Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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37236 — Open/perq Place Stent 1st

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $12,371

Usually $7,711–$18,251 (25th–75th percentile) across 2,148 hospitals · 7,358 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 37236 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What the whole episode might cost

Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$7,711 $12,371 typical $18,251

The middle 50% of negotiated facility rates for this procedure, measured across 2,148 hospitals. The the surgeon's fee 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. $12,371
Surgeon (professional fee) Estimate national typical Medicare $390 × 1.22 commercial. $476
Likely subtotal $12,847
Surgical episode (typical) ~$12,847
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 $15,585.00 $4,613.16 2026-02-28 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $53,150.00 $43,583.00 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage $53,150.00 $43,583.00 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient SCAN Health Plan Medicare Advantage $102,328.00 $66,513.20 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $102,328.00 $66,513.20 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage $53,150.00 $43,583.00 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage $53,150.00 $43,583.00 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage $53,150.00 $43,583.00 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO $53,150.00 $43,583.00 2025-11-26 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Cigna Cigna - PPO $1.68 $21,635.00 $16,226.25 2026-04-01 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $5.55 $70,357.81 $42,214.69 2026-03-24 MRF ↗
CHRIST HOSPITAL Outpatient UHC COMMUNITY MEDICAID [2175] HB XR UHC INDIANA PATHWAYS MEDICAID $8.83 $43,271.63 $26,439.13 2025-12-19 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $12.93 $1,026.00 $194.94 2026-01-25 MRF ↗
Kpc Promise Hospital Of Phoenix, Llc Tri Care Healthnet (12100) $13.80 $18,239.00 $18,239.00 2026-06-15 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Zelis Workers Comp $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Professional Benefits Administrator Ppo $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Multiplan Ppo $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Union Medical Hmo $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Corvel Workers Comp $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Cigna Hmo, Ppo, Pos $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Health Alliance Public Exchange $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Joliet Hmo $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Cigna Local Plus $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Blue Cross Blue Shield Blue Precision Hmo $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Health Alliance Commercial $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Blue Cross Blue Shield Ppo $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Blue Cross Blue Shield Blue Choice $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Aetna Commercial $48.25 $16.89 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Blue Cross Blue Shield Hmo Illinois $48.25 $16.89 2026-05-08 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $13,816.00 $8,980.40 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $20,724.00 $13,470.60 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $13,816.00 $8,980.40 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $13,816.00 $8,980.40 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $13,816.00 $8,980.40 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $13,816.00 $8,980.40 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $20,724.00 $13,470.60 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $13,816.00 $8,980.40 2025-01-01 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $25.86 $1,858.00 $1,858.00 2026-02-13 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
GROSSMONT HOSPITAL Outpatient Health Net Health Net Cal MediConnect $29.04 $21,635.00 $16,226.25 2026-04-01 MRF ↗
GROSSMONT HOSPITAL Outpatient Health Net Health Net - PPO $29.04 $21,635.00 $16,226.25 2026-04-01 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 $6,712.31 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 $6,712.31 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $40.47 $22,482.00 $11,654.76 2024-12-31 MRF ↗
GROSSMONT HOSPITAL Outpatient Aetna Aetna - PPO $43.56 $21,635.00 $16,226.25 2026-04-01 MRF ↗
GROSSMONT HOSPITAL Outpatient Aetna Aetna Whole Health $43.56 $21,635.00 $16,226.25 2026-04-01 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $50.00 $1,481.00 $266.58 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MEDI-CAL MEDI-CAL $50.00 $1,481.00 $266.58 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $50.00 $1,481.00 $266.58 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BC MEDI-CAL BC MEDI-CAL $50.00 $1,481.00 $266.58 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $50.00 $1,481.00 $266.58 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $50.00 $1,481.00 $266.58 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PREFERRED MEDI-CAL PREFERRED MEDI-CAL $50.00 $1,481.00 $266.58 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $50.00 $1,481.00 $266.58 2026-01-30 MRF ↗
COASTAL CAROLINA HOSPITAL 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 $1,481.00 $266.58 2026-01-30 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $50.00 $1,481.00 $266.58 2026-01-30 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 $6,712.31 2024-12-08 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ACCESS MEDI-CAL ACCESS MEDI-CAL $50.00 $1,481.00 $266.58 2026-01-30 MRF ↗
NATIONAL PARK MEDICAL CENTER Outpatient Health Net All Medi-cal Plans $54.77 $35,920.00 $17,960.00 2026-03-27 MRF ↗
NATIONAL PARK MEDICAL CENTER Outpatient Health Net All Medi-cal Plans $54.77 $35,920.00 $17,960.00 2025-12-31 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, Non-City of LA, Vivity $102,328.00 $66,513.20 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, City of LA, Vivity $102,328.00 $66,513.20 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO $102,328.00 $66,513.20 2025-11-26 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHNET MCAL HEALTHNET MCAL $59.55 $1,481.00 $266.58 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $60.00 $1,481.00 $266.58 2026-01-30 MRF ↗
UNIVERSITY OF MARYLAND MEDICAL CENTER Both None $66.91 $65.57 2025-11-05 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HCLA MCAL PROFEE ONLY HCLA MCAL PROFEE ONLY $70.00 $1,481.00 $266.58 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient AHP MEDI-CAL AHP MEDI-CAL $70.00 $1,481.00 $266.58 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient GLOBAL CARE MCAL PROFEE ONLY GLOBAL CARE MCAL PROFEE ONLY $70.00 $1,481.00 $266.58 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 $1,481.00 $266.58 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient EL PROYECTO MCAL PROFEE ONLY EL PROYECTO MCAL PROFEE ONLY $70.00 $1,481.00 $266.58 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $70.00 $1,481.00 $266.58 2026-01-30 MRF ↗
NATIONAL PARK MEDICAL CENTER Outpatient Cal Optima All Medi-cal Plans $76.67 $35,920.00 $17,960.00 2025-12-31 MRF ↗
NATIONAL PARK MEDICAL CENTER Outpatient Cal Optima All Medi-cal Plans $76.67 $35,920.00 $17,960.00 2026-03-27 MRF ↗
UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER Both None $80.30 $78.69 2025-11-05 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MOLINA MEDI-CAL MOLINA MEDI-CAL $80.00 $1,481.00 $266.58 2026-01-30 MRF ↗
UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER Both None $82.23 $80.59 2025-11-05 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $81.10 $33,709.00 $12,472.33 2026-03-31 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 $39,578.00 $15,831.20 2026-05-14 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Anthem Blue Cross Blue Shield Medicaid $82.50 $39,578.00 $15,831.20 2026-05-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient BLUE CARE NETWORK [6005] BLUE CARE NETWORK AWAY FROM HOME [600503] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient OUT OF STATE BCBS [6001] OUT OF STATE BLUE CROSS GEORGIA [600107] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient BCN HURLEY EMPLOYEE [6007] BCN HURLEY EMPLOYEE [600701] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient OUT OF STATE BCBS [6001] OUT OF STATE BLUE CROSS ARKANSAS [600104] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient OUT OF STATE BCBS [6001] OUT OF STATE BLUE CROSS OHIO [600109] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient BLUE CARE NETWORK [6005] BLUE CARE NETWORK BEHAVIORAL HEALTH [600504] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient OUT OF STATE BCBS [6001] OUT OF STATE BLUE CROSS WASHINGTON [600113] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient OUT OF STATE BCBS [6001] OUT OF STATE BLUE CROSS RHODE ISLAND [600111] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient OUT OF STATE BCBS [6001] OUT OF STATE BLUE CROSS COLORADO [600106] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient OUT OF STATE BCBS [6001] OUT OF STATE BLUE CROSS PENNSYLVANIA [600110] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient BCBS OF MICHIGAN [6000] BLUE HIGH PERFORMANCE NETWORK [600003] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient OUT OF STATE BCBS [6001] OUT OF STATE BCBS [600101] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient BCBS OF MICHIGAN [6000] BCBS GM RETIREES [600002] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient BLUE CARE NETWORK [6005] BLUE CARE NETWORK [600501] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient OUT OF STATE BCBS [6001] OUT OF STATE BLUE CROSS CALIFORNIA [600105] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient BLUE CARE NETWORK [6005] BLUE CARE NETWORK CAPITATION [600502] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient OUT OF STATE BCBS [6001] OUT OF STATE BLUE CROSS ALABAMA [600103] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient OUT OF STATE BCBS [6001] OUT OF STATE BLUE CROSS ILLINOIS [600108] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient BCBS MICHILD [6006] BCBS MICHILD [600601] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient BCBS OF MICHIGAN [6000] BCBS OF MICHIGAN [600001] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient OUT OF STATE BCBS [6001] OUT OF STATE BLUE CROSS TEXAS [600112] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient BCBS HURLEY EMPLOYEE [6002] BCBS HURLEY EMPLOYEE [600201] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient BCBS OF MICHIGAN [6000] BCBS MEDICARE SUPPLEMENTAL [600004] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL BLUE CROSS LABS [6008] JVHL BLUE CROSS LABS [600801] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient BCBS FEDERAL EMPLOYEE FEP [6003] BCBS FEDERAL EMPLOYEE FEP [600301] $83.45 $21,822.14 $21,822.14 2026-03-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $85.22 $47,316.00 $8,516.88 2026-01-30 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility MVP Individual Plan $89.00 $8,707.00 $7,400.95 2025-01-01 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility MVP Individual Plan $89.00 $8,707.00 $7,400.95 2025-01-01 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility MVP Individual Plan $89.00 $8,707.00 $7,400.95 2025-01-01 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility MVP Individual Plan $89.00 $13,061.00 $11,101.85 2025-01-01 MRF ↗
UMD UPPER CHESAPEAKE MEDICAL CENTER Both None $94.41 $92.52 2025-11-05 MRF ↗
HURON VALLEY-SINAI HOSPITAL Outpatient Hap HAPHMO $93.00 $31,709.00 $23,781.75 2025-01-31 MRF ↗
SHARP CHULA VISTA MEDICAL CENTER Outpatient Interplan Interplan $95.87 $21,635.00 $16,226.25 2026-04-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient HealthNet of California, Inc. HMO $102,328.00 $66,513.20 2025-11-26 MRF ↗
OROVILLE HOSPITAL Outpatient Anthem BlueCross Commercial $97.00 $359.00 $180.00 2025-10-29 MRF ↗
NATIONAL PARK MEDICAL CENTER Outpatient Heritage Provider Network All Medi-cal Plans $98.20 $35,920.00 $17,960.00 2025-12-31 MRF ↗
NATIONAL PARK MEDICAL CENTER Outpatient Heritage Provider Network All Medi-cal Plans $98.20 $35,920.00 $17,960.00 2026-03-27 MRF ↗
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Outpatient Cigna PPO $100.00 $24,047.25 2026-02-24 MRF ↗
BEAUREGARD MEMORIAL HOSPITAL Outpatient BCBS Commercial PPO $100.00 $7,035.25 2026-02-18 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Iehp Medicaid $102.13 $39,578.00 $15,831.20 2026-05-14 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Iehp Medicaid $102.13 $39,578.00 $15,831.20 2026-05-23 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Kaiser Foundation Hospitals Medicare Advantage $102,328.00 $66,513.20 2025-11-26 MRF ↗
Rehabilitation Institute Of Michigan Outpatient Hap HAPHMO $104.79 2025-01-31 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Blue Cross of California d/b/a Anthem Blue Cross POS $53,150.00 $43,583.00 2025-11-26 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility Empire Medicare Advantage $107.00 $8,707.00 $7,400.95 2025-01-01 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility Empire Medicare Advantage $107.00 $8,707.00 $7,400.95 2025-01-01 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility Empire Medicare Advantage $107.00 $8,707.00 $7,400.95 2025-01-01 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility Empire Medicare Advantage $107.00 $13,061.00 $11,101.85 2025-01-01 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient Aetna Better Health Ky Managed Care Medicaid Plan $108.75 $435.00 $221.85 2026-05-09 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient Humana Ky Managed Care Medicaid Plan $108.75 $435.00 $221.85 2026-05-09 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient Passport Ky Managed Care Medicaid Plan $113.10 $435.00 $221.85 2026-05-09 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $113.34 $47,982.00 $28,789.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $113.34 $47,982.00 $28,789.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $113.34 $47,982.00 $28,789.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $113.34 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $113.34 $48,787.00 $29,272.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $113.34 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $113.34 $54,694.00 $32,816.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $113.34 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $113.34 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $113.34 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $113.34 2026-01-01 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient Wellcare Ky Managed Care Medicaid Plan $114.41 $435.00 $221.85 2026-05-09 MRF ↗
Children's Hospital & Medical Center Transplant Outpatient United Health Care Ky Managed Care Medicaid Plan $114.84 $435.00 $221.85 2026-05-09 MRF ↗
NATIONAL PARK MEDICAL CENTER Outpatient Inland Empire All Medi-cal Plans $117.84 $35,920.00 $17,960.00 2026-03-27 MRF ↗
NATIONAL PARK MEDICAL CENTER Outpatient Inland Empire All Medi-cal Plans $117.84 $35,920.00 $17,960.00 2025-12-31 MRF ↗
GROSSMONT HOSPITAL Outpatient Blue Cross Blue Cross - MCS $119.86 $21,635.00 $16,226.25 2026-04-01 MRF ↗
OROVILLE HOSPITAL Outpatient Butte County Commercial $125.00 $359.00 $180.00 2025-10-29 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - Meridian Medicaid - Meridian $132.00 $1,309.00 $654.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - United Medicaid - United $134.00 $1,309.00 $654.00 2025-02-03 MRF ↗
HURLEY MEDICAL CENTER Both UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] UNITED HEALTH CARE MEDICAID [900401] $137.17 $858.00 $858.00 2026-03-23 MRF ↗
UM Capital Region Medical Center Both None $140.22 $137.42 2025-11-05 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 $47,982.00 $28,789.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 $47,982.00 $28,789.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 $47,982.00 $28,789.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 $47,982.00 $28,789.20 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 $34,653.00 $20,791.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 $48,787.00 $29,272.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 $54,694.00 $32,816.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 $54,694.00 $32,816.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 $34,653.00 $20,791.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $138.33 $48,787.00 $29,272.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $138.33 2026-01-01 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $148.00 $1,309.00 $654.00 2025-02-03 MRF ↗
HURLEY MEDICAL CENTER Both KEY BENEFIT ADMINISTRATORS [1089] KEY BENEFIT ADMINISTRATORS [108901] $150.89 $858.00 $858.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] $150.89 $858.00 $858.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] GENESEE HEALTH PLAN B [102204] $150.89 $858.00 $858.00 2026-03-23 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility BSNENY Medicare Advantage $157.00 $13,061.00 $11,101.85 2025-01-01 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility BSNENY Medicare Advantage $157.00 $8,707.00 $7,400.95 2025-01-01 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility BSNENY Medicare Advantage $157.00 $8,707.00 $7,400.95 2025-01-01 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility BSNENY Medicare Advantage $157.00 $8,707.00 $7,400.95 2025-01-01 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $158.00 $1,309.00 $654.00 2025-02-03 MRF ↗
ARKANSAS HEART HOSPITAL, LLC OutpatientFacility United Healthcare All Commercial Products $159.00 $15,250.00 $12,200.00 2025-11-21 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.