34705 — Evac Rpr A-biiliac Ndgft
Cite this view
HANK Price Transparency. (n.d.). EVAC RPR A-BIILIAC NDGFT (CPT 34705) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/34705?code_type=CPT
“EVAC RPR A-BIILIAC NDGFT (CPT 34705) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/34705?code_type=CPT. Accessed .
“EVAC RPR A-BIILIAC NDGFT (CPT 34705) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/34705?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,185–$12,122 (25th–75th percentile) across 1,561 hospitals · 3,359 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 34705 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
The middle 50% of negotiated facility rates for this procedure, measured across 1,561 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $5,174 |
| Surgeon (professional fee) Estimate national typical Medicare $1,375 × 1.22 commercial. | $1,677 |
| Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $708 |
| Likely subtotal | $7,559 |
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| GROSSMONT HOSPITAL Outpatient | Interplan | Interplan | $0.52 | $6,382.00 | $4,786.50 | 2026-04-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $7,076.00 | $2,094.50 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Managed Health Network | MHN - Medicare | $0.93 | $6,382.00 | $4,786.50 | 2026-04-01 | MRF ↗ |
| ANDERSON REGIONAL MEDICAL CENTER SOUTH CAMPUS OutpatientFacility | United Healthcare | Commercial | $1.00 | $27,862.00 | $11,144.80 | 2026-02-17 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $28,153.59 | $18,299.83 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $28,153.59 | $18,299.83 | 2025-11-26 | MRF ↗ |
| ANDERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $1.00 | $27,862.00 | $6,129.64 | 2026-02-25 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | $4.66 | $131.25 | $65.63 | 2026-05-13 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | $5.14 | $6,382.00 | $4,786.50 | 2026-04-01 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Uhc | Hmo Ppo | $12.37 | $131.25 | $65.63 | 2026-05-13 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $12.49 | $6,937.00 | — | 2024-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $39.78 | $1,875.00 | $693.75 | 2026-03-31 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | CHORUS MP EXCHANGE [40460] | FS Together w/ CCHP | $41.40 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| WATERBURY HOSPITAL OutpatientFacility | Evernorth Behavioral Health | Commercial | $53.50 | $107.00 | $53.50 | 2026-05-13 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | HUMANA [40176] | FS Humana Froedtert South Employees | $54.47 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | UMR UT [40246] | FS UMR Froedtert South Employees | $54.47 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $65.00 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $65.00 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $65.00 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $65.00 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $65.00 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $65.00 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $65.00 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $65.00 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $65.00 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $65.00 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $65.00 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS Blue Advantage | Blue Advantage | $69.92 | $3,115.00 | $2,180.50 | 2026-01-13 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | HUMANA/CHOICECARE COMM-ALL OTHER PLANS | HUMANA/CHOICECARE COMM-ALL OTHER PLANS | $70.00 | $3,714.00 | $2,228.40 | 2026-01-09 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | ALLIANCE [70479] | FS ALLIANCE | $70.81 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | GENERIC COMMERCIAL [70274] | FS ALLIANCE | $70.81 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | None | — | — | $108.94 | — | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | GENERIC MANAGED CARE [40274] | FS ALLIANCE | $70.81 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | WPS [40262] | FS ALLIANCE | $70.81 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | ALLIANCE [40471] | FS ALLIANCE | $70.81 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | ALLEGIANCE [40478] | FS ALLIANCE | $70.81 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | UHC Commercial | PPO | $74.50 | $3,115.00 | $2,180.50 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | Baylor Scott And White Commercial | UNKNOWN | $75.00 | $3,115.00 | $2,180.50 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS HMO | HMO | $76.00 | $3,115.00 | $2,180.50 | 2026-01-13 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | PROFESSIONAL BEN ADMIN [40223] | FS HPS | $76.80 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | SISCO [40232] | FS HPS | $76.80 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | PRAIRIE STATES [40219] | FS HPS | $76.80 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | LUCENT BENEFIT ADMIN [40151] | FS HPS | $76.80 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | NINETY DEGREE [40153] | FS HPS | $76.80 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | AUXIANT [40124] | FS HPS | $76.80 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | GENERIC MANAGED CARE [40274] | FS HPS | $76.80 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | AUTOMATED BENEFIT SERVICES [40397] | FS HPS | $76.80 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | GROUP BENEFIT SERVICES [40398] | FS HPS | $76.80 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | ALTERNATIVE RISK MANAGEMENT [40399] | FS HPS | $76.80 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | MERITAIN MN [40203] | FS HPS | $76.80 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | ALLIED BENEFIT SYS [40109] | FS HPS | $76.80 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $77.42 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $78.00 | $5,120.00 | $921.60 | 2026-01-30 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | UMR CO INDEMNITY [70244] | FS United Health Care | $81.71 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | UMR UT INDEMNITY [70246] | FS United Health Care | $81.71 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | HUMANA [40176] | FS HUMANA PPO/HMO BROAD | $81.71 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | OPTUM BH [40310] | FS United Health Care | $81.71 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | AETNA [40106] | FS Aetna | $81.71 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | HUMANA [40176] | FS HUMANA PREFERRED/NARROW | $81.71 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | TRUSTMARK [40388] | FS Aetna | $81.71 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | UMR SERIGRAPH [40452] | FS United Health Care | $81.71 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | UMR UT [40246] | FS United Health Care | $81.71 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS PPO | PPO | $82.00 | $3,115.00 | $2,180.50 | 2026-01-13 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $83.74 | — | — | 2026-04-14 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | CIGNA [40138] | FS Cigna | $83.88 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | CIGNA [40138] | FS CIGNA ULINE | $83.88 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | NATL ASSOC LETTER CAR [40270] | FS Cigna | $83.88 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | SISCO [40232] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | UNICARE [40248] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | CONCERT HEALTH PLAN [40144] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | 3 P ADMIN [40100] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | ALLIED BENEFIT SYS [40109] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | BENICOMP [40491] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | PROFESSIONAL BEN ADMIN [40223] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | FCPC [40157] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | PEKIN LIFE INSURANCE [40216] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | OUTSOURCE ONE BENEFIT [40212] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | NINETY DEGREE [40153] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | INS ADMIN OF AMER [40179] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | AMER TRUST ADMIN [40117] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | CUSTOM BENEFIT ADMIN [40148] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | CWI BENEFITS [40150] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | GENERIC MANAGED CARE [40274] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | LUCENT BENEFIT ADMIN [40151] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | FEDERATED MUTUAL [40159] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | BENEFIT PLAN ADMIN [40126] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | PRAIRIE STATES [40219] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | WEA [40254] | FS WEA PPO | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | QUARTZ [40402] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | WPS [40262] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | WORLD INSURANCE CO [40261] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | ARM [40121] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | BENEFIT ADMIN SYS [40125] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | AUXIANT [40124] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | UMR UT [40246] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | PRINCIPAL FINANCIAL [40221] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | PREFERRED ONE [40220] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | MERITAIN MN [40203] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | UMR CO [40244] | FS HealthEOS | $84.97 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | SISCO [40232] | FS TRILOGY (MANAGED CARE PHO) | $87.15 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | WPS INDEMNITY [70262] | FS WPS | $87.15 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | PEKIN LIFE INSURANCE [40216] | FS TRILOGY (MANAGED CARE PHO) | $87.15 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | LUCENT BENEFIT ADMIN [40151] | FS TRILOGY (MANAGED CARE PHO) | $87.15 | $108.94 | $81.70 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Outpatient | WPS HEALTH PLAN [40120] | FS WPS | $87.15 | $108.94 | $81.70 | 2026-02-27 | 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.