43219 — Pr Esophagoscopy,insert Tube/stent
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR ESOPHAGOSCOPY,INSERT TUBE/STENT (CPT 43219) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43219?code_type=CPT
MLA (9th ed.)
“PR ESOPHAGOSCOPY,INSERT TUBE/STENT (CPT 43219) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43219?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR ESOPHAGOSCOPY,INSERT TUBE/STENT (CPT 43219) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43219?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $708–$4,649 (25th–75th percentile) across 461 hospitals · 276 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43219 — 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 physician and sedation fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$708
$2,084 typical
$4,649
The middle 50% of negotiated facility rates for this procedure, measured across 461 hospitals. The physician and sedation 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. | $2,084 |
| Anesthesia Estimate national typical Generic anesthesia (~30 min typical, median CMS base units). Medicare $123 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $386 |
| Likely subtotal | $2,470 |
Complete-episode estimate (typical)
~$2,470
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $708–$4,649.
Your recovery plan — adjust to what your doctor told you
After your procedure, 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)
~$6,255
- Endoscopist (professional fee): no Medicare benchmark for 43219 — leg omitted.
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 4 base units (typical CMS value) × ~30 min; approximate, NOT a procedure-specific crosswalk
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 |
|---|---|---|---|---|---|---|---|
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $58.05 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $58.05 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $58.05 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $58.05 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $58.05 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $59.19 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $59.19 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $59.19 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $59.19 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $59.19 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $76.00 | $317.00 | $317.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $76.00 | $317.00 | $317.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $76.00 | $317.00 | $317.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $76.00 | $317.00 | $317.00 | 2025-07-03 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Nap | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Other | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha-Asa | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Src | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | — | — | — | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $94.85 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $94.85 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $94.85 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $94.85 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $94.85 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $94.85 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $94.85 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $94.85 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $94.85 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $94.85 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $94.85 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $94.85 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $96.75 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $96.75 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $96.75 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $99.60 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $99.60 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $99.60 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $99.60 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $99.60 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $99.60 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $103.00 | $317.00 | $317.00 | 2025-07-03 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $108.40 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $110.57 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $110.57 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $110.57 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $111.11 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $111.11 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $111.11 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $111.11 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $111.11 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $111.11 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicare|All Plans | $113.82 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $113.82 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicare|All Plans | $113.82 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicare|All Plans | $113.82 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $113.82 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $113.82 | $271.00 | $224.93 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicaid|Community Plan | $116.53 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $116.53 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicaid|Community Plan | $116.53 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicaid|Community Plan | $116.53 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $116.53 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $116.53 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $116.53 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicaid|All Plans | $118.87 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Total Care | Medicaid|All Plans | $118.87 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|IA Total Care | $118.87 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|IA Total Care | $118.87 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $118.87 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Total Care | Medicaid|All Plans | $118.87 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $118.87 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Total Care | Medicaid|All Plans | $118.87 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicaid|All Plans | $118.87 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicaid|All Plans | $118.87 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicaid|All Plans | $118.87 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|IA Total Care | $118.87 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $118.87 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicaid|All Plans | $118.87 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicaid|All Plans | $118.87 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $120.00 | — | — | 2026-04-01 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | IAMolina | Medicaid|All Plans | $121.20 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | IAMolina | Medicaid|All Plans | $121.20 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | IAMolina | Medicaid|All Plans | $121.20 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | IAMolina | Medicaid|All Plans | $121.20 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | IAMolina | Medicaid|All Plans | $121.20 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | IAMolina | Medicaid|All Plans | $121.20 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $122.36 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $122.36 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $122.36 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $122.36 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $122.36 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $122.36 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $135.75 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Preferred | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Centivo | Centivo Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | JIB | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | — | — | 2026-04-01 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | PACE | Medicare|All Plans | $138.21 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Great Plains | Medicare|All Plans | $138.21 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Great Plains | Medicare|All Plans | $138.21 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | PACE | Medicare|All Plans | $138.21 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | BCBS - NE | Medicare|All Plans | $138.21 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | BCBS - NE | Medicare|All Plans | $138.21 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Medica | Medicare|All Plans | $138.21 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Humana | Medicare|All Plans | $138.21 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Medica | Medicare|All Plans | $138.21 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | United | Medicare|All Plans | $138.21 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | United | Medicare|All Plans | $138.21 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Humana | Medicare|All Plans | $138.21 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Centene | Medicare|All Plans | $140.98 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Centene | Medicare|All Plans | $140.98 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicare|All Plans | $145.13 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicare|All Plans | $145.13 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| SCK HEALTH Outpatient | AMBETTER COMM OP ONLY - ALL OTHER PLANS | AMBETTER COMM OP ONLY - ALL OTHER PLANS | $150.00 | $600.00 | $600.00 | 2026-05-04 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Centene | Medicaid|NE Total Care | $154.47 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Centene | Medicaid|NE Total Care | $154.47 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | United | Medicaid|Community Plan | $154.47 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|HMO | $154.47 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | United | Medicaid|Community Plan | $154.47 | $271.00 | $230.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|PPO | $154.47 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|HMO | $154.47 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|PPO | $154.47 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|PPO | $154.47 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|HMO | $154.47 | $271.00 | $132.79 | 2026-02-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HEALTH PARTNERS | $156.25 | — | — | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HPI | $156.25 | — | — | 2025-12-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|HMO | $162.60 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|PPO | $162.60 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|HMO | $162.60 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|PPO | $162.60 | $271.00 | $130.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|PPO | $162.60 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|HMO | $162.60 | $271.00 | $130.08 | 2025-09-30 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | United | Medicare|All Plans | $165.31 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | PACE | Medicare|All Plans | $165.31 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Medica | Medicare|All Plans | $165.31 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | United | Medicare|All Plans | $165.31 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | BCBS - NE | Medicare|All Plans | $165.31 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Humana | Medicare|All Plans | $165.31 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | PACE | Medicare|All Plans | $165.31 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Medica | Medicare|All Plans | $165.31 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | BCBS - NE | Medicare|All Plans | $165.31 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Humana | Medicare|All Plans | $165.31 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Todays Options | Medicare|All Plans | $168.62 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Todays Options | Medicare|All Plans | $168.62 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Centene | Medicare|All Plans | $168.62 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Centene | Medicare|All Plans | $168.62 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $172.23 | — | — | 2026-04-01 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Great Plains | Medicare|All Plans | $173.58 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Great Plains | Medicare|All Plans | $173.58 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Amerigroup | Medicare|All Plans | $173.58 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Amerigroup | Medicare|All Plans | $173.58 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | United | Medicaid|Community Plan | $176.15 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Centene | Medicaid|NE Total Care | $176.15 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Centene | Medicaid|NE Total Care | $176.15 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | United | Medicaid|Community Plan | $176.15 | $271.00 | $227.64 | 2026-02-28 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $181.00 | — | — | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $181.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $181.00 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $181.00 | — | — | 2025-08-06 | 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.