Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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43248 — Egd Guide Wire Insertion

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $1,343

Usually $868–$2,671 (25th–75th percentile) across 2,725 hospitals · 6,674 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43248 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

Also priced as a different code

The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the CPT/HCPCS 43248 table above — including hospitals that only publish the bundled version.

MS_DRG 391 — Esophageal dilation (endoscopic) Inpatient stay bundle
3,240 facilities · 942 not in the CPT/HCPCS table
MS_DRG 392 — Esophageal dilation (endoscopic) Inpatient stay bundle
3,318 facilities · 988 not in the CPT/HCPCS table

An MS-DRG / APR-DRG price is the hospital’s single bundled charge for the entire inpatient stay — operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies — so it’s a broader, usually higher figure than the CPT/HCPCS 43248 line above, which prices the procedure alone. Neither includes the surgeon’s or anesthesiologist’s professional fees, which are billed separately.

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.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$868 $1,343 typical $2,671

The middle 50% of negotiated facility rates for this procedure, measured across 2,725 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. $1,343
Endoscopist (professional fee) Estimate national typical Medicare $148 × 1.22 commercial. $181
Anesthesia Estimate national typical 00731, ~30 min typical. Medicare $143 × 3.14 commercial. $451
Likely subtotal $1,974
Complete-episode estimate (typical) ~$1,974

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.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$5,759
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
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Managed Medicaid — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Medicare Advantage — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Medicare Advantage — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Liberty Advantage Medicare Advantage — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Troy Medicare Advantage — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Cigna Commercial — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient New Hanover Medicare Advantage — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Medicare Advantage — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient First Carolina Care Medicare Advantage — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Cross Blue Shield Of Nc Commercial — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Medicare Partner Health Plan Medicare — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Commercial — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Commercial — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Medcost Commercial — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Healthy Blue Managed Medicaid — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Carolina Complete Health Managed Medicaid — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Nc State Health Plan Commercial — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Longevity Medicare Advantage — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Medicare Advantage — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Multiplan Commercial — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Managed Medicaid — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Tricare — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Commercial — $1,972.00 $1,183.20 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Compass — $1,972.00 $1,183.20 2026-07-31 MRF ↗
BETSY JOHNSON REGIONAL HOSPITAL Outpatient Cigna Commercial — $2,305.00 $1,383.00 2026-07-15 MRF ↗
COLUMBUS COMMUNITY HOSPITAL, INC Outpatient Ambetter Health Commercial — $5,918.99 $5,623.04 2026-07-15 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $4.78 $561.00 $106.59 2026-05-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $4.78 $412.00 $78.28 2026-01-25 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $6.55 $3,638.00 $906.34 2024-12-31 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient BC MCAL BC MCAL $15.00 $561.00 $106.59 2026-05-19 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient KAISER MCAL KAISER MCAL $15.00 $561.00 $106.59 2026-05-19 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient MEDI-CAL MEDI-CAL $15.00 $561.00 $106.59 2026-05-19 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient HEALTHNET MCAL HEALTHNET MCAL $15.00 $561.00 $106.59 2026-05-19 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient UNIVERSAL HC MCAL PROFEE UNIVERSAL HC MCAL PROFEE $15.00 $561.00 $106.59 2026-05-19 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Medicare Medicare $15.42 $1,517.00 $1,137.75 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Bcbs Medicare Medicare $15.42 $1,517.00 $1,137.75 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Vaccn Medicare $15.42 $1,517.00 $1,137.75 2026-10-01 MRF ↗
SPRINGHILL MEDICAL CENTER Outpatient Unitedhealthcare Insurance Company (Contracting On Behalf Of Itself, Unitedhealthcare Of Alabama, Inc. And United'S Affiliates) Commercial All Payer — $2,903.71 $2,468.15 2026-07-15 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $20.75 $1,995.55 $1,995.55 2026-04-24 MRF ↗
ADVENTIST HEALTH HANFORD Outpatient VALLEY CHILDRENS - ALL PLANS VALLEY CHILDRENS - ALL PLANS $25.20 $561.00 $106.59 2026-05-19 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both First Choice Select Health Managed Medicaid — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Molina Mangaged Medicare — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Aetna Commercial — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Cigna Commercial — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Absolute Total Care Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Blue Cross Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both America'S First Choice Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Aetna Managed Medicare — — — 2026-10-03 MRF ↗
DECATUR COUNTY MEMORIAL HOSPITAL Outpatient UHC-ALL OTHER PLANS UHC-ALL OTHER PLANS $30.00 $1,157.00 $867.75 2026-03-18 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient MEDI-CAL MEDI-CAL $35.00 $561.00 $84.15 2026-10-05 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient BC MEDI-CAL BC MEDI-CAL $35.00 $561.00 $84.15 2026-10-05 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient CENTRAL CA ALLIANCE MCAL PROFEE ONLY CENTRAL CA ALLIANCE MCAL PROFEE ONLY $35.00 $561.00 $106.59 2026-05-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient MEDI-CAL MEDI-CAL $35.00 $561.00 $106.59 2026-05-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient UPN MCAL PROFEE ONLY-ALL OTHER PLANS UPN MCAL PROFEE ONLY-ALL OTHER PLANS $35.00 $561.00 $106.59 2026-05-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS $35.00 $561.00 $106.59 2026-05-20 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient UNIVERSAL HC MCAL PROFEE ONLY UNIVERSAL HC MCAL PROFEE ONLY $35.00 $561.00 $84.15 2026-10-05 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient CAL VIVA HLTH MCAL - ALL PLANS CAL VIVA HLTH MCAL - ALL PLANS $35.00 $561.00 $106.59 2026-05-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient BC MCAL BC MCAL $35.00 $561.00 $106.59 2026-05-20 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient MEDICA MEDICARE [16024] MEDICA PRIME SOLUTION [1602403] $37.99 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient UCARE MEDICARE [16042] UCARE MSHO [1604204] $37.99 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient MEDICA MEDICARE [16024] MEDICA ACCESSABILITY SOLUTION ENHANCED [1602405] $37.99 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient MEDICA MEDICARE [16024] MEDICA ADVANTAGE SOLUTION [1602401] $37.99 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient BLUE CROSS BLUE SHIELD MEDICARE [16008] BCBS MN MEDICARE ADVANTAGE [1600801] $37.99 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient MEDICA MEDICARE [16024] MEDICA COMPLETE SOLUTION [1602404] $37.99 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient UCARE MEDICARE [16042] UCARE MEDICARE PLANS [1604203] $37.99 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient BLUE CROSS BLUE SHIELD MEDICARE [16008] BCBS BLUE PLUS SECURE BLUE [1600804] $37.99 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient PRIME WEST MEDICARE [16030] PRIME WEST MSHO [1603001] $37.99 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient BLUE CROSS BLUE SHIELD MEDICARE [16008] BCBS OUT OF STATE MEDICARE [1600802] $37.99 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient BLUE CROSS BLUE SHIELD MEDICARE [16008] BCBS PLATINUM BLUE [1600803] $37.99 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient UCARE MEDICARE [16042] UCARE CONNECT PLUS MEDICARE [1604201] $37.99 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient AARP MEDICARE [16001] AARP MEDICARE COMPLETE [1600101] $39.13 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient AETNA MEDICARE [16004] ALLINA HEALTH AETNA MEDICARE ADV [1600402] $39.13 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient UNITED HEALTHCARE MEDICARE [16044] UNITED HEALTHCARE MEDICARE ADVANTAGE [1604401] $39.13 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient UNITED HEALTHCARE MEDICARE [16044] UNITED HEALTHCARE MEDICARE SOLUTIONS [1604402] $39.13 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient HEALTHPARTNERS MEDICARE [16019] HEALTHPARTNERS FREEDOM [1601901] $39.89 $565.00 — 2026-01-01 MRF ↗
RIDGEVIEW MEDICAL CENTER Inpatient HEALTHPARTNERS MEDICARE [16019] HEALTHPARTNERS MEDICARE ADVANTAGE [1601902] $39.89 $565.00 — 2026-01-01 MRF ↗
ISLAND HOSPITAL Outpatient MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $40.00 $420.00 $420.00 2025-03-18 MRF ↗
INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient Ccbh - Behavioral Health Behavioral — — — 2026-07-19 MRF ↗
ISLAND HOSPITAL Outpatient HUMANA COMM - ALL OTHER PLANS HUMANA COMM - ALL OTHER PLANS — $420.00 $420.00 2025-03-18 MRF ↗
WYNN HOSPITAL Outpatient CORVEL CORP WC [700054] WC CORVEL CORP [70005401] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S MVHS EMPLOYEE [70005903] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient LIBERTY MUTUAL WORK COMP [700016] WC LIBERTY MUTUAL [70001601] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient ESIS WORK COMP [700010] WC ESIS [70001001] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient SEDGWICK [700027] WC SEDGWICK [70002701] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient ALLSTATE AUTO INSURANCE [800001] NF ALLSTATE [80000101] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient NY CTRL MUTUAL NF [800004] NF NY CTRL MUTUAL [80000401] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient GALLAGHER BASSETT WORK COMP [700013] WC GALLAGHER BASSETT [70001301] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient PROGRESSIVE AUTO INSURANCE [800005] NF PROGRESSIVE AUTO INSURANCE [80000501] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient TRAVELERS WORK COMP [700028] WC TRAVELERS [70002801] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient STRATEGIC COMP SERVICES [700061] WC STRATEGIC COMP SERVICES [70006101] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient UTICA NATIONAL NO FAULT [800007] NF UTICA NATIONAL INS [80000701] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient WC MISC. [709999] WC MISC. [70999901] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient NF MISC. [809999] NF MISC. [80999901] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient MADISON ONEIDA HERK WC [700056] WC MADISON ONEIDA HERK [70005601] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient NCA WC [700057] WC NCA [70005701] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient CHARTIS WC [700029] WC CHARTIS [70002901] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient ERIE INS NF [800002] NF ERIE INS [80000201] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA SEMC EMPLOYEE [70005902] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient STATE FARM AUTO INSURANCE NF [800026] NF STATE FARM AUTO INSURANCE [80002601] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient LIBERTY MUTUAL AUTO INSURANCE [800008] NF LIBERTY MUTUAL AUTO INS [80000801] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient GEICO AUTO INSURANCE [800003] NF GEICO AUTO INSURANCE [80000301] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient MVHS WORKMANS COMPENSATION [700059] WC PMA FSLH EMPLOYEE [70005901] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient NYSIF [700058] WC NY STATE INSURANCE FUND [70005801] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient TRAVELERS NO FAULT [800006] NF TRAVELERS [80000601] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient MVHS WORKMANS COMPENSATION [700059] WC TRAVELER'S SEMC EMPLOYEE [70005904] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient UTICA NATIONAL WORKER'S COMP [700062] WC UTICA NATIONAL INS [70006201] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient MET LIFE AUTO INSURANCE [800009] NF MET LIFE AUTO INS [80000901] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient HARTFORD INS WC [700055] WC HARTFORD INS [70005501] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
WYNN HOSPITAL Outpatient PMA WORK COMP [700031] WC PMA [70003101] $40.74 $6,820.16 $4,092.10 2025-01-17 MRF ↗
COLUMBIA MEMORIAL HOSPITAL BothFacility WASHINGTON STATE DSHS - Medicaid WASHINGTON STATE DSHS - Medicaid $42.38 $277.00 $221.60 2026-01-05 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient KERN HEALTH SYSTEMS MCAL-ALL PLANS KERN HEALTH SYSTEMS MCAL-ALL PLANS $43.75 $561.00 $106.59 2026-05-20 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 — — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 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 KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 — — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM PATHWAY 9230_ANTHEM PATHWAY VCIN 20250101 — — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT JENNINGS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 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 CARMEL Both ANTHEM HEALTHSYNC HMO 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 — — — 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 HOSPITAL Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 — — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT JENNINGS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 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 WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 MRF ↗
ST VINCENT HEART CENTER Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 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 ↗
ST VINCENT HEART CENTER Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 — — — 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 Outpatient UNIFIED GROUP SERVICES 8812_ANTHEM UNIFIED GROUPS VHIN 20241001 — — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM HEALTHSYNC POS 9228_ANTHEM HEALTHSYNC POS VCIN 20250101 — — — 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 FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 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 EVANSVILLE 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 $44.33 — — 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 CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 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 Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 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 CARMEL Both ANTHEM TRADITIONAL 9233_ANTHEM TRADITIONAL VCIN 20250101 — — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 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 CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 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 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 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 WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 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 CARMEL 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 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 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 9470_UNITED HEALTHCARE VEIN 20250101 $44.33 — — 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Inpatient SMARTHEALTH PPO 8842_SMARTHEALTH PPO 20241001 — — — 2026-01-01 MRF ↗
HURON REGIONAL MEDICAL CENTER Outpatient AVERA ACA PPO - ALL OTHER PLANS AVERA ACA PPO - ALL OTHER PLANS $46.00 $2,142.00 $1,285.20 2025-12-20 MRF ↗
HURON REGIONAL MEDICAL CENTER Outpatient AVERA HMO AVERA HMO $46.00 $2,142.00 $1,285.20 2025-12-20 MRF ↗
HURON REGIONAL MEDICAL CENTER Outpatient AVERA ASO PPO AVERA ASO PPO $48.00 $2,142.00 $1,285.20 2025-12-20 MRF ↗
LOURDES MEDICAL CENTER Outpatient USAA Indemnity $48.17 $6,671.34 $2,668.54 2025-09-24 MRF ↗
LOURDES COUNSELING CENTER OutpatientFacility USAA Indemnity $48.17 $6,671.34 $2,668.54 2026-07-10 MRF ↗
LOURDES COUNSELING CENTER OutpatientFacility USAA Indemnity $48.17 $6,671.34 $2,668.54 2026-07-10 MRF ↗
LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility Blue Shield of California Commercial/IFP $48.19 — — 2026-03-18 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Group Health Coop (Ghc) Ghc Medicare $48.44 $173.00 $173.00 2026-07-15 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Veterans Administrations Veterans Administration $48.44 $173.00 $173.00 2026-07-15 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Managed Medicare Plans Managed Medicare Plans $48.44 $173.00 $173.00 2026-07-15 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Champva Champva/Health Net $48.44 $173.00 $173.00 2026-07-15 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Cigna Cigna Medicare Advantage $48.44 $173.00 $173.00 2026-07-15 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Umvs Umvs $48.44 $173.00 $173.00 2026-07-15 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Care First Health Plan Care 1St Medicare Advantage $48.44 $173.00 $173.00 2026-07-15 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Tricare Tricare For Life $48.44 $173.00 $173.00 2026-07-15 MRF ↗
MON HEALTH MARION Outpatient The Health Plan Commercial Plan Commercial $48.58 $346.98 $173.49 2026-07-15 MRF ↗
PROWERS MEDICAL CENTER Both Standard_Charged|Medicare|Negotiated_Percentage — $49.00 $443.00 $265.80 2026-08-01 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Chpw Chpw $49.17 $173.00 $173.00 2026-07-15 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient KERN HEALTH SYSTEMS MCAL KERN HEALTH SYSTEMS MCAL $49.35 $561.00 $84.15 2026-10-05 MRF ↗
S E LACKEY MEMORIAL HOSPITAL Outpatient CIGNA COMM - ALL PLANS CIGNA COMM - ALL PLANS $50.00 $1,112.00 $1,112.00 2026-02-10 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 — $3,483.38 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 — $4,092.75 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 — $7,179.00 2024-12-08 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Regence Regence Medicare $50.86 $173.00 $173.00 2026-07-15 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Uhc Uhc Medicare Advantage $50.86 $173.00 $173.00 2026-07-15 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.