43287 — Esphg Dstl 2/3 W/laps Moblj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ESPHG DSTL 2/3 W/LAPS MOBLJ (CPT 43287) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43287?code_type=CPT
MLA (9th ed.)
“ESPHG DSTL 2/3 W/LAPS MOBLJ (CPT 43287) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43287?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ESPHG DSTL 2/3 W/LAPS MOBLJ (CPT 43287) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43287?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,242–$9,014 (25th–75th percentile) across 1,221 hospitals · 1,119 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43287 — 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 surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$3,242
$5,112 typical
$9,014
The middle 50% of negotiated facility rates for this procedure, measured across 1,221 hospitals. The surgeon and anesthesia 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. | $5,112 |
| Surgeon (professional fee) Estimate national typical Medicare $3,294 × 1.22 commercial. | $4,019 |
| Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $708 |
| Likely subtotal | $9,838 |
Surgical episode (typical)
~$9,838
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 $3,242–$9,014.
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)
~$13,623
- 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)
- Surgeon (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 · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | Uniform Medical Plan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | BCBS - Premera | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | BCBS - Regence | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | BCBS - Premera | Commercial|LifeWise Primary Exchange | — | — | — | 2026-02-28 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Joliet | Hmo | — | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Hmo Illinois | — | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Oscar Health | Exchange | $4.67 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Commercial | — | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Ppo | — | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Professional Benefits Administrator | Ppo | — | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Union Medical | Hmo | — | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Choice | — | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Multiplan | Ppo | — | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Public Exchange | — | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Precision Hmo | — | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Medicare | $6.48 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Essential Health Partners | Medicare | $6.48 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Medicare | $6.48 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Humana | Medicare | $6.48 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Devoted Healthcare | Medicare | $6.48 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | Medicare | $6.48 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Essential Health Partners | Hmo | $6.48 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Medicare | $6.61 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Meridian | Medicare (Wellcare) | $6.67 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Meridian | Exchange (Ambetter) | $7.78 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Commercial | $10.50 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Hst Technologies | Epo, Ppo | $12.44 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | Navigate, Core, Charter, Aco Tiered | $16.20 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | All Other Plans | $18.00 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Hmo, Ppo, Pos | $18.63 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Local Plus | $18.63 | $29.00 | $10.15 | 2026-05-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $150.41 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $150.41 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $150.41 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $150.41 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $150.41 | — | — | 2026-03-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL OutpatientFacility | Denver Health Medical Plan | Medicaid Choice | $186.59 | — | — | 2025-11-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | United | Commercial|All Other Plans | $210.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network P | $217.00 | — | — | 2026-02-28 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $219.35 | $6,831.00 | $3,415.50 | 2025-12-23 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $253.52 | — | — | 2026-04-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | STAR+PLUS | $277.04 | — | — | 2025-10-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $281.68 | — | — | 2026-04-14 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | HMO/PPO/Traditional | $315.50 | — | — | 2026-02-13 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $318.19 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $318.19 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $318.19 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $318.19 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $318.19 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $318.19 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $318.19 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $318.19 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $318.19 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $318.26 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $318.26 | — | — | 2026-04-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Bcbs Blueplus Of Mn | Medicaid Managed Care Plan | $351.12 | — | — | 2026-03-01 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $353.54 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $353.54 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $353.54 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $353.54 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $353.54 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $353.54 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $353.54 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $353.54 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $353.54 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $353.62 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $353.62 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $372.82 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $372.82 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $372.82 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $372.82 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $372.82 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $372.82 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $372.82 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $372.82 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $372.82 | — | — | 2026-04-14 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $374.37 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $374.37 | — | — | 2025-06-27 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $401.78 | — | — | 2026-03-04 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $414.24 | — | — | 2026-04-14 | 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.