33903 — Perq P-art Revsc 1 Abnor Bi
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PERQ P-ART REVSC 1 ABNOR BI (HCPCS 33903) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/33903?code_type=HCPCS
MLA (9th ed.)
“PERQ P-ART REVSC 1 ABNOR BI (HCPCS 33903) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/33903?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PERQ P-ART REVSC 1 ABNOR BI (HCPCS 33903) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/33903?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,888–$18,380 (25th–75th percentile) across 1,449 hospitals · 2,581 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 33903 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| METROWEST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2025-01-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $23,190.00 | $15,073.50 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $23,190.00 | $15,073.50 | 2025-01-01 | 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 ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $63.04 | $35,023.00 | $11,654.76 | 2024-12-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|HMO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|Surefit | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|HMO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|PPO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|Surefit | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|Surefit | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|PPO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|PPO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|HMO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $37,809.00 | $13,233.15 | 2026-02-28 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $120.00 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $120.00 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $132.00 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $132.00 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $132.00 | — | — | 2026-03-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $147.10 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $154.11 | — | — | 2025-10-24 | MRF ↗ |
| DRISCOLL CHILDRENS HOSPITAL Outpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $35,403.50 | $7,080.70 | 2025-10-06 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $35,403.50 | $7,080.70 | 2026-03-31 | MRF ↗ |
| DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY Outpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $40,713.20 | $8,142.64 | 2025-10-06 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | VISTA | COVENTRY MEDICAID | $167.89 | $121,596.00 | $79,037.40 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $121,596.00 | $79,037.40 | 2026-03-30 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $174.00 | — | — | 2026-03-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $178.00 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $178.00 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $178.00 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $183.08 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $183.08 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $186.47 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $186.47 | — | — | 2025-08-01 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $195.94 | — | — | 2026-03-04 | MRF ↗ |
| ST FRANCIS HOSPITAL OutpatientFacility | Independence Blue cross | HMO_PPO | $223.00 | $37,028.00 | $14,811.20 | 2025-01-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $223.76 | — | — | 2025-08-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $239.91 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $239.91 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $239.91 | — | — | 2026-03-18 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $250.00 | $50,150.00 | $9,528.50 | 2026-02-27 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $274.80 | — | — | 2026-02-19 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $274.94 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $274.94 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $274.94 | — | — | 2026-03-18 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | $293.65 | — | $14,940.79 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $293.65 | — | $14,940.79 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Select Health | Medicaid | $293.65 | — | $14,940.79 | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $293.65 | — | $14,940.79 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $293.65 | — | $14,940.79 | 2026-03-12 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $293.65 | — | — | 2025-09-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $293.65 | — | $14,940.79 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | $293.65 | — | $14,940.79 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Humana | Medicaid | $293.65 | — | $14,940.79 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Molina | Medicaid | $293.65 | — | $14,940.79 | 2026-03-10 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $297.00 | $32,194.00 | $7,082.68 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $297.00 | $32,194.00 | $7,082.68 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $297.00 | $32,194.00 | $7,082.68 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $297.00 | $32,194.00 | $7,082.68 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | AR - MEDICAID [300005] | HB MEDICAID-AR CONTRACT | $297.00 | $32,194.00 | $7,082.68 | 2026-03-19 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $299.35 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $299.35 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $299.35 | — | — | 2026-03-18 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | Select Health | Managed Medicaid | $299.52 | — | — | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $299.52 | — | — | 2025-09-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | $308.33 | — | $14,940.79 | 2026-03-12 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | Absolute Total Care | Managed Medicaid | $308.33 | — | — | 2025-09-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | $308.33 | — | $14,940.79 | 2026-03-12 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $308.33 | — | — | 2025-09-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Absolute Total Care | Medicaid | $308.33 | — | $14,940.79 | 2026-03-10 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Molina | Managed Medicaid | $314.06 | $60,757.25 | $30,378.63 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Molina | Managed Medicaid | $314.06 | $60,757.25 | $30,378.63 | 2025-12-04 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $333.38 | $50,150.00 | $7,522.50 | 2026-02-27 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH 5156 | INDEPENDENT HEALTH (BUFFALO NY) 515601 | $336.00 | — | — | 2026-01-01 | MRF ↗ |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM InpatientFacility | Molina | Managed Medicaid | $337.70 | — | — | 2025-09-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | BLUE CHOICE | MGMCD | $364.13 | — | — | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | United | MCD | $364.13 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | MCD | $364.13 | — | — | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | BLUE CHOICE | MGMCD | $364.13 | — | — | 2026-03-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BLUE CHOICE | MGMCD | $364.13 | — | — | 2024-10-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | BLUE CHOICE | MGMCD | $364.13 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | BLUE CHOICE | MGMCD | $364.13 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | MCD | $364.13 | — | — | 2026-03-01 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health_674 | All Commercial Products | $366.44 | — | — | 2026-02-02 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $392.00 | $13,920.00 | $9,048.00 | 2026-03-31 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $417.74 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $417.74 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $417.74 | — | — | 2026-03-18 | MRF ↗ |
| CAREWELL HEALTH MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health | Managed Medicaid | $425.07 | — | — | 2025-06-17 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $426.42 | — | — | 2026-03-04 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $432.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $432.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Prime Health | WC | $438.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Prime Health | WC | $438.30 | — | — | 2024-10-01 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $438.96 | $27,036.00 | — | 2026-03-04 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | Prime Health | WC | $442.80 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $442.80 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Prime Health | WC | $442.80 | — | — | 2024-10-01 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $445.26 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $445.26 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $445.26 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $445.26 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $445.26 | — | — | 2025-06-28 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $4,996.00 | $499.60 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $4,996.00 | $499.60 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $4,996.00 | $499.60 | 2026-05-22 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Prime Health | WC | $449.10 | — | — | 2024-10-01 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $450.00 | — | — | 2026-04-14 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $451.50 | — | — | 2026-03-04 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health | WC | $452.70 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $462.65 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $462.65 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $467.40 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $467.40 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $467.40 | — | — | 2024-10-01 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $467.52 | — | — | 2025-06-28 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | CorVel Corporation | WORKERSCOMP | $468.04 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Rockport Healthcare Group | WORKERSCOMP | $469.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $469.30 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $470.70 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $470.70 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Prime Health | WC | $471.60 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Prime Health | WC | $471.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | Prime Health | WC | $471.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Outpatient | Prime Health | WC | $471.60 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Prime Health | WC | $471.60 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $474.05 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Prime Health | WC | $476.10 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA TWIN CITIES HOSPITAL Outpatient | Prime Health | WC | $476.10 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | CareWorks (Rockport) | WORKERSCOMP | $477.24 | — | — | 2024-10-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $477.32 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $477.32 | — | — | 2026-03-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $477.66 | $3,715.00 | $2,429.61 | 2026-04-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | CorVel Corporation | WORKERSCOMP | $477.85 | — | — | 2024-10-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Prime Health | WC | $477.89 | — | — | 2026-03-01 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | United Healthcare | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Coordinated Care | Ambetter | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | First Health | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Mail Handlers | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Uniform Medical Plan | All | — | — | — | 2026-01-21 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Molina | Medicaid | $485.52 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Coordinated Care | Apple Health | $485.52 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Cigna | All | — | — | — | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Community Health Plan | Healthy Option | — | — | — | 2026-01-21 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Amerigroup | All | $485.52 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | United Healthcare | Medicaid | $485.52 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | First Choice Health | Lifstyle Health | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | First Choice Health | Ameriben | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | First Choice Health | Eagle | — | — | — | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Provider Network of America | All | — | — | — | 2026-01-21 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | First Choice Health | Pacific Source | — | — | — | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Triwest | All | — | — | — | 2026-01-21 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | First Choice Health | Standard | — | — | — | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Asuris | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | First Choice Health | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | HMA | All | — | — | — | 2026-01-21 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | Basic | $485.52 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | CHIP | $485.52 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | First Choice Health | Washington Fire Commission | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | Healthy Options | $485.52 | — | — | 2026-03-30 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Community Health Plan | Cascade Select | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Regence | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Premera | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Kaiser | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | VA | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Aetna | All | — | — | — | 2026-01-21 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | GEHA | All | — | — | — | 2026-01-21 | 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.