40654 — Rpr Lip Fth>1half Ver Ht/cpx
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RPR LIP FTH>1HALF VER HT/CPX (CPT 40654) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/40654?code_type=CPT
MLA (9th ed.)
“RPR LIP FTH>1HALF VER HT/CPX (CPT 40654) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/40654?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RPR LIP FTH>1HALF VER HT/CPX (CPT 40654) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/40654?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,312–$2,905 (25th–75th percentile) across 1,913 hospitals · 5,925 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 40654 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,312
$1,885 typical
$2,905
The middle 50% of negotiated facility rates for this procedure, measured across 1,913 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,885 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $395 × 1.22 commercial. | $482 |
| Likely subtotal | $2,367 |
Surgical episode (typical)
~$2,367
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$6,152
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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $8,768.98 | $5,699.84 | 2025-11-26 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $6,745.34 | $4,384.47 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,745.34 | $4,384.47 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.91 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.91 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.91 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.01 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.12 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $4.22 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.07 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.07 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $5.17 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.17 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.17 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.17 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.28 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.39 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.49 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $5.70 | $1,056.00 | $1,003.20 | 2026-02-20 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Cigna | Commercial | $6.05 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $7.26 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Medicare | Medicare | $7.26 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Medicare | Medicare | $7.26 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Tricare Va | Commercial | $7.26 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Peoples Health | Commercial | $7.26 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Zelis Ppo | Commercial | $7.39 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Dignity Health | Commercial | $7.40 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $10.89 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $10.94 | $8,500.00 | $5,100.00 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $10.94 | $8,500.00 | $5,100.00 | 2025-08-11 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Commercial | Commercial | $12.10 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.20 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.28 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.28 | — | — | 2026-03-18 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Humana Medicaid | Medicaid | $13.44 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Louisana Healthcare Connections | Medicaid | $13.44 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $13.44 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Amerihealth | Commercial | $13.44 | $13.44 | $6.72 | 2026-05-09 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $15.12 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $15.22 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $15.22 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.47 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.57 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.57 | — | — | 2026-03-18 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $4,628.35 | $3,008.43 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $4,628.35 | $3,008.43 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $4,628.35 | $3,008.43 | 2025-11-26 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $17.43 | $2,771.00 | $1,025.27 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $4,628.35 | $3,008.43 | 2025-11-26 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $24.32 | $2,100.00 | $2,100.00 | 2026-02-13 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | HMO | — | $4,628.35 | $3,008.43 | 2025-11-26 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $31.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $31.46 | — | — | 2026-04-14 | 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 ↗ |
| 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 ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $34.95 | — | — | 2026-04-14 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $35.56 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $37.20 | $8,500.00 | $5,100.00 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $37.20 | $8,500.00 | $5,100.00 | 2025-08-11 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $39.25 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $39.25 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $39.48 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $39.48 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $39.48 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $39.48 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $39.48 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $39.48 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $39.48 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $39.48 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $39.48 | — | — | 2026-04-14 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $43.61 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $43.61 | — | — | 2026-04-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $43.87 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $43.87 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $43.87 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $43.87 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $43.87 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $43.87 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $43.87 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $43.87 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $43.87 | — | — | 2026-04-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California | Medi-Cal | — | $4,628.35 | $3,008.43 | 2025-11-26 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $46.26 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $46.26 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $46.26 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $46.26 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $46.26 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $46.26 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $46.26 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $46.26 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $46.26 | — | — | 2026-04-14 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $47.06 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER 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 ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $51.00 | $1,733.00 | $329.27 | 2026-02-27 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $51.40 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $51.40 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $51.40 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $51.40 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $51.40 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $51.40 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $51.40 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $51.40 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $51.40 | — | — | 2026-04-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $4,628.35 | $3,008.43 | 2025-11-26 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $56.00 | $175.00 | $84.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Arizona Complete (Allwell) | Medicare Advantage | $56.00 | $175.00 | $84.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $56.00 | $175.00 | $84.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Banner | Medicare Advantage | $56.00 | $175.00 | $84.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $56.00 | $175.00 | $84.00 | 2025-03-27 | MRF ↗ |
| BENSON HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $56.00 | $175.00 | $84.00 | 2025-03-27 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $6,745.34 | $4,384.47 | 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 | — | $6,745.34 | $4,384.47 | 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 | — | $6,745.34 | $4,384.47 | 2025-11-26 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Cigna_HealthCare | HMO_PPO | $68.00 | $3,857.31 | $1,928.66 | 2024-12-15 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $68.01 | $1,834.00 | $275.10 | 2026-02-27 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Oscar | HMO | $68.92 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $4,628.35 | $3,008.43 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $4,628.35 | $3,008.43 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $4,628.35 | $3,008.43 | 2025-11-26 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | AETNA [40002] | UVAPW & UVAHM - Aetna | $72.05 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | AETNA [40002] | UVAPW & UVAHM - Aetna | $72.05 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Molina | Managed Medicaid | $75.38 | $2,517.25 | $1,258.63 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Molina | Managed Medicaid | $75.38 | $2,517.25 | $1,258.63 | 2025-12-04 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Oscar | HMO | $75.83 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $76.68 | $568.00 | $426.00 | 2026-01-16 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst HMO | $80.56 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst RPN | $80.56 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst RPN | $80.56 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst HMO | $80.56 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $3,101.00 | $1,524.07 | 2024-12-31 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Molina | Medicaid | $83.67 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (OAP) | $84.06 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (OAP) | $84.06 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | UNITED HEALTHCARE [40032] | UNITED EXCHANGE PLAN [4003231] | $84.82 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | UNITED HEALTHCARE [40032] | UNITED EXCHANGE PLAN [4003231] | $84.82 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Aetna Better Health | Medicaid | $86.18 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Molina | Medicaid | $87.02 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $88.77 | $4,084.00 | $3,267.20 | 2026-03-26 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Oscar | Exchange | $89.11 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $89.15 | $3,234.00 | $1,293.60 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $89.15 | $3,234.00 | $1,293.60 | 2026-05-22 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $90.10 | $265.00 | $152.38 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $90.10 | $265.00 | $152.38 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $90.10 | $265.00 | $152.38 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $90.10 | $265.00 | $152.38 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | QUARTZ MCR ADV | QUARTZ MCR ADV | $90.10 | $265.00 | $152.38 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | GROUP HLTH MCR ADV - ALL PLANS | GROUP HLTH MCR ADV - ALL PLANS | $90.10 | $265.00 | $152.38 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | INDEPENDENT CARE MCR - ALL OTHER PLANS | INDEPENDENT CARE MCR - ALL OTHER PLANS | $90.10 | $265.00 | $152.38 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | SECURITY HP MCR ADV | SECURITY HP MCR ADV | $90.10 | $265.00 | $152.38 | 2026-03-03 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $6,745.34 | $4,384.47 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | CIGNA NALC SUPPLEMENTAL [4000510] | $93.18 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | CIGNA 182223 PPO [4000520] | $93.18 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | CIGNA 182223 PPO [4000520] | $93.18 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | CIGNA NALC SUPPLEMENTAL [4000510] | $93.18 | $152.00 | $76.00 | 2026-03-24 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Amerigroup | Medicaid | $93.71 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Amerigroup | CHIP | $93.71 | $1,045.95 | $836.76 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | GEHA [40009] | UVAPW & UVAHM - United (All Payer) | $94.24 | $152.00 | $76.00 | 2026-03-24 | 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.