43250 — Egd Cautery Tumor Polyp
Cite this view
HANK Price Transparency. (n.d.). Egd cautery tumor polyp (OTHER 43250) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43250?code_type=OTHER
“Egd cautery tumor polyp (OTHER 43250) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43250?code_type=OTHER. Accessed .
“Egd cautery tumor polyp (OTHER 43250) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43250?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $442–$2,092 (25th–75th percentile) across 57 hospitals · 195 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 43250 — 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 |
|---|---|---|---|---|---|---|---|
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Fep | — | $16.26 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Bpp (Blue Preferred Partner) | — | $16.26 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Ppo | — | $16.26 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Mclaren Health - Commercial Hmo | — | $44.08 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Mclaren Health Advantage Ppo | — | $44.08 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Mclaren Health Plan Community | — | $44.08 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Alliance Health & Life Ins Co-Allh | — | $50.64 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Aetna | — | $55.62 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp | — | $59.50 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ | — | $59.50 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare | — | $60.90 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Uhc Medicaid/Chip | — | $60.90 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ | — | $63.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp | — | $63.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Ppo | — | $68.49 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Hmo | — | $68.49 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicare Advantage | — | $70.70 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicare | — | $71.40 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Alliance Health & Life Ins Co-Allh Op Rate Type | — | $72.30 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Aetna Op Rate Type | — | $79.50 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $83.57 | — | — | 2026-07-31 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp Op Rate Type | — | $85.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ Op Rate Type | — | $85.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Op Rate Type | — | $87.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Ip Rate Type | — | $87.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Uhc Medicaid/Chip Op Rate Type | — | $87.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Uhc Medicaid/Chip Ip Rate Type | — | $87.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $88.32 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $88.32 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $88.32 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $88.32 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $88.32 | $2,325.00 | $813.75 | 2026-07-30 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ Ip Rate Type | — | $90.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp Ip Rate Type | — | $90.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Hmo Op Rate Type | — | $97.84 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Ppo Op Rate Type | — | $97.84 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Fep Op Rate Type | — | $98.52 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Bpp (Blue Preferred Partner) Op Rate Type | — | $98.52 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Ppo Op Rate Type | — | $98.52 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $98.64 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $98.64 | — | — | 2026-05-24 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicaid | — | $100.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicaid Op Rate Type | — | $100.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicare Advantage Op Rate Type | — | $101.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicare Op Rate Type | — | $102.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicaid Op Rate Type | — | $102.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicaid | — | $102.00 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $107.78 | $879.00 | $439.50 | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $149.19 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $149.19 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $149.19 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $149.19 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $150.77 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $150.77 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $151.89 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $151.89 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $151.89 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $151.89 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $155.27 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $155.27 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $155.27 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $155.27 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $155.27 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $155.27 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $155.27 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $155.27 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $155.27 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $155.27 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $155.27 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $155.27 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $156.67 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $156.67 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $157.31 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $157.31 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $158.71 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $158.71 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $158.71 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $158.71 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $158.71 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $158.71 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $158.71 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $158.71 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $158.71 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $158.71 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $158.71 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $158.71 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $158.71 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $158.71 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $161.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $161.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $161.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $161.88 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Upmc Health Plan | Commercial | $163.03 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Upmc Health Plan | Commercial | $163.03 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $163.47 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $163.47 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $163.47 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $163.47 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $163.47 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $163.47 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $164.04 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $164.04 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $164.04 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $164.04 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $164.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $164.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $164.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $164.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $164.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $164.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $164.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $164.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $164.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $164.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $164.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $164.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $164.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $164.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $164.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $164.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $164.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $164.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $164.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $164.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $164.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $164.40 | — | — | 2026-05-24 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $164.44 | $4,902.00 | $3,431.40 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $164.44 | $4,902.00 | $3,431.40 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $164.44 | $4,902.00 | $3,431.40 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $164.44 | $4,902.00 | $3,431.40 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $165.49 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $165.49 | — | — | 2026-05-24 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $168.96 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $168.96 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $171.41 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $171.41 | — | — | 2026-05-14 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $171.83 | $783.50 | $783.50 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Medicare A Ms Jh | Default | $171.83 | $783.50 | $783.50 | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $172.24 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Dsnp | $172.39 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Dsnp | $172.39 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $172.99 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $172.99 | — | — | 2026-05-23 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Ppo | $174.39 | $4,902.00 | $3,431.40 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Uhc | Hmo | $174.39 | $4,902.00 | $3,431.40 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Hmo | $174.39 | $4,902.00 | $3,431.40 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Uhc | Ppo | $174.39 | $4,902.00 | $3,431.40 | 2026-05-14 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $175.34 | $783.50 | $783.50 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Outpatient | Ambetter | Default | $175.34 | $783.50 | $783.50 | 2026-05-13 | MRF ↗ |
| MCLAREN CARO REGION | Employee Benefit Logistics-Ebls | — | $181.20 | $72.80 | $36.40 | 2026-05-06 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Bcbs - Mn|All Plans | — | $184.18 | $521.00 | $260.50 | 2026-07-31 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Medicare|Ucare|All Plans | — | $184.55 | — | — | 2026-08-01 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicare|Humana|All Plans | — | $184.55 | $521.00 | $260.50 | 2026-07-31 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Medicare|Bcbs - Mn|All Plans | — | $184.55 | — | — | 2026-08-01 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Medicare|Humana|All Plans | — | $184.55 | — | — | 2026-08-01 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicare|Medica|All Plans | — | $184.55 | $521.00 | $260.50 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicare|Bcbs - Mn|All Plans | — | $184.55 | $521.00 | $260.50 | 2026-07-31 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Medicare|Prime West Health|All Plans | — | $184.55 | — | — | 2026-08-01 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Medicare|Medica|All Plans | — | $184.55 | — | — | 2026-08-01 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicare|Ucare|All Plans | — | $184.55 | $521.00 | $260.50 | 2026-07-31 | MRF ↗ |
| CHI OAKES HOSPITAL | Medicare|Medica|All Plans | — | $185.06 | — | — | 2026-07-31 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $188.64 | — | — | 2026-05-23 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Medica|All Plans | — | $192.77 | $521.00 | $260.50 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Ucare|All Plans | — | $192.77 | $521.00 | $260.50 | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicaid|Health Partners|All Plans | — | $192.77 | $521.00 | $260.50 | 2026-07-31 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $194.83 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $194.83 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $201.17 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $201.17 | — | — | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Ppo | $205.12 | $4,902.00 | $3,431.40 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Hmo | $205.12 | $4,902.00 | $3,431.40 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Ppo | $205.12 | $4,902.00 | $3,431.40 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Hmo | $205.12 | $4,902.00 | $3,431.40 | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $206.15 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $206.15 | — | — | 2026-05-23 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Aetna | All Commercial Plans | $209.59 | $9,230.00 | — | 2026-07-15 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $213.25 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $213.49 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Bcbs Network L | $215.76 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Bcbs Network L | $215.76 | — | — | 2026-05-24 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $226.56 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $229.65 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $234.46 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nx Health 1 | Commercial | $238.52 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nx Health 1 | Commercial | $238.52 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Choice Pos | $239.71 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Choice Pos | $239.71 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Commercial | $240.34 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Commercial | $240.34 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Bcbs Network S | $242.32 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Bcbs Network S | $242.32 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $242.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $242.72 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Coventry Health | Hmo/Pos/Ppo | $243.98 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Coventry Health | Hmo/Pos/Ppo | $243.98 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Multiplan | Commercial | $243.98 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Multiplan | Commercial | $243.98 | — | — | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $244.26 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $250.00 | — | — | 2026-05-24 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | All Commercial Plans | — | $779.00 | — | 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.