43752 — Hc Plc Tube Nasal/orogast W Fluor
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC PLC TUBE NASAL/OROGAST W FLUOR (CPT 43752) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43752?code_type=CPT
MLA (9th ed.)
“HC PLC TUBE NASAL/OROGAST W FLUOR (CPT 43752) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43752?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC PLC TUBE NASAL/OROGAST W FLUOR (CPT 43752) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43752?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $315–$720 (25th–75th percentile) across 2,629 hospitals · 9,022 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 43752 — 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 figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$315
$479 typical
$720
The middle 50% of negotiated facility rates for this procedure, measured across 2,629 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. | $479 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $34 × 1.22 commercial. | $42 |
| Likely subtotal | $521 |
Surgical episode (typical)
~$521
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.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,306
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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $1,272.00 | $376.52 | 2026-02-28 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $0.69 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $0.69 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $0.69 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $0.69 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | BCBS [210001] | BC FL PPO [21000101] | $0.69 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | BCBS [210001] | BC FL PPO [21000101] | $0.69 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | BCBS [210001] | BC FL PPO [21000101] | $0.69 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.90 | $471.77 | $283.06 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.90 | $471.77 | $283.06 | 2025-08-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.99 | $268.00 | $254.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.99 | $268.00 | $254.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.99 | $268.00 | $254.60 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $961.65 | $625.07 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $961.65 | $625.07 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.02 | $268.00 | $254.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.07 | $268.00 | $254.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.09 | $227.00 | $215.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.09 | $227.00 | $215.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.11 | $227.00 | $215.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.11 | $227.00 | $215.65 | 2026-02-20 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $1.12 | $528.00 | $195.36 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.17 | $239.00 | $227.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.17 | $239.00 | $227.05 | 2026-02-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.18 | $98.00 | $18.62 | 2026-01-25 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.20 | $239.00 | $227.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.24 | $239.00 | $227.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.29 | $239.00 | $227.05 | 2026-02-20 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.30 | $160.00 | $104.00 | 2026-05-07 | MRF ↗ |
| THE PHYSICIANS' HOSPITAL IN ANADARKO Both | Medicaid | Traditional | — | $524.79 | $314.87 | 2026-03-23 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.23 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.24 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.24 | — | — | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $2.36 | $234.00 | $234.00 | 2026-02-13 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $2.55 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $2.57 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $2.57 | — | — | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.75 | $471.77 | $283.06 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.75 | $471.77 | $283.06 | 2025-08-11 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.78 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.80 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.80 | — | — | 2026-03-18 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $2.86 | $143.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $2.86 | $143.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $2.86 | $143.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $2.86 | $143.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $2.86 | $143.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $2.86 | $143.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $2.86 | $143.00 | — | 2026-03-31 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | ANTHEM MEDICARE | ANTHEM MEDICARE | $4.30 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | COVENTRY CARES MEDICAID | COVENTRY CARES MEDICAID | $4.80 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $5.81 | $43.00 | $32.25 | 2026-01-16 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $6.90 | $663.75 | $663.75 | 2026-04-24 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $8.12 | $528.00 | $211.20 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $8.12 | $528.00 | $211.20 | 2026-05-22 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $8.92 | $43.00 | $32.25 | 2026-01-16 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $9.00 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AETNA BETTER HLTH | MCD AETNA IP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICAID LA | MEDICAID IP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICAID LA | MEDICAID OP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD UHC | MCD UHC OP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD HEALTHY BLUE | MCD HEALTHY BLUE IP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AETNA BETTER HLTH | MCD AETNA OP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD MISC | MCD MISC OP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD LA HLTH CONN | MCD LHC OP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD HEALTHY BLUE | MCD HEALTHY BLUE OP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD MISC | MCD MISC IP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD LA HLTH CONN | MCD LHC IP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD UHC | MCD UHC IP | $9.09 | $155.00 | $93.00 | 2025-12-04 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $779.00 | $467.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $2,909.00 | $1,745.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $779.00 | $467.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $485.00 | $291.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $594.00 | $356.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $535.00 | $321.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $2,909.00 | $1,745.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $700.00 | $420.00 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $535.00 | $321.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $700.00 | $420.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $594.00 | $356.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $471.00 | $282.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $535.00 | $321.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $535.00 | $321.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $535.00 | $321.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $485.00 | $291.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $535.00 | $321.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $700.00 | $420.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $700.00 | $420.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $700.00 | $420.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $700.00 | $420.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $535.00 | $321.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $535.00 | $321.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $711.00 | $426.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $471.00 | $282.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $535.00 | $321.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $711.00 | $426.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $700.00 | $420.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $9.86 | $700.00 | $420.00 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $9.86 | $535.00 | $321.00 | 2026-01-01 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - Anthem | All Plans | $9.89 | $79.85 | $28.75 | 2026-01-01 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $9.90 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Aetna (Medicaid) | Aetna Better Health | $10.56 | $88.00 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | WellCare (Medicaid) | WellCare of Kentucky | $10.56 | $88.00 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicaid) | United Healthcare Community Plan | $10.67 | $88.00 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicaid) | Passport Health Plan by Molina Healthcare | $10.67 | $88.00 | — | 2026-04-01 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | HIP / Emblem Health | All Plans | $10.79 | $77.04 | $40.06 | 2026-01-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicaid) | Humana Healthy Horizons | $11.19 | $88.00 | — | 2026-04-01 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC OutpatientFacility | UCARE [91180041] | UCARE ESSENTIA CARE MEDICARE ADVANTAGE PLAN [777] | $11.62 | — | — | 2026-03-31 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | Medicare Advantage - Aetna | All Plans | $12.25 | $77.04 | $40.06 | 2026-01-01 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRICARE- ALL PLANS | TRICARE- ALL PLANS | $12.35 | $34.31 | $30.88 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRIWEST WELLMARK-ALL PLANS | TRIWEST WELLMARK-ALL PLANS | $12.35 | $34.31 | $30.88 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | VA CCN -ALL PLANS | VA CCN -ALL PLANS | $12.35 | $34.31 | $30.88 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MEDICAL ASSOCIATES-ALL PLANS | MEDICAL ASSOCIATES-ALL PLANS | $12.35 | $34.31 | $30.88 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | WELLMARK MCR ADV- ALL PLANS | WELLMARK MCR ADV- ALL PLANS | $12.48 | $34.31 | $30.88 | 2026-01-03 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Cigna | All Plans | $12.52 | $79.85 | $28.75 | 2026-01-01 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $12.53 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - Wellcare | All Plans | $12.61 | $79.85 | $28.75 | 2026-01-01 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - CtCare | All Plans | $12.64 | $79.85 | $28.75 | 2026-01-01 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | Medicare Advantage - UHC | All Plans | $12.67 | $77.04 | $40.06 | 2026-01-01 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC MCR ADV | UHC MCR ADV | $12.72 | $34.31 | $30.88 | 2026-01-03 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | Medicare Advantage - Wellcare | All Plans | $12.96 | $77.04 | $40.06 | 2026-01-01 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | Medicare Advantage - Empire Blue Cross | All Plans | $13.04 | $77.04 | $40.06 | 2026-01-01 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | GHI / Emblem Health | All Plans | $13.10 | $77.04 | $40.06 | 2026-01-01 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $13.20 | $44.00 | $30.80 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $13.20 | $44.00 | $30.80 | 2025-07-14 | MRF ↗ |
| GREENWICH HOSPITAL ASSOCIATION - Outpatient | Medicare Advantage - CtCare | All Plans | $13.33 | $77.04 | $40.06 | 2026-01-01 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $13.40 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $13.50 | $90.00 | $13.50 | 2025-12-23 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | ANTHEM PATHWAY PPO | ANTHEM PATHWAY PPO | $13.53 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicare A WV JM | Default | $13.72 | $50.00 | $35.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $13.72 | $50.00 | $35.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $13.72 | $50.00 | $35.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicare A WV JM | Default | $13.72 | $50.00 | $35.00 | 2026-04-07 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $13.77 | $79.85 | $28.75 | 2026-01-01 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $13.93 | $43.00 | $21.50 | 2026-03-24 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Aetna Medicare Advantage | Default | $14.00 | $50.00 | $35.00 | 2026-04-07 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | COVENTRY-FIRST HEALTH-ALL OTHER PLANS | COVENTRY-FIRST HEALTH-ALL OTHER PLANS | $14.00 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Aetna Medicare Advantage | Medicare Advantage | $14.00 | $50.00 | $35.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield of WV Highmark | Default | $14.00 | $50.00 | $35.00 | 2026-04-07 | MRF ↗ |
| WESTERLY HOSPITAL Outpatient | Medicare Advantage - UHC | All Plans | $14.01 | $79.85 | $28.75 | 2026-01-01 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | ANTHEM BLUE HMO/PPO | ANTHEM BLUE HMO/PPO | $14.24 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | ANTHEM BLUE TRAD-ALL OTHER PLANS | ANTHEM BLUE TRAD-ALL OTHER PLANS | $14.64 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $14.68 | $717.00 | $5,741.00 | 2026-03-04 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Medicare A ME JK | Default | $14.69 | $31.89 | $25.51 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | United Healthcare | Medicare Advantage | $14.69 | $31.89 | $25.51 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Humana | Medicare Advantage | $14.84 | $31.89 | $25.51 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Default | $14.84 | $31.89 | $25.51 | 2026-04-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | MOLINA MCR ADV - ALL PLANS | MOLINA MCR ADV - ALL PLANS | $14.89 | $43.00 | $21.50 | 2026-03-24 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $14.92 | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MH OPTUM [170] | MH OPTUM COMMUNITY [17002] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Inpatient | VETERANS ADMINISTRATION [178] | VA VETERAN'S CHOICE VACAA [17803] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH [12001] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | VALUE OPTIONS [145] | VALUE OPTIONS [14501] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | VALUE OPTIONS [145] | VALUE OPTIONS OPTION [14503] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $14.92 | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Inpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICAID [11403] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | VALUE OPTIONS [145] | VALUE OPTIONS GOLD [14502] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | MARTINS POINT/US FAMILY [10304] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $14.92 | $69.37 | $69.37 | 2024-12-30 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Aetna Medicare Advantage | Medicare Advantage | $14.99 | $31.89 | $25.51 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | VA Community Care Network VACCN Region 1-3 Optum | Default | $14.99 | $31.89 | $25.51 | 2026-04-24 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $15.00 | $50.00 | $35.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $15.00 | $50.00 | $35.00 | 2025-07-14 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | SIHO NETWORK-ALL PLANS | SIHO NETWORK-ALL PLANS | $15.00 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Advantage HMO | $15.00 | $30.00 | $23.00 | 2025-04-15 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $15.07 | $20.00 | $10.00 | 2026-02-18 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Blue Cross Blue Shield of ME Anthem | Medicare Advantage | $15.13 | $31.89 | $25.51 | 2026-04-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | UHC MCR ADV | UHC MCR ADV | $15.48 | $43.00 | $21.50 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | UNIVERSITY HEALTH CARE MCR ADV | UNIVERSITY HEALTH CARE MCR ADV | $15.48 | $43.00 | $21.50 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | CARESOURCE - ALL PLANS | CARESOURCE - ALL PLANS | $15.48 | $43.00 | $21.50 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | WELLCARE MCR ADV | WELLCARE MCR ADV | $15.48 | $43.00 | $21.50 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $15.48 | $43.00 | $21.50 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | AETNA MCR ADV | AETNA MCR ADV | $15.48 | $43.00 | $21.50 | 2026-03-24 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Both | UHC VA CCN | UHC VA CCN | $15.48 | $43.00 | $21.50 | 2026-03-24 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $15.86 | $594.00 | $356.40 | 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.