36200 — Pr Introduction Catheter Aorta
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR INTRODUCTION CATHETER AORTA (CPT 36200) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/36200?code_type=CPT
MLA (9th ed.)
“PR INTRODUCTION CATHETER AORTA (CPT 36200) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/36200?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR INTRODUCTION CATHETER AORTA (CPT 36200) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/36200?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $594–$2,447 (25th–75th percentile) across 1,942 hospitals · 6,093 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 36200 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$594
$1,370 typical
$2,447
The middle 50% of negotiated facility rates for this procedure, measured across 1,942 hospitals. Surgeon & 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. | $1,370 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $123 × 1.22 commercial. | $150 |
| Likely subtotal | $1,520 |
Surgical episode (typical)
~$1,520
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$5,305
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
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 |
|---|---|---|---|---|---|---|---|
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | — | $1,053.00 | $737.10 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | — | $702.00 | $491.40 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | — | $702.00 | $491.40 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | — | $702.00 | $491.40 | 2025-01-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | FirstCare Star | Managed Medicaid | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | FirstCare Star | Managed Medicaid | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | Aetna | All Products | $0.34 | $1.00 | — | 2025-10-31 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | FirstCare Star | Managed Medicaid | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Products | $0.50 | $1.00 | — | 2025-10-31 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | United Healthcare | Commercial | $0.73 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | FirstCare Star | Managed Medicaid | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | United Healthcare | Medicare Advantage | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Wellpoint | Managed Medicaid/CHIP | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Ambetter | Marketplace | — | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Sanford | Sanford Health Plan | — | $465.00 | $311.55 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | America's PPO | HealthEz - America's PPO | — | $465.00 | $311.55 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica Commercial | — | $465.00 | $311.55 | 2024-12-10 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Precision Hmo | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners MSHO HMO | — | $465.00 | $311.55 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | Cigna APWU | — | $465.00 | $311.55 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners Community Health Plan | — | $465.00 | $311.55 | 2024-12-10 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners Commercial | — | $465.00 | $311.55 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica IFB | — | $465.00 | $311.55 | 2024-12-10 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Ppo | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Hmo Illinois | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial | — | $465.00 | $311.55 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Optum | UBH Optum | — | $465.00 | $311.55 | 2024-12-10 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Joliet | Hmo | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Choice | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Professional Benefits Administrator | Ppo | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Local Plus | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Commercial | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Union Medical | Hmo | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $6,621.68 | $4,304.09 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,621.68 | $4,304.09 | 2025-11-26 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica Community Health Plan | — | $465.00 | $311.55 | 2024-12-10 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Hmo, Ppo, Pos | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Multiplan | Ppo | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Public Exchange | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Commercial | — | $2.50 | $0.88 | 2026-05-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Healthsmart | Commercial | $1.12 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Blue Cross Blue Shield of Texas | Marketplace | $1.14 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Blue Cross Blue Shield of Texas | HMO | $1.18 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Blue Cross Blue Shield of Texas | PPO | $1.28 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Blue Cross Blue Shield of Texas | Traditional | $1.34 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Aetna | HMO/PPO/POS | $1.36 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Private Healthcare Systems | Commercial | $1.42 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | MultiPlan | Commercial | $1.44 | $1.60 | $1.60 | 2025-12-08 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $3.50 | $24,134.00 | $8,446.90 | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MYBLUE HEALTH | $3.50 | $24,134.00 | $8,446.90 | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $3.99 | $24,134.00 | $8,446.90 | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $4.15 | $24,134.00 | $8,446.90 | 2026-04-15 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BAV | $4.41 | — | — | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BAV | $4.41 | — | — | 2026-04-14 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $4.44 | $24,134.00 | $8,446.90 | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | $4.62 | $24,134.00 | $8,446.90 | 2026-04-15 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Outpatient | AETNA MEDICARE [1003] | AETNA MEDICARE ADVANTAGE HMO [103003] | $5.12 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Outpatient | AETNA MEDICARE [1003] | AETNA MEDICARE-ADVANTAGE PPO [103002] | $5.12 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Outpatient | HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $5.12 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Outpatient | HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $5.12 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Outpatient | UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $5.12 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Outpatient | UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $5.12 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Outpatient | UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $5.12 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Outpatient | CARESOURCE MYCARE OHIO [4236] | CARESOURCE MYCARE OHIO DUAL [4236001] | $5.22 | — | — | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | $5.79 | $2,014.00 | $1,510.50 | 2026-04-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.08 | $3,375.00 | — | 2024-12-31 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL INDEMNITY HOUSTON | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL INDEMNITY HOUSTON | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Cigna | Cigna - HMO | $7.39 | $2,014.00 | $1,510.50 | 2026-04-01 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $8.12 | $805.00 | $805.00 | 2026-02-13 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG OK MEDICAID | $8.69 | $21,779.02 | $14,156.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG OK MEDICAID | $8.69 | $21,779.02 | $14,156.36 | 2026-03-12 | MRF ↗ |
| BARNES JEWISH HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [251] | BJC HB MEDICARE UHC BJH | $8.73 | $113,910.39 | $68,346.23 | 2025-12-15 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $8.85 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $8.85 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $8.85 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $8.85 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | GENERIC MEDICARE MANAGED CARE [20137] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SAMC HUMANA MEDICARE W/SEQ IP 97% OP 100% NEW 010124 | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | KINDFUL HOSPICE [20434] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SAMC AETNA AND COVENTRY MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICARE [20244] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY HOSPICE OKC [20252] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | TRICARE CONTRACTED [320380] | HB SAMC TRICARE - HEALTHNET WEST | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB SAMC ESSENCE MCR 99% 2022 100% 2023 W/O SEQ | $9.09 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB SAMC CIGNA MANAGED MEDICARE 010122 103% 010123 102% W/SEQ NEW 010122 | $9.10 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB SAMC CIGNA MANAGED MEDICARE 010122 103% 010123 102% W/SEQ NEW 010122 | $9.10 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS - ID MEDICARE ADVANTAGE | BC ID MEDICARE ADVANTAGE | $9.15 | — | $17,145.89 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER OutpatientFacility | MEDIGOLD MEDICARE ADVANTAGE | MEDIGOLD MEDICARE ADVANTAGE | $9.15 | — | $17,145.89 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $9.15 | — | $17,145.89 | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SAMC WELLCARE HARMONY MCR 103% | $9.19 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB SAMC DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $9.27 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER OutpatientFacility | BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE | REGENCE BS ID MEDICARE ADVANTAGE | $9.34 | — | $17,145.89 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER OutpatientFacility | MODA HEALTH | ODS SUMMIT MEDICARE ADVANTAGE | $9.34 | — | $17,145.89 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER OutpatientFacility | MOLINA MEDICARE ADVANTAGE | MOLINA MEDICARE ADVANTAGE | $9.43 | — | $17,145.89 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER OutpatientFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $9.43 | — | $17,145.89 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF IDAHO | AMERICAN HEALTH MEDICARE ADVANTAGE | $9.52 | — | $17,145.89 | 2026-03-31 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER OutpatientFacility | PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE | PACIFICSOURCE MEDICARE ADVANTAGE PPO | $9.62 | — | $17,145.89 | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB ROGR OKLAHOMA STATE AND EDUCATION EMPLOYEES | $9.82 | $37,071.51 | $24,096.48 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB SAMC PROVIDER PARTNERS 110% MCR | $9.83 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ST JOHNS MERCY REHAB LLC CONTRACTED [320359] | HB SAMC REHAB JV PURCHASED SERVICES AGREEMENT NEW 100322 | $9.83 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO CIGNA PPO | $11.64 | $29,587.69 | $19,232.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CENTIVO CONTRACTED [320505] | HB SAMC CENTIVO 165% MEDICARE NEW 110124 | $15.00 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PREFERRED HEALTH PLAN CONTRACTED [320522] | HB SAMC CITY OF CAPE DEC 175% MCR W/O SEQ | $15.91 | $13,051.62 | $8,483.55 | 2026-03-12 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $15.93 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $15.93 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $15.93 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $15.93 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $15.93 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $15.93 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB SPRG OK MEDICAID | $16.18 | $21,779.02 | $14,156.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB SPRG OK MEDICAID | $16.18 | $21,779.02 | $14,156.36 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB SPRG OK MEDICAID | $16.18 | $21,779.02 | $14,156.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB SPRG OK MEDICAID | $16.18 | $21,779.02 | $14,156.36 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB SPRG OK MEDICAID | $16.18 | $21,779.02 | $14,156.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB SPRG OK MEDICAID | $16.18 | $21,779.02 | $14,156.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB JOPL HEALTHCHOICE-OSEEGIB | $16.74 | $10,480.63 | $6,812.41 | 2026-03-13 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $16.99 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $16.99 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $16.99 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $16.99 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $17.39 | $2,595.00 | $960.15 | 2026-03-31 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $17.70 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $17.70 | $35.40 | $35.40 | 2026-03-27 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER OutpatientFacility | MODA HEALTH | MODA HEALTH SELECT | $18.14 | — | $17,145.89 | 2026-03-31 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | IlliniCare | Medicare Advantage | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Health Partners Open Network | Commercial | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | My Choice | Managed Medicaid | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC | HMO | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | MeridianCare | Medicare Advantage | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - South Central WI | Managed Medicaid | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Commercial | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Medicare Advantage | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Managed Medicaid | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Cigna | Commercial | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $18.66 | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Medicare Advantage | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Dean Health Plan | Managed Medicaid | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Health Partners Open Network | Commercial | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Quartz | HMO | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Managed Medicaid | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $18.66 | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | My Choice | Managed Medicaid | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Prevea 360 | Medicare Advantage | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - Eau Claire | Managed Medicaid | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - South Central WI | Managed Medicaid | — | $81.13 | $64.91 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | — | $81.13 | $64.91 | 2026-01-28 | 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.