43235 — Egd Diagnostic Brush Wash
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EGD DIAGNOSTIC BRUSH WASH (HCPCS 43235) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43235?code_type=HCPCS
MLA (9th ed.)
“EGD DIAGNOSTIC BRUSH WASH (HCPCS 43235) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43235?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“EGD DIAGNOSTIC BRUSH WASH (HCPCS 43235) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43235?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $843–$2,298 (25th–75th percentile) across 3,436 hospitals · 8,894 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43235 — 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
$843
$1,317 typical
$2,298
The middle 50% of negotiated facility rates for this procedure, measured across 3,436 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. | $1,317 |
| Endoscopist (professional fee) Estimate national typical Medicare $111 × 1.22 commercial. | $135 |
| Anesthesia Estimate national typical 00731, ~30 min typical. Medicare $143 × 3.14 commercial. | $451 |
| Likely subtotal | $1,902 |
Complete-episode estimate (typical)
~$1,902
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: whether a finding is treated during the same procedure, which converts a diagnostic exam to a therapeutic one and changes the cost-sharing.
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)
~$5,687
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Endoscopist (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
- 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
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 |
|---|---|---|---|---|---|---|---|
| HOMESTEAD HOSPITAL Outpatient | BLUE CROSS | BLUE SELECT | — | — | — | 2026-03-30 | MRF ↗ |
| HOMESTEAD HOSPITAL Outpatient | BLUE CROSS | BLUE SELECT | — | — | — | 2026-03-30 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $1,079.61 | $107.96 | 2026-07-18 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL, INC Outpatient | Ambetter Health | Commercial | — | $2,988.99 | $2,839.54 | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $2,820.00 | $2,312.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $2,820.00 | $2,312.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $2,820.00 | $2,312.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $2,820.00 | $2,312.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $2,820.00 | $2,312.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $2,820.00 | $2,312.40 | 2025-11-26 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.29 | $633.00 | $474.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.29 | $633.00 | $474.75 | 2026-07-01 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $3.20 | $224.00 | $156.80 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.54 | $417.00 | $79.23 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.54 | $305.00 | $57.95 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $3.89 | $1,014.00 | $659.10 | 2026-05-07 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | AETNA COVENTRY - ALL OTHER PLANS | AETNA COVENTRY - ALL OTHER PLANS | $4.25 | $329.64 | — | 2026-03-02 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.14 | $755.00 | $755.00 | 2026-07-09 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $5.37 | $1,274.00 | $1,274.00 | 2026-07-16 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $7.08 | $1,007.00 | $1,007.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $7.08 | $1,007.00 | $1,007.00 | 2026-02-13 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CIGNA GREAT WEST [5305] | OMC CIGNA OAP | — | $51,854.98 | $2,563.09 | 2026-04-01 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Traditional | Commercial | $7.90 | $322.00 | $225.40 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $8.06 | $4,476.00 | $906.34 | 2024-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $11.23 | $1,343.00 | $1,007.25 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $11.23 | $1,343.00 | $1,007.25 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $11.23 | $1,343.00 | $1,007.25 | 2026-10-01 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Cigna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $14.00 | $322.00 | $225.40 | 2026-07-15 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | MOLINA MCAL | MOLINA MCAL | $15.00 | $458.00 | $68.70 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $15.00 | $417.00 | $79.23 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $15.00 | $417.00 | $62.55 | 2026-10-05 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $15.00 | $458.00 | $68.70 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | MEDI-CAL | MEDI-CAL | $15.00 | $417.00 | $79.23 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $15.00 | $417.00 | $79.23 | 2026-05-20 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BC MEDI-CAL | BC MEDI-CAL | $15.00 | $458.00 | $68.70 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BC MCAL | BC MCAL | $15.00 | $417.00 | $79.23 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $15.00 | $417.00 | $62.55 | 2026-10-05 | MRF ↗ |
| MAYERS MEMORIAL HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $15.00 | $1,240.00 | $1,240.00 | 2026-05-12 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $15.00 | $458.00 | $68.70 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $15.00 | $417.00 | $79.23 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | MEDI-CAL | MEDI-CAL | $15.00 | $417.00 | $62.55 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $15.00 | $417.00 | $79.23 | 2026-05-20 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | HERITAGE MCAL | HERITAGE MCAL | $15.90 | $458.00 | $68.70 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $17.87 | $458.00 | $68.70 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $18.75 | $417.00 | $79.23 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $20.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $20.00 | $417.00 | $79.23 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $20.00 | $417.00 | $79.23 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $20.00 | $417.00 | $79.23 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $20.00 | $417.00 | $83.40 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $20.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $20.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $20.00 | $417.00 | $83.40 | 2026-05-24 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | MEDI-CAL | MEDI-CAL | $20.00 | $541.00 | $112.02 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $20.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $20.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $20.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | MEDI-CAL | MEDI-CAL | $20.00 | $458.00 | $68.70 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $20.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $20.00 | $541.00 | $112.02 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $20.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $20.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $20.00 | $1,595.00 | $1,595.00 | 2026-09-24 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $20.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $20.00 | $417.00 | $79.23 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $20.00 | $417.00 | $79.23 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $20.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $20.00 | $541.00 | $112.02 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $21.15 | $417.00 | $62.55 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $22.50 | $417.00 | $79.23 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $22.50 | $417.00 | $79.23 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $23.82 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $24.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| NORTHERN NEVADA MEDICAL CENTER Both | Prominence | Managed Care | $24.68 | $121.00 | $48.40 | 2026-07-15 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $25.23 | $2,425.50 | $2,425.50 | 2026-04-24 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Va | Node Va | $27.80 | $139.00 | $69.50 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Healthy Indiana Program-Anthem | Anthem In Hip | $27.80 | $139.00 | $69.50 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Node Anthem In Mcr Adv | $27.80 | $139.00 | $69.50 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Devoted Health Mcr Adv | Node Devoted Health Mcr Adv | $27.91 | $139.00 | $69.50 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Aetna | Node Aetna Mcr Adv | $27.91 | $139.00 | $69.50 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $28.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $28.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $28.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $28.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $28.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $28.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient | Highmark | Highmark Comm Community Blue | $28.31 | $145.00 | $123.25 | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient | Highmark | Highmark Comm Managed/Indemnity | $28.31 | $145.00 | $123.25 | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient | Highmark | Highmark Comm Performance Blue | $28.31 | $145.00 | $123.25 | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient | Highmark | Highmark Aca / My Direct Blue / My Blue Access Ppo | $28.31 | $145.00 | $123.25 | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient | Highmark | Highmark Mcr Security Blue | $28.54 | $145.00 | $123.25 | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient | Highmark | Highmark Mcr Freedom Blue | $28.54 | $145.00 | $123.25 | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $28.54 | $145.00 | $123.25 | 2026-07-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | $6,966.75 | 2024-12-08 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Martins Point | Default | $28.80 | $80.00 | $60.00 | 2026-05-18 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Humana Medicare Advantage | Hmo | $28.88 | $110.00 | $27.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Hap Medicare Advantage | Hmo | $28.88 | $110.00 | $27.50 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Humana Medicare Advantage | Part A&B | $28.88 | $110.00 | $27.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Mclaren Medicare Advantage | Hmo | $28.88 | $110.00 | $27.50 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Miami County Sheriffs Department | Miami County Jail | $28.91 | $139.00 | $69.50 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | In Dept Of Correction | In Doc | $28.91 | $139.00 | $69.50 | 2026-07-15 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Priority Health Medicare Advantage | Hmo | $29.18 | $110.00 | $27.50 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Priority Health Medicare Advantage | Part A&B | $29.18 | $110.00 | $27.50 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Mclaren Medicare Advantage | Part A&B | $29.18 | $110.00 | $27.50 | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL Outpatient | Hap Medicare Advantage | Part A&B | $29.18 | $110.00 | $27.50 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Pphp Mcr Adv | Node Pphp Mcr Adv | $29.19 | $139.00 | $69.50 | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Self Pay | Self Pay | $29.19 | $139.00 | $29.19 | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Amish Aid | Amish Aid | $29.19 | $139.00 | $29.19 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $29.27 | $303.00 | $96.96 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Federal | $29.66 | $80.00 | $60.00 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Ppo | $29.66 | $80.00 | $60.00 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Default | $29.66 | $80.00 | $60.00 | 2026-05-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $416.00 | $312.00 | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $30.00 | $417.00 | $79.23 | 2026-05-20 | MRF ↗ |
| Vibra Hospital Of Western Mass - Central Campus | Multiplan Complimentary 737 Multiplan, Value Point | — | $30.00 | $38.00 | — | 2026-07-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | $6,966.75 | 2024-12-08 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Ambetter | Ambetter | $31.10 | $72.00 | $72.00 | 2026-07-15 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Priority | Ppo | $31.68 | $90.00 | $22.50 | 2026-10-12 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $32.00 | $379.00 | $68.22 | 2026-01-30 | MRF ↗ |
| Vibra Hospital Of Western Mass - Central Campus | Multiplan Wc 54 Multiplan, Value Point | — | $32.00 | $38.00 | — | 2026-07-31 | MRF ↗ |
| NORTHERN NEVADA MEDICAL CENTER Both | Nevada Preferred Providers | Managed Care | $32.06 | $121.00 | $48.40 | 2026-07-15 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UNITED HEALTHCARE [16010] | UNITEDHEALTH INTEGRATED SERVICES [1601007] | $32.50 | $993.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UNITED HEALTHCARE [16010] | UMR [1601009] | $32.50 | $993.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UNITED HEALTHCARE [16010] | SUREST UNITED HEALTHCARE [1601008] | $32.50 | $993.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UNITED HEALTHCARE [16010] | UNITED HEALTHCARE [1601005] | $32.50 | $993.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UNITED HEALTHCARE [16010] | UMR LABOR CARE [1601010] | $32.50 | $993.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UNITED HEALTHCARE [16010] | UHC ALL SAVERS [1601011] | $32.50 | $993.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | UNITED HEALTHCARE [16010] | UNITED HEALTHCARE INDEMNITY [1601006] | $32.50 | $993.00 | — | 2026-01-01 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $33.00 | $117.85 | — | 2026-07-30 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | $7,179.00 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | $7,179.00 | 2024-12-08 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Outpatient | Amish Aid | Amish Aid | $33.36 | $139.00 | $33.36 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Amish Aid | Amish Aid | $33.36 | $139.00 | $33.36 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Self Pay | Self Pay | $33.36 | $139.00 | $33.36 | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $33.36 | $139.00 | $33.36 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $33.60 | $417.00 | $79.23 | 2026-05-19 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM SHORT TERM LIMITED DURATION | 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY X | 9231_ANTHEM PATHWAY X VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM TRADITIONAL | 9233_ANTHEM TRADITIONAL VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY | 9230_ANTHEM PATHWAY VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HMO/POS | 9229_ANTHEM HMO POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | UNIFIED GROUP SERVICES | 8812_ANTHEM UNIFIED GROUPS VHIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $33.84 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | 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.