,080.00 | 2026-04-30 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | United | Medicaid|Community Plan | $174.42 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Centene | Medicaid|NE Total Care | $174.42 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Centene | Medicaid|NE Total Care | $174.42 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | United | Medicaid|Community Plan | $174.42 | $969.00 | $406.98 | 2026-02-28 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $177.00 | $1,746.00 | $873.00 | 2025-02-03 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $177.48 | $4,080.00 | $4,080.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $177.48 | $4,080.00 | $4,080.00 | 2026-04-30 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $178.00 | $26,833.00 | $13,416.50 | 2026-01-17 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $179.00 | $1,746.00 | $873.00 | 2025-02-03 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $179.52 | $4,488.00 | $4,488.00 | 2026-06-24 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | FAIROS [5491] | CMC FAIROS | $182.00 | $173,428.62 | $16,631.67 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | FAIROS [5491] | HMC FAIROS | $182.00 | $173,428.62 | $11,028.01 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | FAIROS [5491] | OMC FAIROS | $182.00 | $173,428.62 | $11,086.57 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | FAIROS [5491] | MMC FAIROS | $182.00 | $173,428.62 | $11,028.01 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | FAIROS [5491] | CSMC FAIROS | $182.00 | $173,428.62 | $22,401.66 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | FAIROS [5491] | NMC FAIROS | $182.00 | $173,428.62 | $1,369.43 | 2026-04-01 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL OutpatientFacility | Denver Health Medical Plan | Medicaid Choice | $186.59 | — | — | 2025-11-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $189.73 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $189.73 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $189.73 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $189.73 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $189.73 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $189.73 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $190.34 | $19,033.58 | $14,275.18 | 2026-07-31 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $191.64 | $4,488.00 | $4,488.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $193.88 | $4,488.00 | $4,488.00 | 2026-06-24 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $194.39 | — | — | 2026-09-20 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $194.39 | — | — | 2026-09-20 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $194.39 | — | — | 2026-07-15 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $195.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $195.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $195.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $195.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $195.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $195.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $195.61 | $29,780.00 | $17,868.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $195.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $195.61 | $29,780.00 | $17,868.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $195.61 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $195.61 | $29,780.00 | $17,868.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $195.61 | $29,780.00 | $17,868.00 | 2026-01-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $197.00 | $1,746.00 | $873.00 | 2025-02-03 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $206.05 | — | — | 2026-09-20 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $209.94 | — | — | 2026-09-20 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $209.94 | — | — | 2026-07-15 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $209.94 | — | — | 2026-07-15 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | United | Commercial|All Other Plans | $210.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | Aetna | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | Aetna | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | Health First | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | Health First | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | United | Commercial|All Other Plans | $210.00 | — | — | 2026-02-28 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $211.00 | $1,746.00 | $873.00 | 2025-02-03 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Independence Blue Cross | HMO_PPO | $211.00 | $6,865.00 | $3,892.46 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Independence Blue Cross | Traditional | $211.00 | $6,865.00 | $4,482.85 | 2025-01-01 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $213.56 | $7,118.79 | $7,118.79 | 2026-07-15 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $213.83 | — | — | 2026-07-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $214.61 | $4,080.00 | $4,080.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $214.61 | $4,080.00 | $4,080.00 | 2026-04-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $216.83 | $2,671.00 | $480.78 | 2026-01-30 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network P | $217.00 | $2,243.00 | $663.93 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | BCBS - TN | Commercial|Network P | $217.00 | $2,243.00 | $948.79 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network P | $217.00 | $2,243.00 | $663.93 | 2026-02-28 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $218.07 | $21,807.20 | $16,355.40 | 2026-07-31 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $219.35 | $1,487.00 | $743.50 | 2025-12-23 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $221.95 | $4,080.00 | $4,080.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $221.95 | $4,080.00 | $4,080.00 | 2026-04-30 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $222.00 | $1,746.00 | $873.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $222.00 | $1,746.00 | $873.00 | 2025-02-03 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $228.40 | $19,033.58 | $14,275.18 | 2026-07-17 | MRF ↗ |
| MON HEALTH MARION Outpatient | The Health Plan Commercial Plan | Commercial | $233.83 | $1,670.23 | $835.12 | 2026-07-15 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $234.00 | $1,746.00 | $873.00 | 2025-02-03 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $235.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $235.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $235.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY | 9230_ANTHEM PATHWAY VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PPO PREFERRED | 9232_ANTHEM PREFERRED VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM TRADITIONAL | 9233_ANTHEM TRADITIONAL VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $235.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $235.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY X | 9231_ANTHEM PATHWAY X VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $235.94 | $29,780.00 | $17,868.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC POS | 9228_ANTHEM HEALTHSYNC POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC HMO | 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $235.94 | — | — | 2026-01-01 | 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.