37293 — Rvsc Evsc Tpvt St Athr Sf Ea
Cite this view
HANK Price Transparency. (n.d.). RVSC EVSC TPVT ST ATHR SF EA (HCPCS 37293) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/37293?code_type=HCPCS
“RVSC EVSC TPVT ST ATHR SF EA (HCPCS 37293) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/37293?code_type=HCPCS. Accessed .
“RVSC EVSC TPVT ST ATHR SF EA (HCPCS 37293) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/37293?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,275–$16,887 (25th–75th percentile) across 496 hospitals · 1,609 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 37293 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $14,025.00 | — | 2026-07-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $12.16 | $12,161.75 | $3,648.52 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $12.16 | $12,161.75 | $3,648.52 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $12.16 | $12,161.75 | $3,648.52 | 2026-04-01 | MRF ↗ |
| O'connor Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $62,900.00 | $44,030.00 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $62,900.00 | $44,030.00 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $62,900.00 | $44,030.00 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $62,900.00 | $44,030.00 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $62,900.00 | $44,030.00 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $62,900.00 | $44,030.00 | 2026-09-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR [40246] | FS UMR Froedtert South Employees | $31.80 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NETWORK HEALTH MP EXCHANGE [40456] | FS NETWORK HEALTH PLAN ACA/MARKETPLACE | $38.16 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-31 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-17 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-31 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-17 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-17 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-31 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-17 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-15 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NETWORK HEALTH PLAN [40401] | FS Network Health Plan Mng Care | $44.01 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NETWORK HEALTH GLOBAL [41401] | FS Network Health Plan Mng Care | $44.01 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NETWORK HEALTH PLAN FTH EMP [40459] | FS HPS | $44.84 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $62,900.00 | $44,030.00 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $62,900.00 | $44,030.00 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $62,900.00 | $44,030.00 | 2026-09-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR INDEMNITY [70246] | FS United Health Care | $47.70 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR [40246] | FS United Health Care | $47.70 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR [40246] | FS HealthEOS | $49.61 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR [40246] | FS TRILOGY (MANAGED CARE PHO) | $50.88 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA ELEVATE | MEDICA ELEVATE | $73.60 | $674.00 | $438.10 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA COMM - ALL OTHER PLANS | MEDICA COMM - ALL OTHER PLANS | $80.00 | $674.00 | $438.10 | 2026-08-10 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $62,900.00 | $44,030.00 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $62,900.00 | $44,030.00 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $62,900.00 | $44,030.00 | 2026-09-01 | MRF ↗ |
| CROOK COUNTY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $95.00 | — | — | 2026-04-01 | MRF ↗ |
| CROOK COUNTY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $95.00 | — | — | 2026-04-01 | MRF ↗ |
| VIERA HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $111.49 | $14,500.00 | $3,625.00 | 2026-07-15 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student_CIGNA Health Plans | $127.00 | $16,418.00 | $8,209.00 | 2025-12-31 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Network S Other Commercial Plan | $160.00 | — | — | 2026-09-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Network P Other Commercial Plan | $174.00 | — | — | 2026-09-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | HUMANA [100052] | HUMANA ONE [10005203] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | BOILERMAKERS NATL. HEALTH [100159] | BOILERMAKERS NATL. HEALTH [10015901] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | HUMANA [100052] | HUMANA PPO [10005202] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | FIREMAN'S FUND [100162] | FIREMAN'S FUND [10016201] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | HUMANA [100052] | HUMANA HMO/POS [10005201] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | AFFINITY HEALTH PLAN [100129] | AFFINITY ESSENTIAL EXCHANGE [10012901] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | BAKER/CONFECTIONARY UNION [100158] | BAKER/CONFECTIONARY UNION [10015801] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | CORE SOURCE [100161] | CORE SOURCE [10016101] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | ROOFERS LOCAL 74 [100155] | ROOFERS LOCAL 74 [10015501] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | TUFTS HEALTH PLAN [10017214] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | UPSTATE ADMINISTRATIVE [10017206] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | METRAHEALTH [10017208] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | HEALTHSOURCE [10017204] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | BOILERMAKERS NATL. HEALTH [100159] | BOILERMAKERS NATL. HEALTH [10015901] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | ROYAL SUNALLIANCE [10017209] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | WAUSAU INSURANCE [10017205] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | HUMANA [100052] | HUMANA PPO [10005202] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | NALC HEALTH BENEFIT PLAN [10006701] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | TUFTS HEALTH PLAN [10017214] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | POMCO [10017213] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | GUARDIAN [10017203] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | AFFINITY HEALTH PLAN [100129] | AFFINITY ESSENTIAL EXCHANGE [10012901] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | ROOFERS LOCAL 74 [100155] | ROOFERS LOCAL 74 [10015501] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | BOARD OF PENSIONS [10017201] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | OPTUM BEHAVIORAL HEALTH [10017210] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | GUARDIAN [10017203] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | SUNSHINE STATE HEALTH PLN [10017207] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | GERBER LIFE INS [10017202] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | CORE SOURCE [100161] | CORE SOURCE [10016101] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | MUTUAL OF OMAHA [10017211] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | HEALTHSOURCE [10017204] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | COMMERCIAL OTHER [10017215] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | HEALTHY LIVING PARTNERSHI [10017212] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | METRAHEALTH [10017208] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | AARP [100007] | AARP [10000701] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | BAKER/CONFECTIONARY UNION [100158] | BAKER/CONFECTIONARY UNION [10015801] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | ROYAL SUNALLIANCE [10017209] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | HUMANA [100052] | HUMANA HMO/POS [10005201] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | SUNSHINE STATE HEALTH PLN [10017207] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | HUMANA [100052] | HUMANA ONE [10005203] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | NALC HEALTH BENEFIT PLAN [10006701] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | POMCO [10017213] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | WAUSAU INSURANCE [10017205] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | AARP [100007] | AARP [10000701] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | GERBER LIFE INS [10017202] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | BOARD OF PENSIONS [10017201] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | HEALTHY LIVING PARTNERSHI [10017212] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | OPTUM BEHAVIORAL HEALTH [10017210] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | UPSTATE ADMINISTRATIVE [10017206] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | COMMERCIAL OTHER [10017215] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | FIREMAN'S FUND [100162] | FIREMAN'S FUND [10016201] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | MUTUAL OF OMAHA [10017211] | $186.96 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | UPMC HEALTH PLAN [100181] | UPMC HEALTH PLAN [10018101] | $196.80 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | UPMC HEALTH PLAN [100181] | UPMC HEALTH PLAN [10018101] | $196.80 | $328.00 | $328.00 | 2026-04-01 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna Rental | First Health | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Maryland Physician Care | Maryland Physician Care | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Student Health | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Healthcare | United Healthcare | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Aetna | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $203.50 | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Peak Health | Peak Health | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Cigna | Cigna | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | University Of Pennsylvania Health Plan | University Of Pennsylvania Health Plan | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Partners Pennsylvania Medicaid | Health Partners Pennsylvania Medicaid | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Multiplan | Multiplan | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye | Medicaid | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource Oh | Managed Medicaid | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Humana | Managed Medicaid | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Pa | Medicaid | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Geisinger Pa Medicaid | Geisinger Pa Medicaid | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Molina Oh | Managed Medicaid | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $21,821.00 | $10,910.50 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Coventry National Network | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Novanet Inc | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | United Healthcare Va | Government | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Coventry Hmo | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Wellcare | Managed Medicaid | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Caresource | Managed Medicaid | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Non | Contracted Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Private Healthcare Systems | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Aetna All Plans | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | One Health | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Cigna | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Coventry Leased Ppo | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Chaprall Boats Inc | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Amerigroup Community Care | Managed Medicaid | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | South Georgia Purchasing Alliance, Inc. | Commercial | $241.07 | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Peachstate Health Plan | Managed Medicaid | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Beech Street Corp | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Choicecare | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | United Healthcare | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | First Medical Network | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH Outpatient | Blue Cross Blue Shield Of Ga | Commercial | — | $14,236.00 | $10,677.00 | 2026-07-15 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $245.59 | $23,410.86 | $14,748.84 | 2026-03-25 | MRF ↗ |
| LIVINGSTON REGIONAL HOSPITAL OutpatientFacility | Americhoice | Medicaid Managed Care Plan | $250.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | United Healthcare | All Payer Appendix | — | $12,500.00 | $12,500.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina | Managed Medicaid | — | $12,500.00 | $12,500.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Cigna | Commercial | — | $12,500.00 | $12,500.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | — | $12,500.00 | $12,500.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana | Choicecare Medicare Advantage | $258.48 | $12,500.00 | $12,500.00 | 2026-08-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Multiplan | Commercial | — | $12,500.00 | $12,500.00 | 2026-08-01 | 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.