37213 — Thromblytic Art/ven Therapy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). THROMBLYTIC ART/VEN THERAPY (CPT 37213) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/37213?code_type=CPT
MLA (9th ed.)
“THROMBLYTIC ART/VEN THERAPY (CPT 37213) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/37213?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“THROMBLYTIC ART/VEN THERAPY (CPT 37213) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/37213?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,610–$5,688 (25th–75th percentile) across 2,038 hospitals · 6,562 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 37213 — 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
$2,610
$3,731 typical
$5,688
The middle 50% of negotiated facility rates for this procedure, measured across 2,038 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. | $3,731 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $202 × 1.22 commercial. | $247 |
| Likely subtotal | $3,978 |
Surgical episode (typical)
~$3,978
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)
~$7,763
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 | $4,646.00 | $1,375.22 | 2026-02-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $8,165.30 | $5,307.45 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | 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 | $6.76 | $544.00 | $103.36 | 2026-01-25 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $10.91 | $10,912.00 | $3,273.60 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $10.91 | $10,912.00 | $3,273.60 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $10.91 | $10,912.00 | $3,273.60 | 2026-04-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $11.65 | $6,475.00 | $3,270.67 | 2024-12-31 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Allianz Global Assistance | AZGA Services Canada | $17.83 | $7,269.00 | $5,451.75 | 2026-04-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,000.00 | $2,600.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,000.00 | $2,600.00 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | $33.77 | $7,269.00 | $5,451.75 | 2026-04-01 | 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 ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $34.83 | $258.00 | $193.50 | 2026-01-16 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $50.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $50.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $50.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $50.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $50.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $50.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $50.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $50.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $50.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $50.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $50.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $53.54 | $258.00 | $193.50 | 2026-01-16 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $56.55 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $56.90 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $56.90 | — | — | 2026-03-18 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $58.89 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $58.89 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $58.89 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $58.89 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $59.55 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| SHERMAN OAKS HOSPITAL Outpatient | Keenan | Keenan | $60.00 | $200.00 | $5,177.00 | 2024-12-19 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $60.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $61.94 | $9,832.00 | $5,899.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $61.94 | $9,832.00 | $5,899.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $61.94 | $9,832.00 | $5,899.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $61.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $61.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $61.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $61.94 | $10,282.00 | $6,169.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $61.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $61.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $61.94 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $61.94 | — | — | 2026-01-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $64.80 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $65.21 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $65.21 | — | — | 2026-03-18 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | None | — | — | $66.91 | $65.57 | 2025-11-05 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $70.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $70.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $70.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $70.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $70.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $70.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $70.56 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $71.00 | $704.00 | $352.00 | 2025-02-03 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $71.00 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $71.00 | — | — | 2026-03-18 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $72.00 | $474.00 | $474.00 | 2026-03-23 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $72.00 | $704.00 | $352.00 | 2025-02-03 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | $9,832.00 | $5,899.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | $9,832.00 | $5,899.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | $9,832.00 | $5,899.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | $9,832.00 | $5,899.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | $9,339.00 | $5,603.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | $9,339.00 | $5,603.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | $10,282.00 | $6,169.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | $10,282.00 | $6,169.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $75.88 | — | — | 2026-01-01 | MRF ↗ |
| UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER Both | None | — | — | $80.30 | $78.69 | 2025-11-05 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $79.00 | $704.00 | $352.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $79.20 | $474.00 | $474.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $79.20 | $474.00 | $474.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $79.20 | $474.00 | $474.00 | 2026-03-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $80.00 | $785.00 | $141.30 | 2026-01-30 | MRF ↗ |
| UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER Both | None | — | — | $82.23 | $80.59 | 2025-11-05 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $81.37 | $4,763.00 | $5,741.00 | 2026-03-04 | MRF ↗ |
| UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both | None | — | — | $83.78 | $82.10 | 2025-11-05 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $82.50 | $3,661.00 | $1,464.40 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $82.50 | $3,661.00 | $1,464.40 | 2026-05-14 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | VALUE OPTIONS [145] | VALUE OPTIONS GOLD [14502] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | VALUE OPTIONS [145] | VALUE OPTIONS OPTION [14503] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH [12001] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | CHAMPUS/TRICARE [103] | MARTINS POINT/US FAMILY [10304] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICAID [11403] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $84.40 | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $84.40 | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | VALUE OPTIONS [145] | VALUE OPTIONS [14501] | — | $410.53 | $410.53 | 2024-12-30 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $85.00 | $704.00 | $352.00 | 2025-02-03 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $6,815.00 | $1,226.70 | 2026-01-30 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $89.00 | $704.00 | $352.00 | 2025-02-03 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $8,673.00 | $7,372.05 | 2025-01-01 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $90.00 | $9,442.50 | $3,777.00 | 2025-09-24 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $90.00 | $704.00 | $352.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $91.98 | $474.00 | $474.00 | 2026-03-23 | MRF ↗ |
| UMD UPPER CHESAPEAKE MEDICAL CENTER Both | None | — | — | $94.41 | $92.52 | 2025-11-05 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $94.00 | $704.00 | $352.00 | 2025-02-03 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net - HMO/POS/EPO | $95.43 | $7,269.00 | $5,451.75 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $8,165.30 | $5,307.45 | 2025-11-26 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $100.00 | $704.00 | $352.00 | 2025-02-03 | MRF ↗ |
| EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $100.00 | $5,528.50 | — | 2026-02-24 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $100.01 | — | — | 2026-03-18 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HUMANA MEDICAID OH [310201] | $100.62 | $600.00 | $360.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICARE [1003] | HUMANA MEDICARE [100303] | $100.62 | $600.00 | $360.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC MEDICARE [1004] | UHC MEDICARE [100403] | $100.62 | $600.00 | $360.00 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA MEDICARE [1001] | AETNA MEDICARE [100101] | $100.62 | $600.00 | $360.00 | 2025-12-19 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $101.00 | $704.00 | $352.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $101.00 | $704.00 | $352.00 | 2025-02-03 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | COVENTRY | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WEBTPA | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | COVENTRY | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA DOMESTIC | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MERITAIN | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MERITAIN | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | ASR HEALTH BENEFITS | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL MUTUAL | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | 1199 NATIONAL BENEFIT FUND | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | 1199 NATIONAL BENEFIT FUND | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WEBTPA | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL MUTUAL | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | ASR HEALTH BENEFITS | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $101.67 | $293.00 | $190.45 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA DOMESTIC | AETNA | $101.67 | $293.00 | $293.00 | 2026-03-31 | MRF ↗ |
| SHERMAN OAKS HOSPITAL Outpatient | Health Net Of CA | Health Net Of CA Commercial | $102.00 | $200.00 | $5,177.00 | 2024-12-19 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $102.00 | $704.00 | $352.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $102.00 | $704.00 | $352.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $102.20 | $474.00 | $474.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $102.20 | $474.00 | $474.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $102.20 | $474.00 | $474.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $102.20 | $474.00 | $474.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $102.20 | $474.00 | $474.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $102.20 | $474.00 | $474.00 | 2026-03-23 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthCigna | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthSBDHMOPPO | — | — | — | 2025-01-31 | 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.