43647 — Lap Impl Electrode Antrum
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LAP IMPL ELECTRODE ANTRUM (CPT 43647) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43647?code_type=CPT
MLA (9th ed.)
“LAP IMPL ELECTRODE ANTRUM (CPT 43647) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43647?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“LAP IMPL ELECTRODE ANTRUM (CPT 43647) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43647?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,802–$15,845 (25th–75th percentile) across 1,363 hospitals · 1,697 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43647 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Commercial | $4.84 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | Navigate, Core, Charter, Aco Tiered | $7.47 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | All Other Plans | $8.30 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Local Plus | $8.38 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Hmo, Ppo, Pos | $8.38 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Oscar Health | Exchange | $27.86 | $136.00 | $47.60 | 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 ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Essential Health Partners | Hmo | $38.69 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Devoted Healthcare | Medicare | $38.69 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | Medicare | $38.69 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Medicare | $38.69 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Humana | Medicare | $38.69 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Essential Health Partners | Medicare | $38.69 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Medicare | $38.69 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Medicare | $39.47 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Meridian | Medicare (Wellcare) | $39.85 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Meridian | Exchange (Ambetter) | $46.43 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $51.43 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $51.43 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $51.43 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $51.43 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $51.43 | — | — | 2026-03-28 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Medicare | $66.67 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Medicare | $66.67 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | United Healthcare | Medicare | $66.67 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Humana | Medicare | $66.67 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peia | Other Governmental | $66.67 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $66.67 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peia | Other Governmental | $66.67 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Aetna | Medicare | $66.67 | — | — | 2026-05-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Commercial | $68.31 | — | — | 2025-08-01 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Hst Technologies | Epo, Ppo | $74.29 | $136.00 | $47.60 | 2026-05-08 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $75.47 | $117.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $83.21 | $129.00 | — | 2026-02-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $85.59 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $85.59 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $90.62 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $90.62 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $90.62 | — | — | 2025-08-01 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $93.21 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $93.21 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $94.94 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $94.94 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $95.86 | — | — | 2025-08-01 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PPO PREFERRED | 9232_ANTHEM PREFERRED VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY X | 9231_ANTHEM PATHWAY X VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HMO/POS | 9229_ANTHEM HMO POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC HMO | 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY | 9230_ANTHEM PATHWAY VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM TRADITIONAL | 9233_ANTHEM TRADITIONAL VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC POS | 9228_ANTHEM HEALTHSYNC POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM SHORT TERM LIMITED DURATION | 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $109.75 | — | — | 2026-01-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $113.93 | — | — | 2025-08-01 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $116.46 | $117.00 | — | 2026-02-24 | MRF ↗ |
| Shepherd Center Outpatient | Medicare | Commercial | $124.37 | — | — | 2026-05-06 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $128.41 | $129.00 | — | 2026-02-24 | MRF ↗ |
| Shepherd Center Outpatient | Humana | Commercial | $136.65 | — | — | 2026-05-06 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Exchange (MMG) | $139.80 | — | — | 2025-10-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $139.97 | $217.00 | — | 2026-02-24 | MRF ↗ |
| Shepherd Center Outpatient | Kaiser | Commercial | $143.03 | — | — | 2026-05-06 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Humana | HMO/PPO | $144.89 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Medicare Advantage | $146.34 | — | — | 2025-08-01 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $151.34 | $234.63 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $152.03 | $235.71 | — | 2026-02-24 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource Oh | Managed Care Medicaid Plan | $156.11 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem Oh | Managed Care Medicaid Plan | $156.11 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Oh | Managed Care Medicaid Plan | $156.11 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $157.09 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $158.07 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $158.07 | — | — | 2026-03-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Amerihealth Caritas Oh | Managed Care Medicaid Plan | $160.57 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $162.32 | $45,117.79 | $27,070.67 | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $162.32 | $45,117.79 | $27,070.67 | 2026-03-24 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Molina Oh | Managed Care Medicaid Plan | $163.54 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $165.49 | — | — | 2026-05-06 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| Shepherd Center Outpatient | Aetna | Commercial | $168.00 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $168.46 | — | — | 2026-05-06 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Buckeye Oh | Managed Care Medicaid Plan | $170.98 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $172.65 | $267.67 | — | 2026-02-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicare Advantage | $175.61 | — | — | 2025-08-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $180.02 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $181.15 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $181.15 | — | — | 2026-03-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource Oh | Managed Care Medicaid Plan | $183.66 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Oh | Managed Care Medicaid Plan | $183.66 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem Oh | Managed Care Medicaid Plan | $183.66 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Oh | Managed Care Medicaid Plan | $185.84 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| Shepherd Center Outpatient | Coventry | Commercial | $186.56 | — | — | 2026-05-06 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Amerihealth Caritas Oh | Managed Care Medicaid Plan | $188.90 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Molina Oh | Managed Care Medicaid Plan | $192.40 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $195.00 | $813.00 | $813.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $195.00 | $813.00 | $813.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $195.00 | $813.00 | $813.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $195.00 | $813.00 | $813.00 | 2025-07-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $196.01 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $197.24 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $197.24 | — | — | 2026-03-18 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $200.56 | — | — | 2026-05-06 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Buckeye Oh | Managed Care Medicaid Plan | $201.15 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $216.00 | $217.00 | — | 2026-02-24 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network P | $217.00 | — | — | 2026-02-28 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Oh | Managed Care Medicaid Plan | $218.64 | $4,277.00 | $2,181.27 | 2026-05-09 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $224.77 | $348.48 | — | 2026-02-24 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $230.63 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $230.63 | — | — | 2026-03-01 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $233.55 | $234.63 | — | 2026-02-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Molina | Medicaid | $234.37 | — | $17,645.98 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | AbsoluteMgdMCaid | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $234.37 | — | $17,645.98 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Amerihealth | SelectHealthPlan | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Humana | HumanaMgdMCaid | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaMgdMCaid | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Centene | AbsoluteMgdMCaid | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Amerihealth | SelectHealthPlan | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | $234.37 | — | $17,645.98 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCMgdMCaid | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $234.37 | — | — | 2025-09-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCaid | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | $234.37 | — | $17,645.98 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $234.37 | — | $17,645.98 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Humana | HumanaMgdMCaid | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $234.37 | — | $17,645.98 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Centene | AbsoluteMgdMCaid | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Amerihealth | SelectHealthPlan | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCaid | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | $234.37 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Select Health | Medicaid | $234.37 | — | $17,645.98 | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $234.37 | — | $17,645.98 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Humana | Medicaid | $234.37 | — | $17,645.98 | 2026-03-10 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $234.63 | $235.71 | — | 2026-02-24 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | Select Health | Managed Medicaid | $239.06 | — | — | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $239.06 | — | — | 2025-09-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Oscar Oncology | Individual Exchange | $240.00 | — | — | 2025-08-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | $246.09 | — | $17,645.98 | 2026-03-12 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | Absolute Total Care | Managed Medicaid | $246.09 | — | — | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $246.09 | — | — | 2025-09-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Absolute Total Care | Medicaid | $246.09 | — | $17,645.98 | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | $246.09 | — | $17,645.98 | 2026-03-12 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $250.00 | $813.00 | $813.00 | 2025-07-03 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Molina | Managed Medicaid | $250.66 | — | — | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Molina | Managed Medicaid | $250.66 | — | — | 2025-12-04 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $251.55 | $390.00 | — | 2026-02-24 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB ROGR MEDICARE | $257.01 | $67,920.53 | $44,148.34 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB ROGR MANAGED MEDICARE | $257.01 | $67,920.53 | $44,148.34 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB ROGR MEDICARE | $257.01 | $67,920.53 | $44,148.34 | 2026-03-13 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $263.00 | $813.00 | $813.00 | 2025-07-03 | 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.