43258 — Pr Upper Gi Endoscopy,tumor Ablatn
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR UPPER GI ENDOSCOPY,TUMOR ABLATN (CPT 43258) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43258?code_type=CPT
MLA (9th ed.)
“PR UPPER GI ENDOSCOPY,TUMOR ABLATN (CPT 43258) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43258?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR UPPER GI ENDOSCOPY,TUMOR ABLATN (CPT 43258) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43258?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,679–$6,340 (25th–75th percentile) across 466 hospitals · 266 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43258 — 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
$1,679
$2,538 typical
$6,340
The middle 50% of negotiated facility rates for this procedure, measured across 466 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. | $2,538 |
| 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 | $2,924 |
Complete-episode estimate (typical)
~$2,924
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 $1,679–$6,340.
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)
~$6,709
- Endoscopist (professional fee): no Medicare benchmark for 43258 — 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 | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Ppo | — | — | — | 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 Other | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Src | — | — | — | 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 | Christian Brothers Emp Ben Trst | — | — | — | 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 Hmo/Epo | — | — | — | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Both | Bcbs Ks | All Commercial Products | $94.00 | $470.00 | $282.00 | 2026-09-21 | 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 ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Both | Bcbs Ks | All Commercial Products | $117.60 | $588.00 | $352.80 | 2026-09-21 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $136.34 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $136.34 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $136.34 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $136.34 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $136.34 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $136.34 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $136.34 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $136.34 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $136.34 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $136.34 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $136.34 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $136.34 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $137.71 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $137.71 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $139.07 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $139.07 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $139.07 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $139.07 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $139.07 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $139.07 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $139.07 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $139.07 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $151.30 | — | — | 2026-04-01 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|Select PPO | $156.39 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|Select PPO | $156.39 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|All Other Plans | $192.48 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|All Other Plans | $192.48 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Humana | Commercial|All Plans | $200.50 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Humana | Commercial|All Plans | $200.50 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Centivo | Centivo Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $203.25 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | JIB | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Preferred | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Workers Comp | $220.55 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Workers Comp | $220.55 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| SANTIAM HOSPITAL & CLINICS Outpatient | DEVOTED HEALTH MCR ADV - ALL PLANS | DEVOTED HEALTH MCR ADV - ALL PLANS | $241.80 | $806.00 | $806.00 | 2026-08-06 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HPI | $244.83 | — | — | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HEALTH PARTNERS | $244.83 | — | — | 2025-12-28 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $262.88 | — | — | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $262.88 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $262.88 | — | — | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $262.88 | — | — | 2026-07-18 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $262.88 | — | — | 2026-03-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $262.88 | — | — | 2026-07-15 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $262.88 | — | — | 2024-10-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $262.88 | — | — | 2026-07-15 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $262.88 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Both | Direct Health | Direct Health | $266.79 | $1,145.00 | $687.00 | 2026-07-17 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $271.00 | — | — | 2025-08-06 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $271.00 | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | 1199 SEIU | Commercial | $271.00 | — | — | 2026-04-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | 1199 SEIU | Commercial | $271.00 | — | — | 2026-04-01 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $271.00 | — | — | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2026-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $271.00 | — | — | 2026-04-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | 1199 SEIU | Commercial | $271.00 | — | — | 2026-04-01 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $271.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $271.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $271.00 | — | — | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $271.00 | — | — | 2025-09-05 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|PPO POS HMO | $276.69 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|PPO POS HMO | $276.69 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Health Choice | Commercial|All Plans | $280.70 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Health Choice | Commercial|All Plans | $280.70 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $287.08 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $287.08 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $287.08 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $287.08 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $287.08 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $287.08 | — | — | 2026-03-01 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|Trad | $292.73 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|Trad | $292.73 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Empower Healthcare Solutions | Managed Medicaid | $297.00 | $755.00 | $430.35 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Medicaid | $297.00 | $755.00 | $430.35 | 2024-11-12 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $299.39 | $5,261.50 | — | 2026-05-11 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Blue Cross Blue Shield | Traditional HMO | $300.00 | $500.00 | $400.00 | 2026-03-25 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Preferred Network | Commercial|All Plans | $300.75 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Preferred Network | Commercial|All Plans | $300.75 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $302.95 | — | — | 2026-04-01 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Commercial|Self Funded | $307.17 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Commercial|Self Funded | $307.17 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | TRICARE (HLTHNT) - ALL PLANS | TRICARE (HLTHNT) - ALL PLANS | $308.85 | $5,261.50 | — | 2026-05-11 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Exchange | $309.58 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Exchange | $309.58 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Coventry | Commercial|All Plans | $312.78 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Coventry | Commercial|All Plans | $312.78 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $313.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $313.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $313.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $313.43 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $313.43 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $313.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $313.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN BROKEN ARROW Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $313.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $313.43 | — | — | 2026-01-01 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $315.15 | $5,261.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | KAISER MED ADV | KAISER MED ADV | $315.15 | $5,261.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CAREMORE MED ADV - ALL PLANS | CAREMORE MED ADV - ALL PLANS | $315.15 | $5,261.50 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE CROSS MED ADV | BLUE CROSS MED ADV | $315.15 | $5,261.50 | — | 2026-05-11 | MRF ↗ |
| SANTIAM HOSPITAL & CLINICS Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $322.40 | $806.00 | $806.00 | 2026-08-06 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Both | Uhc | All Commercial Products | $329.00 | $470.00 | $282.00 | 2026-09-21 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CENTRAL HP MED ADV | CENTRAL HP MED ADV | $330.91 | $5,261.50 | — | 2026-05-11 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Outpatient | DEVOTED - ALL PLANS | DEVOTED - ALL PLANS | $335.20 | $838.00 | $670.40 | 2026-08-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Blue Access | $335.64 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Blue Access | $335.64 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Trad | $335.64 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Trad | $335.64 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Accel PPO | $340.85 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|HPO | $340.85 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Auto | $340.85 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Summacare | Commercial|All Plans | $340.85 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Preferred Network | Commercial|All Plans | $340.85 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Preferred Network | Commercial|All Plans | $340.85 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Summacare | Commercial|All Plans | $340.85 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Accel PPO | $340.85 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|HPO | $340.85 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Auto | $340.85 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Medicare A ME JK | Default | — | $729.09 | $583.27 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Blue Cross Blue Shield of ME Anthem | Medicare Advantage | — | $729.09 | $583.27 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Aetna Medicare Advantage | Medicare Advantage | $342.67 | $729.09 | $583.27 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Default | — | $729.09 | $583.27 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | United Healthcare | Medicare Advantage | — | $729.09 | $583.27 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Humana | Medicare Advantage | — | $729.09 | $583.27 | 2026-04-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Coventry | Hmo/Pos/Ppo | $345.16 | — | — | 2026-07-18 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $348.87 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $348.87 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $348.87 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $348.87 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Blue Cross Blue Shield | Traditional PPO | $350.00 | $500.00 | $400.00 | 2026-03-25 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Humana | Commercial | $350.00 | $500.00 | $400.00 | 2026-03-25 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | — | — | — | $729.09 | $583.27 | 2025-03-04 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | PPO | $358.66 | — | — | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | HMO | $358.66 | — | — | 2025-12-29 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Medicare Managed Care Plan | $362.85 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Highmark All Commercial Plans | $362.85 | — | — | 2026-04-01 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Options | $364.91 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Non-Options | $364.91 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Non-Options | $364.91 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Options | $364.91 | $401.00 | $198.90 | 2026-02-28 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $365.49 | — | — | 2025-10-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Initial Group | Commercial | $366.12 | — | — | 2026-07-18 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Highmark Hmo/Pos | $373.31 | — | — | 2026-04-01 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Aetna | Commercial | $375.00 | $500.00 | $400.00 | 2026-03-25 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Managed Medicaid | $376.37 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | First Health | Commercial | $379.68 | — | — | 2026-07-18 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $393.00 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $393.00 | — | — | 2026-09-21 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Inpatient | Bcbs Ks | All Commercial Products | — | $470.00 | $376.00 | 2026-07-17 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Inpatient | Wppa | All Commercial Products | $399.50 | $470.00 | $376.00 | 2026-07-17 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Both | Wppa | All Commercial Products | $399.50 | $470.00 | $282.00 | 2026-09-21 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | United Healthcare | Commercial | $400.00 | $500.00 | $400.00 | 2026-03-25 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Humana ChoiceCare | Medicare Advantage | $400.15 | $755.00 | $430.35 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | $408.15 | $755.00 | $430.35 | 2024-11-12 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Both | Uhc | All Commercial Products | $411.60 | $588.00 | $352.80 | 2026-09-21 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Amerigroup by Anthem | Medicare Advantage | $412.15 | $755.00 | $430.35 | 2024-11-12 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield | PPO_HMO_EPO | $412.81 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield | PPO_HMO_EPO | $412.81 | — | — | 2026-03-27 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Outpatient | Molina | Commercial | $415.00 | $1,432.00 | $1,074.00 | 2026-09-14 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | $415.00 | $1,432.00 | $1,074.00 | 2026-09-14 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $418.96 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $418.96 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $418.96 | — | — | 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.