33361 — Replace Aortic Valve Perq
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REPLACE AORTIC VALVE PERQ (CPT 33361) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/33361?code_type=CPT
MLA (9th ed.)
“REPLACE AORTIC VALVE PERQ (CPT 33361) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/33361?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“REPLACE AORTIC VALVE PERQ (CPT 33361) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/33361?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,800–$19,329 (25th–75th percentile) across 1,807 hospitals · 3,934 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 33361 — 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 33361 table above — including hospitals that only publish the bundled version.
2,550 facilities · 856 not in the CPT/HCPCS table
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Advanced Specialty Hospital Of Toledo, Toledo • only here
- ADVANCED SURGICAL HOSPITAL, WASHINGTON • only here
- Adventhealth Connerton, Land O' Lakes • only here
- ADVENTHEALTH DELAND, DELAND • only here
2,551 facilities · 856 not in the CPT/HCPCS table
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- ADVANCED SURGICAL HOSPITAL, WASHINGTON • only here
- Adventhealth Connerton, Land O' Lakes • only here
- ADVENTHEALTH DELAND, DELAND • only here
- ADVENTHEALTH LAKE WALES, LAKE WALES • 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 33361 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
$2,800
$9,829 typical
$19,329
The middle 50% of negotiated facility rates for this procedure, measured across 1,807 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. | $9,829 |
| Physician fee Estimate national typical Medicare $1,079 × 1.22 commercial. | $1,317 |
| Likely subtotal | $11,146 |
Complete-episode estimate (typical)
~$11,146
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 $2,800–$19,329.
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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $37,174.17 | $18,587.08 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $37,174.17 | $18,587.08 | 2024-12-15 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Passe Empower Plan | Commercial | $0.04 | $35,000.00 | $26,250.00 | 2026-07-17 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Passe Ar Total Care Plan | Commercial | $0.04 | $35,000.00 | $26,250.00 | 2026-07-17 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $46,442.00 | $38,082.44 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $75,161.77 | $48,855.15 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $46,442.00 | $38,082.44 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $75,161.77 | $48,855.15 | 2025-11-26 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $26.49 | $14,714.00 | — | 2024-12-31 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Medicare Advantage | $75.00 | $8,063.00 | $5,644.10 | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Medicare Advantage | $75.00 | $8,063.00 | $5,644.10 | 2026-03-27 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | Molina | Medicare Advantage | $75.00 | $13,763.00 | $8,945.95 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $24,174.00 | $20,547.90 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $75,161.77 | $48,855.15 | 2025-11-26 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | Empire | Medicare Advantage | $107.00 | $24,174.00 | $20,547.90 | 2025-01-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BC MEDI-CAL | BC MEDI-CAL | $125.00 | $4,117.00 | $617.55 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $125.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $125.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $125.00 | $4,117.00 | $617.55 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $125.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | MOLINA MCAL | MOLINA MCAL | $125.00 | $4,117.00 | $617.55 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $125.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $125.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $125.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $125.00 | $4,117.00 | $617.55 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $125.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $125.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $125.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $125.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $125.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | HERITAGE MCAL | HERITAGE MCAL | $132.50 | $4,117.00 | $617.55 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $148.88 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $148.88 | $4,117.00 | $617.55 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $150.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | BSNENY | Medicare Advantage | $157.00 | $24,174.00 | $20,547.90 | 2025-01-01 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $19,000.00 | $15,200.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $19,000.00 | $15,200.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $19,000.00 | $15,200.00 | 2025-11-21 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $175.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $175.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $175.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $175.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $175.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $175.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $186.30 | $1,380.00 | $1,035.00 | 2026-01-16 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $200.00 | $4,117.00 | $741.06 | 2026-05-23 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | Health First | Commercial|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 | Aetna | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Independence Blue Cross | HMO_PPO | $233.00 | $3,866.00 | $2,443.31 | 2025-01-01 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | STAR+PLUS | $277.04 | — | — | 2025-10-14 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $286.35 | $1,380.00 | $1,035.00 | 2026-01-16 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Harvard Pilgrim | All Plans | $290.74 | $41,626.20 | $21,229.36 | 2025-01-10 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Op Plans | — | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna | Better Health Medicaid Plans | $294.03 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Ip Plans | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Op Plans | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Op | — | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Op | — | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Ip | — | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Anthem | Healthkeepers Medicaid Plans | $294.03 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Ip | — | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Ip Plans | — | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $12,739.00 | $8,280.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $297.00 | $19,824.00 | $12,885.60 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $297.00 | $19,824.00 | $12,885.60 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $12,352.00 | $8,028.80 | 2026-06-09 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $12,739.00 | $8,280.35 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $297.00 | $19,824.00 | $12,885.60 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $297.00 | $19,824.00 | $12,885.60 | 2026-06-08 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare | Medicaid | $299.91 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Athletic Network | Premier | $300.00 | $124,242.25 | $124,242.25 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $125,402.63 | $125,402.63 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | Premier | $300.00 | $122,042.61 | $122,042.61 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Texas Athletic Network | Premier | $300.00 | $122,587.70 | $122,587.70 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $125,402.63 | $125,402.63 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $125,402.63 | $125,402.63 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | Premier | $300.00 | $124,261.95 | $124,261.95 | 2026-03-01 | MRF ↗ |
| Centra Specialty Hospital Both | Molina | Medicaid | $302.85 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $19,824.00 | $12,885.60 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $19,824.00 | $12,885.60 | 2026-06-08 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $305.69 | $2,533.00 | $2,533.00 | 2026-03-23 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Health Network | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $308.91 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $308.91 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Interwest Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $308.91 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Coventry | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $308.91 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Prime Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $308.91 | — | — | 2026-03-28 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $309.20 | — | — | 2026-07-15 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $309.20 | — | — | 2026-07-15 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $309.20 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | HMO/PPO/Traditional | $315.50 | — | — | 2026-02-13 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Medcost | Medcost | $317.00 | $10,510.00 | $5,255.00 | 2026-07-15 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Medcost | Medcost | $317.00 | $10,510.00 | $5,255.00 | 2026-07-15 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $4,819.00 | $3,132.35 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $4,819.00 | $3,132.35 | 2025-01-01 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Phcs | Phcs | $324.00 | $10,510.00 | $5,255.00 | 2026-07-15 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Phcs | Phcs | $324.00 | $10,510.00 | $5,255.00 | 2026-07-15 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Aetna | Wc | $324.00 | $10,510.00 | $5,255.00 | 2026-07-15 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Aetna | Wc | $324.00 | $10,510.00 | $5,255.00 | 2026-07-15 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $327.75 | — | — | 2026-07-15 | 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 | $332.63 | $33,056.00 | $19,833.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $332.63 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $332.63 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $332.63 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $332.63 | $33,056.00 | $19,833.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $332.63 | $33,056.00 | $19,833.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $332.63 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $332.63 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $332.63 | — | — | 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 RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $332.63 | — | — | 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 RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $332.63 | — | — | 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 CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $332.63 | $33,056.00 | $19,833.60 | 2026-01-01 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $333.38 | $25,491.00 | $3,823.65 | 2026-02-27 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $333.94 | — | — | 2026-07-15 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $333.94 | — | — | 2026-07-15 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $333.94 | — | — | 2026-07-15 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $339.66 | $2,533.00 | $2,533.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $339.66 | $2,533.00 | $2,533.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $339.66 | $2,533.00 | $2,533.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $339.66 | $2,533.00 | $2,533.00 | 2026-03-23 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $340.12 | — | — | 2026-07-15 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA OutpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $349.21 | $48,473.00 | $21,812.85 | 2026-02-19 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VHA OFFICE OF COMMUNITY CARE [1011] | CHAMPVA [101101] | $360.96 | $2,533.00 | $2,533.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HUMANA MILITARY [1098] | HUMANA MILITARY TRICARE EAST [109801] | $360.96 | $2,533.00 | $2,533.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE FOR LIFE [105602] | $360.96 | $2,533.00 | $2,533.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE WEST [105601] | $360.96 | $2,533.00 | $2,533.00 | 2026-03-23 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $362.14 | $48,275.00 | $21,723.75 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $362.14 | $48,275.00 | $21,723.75 | 2026-02-19 | MRF ↗ |
| MON HEALTH MARION Outpatient | The Health Plan Commercial Plan | Commercial | $365.08 | $2,607.71 | $1,303.86 | 2026-07-15 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Inland Empire Health Plan (IEHP) | medi-cal | $370.76 | $48,275.00 | $21,723.75 | 2026-02-19 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $377.19 | $19,824.00 | $12,885.60 | 2026-06-08 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $378.18 | $2,533.00 | $2,533.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $378.18 | $2,533.00 | $2,533.00 | 2026-03-23 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $385.00 | $3,798.00 | $1,899.00 | 2025-02-03 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $386.50 | — | — | 2026-07-15 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $386.50 | — | — | 2026-07-15 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $386.50 | — | — | 2026-07-15 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $386.50 | — | — | 2026-07-15 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $386.50 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA OutpatientFacility | Central California Alliance for Health | IHSS | $388.01 | $64,383.00 | $45,068.10 | 2026-02-23 | MRF ↗ |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA OutpatientFacility | Central California Alliance for Health | Medi-Cal | $388.01 | $64,383.00 | $45,068.10 | 2026-02-23 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $390.00 | $3,798.00 | $1,899.00 | 2025-02-03 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $401.96 | — | — | 2026-07-15 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $401.96 | — | — | 2026-07-15 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $401.96 | — | — | 2026-07-15 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HMO/POS | 9229_ANTHEM HMO POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | $33,056.00 | $19,833.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | $33,056.00 | $19,833.60 | 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 | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | $33,056.00 | $19,833.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | $33,056.00 | $19,833.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | $33,056.00 | $19,833.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY | 9230_ANTHEM PATHWAY VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | $33,056.00 | $19,833.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $405.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $405.34 | — | — | 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.