35474 — Repair Arterial Blockage
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REPAIR ARTERIAL BLOCKAGE (HCPCS 35474) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/35474?code_type=HCPCS
MLA (9th ed.)
“REPAIR ARTERIAL BLOCKAGE (HCPCS 35474) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/35474?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“REPAIR ARTERIAL BLOCKAGE (HCPCS 35474) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/35474?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,572–$7,460 (25th–75th percentile) across 300 hospitals · 195 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 35474 — 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 |
|---|---|---|---|---|---|---|---|
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $5.97 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Other | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Nap | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Src | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha-Asa | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | — | — | — | 2026-07-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| KANSAS MEDICAL CENTER LLC Outpatient | UNITED | UNITED HEALTHCARE COMMERCIAL PLAN | $84.00 | $4,107.45 | $2,464.47 | 2026-03-31 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $136.40 | $5,659.55 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $149.98 | $5,659.55 | — | 2026-08-17 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | IN CUSTODY | In Custody | $200.00 | $12,576.60 | — | 2024-12-19 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $226.51 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $250.00 | $4,761.00 | $4,761.00 | 2025-07-03 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $329.25 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Centivo | Centivo Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Preferred | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | JIB | — | — | — | 2026-04-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $341.08 | $12,982.00 | $12,982.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $341.08 | $12,982.00 | $12,982.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $341.08 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $341.08 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $341.08 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $341.08 | — | — | 2026-03-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $415.41 | — | — | 2026-02-12 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $439.00 | — | — | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $439.00 | — | — | 2025-08-06 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $439.00 | — | — | 2026-04-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $439.00 | — | — | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $439.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $439.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $439.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Bi | $439.00 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | $439.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $439.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $439.00 | — | — | 2026-09-05 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $477.15 | — | — | 2026-01-25 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $482.93 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $482.93 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $482.93 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $482.93 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $482.93 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $482.93 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $482.93 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN BROKEN ARROW Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $482.93 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $482.93 | — | — | 2026-01-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | HEALTHNET AMBETTER PPO | HEALTHNET AMBETTER PPO | $496.68 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield | PPO_HMO_EPO | $590.67 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield | PPO_HMO_EPO | $590.67 | — | — | 2026-03-27 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STARPLUS | $649.10 | $12,982.00 | $12,982.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHPFC | $649.10 | $12,982.00 | $12,982.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHIP | $649.10 | $12,982.00 | $12,982.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STAR | $649.10 | $12,982.00 | $12,982.00 | 2026-03-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS - ALL OTHER PLANS | ANTHEM BLUE CROSS - ALL OTHER PLANS | $740.92 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst Essential Plan 3&4 - Msq | $754.53 | — | — | 2026-04-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Outpatient | PPOM | 934_PPOM 20191001 | $772.30 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $772.30 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $772.30 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $772.30 | — | — | 2026-01-01 | MRF ↗ |
| KANSAS MEDICAL CENTER LLC Outpatient | UNITED | UNITED HEALTHCARE COMMERCIAL PLAN | $783.00 | $4,107.45 | $2,464.47 | 2026-03-31 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | EPIC HEALTH PLAN - ALL OTHER PLANS | EPIC HEALTH PLAN - ALL OTHER PLANS | $818.70 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $848.93 | $5,659.55 | — | 2026-08-17 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | BLUE SHIELD HMO POS / CALPERS PPO | BLUE SHIELD HMO POS / CALPERS PPO | $859.64 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Multiplan | Multiplan | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Magnacare | JIB | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | HealthFirst | Essential Plan 3 & 4 | $908.34 | — | — | 2026-09-28 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Magnacare | JIB | — | — | — | 2026-09-28 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Magnacare | Standard | — | — | — | 2026-09-28 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-09-28 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Emblem | GHI Access Network | — | — | — | 2026-09-28 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Centivo | Centivo Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Cigna | LocalPlus | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | HealthFirst | Essential Plan 3 & 4 | $908.34 | — | — | 2026-04-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $910.20 | $18,204.00 | $18,204.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $910.20 | $18,204.00 | $18,204.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $910.20 | $18,204.00 | $18,204.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $910.20 | $18,204.00 | $18,204.00 | 2026-03-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | BLUE SHIELD EPO PPO - ALL OTHER PLANS | BLUE SHIELD EPO PPO - ALL OTHER PLANS | $919.67 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| HARRIS HEALTH Outpatient | Cigna | Commercial | $950.00 | — | — | 2026-09-21 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON MEDICAL CENTER AUSTIN Both | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON SMITHVILLE Both | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — | — | 2026-01-01 | MRF ↗ |
| DELL CHILDREN'S MEDICAL CENTER Both | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON EDGAR B DAVIS Both | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON NORTHWEST Both | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — | — | 2026-01-01 | MRF ↗ |
| DELL SETON MED CENTER AT THE UNIVERSITY OF TX Both | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — | — | 2026-01-01 | MRF ↗ |
| CEDAR PARK REGIONAL MEDICAL CENTER Both | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HIGHLAND LAKES Both | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — | — | 2026-01-01 | MRF ↗ |
| PALESTINE REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | All Commercial Plans | $1,013.00 | — | — | 2026-04-01 | MRF ↗ |
| PALESTINE REGIONAL WEST CAMPUS OutpatientFacility | BCBS | All Commercial Plans | $1,013.00 | — | — | 2026-04-01 | MRF ↗ |
| PALESTINE REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | All Commercial Plans | $1,013.00 | — | — | 2025-01-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM SENIOR | PRIMECARE OPTUM SENIOR | $1,037.02 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM - ALL OTHER PLANS | PRIMECARE OPTUM - ALL OTHER PLANS | $1,037.02 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BCBS_TEXAS_HMO | BLUE CROSS BLUE SHIELD TX HMO | $1,061.00 | $30,941.64 | $0.01 | 2024-09-02 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | EXCHANGE | $1,131.06 | — | — | 2025-09-05 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Commercial | $1,131.91 | $5,659.55 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Oxford | Commercial | $1,131.91 | $5,659.55 | — | 2026-08-17 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | CorVel | WORKERSCOMP | $1,134.91 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | CorVel | WORKERSCOMP | $1,134.91 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | CorVel | WORKERSCOMP | $1,134.91 | — | — | 2026-03-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $1,143.00 | $4,761.00 | $4,761.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $1,143.00 | $4,761.00 | $4,761.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $1,143.00 | $4,761.00 | $4,761.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $1,143.00 | $4,761.00 | $4,761.00 | 2025-07-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Bcbs | Bc Hix | $1,188.46 | $3,344.00 | $2,006.40 | 2026-09-21 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Olympus MedSave USA | WCOMP | $1,194.64 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Olympus MedSave USA | WCOMP | $1,194.64 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Olympus MedSave USA | WCOMP | $1,194.64 | — | — | 2026-03-01 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $1,267.18 | $3,727.00 | $2,981.60 | 2026-03-18 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Outpatient | DEVOTED - ALL PLANS | DEVOTED - ALL PLANS | $1,305.20 | $3,727.00 | $2,981.60 | 2026-03-18 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $1,305.44 | — | — | 2025-06-28 | MRF ↗ |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO OutpatientFacility | Humana | Commercial | $1,350.00 | — | — | 2025-12-03 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PC INLAND VALLEY-ALL OTHER PLANS | PC INLAND VALLEY-ALL OTHER PLANS | $1,364.50 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PC INLAND VALLEY SCAN | PC INLAND VALLEY SCAN | $1,364.50 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | UHC SELECT | UHC SELECT | $1,364.50 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $1,364.50 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Bcbs | Commercial | $1,437.24 | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Bcbs | Commercial | $1,437.24 | — | — | 2026-07-15 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $1,443.19 | $5,659.55 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $1,443.19 | $5,659.55 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $1,443.19 | $5,659.55 | — | 2026-08-17 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | COVENTRY CCN/FIRST HLTH - ALL PLANS | COVENTRY CCN/FIRST HLTH - ALL PLANS | $1,500.95 | $2,729.00 | $1,364.50 | 2026-04-02 | MRF ↗ |
| ANNA JAQUES HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | $1,509.42 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna - Hmo/Pos/Ppo | $1,532.19 | — | — | 2026-07-18 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $1,543.00 | $4,761.00 | $4,761.00 | 2025-07-03 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Covenant | All Plans | $1,600.00 | — | — | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Covenant | All Plans | $1,600.00 | — | — | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Covenant Healthcare | All Plans | $1,600.00 | — | — | 2024-11-12 | MRF ↗ |
| KANSAS MEDICAL CENTER LLC Outpatient | WPPA | WPPA PROVIDER CARE OPEN NETWORK | $1,642.98 | $4,107.45 | $2,464.47 | 2026-03-31 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Cross - Asc | All Commercial Plans | $1,655.00 | — | — | 2026-04-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $1,697.87 | $5,659.55 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $1,697.87 | $5,659.55 | — | 2026-08-17 | MRF ↗ |
| AdventHealth Littleton OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,843.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Archdiocese Of Denver | All Commercial Plans | $1,843.00 | — | — | 2026-04-01 | 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.