42999 — Unlisted Px Phrnx Adnd/tnsl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). UNLISTED PX PHRNX ADND/TNSL (HCPCS 42999) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/42999?code_type=HCPCS
MLA (9th ed.)
“UNLISTED PX PHRNX ADND/TNSL (HCPCS 42999) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/42999?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“UNLISTED PX PHRNX ADND/TNSL (HCPCS 42999) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/42999?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $242–$1,615 (25th–75th percentile) across 1,708 hospitals · 4,364 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 42999 — 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 |
|---|---|---|---|---|---|---|---|
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.91 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD 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 | $803.00 | $321.20 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $1.98 | $803.00 | $321.20 | 2026-05-13 | 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 ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.38 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.38 | — | — | 2026-03-18 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | California Health and Wellness | California Health and Wellness | $5.14 | $915.00 | $686.25 | 2026-04-01 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | ALBANY COUNTY CORRECTIONAL FACILITY | ALBANY CORRECTIONAL FACILITY | $7.58 | — | $7,418.27 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $8.03 | — | $7,418.27 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $8.03 | — | $7,418.27 | 2026-03-31 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC CHPS|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICARE | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | AETNA [100] | AETNA|AETNA DENTAL|MERITAIN HEALTH | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICARE | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $8.60 | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 3&4 | $8.60 | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC CARRIER [107] | COMMERCIAL|HUMANA|CDPHP COMMERCIAL | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MH OPTUM [170] | MH OPTUM COMMUNITY | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | — | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $9.18 | $6,411.88 | $4,167.72 | 2024-12-30 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $10.17 | $508.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $10.17 | $508.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $10.17 | $508.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $10.17 | $508.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $10.17 | $508.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $10.17 | $508.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $10.17 | $508.50 | — | 2026-03-31 | 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 | $15.33 | $123.78 | $44.56 | 2026-01-01 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $17.04 | — | $7,418.27 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | FIDELIS CARE MEDICAID ADVANTAGE | FIDELIS MEDICAID EPP 1 & 2 QHP | $17.04 | — | $7,418.27 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | FIDELIS CARE MEDICAID ADVANTAGE | FIDELIS MEDICAID ESS PLAN 3 &4 | $17.04 | — | $7,418.27 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $17.04 | — | $7,418.27 | 2026-03-31 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | UPMC Medicare | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Cigna Medicare | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Allwell PA Health & Wellness | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | UPMC Medicare | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Allwell PA Health & Wellness | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Geisinger Medicare | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Geisinger Medicare | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Blue Cross Medicare Advantage | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Blue Cross Medicare Advantage | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Aetna Medicare | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Humana | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Aetna Medicare | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Humana | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | Cigna Medicare | Medicare Advantage | $17.68 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | $200.00 | $120.00 | 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 | $560.00 | $336.00 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Work Partners | Workers Comp | — | $200.00 | $120.00 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | $200.00 | $120.00 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | $200.00 | $120.00 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | $200.00 | $120.00 | 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 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 | $200.00 | $120.00 | 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 | $200.00 | $120.00 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Work Partners | Workers Comp | — | $200.00 | $120.00 | 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 | $560.00 | $336.00 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $18.77 | $1,646.00 | $987.60 | 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 | $532.00 | $319.20 | 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 | $244.00 | $146.40 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | — | $244.00 | $146.40 | 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 | $706.00 | $423.60 | 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 | $706.00 | $423.60 | 2026-03-07 | MRF ↗ |
| UPMC EAST OutpatientFacility | UPMC Work Partners | Workers Comp | — | $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 | $532.00 | $319.20 | 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 | $244.00 | $146.40 | 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 | $1,519.00 | $911.40 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $244.00 | $146.40 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | — | $244.00 | $146.40 | 2026-03-06 | 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 ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $244.00 | $146.40 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | US Family Health Plan | Tricare Prime | — | $128.00 | $76.80 | 2026-03-06 | 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 | $1,362.00 | $817.20 | 2026-03-06 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Cigna | All Plans | $19.40 | $123.78 | $44.56 | 2026-01-01 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - Wellcare | All Plans | $19.55 | $123.78 | $44.56 | 2026-01-01 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - CtCare | All Plans | $19.60 | $123.78 | $44.56 | 2026-01-01 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $21.34 | $123.78 | $44.56 | 2026-01-01 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - UHC | All Plans | $21.72 | $123.78 | $44.56 | 2026-01-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Upmc | All Commercial Plans | $23.29 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $25.00 | $275.00 | $52.25 | 2026-01-31 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Great West Network | All Plans | $25.47 | $123.78 | $44.56 | 2026-01-01 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $25.75 | — | — | 2026-04-14 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY CARE IPA [1131] | Community Care IPA Medi-Cal Managed Care | $26.13 | $44,332.93 | $24,383.11 | 2026-04-01 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Champus | All Plans | $26.57 | $123.78 | $44.56 | 2026-01-01 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $26.64 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $26.64 | $52.00 | $31.20 | 2026-02-12 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | UPMC Health Plan | Commercial | $27.14 | $1,519.00 | $911.40 | 2026-03-06 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Optum | All Plans | $27.23 | $123.78 | $44.56 | 2026-01-01 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | Commercial | $27.55 | $560.00 | $336.00 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | Commercial | $27.55 | $560.00 | $336.00 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Health Plan | Commercial | $27.77 | $706.00 | $423.60 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Health Plan | Commercial | $27.77 | $706.00 | $423.60 | 2026-03-07 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UPMC Health Plan | Commercial | $27.92 | $1,362.00 | $817.20 | 2026-03-06 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | CtCare | All Plans | $28.23 | $123.78 | $44.56 | 2026-01-01 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | UPMC Health Plan | Commercial | $28.24 | $1,646.00 | $987.60 | 2026-03-06 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC BothFacility | Community Health Network of Washington | Medicare Advantage | $28.31 | $60.90 | $42.63 | 2026-03-30 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO MUTUAL OF ENUMCLAW [610] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | PYRAMID MEDICARE [128] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | KAISER PERMANENTE MED ADV [136] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO DAIRYLAND INSURANCE [617] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO PROGRESSIVE [608] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AGERIGHT ADVANTAGE [142] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO TRAVELERS INSURANCE [615] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ SEDGWICK CMS [660] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | ATRIO HEALTH MEDICARE [138] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | SAMARITAN HEALTH PLAN MED ADV [141] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ CORVEL [676] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ PENSER NO AMERICAN [663] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO FARMERS [605] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ HARTFORD [655] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | INDIAN HEALTH [704] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ BROADSPIRE SERVICES [670] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO HARTFORD [612] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ SEDGWICK [668] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | MEDICARE AB REBILL ALT PAYER [175] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ CHARTIS CLAIMS [650] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ GALLAGHER BASSETT [654] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ CCMSI [618] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO STATE FARM CLAIMS [609] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ SAIF [667] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ PINNACLE RISK MGMT [661] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ INTERMOUNTAIN CLAIMS INC [666] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ TRISTAR [673] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | HEALTH NET MED ADV [135] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | WELLCARE [132] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | LAW ENFORCEMENT [701] | SCHS SMH HB LAW ENFORCEMENT | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | UNICARE [133] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | MEDICARE [100] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO GEICO CLAIMS OREGON [606] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | DEVOTED HEALTH INC [145] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ LIBERTY MUTUAL WAUSAU UNDERWRITERS [671] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ CITY COUNTY INS SERVICES [662] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | VETERANS [706] | Veteran Affairs | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | GENERIC AUTO [649] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | HUMANA MEDICARE [130] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | GENERIC WORKERS COMP [699] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO OREGON MUTUAL [614] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | CHAMP VA [700] | Veteran Affairs | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO SUBLIMITY INSURANCE [616] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO USAA [611] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ ESIS WEST WC CLAIMS [653] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AETNA MEDICARE [131] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO SAFECO CONCENTRA [600] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO AMERICAN FAMILY INSURANCE [603] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | UHC MEDICARE ADVANTAGE [127] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | HUMANA MC AB REBILL [176] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | MEDICARE VACCINE [999100100] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO ALLSTATE INSURANCE [602] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | CIGNA MEDICARE [143] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | MEDICARE ADVANTAGE GENERIC [199] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | COVID-19 MEDICARE ALT PAYOR [805] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO COUNTRY INSURANCE CLAIMS [604] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO LIBERTY MUTUAL AUTO INS [613] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | HEALTH MARKET CARE ASSURED [134] | Medicare | $28.32 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | OTJ TRAVELERS INSURANCE [672] | Oregon Workers Compensation | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AUTO NATIONWIDE ALLIED INSURANC [601] | Auto Insurance | — | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| UPMC EAST OutpatientFacility | UPMC Health Plan | Commercial | $28.47 | $128.00 | $76.80 | 2026-03-06 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | UPMC Health Plan | Commercial | $28.79 | $532.00 | $319.20 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | UPMC Health Plan | Commercial | $28.79 | $532.00 | $319.20 | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $28.86 | $444.00 | $288.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $28.86 | $444.00 | $288.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $28.86 | $444.00 | $288.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $28.86 | $444.00 | $288.60 | 2026-03-12 | MRF ↗ |
| HOLMES COUNTY HOSPITAL AND CLINICS Outpatient | CIGNA-LEX | CIGNA COMMERCIAL | $29.58 | $51.00 | $20.40 | 2026-03-18 | MRF ↗ |
| UNIVERSITY OF MISSISSIPPI MED CENTER Outpatient | CIGNA-LEX | CIGNA COMMERCIAL | $29.58 | $51.00 | $20.40 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $29.85 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $30.00 | $302.00 | $151.00 | 2025-02-03 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Tufts Health Plan | All Plans | $30.10 | $123.78 | $44.56 | 2026-01-01 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $30.62 | $471.00 | $306.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $30.62 | $471.00 | $306.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $30.62 | $471.00 | $306.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $30.62 | $471.00 | $306.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $30.62 | $471.00 | $306.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $30.62 | $471.00 | $306.15 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $31.00 | $302.00 | $151.00 | 2025-02-03 | MRF ↗ |
| ST CHARLES MADRAS Both | BLUE CROSS MED ADV [125] | Blue Cross Medicare | $31.15 | $118.00 | $94.40 | 2026-04-01 | MRF ↗ |
| HOLMES COUNTY HOSPITAL AND CLINICS Outpatient | TRICARE-LEX | TRICARE | $31.29 | $51.00 | $20.40 | 2026-03-18 | MRF ↗ |
| UNIVERSITY OF MISSISSIPPI MED CENTER Outpatient | TRICARE-LEX | TRICARE | $31.29 | $51.00 | $20.40 | 2026-04-01 | MRF ↗ |
| HOLMES COUNTY HOSPITAL AND CLINICS Outpatient | MEDICARE_HUMANA-LEX | HUMANA MEDICARE ADVANTAGE | $31.82 | $51.00 | $20.40 | 2026-03-18 | 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.