36573 — Insj Picc Rs&i 5 Yr+
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INSJ PICC RS&I 5 YR+ (HCPCS 36573) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/36573?code_type=HCPCS
MLA (9th ed.)
“INSJ PICC RS&I 5 YR+ (HCPCS 36573) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/36573?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INSJ PICC RS&I 5 YR+ (HCPCS 36573) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/36573?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,412–$3,240 (25th–75th percentile) across 2,608 hospitals · 8,660 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 36573 — 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
$1,412
$2,044 typical
$3,240
The middle 50% of negotiated facility rates for this procedure, measured across 2,608 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. | $2,044 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $72 × 1.22 commercial. | $88 |
| Likely subtotal | $2,132 |
Surgical episode (typical)
~$2,132
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)
~$5,917
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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $4,422.00 | $1,308.92 | 2026-02-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $9,945.00 | $8,154.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $9,945.00 | $8,154.90 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $10,614.89 | $6,899.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $9,945.00 | $8,154.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $9,945.00 | $8,154.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $9,945.00 | $8,154.90 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $9,945.00 | $8,154.90 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $8,165.30 | $5,307.45 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.45 | $203.00 | $38.57 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $2.70 | $291.00 | $189.15 | 2026-05-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $4.09 | $1,105.00 | $1,049.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.09 | $1,105.00 | $1,049.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.09 | $1,105.00 | $1,049.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.20 | $1,105.00 | $1,049.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.31 | $1,105.00 | $1,049.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $4.42 | $1,105.00 | $1,049.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.50 | $938.00 | $891.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.50 | $938.00 | $891.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $4.60 | $938.00 | $891.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.60 | $938.00 | $891.10 | 2026-02-20 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | CONTRA COSTA COUNTY JAIL [1012104] | CCC JAIL [101210401] | $4.66 | $11,010.62 | $4,954.78 | 2026-03-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.78 | $938.00 | $891.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.84 | $987.00 | $937.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.84 | $987.00 | $937.65 | 2026-02-20 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $4.90 | $726.00 | $726.00 | 2026-02-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.93 | $987.00 | $937.65 | 2026-02-20 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $4,565.05 | $2,967.28 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $4,565.05 | $2,967.28 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $4,565.05 | $2,967.28 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.13 | $987.00 | $937.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $5.33 | $987.00 | $937.65 | 2026-02-20 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $6.06 | $1,941.96 | $1,262.27 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $6.06 | $1,941.96 | $1,262.27 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY | $6.06 | $1,941.96 | $1,262.27 | 2024-12-30 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Cigna Medicare Advantage | Medicare Advantage | $8.08 | $1,585.75 | $1,268.60 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medicare A Mn J6 | Default | $8.08 | $1,585.75 | $1,268.60 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medicare Railroad Palmetto Gba | Default | $8.08 | $1,585.75 | $1,268.60 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Bcbs Mn Secure Blue Mcr Adv Dos After 1/1/19 | Medicare Advantage | $8.08 | $1,585.75 | $1,268.60 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medica Government Plans Medicare Advantage | Medicare Advantage | $8.08 | $1,585.75 | $1,268.60 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medica Choice Care Dos Lt 01012022 Or Snbc | Medicare Advantage | $8.08 | $1,585.75 | $1,268.60 | 2026-05-08 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $9.63 | $5,348.00 | $1,633.54 | 2024-12-31 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $11.37 | $2,850.00 | $1,054.50 | 2026-03-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $8,165.30 | $5,307.45 | 2025-11-26 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | $13.64 | $1,941.96 | $1,262.27 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $13.64 | $1,941.96 | $1,262.27 | 2024-12-30 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $4,565.05 | $2,967.28 | 2025-11-26 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $18.18 | — | $9,734.00 | 2026-03-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,918.00 | $1,896.70 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,918.00 | $1,896.70 | 2025-01-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $21.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $21.20 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $21.20 | $5,540.00 | $3,324.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $21.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $21.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $21.20 | $8,767.00 | $5,260.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $21.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $21.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $21.20 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $21.20 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $21.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $21.20 | — | — | 2026-01-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $22.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $24.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $24.00 | $258.00 | $258.00 | 2026-02-09 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $24.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna Medicare Advantage | All Plans | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Maryland Physician Care | Maryland Physician Care | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Better Health | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Student Health | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Senior Life Medicare Advantage | All Plans | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $25.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Highmark Wv Medicare Advantage | All Plans | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Geisinger Pa Medicare Advantage | All Plans | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Peak Health Medicare Advantage | All Plans | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $3,154.00 | $1,577.00 | 2026-05-22 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mc | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $3,154.00 | $1,577.00 | 2026-05-14 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Humana Medicare Advantage | All Plans | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | The Health Plan Wv Medicare Advantage | All Plans | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Aetna | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Cigna | Cigna | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Caresource | Caresource | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| JEFFERSON MEDICAL CENTER Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $3,016.00 | $1,508.00 | 2026-05-13 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Martins Point | Default | $25.20 | $70.00 | $52.50 | 2026-05-18 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | $5,540.00 | $3,324.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | $4,692.00 | $2,815.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | $5,723.00 | $3,433.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | $5,723.00 | $3,433.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | $5,723.00 | $3,433.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | $5,723.00 | $3,433.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | $8,767.00 | $5,260.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | $4,692.00 | $2,815.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | $5,540.00 | $3,324.00 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.41 | $8,714.00 | $5,228.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | $8,767.00 | $5,260.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.41 | — | — | 2026-01-01 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Federal | $25.96 | $70.00 | $52.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Ppo | $25.96 | $70.00 | $52.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Default | $25.96 | $70.00 | $52.50 | 2026-05-18 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $26.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $26.30 | $192.00 | $153.60 | 2026-04-24 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Both | BLUE ADVANTAGE | BLUE ADVANTAGE | $26.97 | $625.00 | — | 2026-03-26 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Both | BLUE ADVANTAGE | BLUE ADVANTAGE | $26.97 | $625.00 | — | 2026-03-26 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $27.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $27.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $27.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $27.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $27.65 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $27.83 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $27.83 | — | — | 2026-03-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | $5,811.00 | 2024-12-08 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $29.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| PIPESTONE COUNTY MEDICAL CENTER Inpatient | None | — | — | $140.00 | $140.00 | 2026-04-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $30.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CORVEL HEALTHCARE CORPORATION | Worker's Compensation | — | $8,165.30 | $5,307.45 | 2025-11-26 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | $5,811.00 | 2024-12-08 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | ANTHEM MEDICARE | ANTHEM MEDICARE | $30.96 | $144.00 | $72.00 | 2026-02-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $31.69 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $31.89 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $31.89 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $32.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $32.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Tricare | Commercial | $32.00 | $197.00 | $197.00 | 2025-11-07 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | ANTHEM MEDICARE | ANTHEM MEDICARE | $32.25 | $150.00 | $75.00 | 2026-02-18 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $33.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | $4,837.50 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | $4,837.50 | 2024-12-08 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $34.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $34.51 | — | — | 2026-03-18 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | COVENTRY CARES MEDICAID | COVENTRY CARES MEDICAID | $34.56 | $144.00 | $72.00 | 2026-02-18 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | $5,823.00 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | $5,823.00 | 2024-12-08 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $34.63 | $3,329.55 | $3,329.55 | 2026-04-24 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $34.72 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $34.72 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $35.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $35.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| MACKINAC STRAITS HOSPITAL AND HEALTH CENTER | BLUE CROSS BLUE SHIELD | — | — | $270.00 | $162.00 | 2025-06-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $36.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $36.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | COVENTRY CARES MEDICAID | COVENTRY CARES MEDICAID | $36.00 | $150.00 | $75.00 | 2026-02-18 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $3,567.72 | $2,675.79 | 2026-02-25 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $37.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $37.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Bcbs | Medicaid Managed Care Plan | $37.24 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $38.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $38.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $38.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $38.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| St Luke's Hospital Of Kansas City Both | UNITED HEALTHCARE [3000] | ZZZUHC SLHS UMR CHOICE PLUS [30021] | $39.00 | $6,117.00 | $3,670.20 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $39.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | LIFETIME_BEN | LIFETIME BENEFITS | $39.53 | $62.74 | $29.06 | 2025-01-19 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | HIP / Emblem Health | All Plans | $39.80 | $284.27 | $147.82 | 2026-01-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $40.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | LIFETIME_BEN | LIFETIME BENEFITS | $40.69 | $64.58 | $1,397.66 | 2025-01-19 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $41.00 | $188.00 | $94.00 | 2025-02-03 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $41.48 | $3,328.00 | $1,996.80 | 2024-07-01 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $41.51 | $2,393.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $41.51 | $2,393.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $41.51 | $2,393.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $41.51 | $2,393.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $41.51 | $2,393.00 | — | 2025-06-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $42.50 | $125.00 | $62.00 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $42.50 | $125.00 | $62.00 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $42.50 | $125.00 | $62.00 | 2026-02-28 | 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.