37238 — Open/perq Place Stent Same
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OPEN/PERQ PLACE STENT SAME (HCPCS 37238) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/37238?code_type=HCPCS
MLA (9th ed.)
“OPEN/PERQ PLACE STENT SAME (HCPCS 37238) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/37238?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“OPEN/PERQ PLACE STENT SAME (HCPCS 37238) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/37238?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,701–$18,532 (25th–75th percentile) across 2,087 hospitals · 7,085 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 37238 — 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
$7,701
$12,099 typical
$18,532
The middle 50% of negotiated facility rates for this procedure, measured across 2,087 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. | $12,099 |
| Surgeon (professional fee) Estimate national typical Medicare $271 × 1.22 commercial. | $330 |
| Likely subtotal | $12,429 |
Surgical episode (typical)
~$12,429
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 | $41,525.00 | $12,291.40 | 2026-02-28 | 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 Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $102,328.00 | $66,513.20 | 2025-11-26 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | San Diego Pace | San Diego Pace | $1.60 | $19,768.00 | $14,826.00 | 2026-04-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Managedmedicaid | $6.18 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Essentialplans1Thru4 | $6.18 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Essentialplans1Thru4 | $6.18 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Managedmedicaid | $6.18 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $7.58 | $57,855.68 | $46,284.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $7.58 | $57,855.68 | $46,284.54 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $8.09 | $57,855.68 | $46,284.54 | 2024-12-30 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $8.87 | $133,758.45 | $53,503.38 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $8.87 | $133,758.45 | $53,503.38 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $8.87 | $133,758.45 | $53,503.38 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $8.87 | $133,758.45 | $53,503.38 | 2026-03-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $8.88 | $720.00 | $136.80 | 2026-01-25 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $10.73 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $10.73 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Medicareadvantage | $11.30 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Vaccn | — | $11.30 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $11.30 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aitherstregis | Hmo | $11.30 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Medicareadvantage | $11.30 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Medicareadvantage | $11.30 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Medicareadvantage | $11.30 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Medicareadvantage | $11.30 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Medicareadvantage | $11.30 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Medicareadvantage | $11.30 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $11.30 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Vaccn | — | $11.30 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Medicareadvantage | $11.30 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Medicareadvantage | $11.30 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Medicareadvantage | $11.30 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Medicareadvantage | $11.30 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Medicareadvantage | $11.30 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aitherstregis | Hmo | $11.30 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Essentialplans1Thru4 | $11.98 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Medicareadvantage | $11.98 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Medicareadvantage | $11.98 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Essentialplans1Thru4 | $11.98 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Umassfciraybrook | — | $16.95 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Umassfciraybrook | — | $16.95 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Individual | $18.08 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Individual | $18.08 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $18.65 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $18.65 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $18.65 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $18.65 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $21,538.70 | $14,000.16 | 2025-11-26 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $12,482.00 | $8,113.30 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $12,482.00 | $8,113.30 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $12,482.00 | $8,113.30 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $12,482.00 | $8,113.30 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $12,482.00 | $8,113.30 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $18,723.00 | $12,169.95 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $12,482.00 | $8,113.30 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $18,723.00 | $12,169.95 | 2025-01-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Blueaccess | $27.77 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Blueaccess | $27.77 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Commercial | $28.74 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Commercial | $28.74 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $33.57 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $33.57 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $33.57 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $33.57 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $33.57 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $33.57 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $33.90 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $33.90 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | $34.07 | $19,768.00 | $14,826.00 | 2026-04-01 | 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 ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $35.81 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $35.81 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $35.81 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $35.81 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $37.31 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $37.31 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Health Net | All Medi-cal Plans | $38.41 | $40,092.00 | $20,046.00 | 2026-03-27 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Health Net | All Medi-cal Plans | $38.41 | $40,092.00 | $20,046.00 | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $41.04 | $22,798.00 | $11,654.76 | 2024-12-31 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $48.50 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $48.50 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Commercial | $53.74 | $3,136.26 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Commercial | $53.74 | $3,136.26 | — | 2026-05-13 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Cal Optima | All Medi-cal Plans | $53.78 | $40,092.00 | $20,046.00 | 2026-03-27 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Cal Optima | All Medi-cal Plans | $53.78 | $40,092.00 | $20,046.00 | 2025-12-31 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | OU COMM HLTH PROG OUHCOM HAP BSP [101321] | HB ODH BCCP PROJECT | $54.24 | $57,524.43 | $34,514.66 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | NOBLE COUNTY HEALTH DEPARTMENT [10017599] | HB ODH BCCP PROJECT | $54.24 | $57,524.43 | $34,514.66 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | FULTON COUNTY HEALTH DEPARTMENT [1013223] | HB ODH BCCP PROJECT | $54.24 | $57,524.43 | $34,514.66 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | TRINITY BCCP [101328] | HB ODH BCCP PROJECT | $54.24 | $57,524.43 | $34,514.66 | 2026-03-27 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $55.10 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $55.10 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $55.10 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $55.10 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $55.10 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $55.10 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $55.10 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $55.10 | $986.00 | $187.34 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $55.10 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $55.10 | $986.00 | $187.34 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $55.10 | $986.00 | $187.34 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $55.10 | $986.00 | $187.34 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $55.10 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $55.10 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $55.10 | $986.00 | $187.34 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $55.10 | $1,043.00 | $187.74 | 2026-01-30 | 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, 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 | — | $102,328.00 | $66,513.20 | 2025-11-26 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | None | — | — | $66.91 | $65.57 | 2025-11-05 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $65.62 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $66.12 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Heritage Provider Network | All Medi-cal Plans | $68.88 | $40,092.00 | $20,046.00 | 2026-03-27 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Heritage Provider Network | All Medi-cal Plans | $68.88 | $40,092.00 | $20,046.00 | 2025-12-31 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $71.63 | $28,668.00 | $11,467.20 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $71.63 | $28,668.00 | $11,467.20 | 2026-05-23 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $73.00 | $727.00 | $363.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $74.00 | $727.00 | $363.00 | 2025-02-03 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA MEDICARE | $74.61 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $74.61 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $74.61 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $74.61 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $74.61 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $74.61 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $74.61 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA MEDICARE | $74.61 | $74.61 | $74.61 | 2026-03-27 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $77.14 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $77.14 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $77.14 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $77.14 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $77.14 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $77.14 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER Both | None | — | — | $80.30 | $78.69 | 2025-11-05 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $78.78 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $78.78 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $78.78 | $51,793.00 | $31,075.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $78.78 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $78.78 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $78.78 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $78.78 | $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 | $78.78 | $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 | $78.78 | $47,982.00 | $28,789.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $78.78 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $78.78 | $48,787.00 | $29,272.20 | 2026-01-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $82.00 | $727.00 | $363.00 | 2025-02-03 | 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 | $28,668.00 | $11,467.20 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $82.50 | $28,668.00 | $11,467.20 | 2026-05-23 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Inland Empire | All Medi-cal Plans | $82.65 | $40,092.00 | $20,046.00 | 2026-03-27 | MRF ↗ |
| NATIONAL PARK MEDICAL CENTER Outpatient | Inland Empire | All Medi-cal Plans | $82.65 | $40,092.00 | $20,046.00 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS OF MICHIGAN [6000] | BCBS OF MICHIGAN [600001] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS OF MICHIGAN [6000] | BLUE HIGH PERFORMANCE NETWORK [600003] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS OF MICHIGAN [6000] | BCBS GM RETIREES [600002] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCN HURLEY EMPLOYEE [6007] | BCN HURLEY EMPLOYEE [600701] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS PENNSYLVANIA [600110] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS HURLEY EMPLOYEE [6002] | BCBS HURLEY EMPLOYEE [600201] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS RHODE ISLAND [600111] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS OF MICHIGAN [6000] | BCBS MEDICARE SUPPLEMENTAL [600004] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BLUE CARE NETWORK [6005] | BLUE CARE NETWORK CAPITATION [600502] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BLUE CARE NETWORK [6005] | BLUE CARE NETWORK [600501] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BLUE CARE NETWORK [6005] | BLUE CARE NETWORK AWAY FROM HOME [600503] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BLUE CARE NETWORK [6005] | BLUE CARE NETWORK BEHAVIORAL HEALTH [600504] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS TEXAS [600112] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS COLORADO [600106] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS FEDERAL EMPLOYEE FEP [6003] | BCBS FEDERAL EMPLOYEE FEP [600301] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BCBS MICHILD [6006] | BCBS MICHILD [600601] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS GEORGIA [600107] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS WASHINGTON [600113] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL BLUE CROSS LABS [6008] | JVHL BLUE CROSS LABS [600801] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS ILLINOIS [600108] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BCBS [600101] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS OHIO [600109] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS ALABAMA [600103] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS ARKANSAS [600104] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE BCBS [6001] | OUT OF STATE BLUE CROSS CALIFORNIA [600105] | $83.45 | $28,205.45 | $28,205.45 | 2026-03-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $58,976.00 | $10,615.68 | 2026-01-30 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $88.00 | $727.00 | $363.00 | 2025-02-03 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $88.16 | $1,043.00 | $187.74 | 2026-01-30 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $9,061.00 | $7,701.85 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $12,823.00 | $10,899.55 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $8,548.00 | $7,265.80 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $8,548.00 | $7,265.80 | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | BLUECHOICE [810] | PHM BLUECHOICE RICHLAND | $89.31 | $37,435.00 | $24,332.75 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | BLUECHOICE [810] | PHM BLUECHOICE RICHLAND | $89.31 | $37,435.00 | $24,332.75 | 2026-03-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $92.00 | $727.00 | $363.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $92.00 | $727.00 | $363.00 | 2025-02-03 | MRF ↗ |
| UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS Both | None | — | — | $96.69 | $94.76 | 2025-11-05 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $95.64 | $604.00 | $604.00 | 2026-03-23 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Interplan | Interplan | $95.87 | $19,768.00 | $14,826.00 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $102,328.00 | $66,513.20 | 2025-11-26 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $96.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $96.90 | — | — | 2026-01-01 | 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.