37236 — Open/perq Place Stent 1st
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OPEN/PERQ PLACE STENT 1ST (HCPCS 37236) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/37236?code_type=HCPCS
MLA (9th ed.)
“OPEN/PERQ PLACE STENT 1ST (HCPCS 37236) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/37236?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“OPEN/PERQ PLACE STENT 1ST (HCPCS 37236) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/37236?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
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.
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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
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.