Price Transparency Hospital negotiated rates

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

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43453 — Dilate Esophagus

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

Typical negotiated price $1,972

Usually $1,008–$2,855 (25th–75th percentile) across 1,763 hospitals · 4,006 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43453 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What the whole episode might cost

Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$1,008 $1,972 typical $2,855

The middle 50% of negotiated facility rates for this procedure, measured across 1,763 hospitals. Surgeon & 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. $1,972
Surgeon (professional fee) Estimate national typical Medicare PFS $77 × 1.22 commercial. $95
Likely subtotal $2,066
Surgical episode (typical) ~$2,066

Your recovery plan — adjust to what your surgeon told you

After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$5,851
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

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
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $2.47 $217.00 $41.23 2026-01-25 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Oscar Health Exchange $4.77 $24.00 $8.40 2026-05-08 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $6.39 $3,549.00 $1,912.13 2024-12-31 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Humana Medicare $6.63 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Aetna Medicare $6.63 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Blue Cross Blue Shield Medicare $6.63 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Essential Health Partners Medicare $6.63 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Devoted Healthcare Medicare $6.63 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both United Healthcare Medicare $6.63 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Essential Health Partners Hmo $6.63 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Cigna Medicare $6.76 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Meridian Medicare (Wellcare) $6.83 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Meridian Exchange (Ambetter) $7.96 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Aetna Commercial $10.74 $24.00 $8.40 2026-05-08 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $11.65 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $11.72 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $11.72 2026-03-18 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility MagnaCare All Products $12.25 $5,225.00 $2,612.50 2025-12-31 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Hst Technologies Epo, Ppo $12.73 $24.00 $8.40 2026-05-08 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $13.35 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $13.43 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $13.43 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $14.53 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $14.62 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $14.62 2026-03-18 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both United Healthcare Navigate, Core, Charter, Aco Tiered $16.56 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both United Healthcare All Other Plans $18.40 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Cigna Hmo, Ppo, Pos $18.63 $24.00 $8.40 2026-05-08 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both Cigna Local Plus $18.63 $24.00 $8.40 2026-05-08 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $22.44 2026-01-01 MRF ↗
HURLEY MEDICAL CENTER Both UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] UNITED HEALTH CARE MEDICAID [900401] $27.59 $188.00 $188.00 2026-03-23 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - Meridian Medicaid - Meridian $30.00 $297.00 $148.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - United Medicaid - United $30.00 $297.00 $148.00 2025-02-03 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] $30.35 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both KEY BENEFIT ADMINISTRATORS [1089] KEY BENEFIT ADMINISTRATORS [108901] $30.35 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both COUNTY HEALTH PLAN B [1022] GENESEE HEALTH PLAN B [102204] $30.35 $188.00 $188.00 2026-03-23 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 2024-12-08 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL AETNA CARE [700912] $31.38 $5,404.29 $5,404.29 2026-03-23 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $33.00 $297.00 $148.00 2025-02-03 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 ↗
HURLEY MEDICAL CENTER Both PACE MEDICARE HMO [7023] GENESYS PACE MEDICARE HMO [702301] $34.22 $188.00 $188.00 2026-03-23 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $35.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $35.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $35.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $35.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $35.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $35.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $35.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $35.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $35.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $35.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $35.50 2026-01-01 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $36.00 $297.00 $148.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $37.00 $297.00 $148.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $37.00 $297.00 $148.00 2025-02-03 MRF ↗
HURLEY MEDICAL CENTER Both AMBETTER [1094] AMBETTER OUT OF STATE [109402] $38.02 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both VA MEDICAL CENTER [1061] VA COMMUNITY CARE NETWORK [106104] $38.02 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both AMBETTER [1094] AMBETTER MARKETPLACE [109401] $38.02 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MOLINA MEDICARE [7006] MOLINA MEDICARE COMPLETE CARE [700602] $38.02 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both BLUE CARE NETWORK ADVANTAGE [7001] BLUE CARE NETWORK ADVANTAGE [700101] $38.02 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MOLINA [1071] MOLINA MARKETPLACE [107102] $38.02 $188.00 $188.00 2026-03-23 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 $38.30 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $38.30 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 $38.30 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $38.30 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $38.30 2026-01-01 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - United Medicaid - United $39.00 $297.00 $148.00 2025-02-03 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO $39.14 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO $39.14 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO $39.14 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 $40.69 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 $40.69 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 $40.69 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 $40.69 2026-01-01 MRF ↗
HURLEY MEDICAL CENTER Both VHA OFFICE OF COMMUNITY CARE [1011] CHAMPVA [101101] $40.96 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both TRICARE [1056] TRICARE WEST [105601] $40.96 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both HUMANA MILITARY [1098] HUMANA MILITARY TRICARE EAST [109801] $40.96 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both TRICARE [1056] TRICARE FOR LIFE [105602] $40.96 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MCLAREN HEALTH ADVANTAGE [1038] MCLAREN HEALTH ADVANTAGE [103801] $41.78 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MCLAREN HEALTH ADVANTAGE [1038] MCLAREN HEALTH PLAN COMMUNITY [103802] $41.78 $188.00 $188.00 2026-03-23 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $42.00 $297.00 $148.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Meridian Medicaid - Meridian $42.00 $297.00 $148.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $42.00 $297.00 $148.00 2025-02-03 MRF ↗
TRIGG COUNTY HOSPITAL Both Medicare A KY J15 Default $42.35 $149.00 $59.60 2026-03-02 MRF ↗
TRIGG COUNTY HOSPITAL Both Blue Cross Blue Shield of KY Anthem Medicare Advantage $42.35 $149.00 $59.60 2026-03-02 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $43.00 $297.00 $148.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - United Medicaid - United $43.00 $297.00 $148.00 2025-02-03 MRF ↗
TRIGG COUNTY HOSPITAL Both VA Community Care Network VACCN Region 1-3 Optum Default $43.21 $149.00 $59.60 2026-03-02 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility Blue Cross Complete MEDICAID $43.29 $3,278.00 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility McLaren MEDICAID $43.29 $3,278.00 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility Priority Health MEDICAID $43.29 $3,278.00 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility Meridian Health Plan of MI MEDICAID HMO $43.29 $3,278.00 2025-06-28 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility HAP CareSource MEDICAID $43.29 $3,278.00 2025-06-28 MRF ↗
TRIGG COUNTY HOSPITAL Both Blue Cross Blue Shield of KY Anthem Medicare Advantage $44.90 $158.00 $63.20 2026-03-02 MRF ↗
HENRY FORD ALLEGIANCE HEALTH OutpatientFacility Aetna Better Health MEDICAID $45.45 $3,278.00 2025-06-28 MRF ↗
MCLAREN OAKLAND Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $46.00 $297.00 $148.00 2025-02-03 MRF ↗
Memorial Hospital For Cancer And Allied Diseases Both [EMBLEM] [HIP_ESS_3_4_AMB_SURG] $46.05 $620.00 $620.00 2024-09-15 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO $46.05 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO $46.05 2026-01-01 MRF ↗
Memorial Hospital For Cancer And Allied Diseases Both [EMBLEM] [HIP_ESS_1_2_MR/DD/TBI Pts] $46.05 $620.00 $620.00 2024-09-15 MRF ↗
Memorial Hospital For Cancer And Allied Diseases Both [EMBLEM] [HIP_ESS_1_2_AMB_SURG] $46.05 $620.00 $620.00 2024-09-15 MRF ↗
F F THOMPSON HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO $46.05 2026-01-01 MRF ↗
Memorial Hospital For Cancer And Allied Diseases Both [EMBLEM] [HIP_ESS_3_4_MR/DD/TBI Pts] $46.05 $620.00 $620.00 2024-09-15 MRF ↗
Memorial Hospital For Cancer And Allied Diseases Both [EMBLEM] [HIP_ESS_3_4_HOSP_OP_DEPT] $46.05 $620.00 $620.00 2024-09-15 MRF ↗
MONTEFIORE MEDICAL CENTER Both New York Medicaid Medicaid $46.05 $351.37 $229.80 2026-04-01 MRF ↗
Memorial Hospital For Cancer And Allied Diseases Both [EMBLEM] [HIP_ESS_1_2_HOSP_OP_DEPT] $46.05 $620.00 $620.00 2024-09-15 MRF ↗
TRIGG COUNTY HOSPITAL Both Aetna Medicare Advantage Default $46.19 $149.00 $59.60 2026-03-02 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility HAP HAP Caresource Medicaid $46.98 $1,902.00 2025-06-28 MRF ↗
HENRY FORD MACOMB HOSPITAL OutpatientFacility Meridian Health Plan of MI MEDICAID HMO $46.98 $1,902.00 2025-06-28 MRF ↗
HENRY FORD MACOMB HOSPITAL OutpatientFacility Priority Health MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
HENRY FORD MACOMB HOSPITAL OutpatientFacility Aetna Better Health MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
Henry Ford Hospital OutpatientFacility HAP HAP Caresource Medicaid $46.98 $1,902.00 2025-06-28 MRF ↗
HENRY FORD MACOMB HOSPITAL OutpatientFacility Blue Cross Complete MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility Aetna Better Health MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
Henry Ford Hospital OutpatientFacility Meridian Health Plan of MI MEDICAID HMO $46.98 $1,902.00 2025-06-28 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility Priority Health MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
Henry Ford Hospital OutpatientFacility Priority Health MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
Henry Ford Hospital OutpatientFacility Aetna Better Health MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
HENRY FORD MACOMB HOSPITAL OutpatientFacility HAP HAP Caresource Medicaid $46.98 $1,902.00 2025-06-28 MRF ↗
HENRY FORD MACOMB HOSPITAL OutpatientFacility McLaren MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility McLaren MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility Meridian Health Plan of MI MEDICAID HMO $46.98 $1,902.00 2025-06-28 MRF ↗
Henry Ford Hospital OutpatientFacility McLaren MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility McLaren MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility Priority Health MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility Blue Cross Complete MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility Meridian Health Plan of MI MEDICAID HMO $46.98 $1,902.00 2025-06-28 MRF ↗
HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility HAP HAP Caresource Medicaid $46.98 $1,902.00 2025-06-28 MRF ↗
HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility Aetna Better Health MEDICAID $46.98 $1,902.00 2025-06-28 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 $47.87 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient EXCELLUS MEDICAID 1706, EXCELLUS 2201 BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 $47.87 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, AMERIGROUP (BSWNY ALTERNATE) 172001, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 $47.87 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, AMERIGROUP (BSWNY ALTERNATE) 172001, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 $47.87 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, AMERIGROUP (BSWNY ALTERNATE) 172001, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 $47.87 2026-01-01 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $48.00 $297.00 $148.00 2025-02-03 MRF ↗
TRIGG COUNTY HOSPITAL Both Aetna Medicare Advantage Default $48.98 $158.00 $63.20 2026-03-02 MRF ↗
PROWERS MEDICAL CENTER Both Standard_Charged|Medicare|Negotiated_Percentage $49.00 $231.00 $138.60 2026-05-21 MRF ↗
PROWERS MEDICAL CENTER Both Standard_Charged|Medicare|Negotiated_Percentage $49.00 $231.00 $138.60 2026-05-18 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 ↗
ALTRU HOSPITAL OutpatientFacility Medica Medicaid Managed Care Plan $50.64 2026-03-01 MRF ↗
ALTRU HOSPITAL OutpatientFacility Medica Medicaid Managed Care Plan – Hmo $50.64 2026-03-01 MRF ↗
HURLEY MEDICAL CENTER Both HASTINGS MUTUAL [8022] HASTINGS MUTUAL [802201] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both USAA [8036] USAA TEXAS [803602] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both ALLSTATE AUTO INSURANCE [8003] ALLSTATE 9229 [800302] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both GEICO INSURANCE [8016] GEICO INSURANCE [801601] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both USAA [8036] USAA TEXAS 26001 [803603] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both CITIZENS AUTO INSURANCE [8008] CITIZENS AUTO INSURANCE [800801] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both BRISTOL WEST [8007] BRISTOL WEST [800701] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both USAA [8036] USAA [803601] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both AAA AUTO INSURANCE [8001] AAA AUTO INSURANCE [800102] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both GRANGE INSURANCE [8018] GRANGE INSURANCE 182657 [801802] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both ALLSTATE AUTO INSURANCE [8003] ALLSTATE 9231 [800303] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both MEEMIC INSURANCE [8026] MEEMIC INSURANCE [802601] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both STATE AUTO GROUP [8033] STATE AUTO GROUP [803301] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both ALLSTATE AUTO INSURANCE [8003] ALLSTATE AUTO INSURANCE [800301] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both SAFECO-AUTO [8037] SAFECO-AUTO [803701] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both GENERIC NO FAULT AUTO [8000] COFINITY GENERIC AUTO [800002] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both FARMERS AUTO INSURANCE [8013] FARMERS AUTO INSURANCE [801301] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both FARMERS AUTO INSURANCE [8013] FARMERS 27260 [801302] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both PIONEER STATE MUTUAL AUTO [8030] PIONEER STATE MUTUAL AUTO [803001] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both FARM BUREAU AUTO INSURANCE [8012] FARM BUREAU AUTO INSURANCE [801201] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both HANOVER INSURANCE [8019] HANOVER INSURANCE [801901] $50.80 $188.00 $188.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Both ESIS [8011] ESIS [801101] $50.80 $188.00 $188.00 2026-03-23 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.