43775 — Lap Sleeve Gastrectomy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lap sleeve gastrectomy (OTHER 43775) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43775?code_type=OTHER
MLA (9th ed.)
“Lap sleeve gastrectomy (OTHER 43775) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43775?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Lap sleeve gastrectomy (OTHER 43775) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43775?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,008–$12,220 (25th–75th percentile) across 52 hospitals · 133 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 43775 — 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 |
|---|---|---|---|---|---|---|---|
| San Angelo Community Medical Center | Medicaid -First Care Health Plans Claims Dept | — | $10.48 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Superior Health Plan | — | $10.48 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| MCLAREN CARO REGION | Mclaren Health - Commercial Hmo | — | $15.43 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Mclaren Health Advantage Ppo | — | $15.43 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Mclaren Health Plan Community | — | $15.43 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Alliance Health & Life Ins Co-Allh | — | $17.72 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Bpp (Blue Preferred Partner) | — | $18.72 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Fep | — | $18.72 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Ppo | — | $18.72 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Aetna | — | $19.47 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp | — | $20.83 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ | — | $20.83 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Uhc Medicaid/Chip | — | $21.32 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare | — | $21.32 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp | — | $22.05 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ | — | $22.05 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Ppo | — | $23.97 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Hmo | — | $23.97 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicare Advantage | — | $24.75 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicare | — | $24.99 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Blue Adv | — | $37.69 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Aetna Commercial | — | $39.80 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Humana Commercial | — | $41.57 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Cigna Commercial | — | $42.76 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Ppo/Pos | — | $43.48 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Indemnity | — | $43.48 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Hmo | — | $43.48 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | First Health | — | $44.54 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | United Healthcare Commercial | — | $46.33 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Healthsmart | — | $52.86 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Ebpa Multiplan | — | $53.46 | $59.39 | $29.69 | 2026-07-30 | MRF ↗ |
| MCLAREN CARO REGION | Hap Alliance Health & Life Ins Co-Allh Op Rate Type | — | $72.30 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Aetna Op Rate Type | — | $79.50 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ Op Rate Type | — | $85.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp Op Rate Type | — | $85.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Ip Rate Type | — | $87.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Uhc Medicaid/Chip Op Rate Type | — | $87.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Op Rate Type | — | $87.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Uhc Medicaid/Chip Ip Rate Type | — | $87.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ Ip Rate Type | — | $90.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp Ip Rate Type | — | $90.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $92.43 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $92.43 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $92.43 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $92.43 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Hmo Op Rate Type | — | $97.84 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Ppo Op Rate Type | — | $97.84 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Fep Op Rate Type | — | $98.52 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Bpp (Blue Preferred Partner) Op Rate Type | — | $98.52 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Ppo Op Rate Type | — | $98.52 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicaid | — | $100.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicaid Op Rate Type | — | $100.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicare Advantage Op Rate Type | — | $101.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicare Op Rate Type | — | $102.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicaid Op Rate Type | — | $102.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicaid | — | $102.00 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $107.01 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $107.01 | — | — | 2026-05-14 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Govt Programs/ Special Products | $132.70 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Govt Programs/ Special Products | $132.70 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Commercial | $147.16 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Commercial | $147.16 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $156.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $156.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $156.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $156.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $158.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $158.44 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $164.70 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $164.70 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $164.70 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $164.70 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $164.70 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $164.70 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $166.54 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $166.54 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $166.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $166.78 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $170.12 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $170.12 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $170.12 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $170.12 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $171.79 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $171.79 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $171.79 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $171.79 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $171.79 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $171.79 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $178.34 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $178.34 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $178.34 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $178.34 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $178.34 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $178.34 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $178.34 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $178.34 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $178.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $178.34 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $178.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $178.34 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $178.34 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $178.34 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $178.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $178.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $178.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $178.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $178.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $178.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $178.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $178.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $178.34 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $178.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $180.13 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $180.13 | — | — | 2026-05-14 | MRF ↗ |
| MCLAREN CARO REGION | Employee Benefit Logistics-Ebls | — | $180.60 | $25.50 | $12.80 | 2026-05-06 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $181.79 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $181.79 | — | — | 2026-05-14 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Commercial | $195.42 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Commercial | $195.42 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $213.09 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $213.09 | — | — | 2026-05-14 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Cdphp | Commercial | $217.27 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Cdphp | Commercial | $217.27 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Commercial | $218.85 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Commercial | $218.85 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $541.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $541.72 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $655.40 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $655.40 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $661.76 | — | — | 2026-05-23 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $679.63 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $679.63 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $679.63 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $679.63 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $679.63 | $544.00 | $544.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $679.63 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $702.47 | $2,178.00 | $1,089.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $702.47 | $2,178.00 | $1,089.00 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $706.52 | $3,396.00 | $1,698.00 | 2026-05-09 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $730.98 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $730.98 | — | — | 2026-07-31 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $730.98 | — | — | 2026-08-01 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $736.40 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $778.24 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $778.24 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $778.24 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $778.24 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $778.24 | — | — | 2026-07-30 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $793.68 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $793.68 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $793.68 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $793.68 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $802.13 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $802.13 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $833.77 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $833.77 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $833.77 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $833.77 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $843.13 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $843.13 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $844.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $844.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $844.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $844.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $844.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $844.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $844.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $844.34 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $844.34 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $844.34 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $844.34 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $844.34 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $844.34 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $844.34 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $861.23 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $861.23 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $861.23 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $861.23 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $862.12 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $869.67 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $869.67 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $869.67 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $869.67 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $869.67 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $869.67 | — | — | 2026-05-23 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $870.61 | — | — | 2026-05-08 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 5 And 6 | $872.00 | $544.00 | $544.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Mvp | Essential Plans 5 And 6 | $872.00 | $544.00 | $544.00 | 2026-05-13 | 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.