41899 — Unlisted Px Dentalvlr Strux
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). UNLISTED PX DENTALVLR STRUX (HCPCS 41899) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/41899?code_type=HCPCS
MLA (9th ed.)
“UNLISTED PX DENTALVLR STRUX (HCPCS 41899) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/41899?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“UNLISTED PX DENTALVLR STRUX (HCPCS 41899) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/41899?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $242–$1,655 (25th–75th percentile) across 2,039 hospitals · 6,273 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 41899 — 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 |
|---|---|---|---|---|---|---|---|
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $16,726.00 | $1,672.60 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $16,726.00 | $1,672.60 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $16,726.00 | $1,672.60 | 2026-05-22 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | BLUE CROSS OF MA [100274] | HB XR BCBSMA PPO PPA TMC | — | $2,169.00 | $1,518.30 | 2026-04-01 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN OutpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $1.64 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN OutpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $1.64 | — | — | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB OKLC OK MEDICAID (SOONERCARE) | $1.65 | $8,005.70 | $5,203.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $1.65 | $5,188.13 | $3,372.28 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $1.65 | $5,188.13 | $3,372.28 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM OK MEDICAID | $1.65 | $5,188.13 | $3,372.28 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $1.65 | $5,188.13 | $3,372.28 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM OK MEDICAID | $1.65 | $5,188.13 | $3,372.28 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC OK MEDICAID (SOONERCARE) | $1.65 | $8,005.70 | $5,203.70 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $1.65 | $5,188.13 | $3,372.28 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB OKLC OK MEDICAID (SOONERCARE) | $1.65 | $8,005.70 | $5,203.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $1.65 | $5,188.13 | $3,372.28 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $1.65 | $5,188.13 | $3,372.28 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB OKLC OK MEDICAID (SOONERCARE) | $1.65 | $8,005.70 | $5,203.70 | 2026-03-12 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.91 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.91 | — | — | 2026-03-18 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $1.98 | $188.00 | $75.20 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $1.98 | $188.00 | $75.20 | 2026-05-13 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Health Net | Health Net Cal MediConnect | $2.01 | $780.00 | $585.00 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | First Health - Direct | $2.02 | $780.00 | $585.00 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $2.17 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.36 | — | — | 2026-03-18 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $2.38 | — | $7,045.48 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $2.38 | — | $7,045.48 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $2.38 | — | $7,045.48 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $2.38 | — | $7,045.48 | 2026-03-31 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.38 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.38 | — | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | MEDICAID [20240] | HB ARDM OK MEDICAID (SOONERCARE) | $2.41 | $11,296.91 | $7,342.99 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ARDM OK MEDICAID (SOONERCARE) | $2.41 | $11,296.91 | $7,342.99 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ARDM OK MEDICAID (SOONERCARE) | $2.41 | $11,296.91 | $7,342.99 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ARDM OK MEDICAID (SOONERCARE) | $2.41 | $11,296.91 | $7,342.99 | 2026-03-12 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Outpatient | TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $2.54 | $23,670.30 | $11,835.15 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Outpatient | CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $2.54 | $23,670.30 | $11,835.15 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $2.69 | $24,241.36 | $12,120.68 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Outpatient | CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $2.69 | $24,241.36 | $12,120.68 | 2026-03-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.88 | $372.65 | $372.65 | 2026-04-24 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA MEDICARE SUPPLEMENTAL [101309] | $4.14 | $20,240.22 | $20,240.22 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA PRIORITY HEALTH [101308] | $4.14 | $20,240.22 | $20,240.22 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA 182223 [101302] | $4.14 | $20,240.22 | $20,240.22 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA 188017 [101305] | $4.14 | $20,240.22 | $20,240.22 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | COFINITY CIGNA [101306] | $4.14 | $20,240.22 | $20,240.22 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA EXPATRIOT BENEFITS [101304] | $4.14 | $20,240.22 | $20,240.22 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA [101307] | $4.14 | $20,240.22 | $20,240.22 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA 55270 [101303] | $4.14 | $20,240.22 | $20,240.22 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH PLAN [105101] | $4.14 | $20,240.22 | $20,240.22 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH [105102] | $4.14 | $20,240.22 | $20,240.22 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH 853923 [105103] | $4.14 | $20,240.22 | $20,240.22 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH HMA [105104] | $4.14 | $20,240.22 | $20,240.22 | 2026-03-23 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB SEKS OK MEDICAID | $5.25 | $18,245.58 | $11,859.63 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | MEDICAID [20240] | HB SEKS OK MEDICAID | $5.25 | $18,245.58 | $11,859.63 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB SEKS OK MEDICAID | $5.25 | $18,245.58 | $11,859.63 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | KANCARE CONTRACTED [320213] | HB SEKS UHC KS MEDICAID | $5.25 | $18,245.58 | $11,859.63 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB SEKS OK MEDICAID | $5.25 | $18,245.58 | $11,859.63 | 2026-03-18 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.12 | $3,401.00 | $228.18 | 2024-12-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL OutpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MAP [599] | $6.14 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL OutpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MAP [599] | $6.14 | — | — | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC HMO PPO ALL PAYER | — | $10,485.88 | $6,815.82 | 2026-03-12 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $7.43 | $34,204.47 | $20,522.68 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $7.43 | $34,204.47 | $20,522.68 | 2026-03-24 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ADA OK MEDICAID (SOONERCARE) | $7.66 | $7,813.86 | $5,079.01 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ADA OK MEDICAID (SOONERCARE) | $7.66 | $7,813.86 | $5,079.01 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | MEDICAID [20240] | HB ADA OK MEDICAID (SOONERCARE) | $7.66 | $7,813.86 | $5,079.01 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ADA OK MEDICAID (SOONERCARE) | $7.66 | $7,813.86 | $5,079.01 | 2026-03-12 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $8.16 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $8.16 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $8.16 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $8.16 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $8.16 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $8.16 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $8.30 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $8.30 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $8.30 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $8.30 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $8.30 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $8.30 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $8.31 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $8.31 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $8.31 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $8.31 | $31,302.31 | $6,260.46 | 2026-03-26 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | CIGNA [100009] | HB CIGNA EPO ADULT LOCATIONS | $8.38 | $19,846.11 | $4,366.14 | 2026-03-19 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.45 | $10,485.88 | $6,815.82 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.45 | $10,485.88 | $6,815.82 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB ADA BCBS OF OK NATIVEBLUE MCR 103% | $8.70 | $7,813.86 | $5,079.01 | 2026-03-12 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Blue Cross Blue Shield of Minnesota | Medicare Advantage | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Blue Cross Blue Shield of Minnesota | Managed Medicaid | $8.86 | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | PrimeWest | Medicare Advantage | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Aetna-Allina | Medicare Advantage | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Medicare Advantage | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Commercial | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Sanford Health | Medicare Advantage | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Managed Medicaid | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Humana | Medicare Advantage | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Health Partners | Medicare Advantage | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Triwest Healthcare Alliance | Tricare/Champus | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | United Healthcare | Medicare Advantage/VACCN | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Medica | Managed Medicaid | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | PrimeWest | Managed Medicaid | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Medica | Medicare Advantage | — | $41.00 | $26.04 | 2026-03-17 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC OutpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] | $9.73 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC OutpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] | $9.73 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - MANKATO OutpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $10.03 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - MANKATO OutpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $10.03 | — | — | 2026-03-31 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | CIGNA [100009] | HB CIGNA EPO ADULT LOCATIONS | $10.98 | $21,893.61 | $4,816.59 | 2026-03-19 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | HUMANA | HUMANA COMM OP | $12.10 | $22.00 | $4.40 | 2026-04-30 | MRF ↗ |
| OAKDALE COMMUNITY HOSPITAL Both | HUMANA | HUMANA COMM IP | $12.10 | $22.00 | $4.40 | 2026-04-30 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $12.49 | — | — | 2026-03-18 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - Anthem | All Plans | $13.38 | $108.00 | $38.88 | 2026-01-01 | MRF ↗ |
| HERITAGE VALLEY BEAVER Outpatient | UPMC HEALTH PLAN | UPMC COMMERCIAL | $15.08 | $2,450.50 | $661.64 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Outpatient | UPMC HEALTH PLAN | UPMC COMMERCIAL | $15.08 | $2,450.50 | $661.64 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Outpatient | UPMC HEALTH PLAN | UPMC COMMERCIAL | $15.08 | $2,450.50 | $661.64 | 2024-12-30 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | HIP / Emblem Health | All Plans | $15.12 | $108.00 | $56.16 | 2026-01-01 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $15.15 | $1,296.00 | $777.60 | 2026-03-06 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Cigna | All Plans | $16.93 | $108.00 | $38.88 | 2026-01-01 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - Wellcare | All Plans | $17.06 | $108.00 | $38.88 | 2026-01-01 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - CtCare | All Plans | $17.10 | $108.00 | $38.88 | 2026-01-01 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | Medicare Advantage - Aetna | All Plans | $17.17 | $108.00 | $56.16 | 2026-01-01 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | Medicare Advantage - UHC | All Plans | $17.76 | $108.00 | $56.16 | 2026-01-01 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | Medicare Advantage - Wellcare | All Plans | $18.16 | $108.00 | $56.16 | 2026-01-01 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | Medicare Advantage - Empire Blue Cross | All Plans | $18.28 | $108.00 | $56.16 | 2026-01-01 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | GHI / Emblem Health | All Plans | $18.36 | $108.00 | $56.16 | 2026-01-01 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $18.40 | — | — | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $18.40 | $1,296.00 | $777.60 | 2026-03-06 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | SUPERIOR | Medicaid|CHIP | $18.40 | $230.00 | $40.25 | 2026-02-28 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | LA Health Care | Medi-Cal | — | $687.00 | $687.00 | 2026-02-25 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | SUPERIOR | Medicaid|CHIP | $18.40 | $230.00 | $40.25 | 2026-02-28 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | $383.00 | $229.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Work Partners | Workers Comp | — | $383.00 | $229.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | US Family Health Plan | Tricare Prime | — | $191.00 | $114.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | $383.00 | $229.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | $383.00 | $229.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Work Partners | Workers Comp | — | $383.00 | $229.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.59 | $383.00 | $229.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | $383.00 | $229.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.59 | $383.00 | $229.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | $191.00 | $114.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | $191.00 | $114.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Work Partners | Workers Comp | — | $191.00 | $114.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | US Family Health Plan | Tricare Prime | — | $191.00 | $114.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Tricare | East Region | — | $191.00 | $114.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Work Partners | Workers Comp | — | $191.00 | $114.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | $495.00 | $297.00 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Tricare | East Region | — | $191.00 | $114.60 | 2026-03-06 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $18.62 | $108.00 | $38.88 | 2026-01-01 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | Medicare Advantage - CtCare | All Plans | $18.69 | $108.00 | $56.16 | 2026-01-01 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | — | $126.00 | $75.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Private Health Care Systems | Workers' Comp | — | $181.00 | $108.60 | 2026-03-07 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $528.00 | $316.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $181.00 | $108.60 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Tricare | East Region | — | $181.00 | $108.60 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Work Partners | Workers Comp | — | $181.00 | $108.60 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $126.00 | $75.60 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $174.00 | $104.40 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $126.00 | $75.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $181.00 | $108.60 | 2026-03-07 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | UNITED | Medicaid|STARKIDS | $18.77 | $230.00 | $40.25 | 2026-02-28 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Tricare | East Region | — | $181.00 | $108.60 | 2026-03-07 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | US Family Health Plan | Tricare Prime | — | $174.00 | $104.40 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Private Health Care Systems | Workers' Comp | — | $181.00 | $108.60 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $181.00 | $108.60 | 2026-03-07 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $128.00 | $76.80 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $528.00 | $316.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | — | $126.00 | $75.60 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | UPMC Work Partners | Workers Comp | — | $174.00 | $104.40 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | UPMC Work Partners | Workers Comp | — | $128.00 | $76.80 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | US Family Health Plan | Tricare Prime | — | $128.00 | $76.80 | 2026-03-06 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | UNITED | Medicaid|All Other Plans | $18.77 | $230.00 | $40.25 | 2026-02-28 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $181.00 | $108.60 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $126.00 | $75.60 | 2026-03-06 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | UNITED | Medicaid|All Other Plans | $18.77 | $230.00 | $40.25 | 2026-02-28 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Tricare | East Region | — | $174.00 | $104.40 | 2026-03-06 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | UNITED | Medicaid|STARKIDS | $18.77 | $230.00 | $40.25 | 2026-02-28 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Work Partners | Workers Comp | — | $181.00 | $108.60 | 2026-03-07 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $18.77 | $3,488.00 | $2,092.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | $126.00 | $75.60 | 2026-03-06 | MRF ↗ |
| DEACONESS MEDICAL CENTER OutpatientFacility | Molina | Apple Health | — | $815.00 | $326.00 | 2025-07-25 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.92 | $691.00 | $414.60 | 2026-03-06 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - UHC | All Plans | $18.95 | $108.00 | $38.88 | 2026-01-01 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | BCBS | Medicaid|STARKIDS | $19.32 | $230.00 | $40.25 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | Wellpoint | Medicaid|All Other Plans | $19.32 | $230.00 | $40.25 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | Wellpoint | Medicaid|All Other Plans | $19.32 | $230.00 | $40.25 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | SUPERIOR | Medicaid|All Other Plans | $19.32 | $230.00 | $40.25 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | BCBS | Medicaid|STARKIDS | $19.32 | $230.00 | $40.25 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | SUPERIOR | Medicaid|All Other Plans | $19.32 | $230.00 | $40.25 | 2026-02-28 | MRF ↗ |
| SCK HEALTH Outpatient | AETNA MCR ADV OP ONLY | AETNA MCR ADV OP ONLY | $19.43 | $495.00 | $495.00 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | AMBETTER COMM OP ONLY - ALL OTHER PLANS | AMBETTER COMM OP ONLY - ALL OTHER PLANS | $19.43 | $495.00 | $495.00 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | AMBETTER MCR OP ONLY | AMBETTER MCR OP ONLY | $19.43 | $495.00 | $495.00 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | UHC MCR ADV OP ONLY | UHC MCR ADV OP ONLY | $19.43 | $495.00 | $495.00 | 2026-05-04 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MEDI-CAL [2001] | MEDI-CAL | $20.00 | $6,024.00 | $3,313.20 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | XIMED [2016] | MEDI-CAL | $20.00 | $6,024.00 | $3,313.20 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD PROMISE [1017] | BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) | $20.00 | $6,024.00 | $3,313.20 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY ELDERCARE [1027] | MEDI-CAL | $20.00 | $6,024.00 | $3,313.20 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA MEDI-CAL | $20.00 | $6,024.00 | $3,313.20 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MEDI-CAL [1048] | MEDI-CAL | $20.00 | $6,024.00 | $3,313.20 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | VANTAGE [1092] | PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL | $20.00 | $6,024.00 | $3,313.20 | 2026-04-01 | 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.