44406 — Colonoscopy W/ultrasound
Cite this view
HANK Price Transparency. (n.d.). COLONOSCOPY W/ULTRASOUND (CPT 44406) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/44406?code_type=CPT
“COLONOSCOPY W/ULTRASOUND (CPT 44406) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/44406?code_type=CPT. Accessed .
“COLONOSCOPY W/ULTRASOUND (CPT 44406) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/44406?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,107–$2,727 (25th–75th percentile) across 1,519 hospitals · 2,450 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 44406 — 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.
The middle 50% of negotiated facility rates for this procedure, measured across 1,519 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. | $1,539 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $202 × 1.22 commercial. | $247 |
| Likely subtotal | $1,786 |
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.
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 | — | — | 2026-02-28 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.32 | $2,955.00 | $1,188.95 | 2024-12-31 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $5.37 | $5,370.00 | $1,611.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $5.37 | $5,370.00 | $1,611.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $5.37 | $5,370.00 | $1,611.00 | 2026-04-01 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | UHC Fort Logan Hospital | PPO | $5.78 | $15.00 | — | 2026-02-24 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $6.62 | $567.00 | $107.73 | 2026-01-25 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $14.93 | $15.00 | — | 2026-02-24 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $19.97 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.10 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.10 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $22.89 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $23.03 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $23.03 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $24.92 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.08 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.08 | — | — | 2026-03-18 | 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 ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $33.33 | — | — | 2025-12-31 | 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 | Blue Cross Blue Shield | Hmo Illinois | — | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Professional Benefits Administrator | Ppo | — | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Union Medical | Hmo | — | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Zelis | Workers Comp | — | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Precision Hmo | — | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Ppo | — | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Joliet | Hmo | — | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Corvel | Workers Comp | — | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Multiplan | Ppo | — | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Commercial | — | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Public Exchange | — | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Oscar Health | Exchange | $37.04 | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Choice | — | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Merced | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Tulare | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CHDP | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Fresno | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Blue Shield | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Tulare | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Kern | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Shield | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CHDP | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Tulare | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Kern | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Merced | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Kings | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kings | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Merced | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Kings | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Fresno | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Fresno | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Kings | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Tulare | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Merced | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Fresno | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $50.00 | — | — | 2025-03-13 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Devoted Healthcare | Medicare | $51.45 | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Essential Health Partners | Hmo | $51.45 | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Essential Health Partners | Medicare | $51.45 | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Medicare | $51.45 | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Humana | Medicare | $51.45 | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Medicare | $51.45 | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | Medicare | $51.45 | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Medicare | $52.48 | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Meridian | Medicare (Wellcare) | $52.99 | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Meridian | Exchange (Ambetter) | $61.74 | $129.00 | $45.15 | 2026-05-08 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $66.41 | $773.00 | $146.87 | 2026-01-31 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $67.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $67.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $67.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $67.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 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 CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $67.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $67.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY | 9230_ANTHEM PATHWAY VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $67.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PPO PREFERRED | 9232_ANTHEM PREFERRED 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 Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 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 PATHWAY X | 9231_ANTHEM PATHWAY X VCIN 20250101 | — | — | — | 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 EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $67.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 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.