43269 — Endo Cholangiopancreatograph
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ENDO CHOLANGIOPANCREATOGRAPH (CPT 43269) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43269?code_type=CPT
MLA (9th ed.)
“ENDO CHOLANGIOPANCREATOGRAPH (CPT 43269) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43269?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ENDO CHOLANGIOPANCREATOGRAPH (CPT 43269) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43269?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,823–$5,305 (25th–75th percentile) across 454 hospitals · 263 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43269 — 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
$1,823
$2,894 typical
$5,305
The middle 50% of negotiated facility rates for this procedure, measured across 454 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. | $2,894 |
| 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 | $3,280 |
Complete-episode estimate (typical)
~$3,280
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 $1,823–$5,305.
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)
~$7,065
- Endoscopist (professional fee): no Medicare benchmark for 43269 — leg omitted.
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 4 base units (typical CMS value) × ~30 min; approximate, NOT a procedure-specific crosswalk
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | — | — | — | 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 Pos/Qpos | — | — | — | 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 Src | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha-Asa | — | — | — | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $213.00 | $889.00 | $889.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $213.00 | $889.00 | $889.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $213.00 | $889.00 | $889.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $213.00 | $889.00 | $889.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $250.00 | $889.00 | $889.00 | 2025-07-03 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $269.14 | — | — | 2026-04-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $288.00 | $889.00 | $889.00 | 2025-07-03 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Empower Healthcare Solutions | Managed Medicaid | $297.00 | $1,333.00 | $759.81 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Medicaid | $297.00 | $1,333.00 | $759.81 | 2024-11-12 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $299.39 | $5,064.75 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | TRICARE (HLTHNT) - ALL PLANS | TRICARE (HLTHNT) - ALL PLANS | $308.85 | $5,064.75 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | KAISER MED ADV | KAISER MED ADV | $315.15 | $5,064.75 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $315.15 | $5,064.75 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CAREMORE MED ADV - ALL PLANS | CAREMORE MED ADV - ALL PLANS | $315.15 | $5,064.75 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | BLUE CROSS MED ADV | BLUE CROSS MED ADV | $315.15 | $5,064.75 | — | 2026-05-11 | MRF ↗ |
| Hazel Hawkins Memorial Hospital Outpatient | CENTRAL HP MED ADV | CENTRAL HP MED ADV | $330.91 | $5,064.75 | — | 2026-05-11 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Preferred | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | JIB | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Centivo | Centivo Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $358.50 | — | — | 2026-04-01 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthcare Highways | Commercial | $367.20 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Humana Choicecare | Medicare Advantage | $385.56 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Texas Dual Medicare Advantage | Medicare Advantage | $385.56 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Christus Health Plan | Commercial | $385.56 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Triwest | Commercial | $385.56 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Triwest | Va | $385.56 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Tricare Prime West Tw | Commercial | $385.56 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Both | Direct Health | Direct Health | $389.34 | $1,671.00 | $1,002.60 | 2026-07-17 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $392.14 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $392.14 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $392.14 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $392.14 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $392.14 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $392.14 | — | — | 2026-03-01 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Bav | $394.74 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Texas Mutual | Workers Comp | $397.13 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Hmo | $413.10 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Superior | Managed Medicaid | $418.61 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $420.00 | $1,050.00 | — | 2025-08-06 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Curative | Commercial | $424.12 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HPI | $433.12 | — | — | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HEALTH PARTNERS | $433.12 | — | — | 2025-12-28 | MRF ↗ |
| ORLANDO HEALTH BAYFRONT HOSPITAL OutpatientFacility | Careplus | Medicare Managed Care Plan | $445.00 | — | — | 2026-04-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $451.50 | $1,050.00 | — | 2025-08-06 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Ppo | $459.00 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | ABD | $469.71 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | AlohaCare | ABD | $469.71 | — | — | 2026-02-12 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $477.40 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | 1199 SEIU | Commercial | $478.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | 1199 SEIU | Commercial | $478.00 | — | — | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $478.00 | — | — | 2026-04-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $478.00 | — | — | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2026-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | 1199 SEIU | Commercial | $478.00 | — | — | 2026-04-01 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $478.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $478.00 | — | — | 2026-04-01 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $478.00 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $478.00 | — | — | 2026-04-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $478.00 | — | — | 2025-09-05 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Ohana Health Plan | Quest ABD | $483.00 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana Health Plan | Quest ABD | $483.00 | — | — | 2026-02-12 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS OutpatientFacility | Humana | Medicare Managed Care - Hmo | $506.00 | — | — | 2026-04-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | VNS | Managed Medicaid | $525.00 | $1,050.00 | — | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon Health | Medicare Emblem & VNS | $525.00 | $1,050.00 | — | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon Health | Commercial Non-HMO Empire | $525.00 | $1,050.00 | — | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon Health | Commercial Non- HMO Emblem | $525.00 | $1,050.00 | — | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | All Products | $525.00 | $1,050.00 | — | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $525.00 | $1,050.00 | — | 2025-08-06 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Selecthealth Inc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Corvel Corporation | Workers Compensation | $530.04 | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Selecthealth Inc | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Tyson Foods | Workers Compensation | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Regence Blue Shield Of Idaho | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Prison Health Services | Idaho Department Of Correction | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Shoshone Paiute Tribes Of Duck Valley | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Evolutions Healthcare Systems Guardian Resources | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Corechoice | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | First Health | Workers Compensation | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Government Employees Hospital Association (Geha) | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Pacificsource Health Plans | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | First Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Galaxy Health Network | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Usa Managed Care Organization | Workers Compensation | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Mutual Of Omaha | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Preferred Health Network | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Moda Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | First Choice Of The Midwest | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Interwest Health, Llc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Multiplan, Inc. | Commercial Complementary Network | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Multiplan, Inc. | Commercial Primary Network | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | First Choice Health Network, Health Care Direct, Llc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Preferred Health Network | Workers Compensation | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | St. Alphonsus Health Alliance, Inc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Health Net Federal Services, Inc. | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Integrated Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Idaho Physicians Network | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Cigna Healthcare | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Blue Cross Of Idaho | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ADVENTHEALTH TAMPA OutpatientFacility | Humana | Medicare Managed Care - Hmo | $537.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Carrollwood OutpatientFacility | Humana | Medicare Managed Care - Hmo | $537.00 | — | — | 2026-04-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | High Performance | $546.00 | $1,050.00 | — | 2025-08-06 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Outpatient | Uh Military Va | Tricare | $558.90 | — | — | 2026-07-15 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $560.33 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $560.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $560.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $560.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $560.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $560.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $560.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $560.33 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN BROKEN ARROW Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $560.33 | — | — | 2026-01-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Highmark All Commercial Plans | $571.80 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Medicare Managed Care Plan | $571.80 | — | — | 2026-04-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $578.00 | $889.00 | $889.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $578.00 | $889.00 | $889.00 | 2025-07-03 | MRF ↗ |
| DOCTORS' CENTER HOSPITAL, INC Outpatient | Humana | Commercial | $585.00 | $3,200.00 | $3,200.00 | 2025-10-20 | MRF ↗ |
| DOCTOR'S CENTER DE SAN JUAN Outpatient | Humana | Commercial | $585.00 | $3,200.00 | $3,200.00 | 2025-10-20 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Highmark Hmo/Pos | $588.28 | — | — | 2026-04-01 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | HUMANA | HUMANA CHOICECARE | $600.00 | $2,812.00 | $2,734.40 | 2025-01-21 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Healthnet | Tricare | $602.37 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Healthnet | Tricare | $602.37 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Outpatient | Health Net Fed Svcs | Tricare | $602.37 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | Health Net Fed Svcs | Tricare | $602.37 | — | — | 2026-07-15 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Advantage | $605.00 | $889.00 | $889.00 | 2025-07-03 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | All Products | $606.90 | $1,050.00 | — | 2025-08-06 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Coventry | Hmo/Pos/Ppo | $614.87 | — | — | 2026-07-18 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Outpatient | Bcbs Tx | Tricare | $621.00 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | Bcbs Tx | Tricare | $621.00 | — | — | 2026-07-15 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Magnacare | All Products | $630.00 | $1,050.00 | — | 2025-08-06 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Essentials | $631.00 | $889.00 | $889.00 | 2025-07-03 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | MEDICAID_SUPERIOR | MEDICAID SUPERIOR | $635.23 | $2,812.00 | $2,734.40 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | MEDICAID_FIRST-CARE | MEDICAID FIRST CARE | $635.23 | $2,812.00 | $2,734.40 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | MEDICAID_TEXAS | MEDICAID TEXAS | $635.23 | $2,812.00 | $2,734.40 | 2025-01-21 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | UHC_COMMUNITY_PLAN | UNITED HEALTHCARE MEDICAID | $635.23 | $2,812.00 | $2,734.40 | 2025-01-21 | MRF ↗ |
| ADVANCED SURGICAL HOSPITAL Outpatient | Veteran Administration | Veterans Choice | $639.00 | — | — | 2026-07-15 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | HMO | $639.48 | — | — | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | PPO | $639.48 | — | — | 2025-12-29 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthsmart | Commercial | $642.60 | $918.00 | $550.80 | 2026-09-21 | MRF ↗ |
| TREASURE VALLEY HOSPITAL Both | Healthsmart Preferred Care | Commercial | $648.00 | — | — | 2026-07-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $651.33 | — | — | 2025-10-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Initial Group | Commercial | $654.29 | — | — | 2026-07-18 | MRF ↗ |
| HARRIS HEALTH Outpatient | Cigna | Commercial | $660.00 | — | — | 2026-09-21 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Managed Medicaid | $665.81 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan - Dhp | $666.00 | — | — | 2026-07-18 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Commercial | $667.00 | $889.00 | $889.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | PPO | $667.00 | $889.00 | $889.00 | 2025-07-03 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | First Health | Commercial | $676.36 | — | — | 2026-07-18 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | MultiPlan PHCS | PPO | $677.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | MultiPlan PHCS | PPO | $677.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | MultiPlan PHCS | PPO | $677.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | MultiPlan PHCS | PPO | $677.00 | — | — | 2024-10-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Multiplan | All Products | $682.50 | $1,050.00 | — | 2025-08-06 | MRF ↗ |
| PERRY COUNTY GENERAL HOSPITAL OutpatientFacility | Hattiesburg Clinic | Commercial | $690.00 | — | — | 2026-01-30 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | Hattiesburg Clinic | Commercial | $690.00 | — | — | 2026-01-30 | MRF ↗ |
| PEARL RIVER COUNTY HOSPITAL OutpatientFacility | Hattiesburg Clinic | Commercial | $690.00 | — | — | 2026-01-30 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Hattiesburg Clinic | Commercial | $690.00 | — | — | 2026-01-30 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $700.33 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $700.33 | — | — | 2026-09-21 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Humana ChoiceCare | Medicare Advantage | $706.49 | $1,333.00 | $759.81 | 2024-11-12 | MRF ↗ |
| Henry Ford Health Warren Hospital Outpatient | PPOM | 934_PPOM 20191001 | $709.17 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $709.17 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $709.17 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $709.17 | — | — | 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.