44970 — Laparoscopy Appendectomy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LAPAROSCOPY APPENDECTOMY (CPT 44970) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/44970?code_type=CPT
MLA (9th ed.)
“LAPAROSCOPY APPENDECTOMY (CPT 44970) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/44970?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“LAPAROSCOPY APPENDECTOMY (CPT 44970) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/44970?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,872–$9,056 (25th–75th percentile) across 2,876 hospitals · 6,083 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 44970 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Also priced as a different code
The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the CPT/HCPCS 44970 table above — including hospitals that only publish the bundled version.
2,798 facilities · 649 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
- Adventhealth Connerton, Land O' Lakes • only here
2,948 facilities · 705 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
- Adventhealth Connerton, Land O' Lakes • only here
2,989 facilities · 720 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ABROM KAPLAN MEMORIAL HOSPITAL, KAPLAN • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
An MS-DRG / APR-DRG price is the hospital’s single bundled charge for the entire inpatient stay — operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies — so it’s a broader, usually higher figure than the CPT/HCPCS 44970 line above, which prices the procedure alone. Neither includes the surgeon’s or anesthesiologist’s professional fees, which 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 fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$2,872
$6,043 typical
$9,056
The middle 50% of negotiated facility rates for this procedure, measured across 2,876 hospitals. The surgeon and 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. | $6,043 |
| Surgeon (professional fee) Estimate national typical Medicare $578 × 1.22 commercial. | $705 |
| Anesthesia Estimate national typical 00840, ~90 min typical. Medicare $246 × 3.14 commercial. | $772 |
| Likely subtotal | $7,521 |
Surgical episode (typical)
~$7,521
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $2,872–$9,056.
Your recovery plan — adjust to what your doctor told you
After your procedure, 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)
~$11,306
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
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) 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 St Joseph Health College Station Hospital Outpatient | Aetna | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | Aetna | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $22,141.00 | $2,214.10 | 2026-07-18 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.54 | $243.85 | $243.85 | 2026-04-24 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $2.84 | $10.00 | $6.00 | 2026-08-17 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Medicare A KY J15 | Default | $2.84 | $10.00 | $6.00 | 2026-08-17 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $2.84 | $10.00 | $6.00 | 2026-08-17 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of KY Anthem | Medicare Advantage | $3.00 | $10.00 | $6.00 | 2026-08-17 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Medicaid Kentucky | Default | $3.00 | $10.00 | $6.00 | 2026-08-17 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | WellCare Health Plan MCD Rep | Medicaid Replacement | $3.00 | $10.00 | $6.00 | 2026-08-17 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $3.20 | $10.00 | $6.00 | 2026-08-17 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Unitedhealthcare Insurance Company (Contracting On Behalf Of Itself, Unitedhealthcare Of Alabama, Inc. And United'S Affiliates) | Commercial All Payer | — | $10,189.67 | $8,661.22 | 2026-07-15 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of KY Anthem | Default | $7.15 | $10.00 | $6.00 | 2026-08-17 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Default | $8.35 | $10.00 | $6.00 | 2026-08-17 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Medicare B KY J15 | Default | $9.80 | $10.00 | $6.00 | 2026-08-17 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | MODA HEALTH PLAN - ALL OTHER PLANS | MODA HEALTH PLAN - ALL OTHER PLANS | $15.34 | $2,628.22 | $2,628.22 | 2025-05-29 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $15.34 | $2,628.22 | $2,628.22 | 2025-05-29 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $15.47 | $2,628.22 | $2,628.22 | 2025-05-29 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PROVIDENCE PREFERRED - ALL PLANS | PROVIDENCE PREFERRED - ALL PLANS | $17.16 | $2,628.22 | $2,628.22 | 2025-05-29 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $17.49 | $1,488.00 | $282.72 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $17.49 | $326.00 | $61.94 | 2026-05-20 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $2,415.00 | $1,690.50 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $2,415.00 | $1,690.50 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $2,415.00 | $1,690.50 | 2026-07-14 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $21.38 | $11,880.00 | $5,722.52 | 2024-12-31 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $25.41 | $1,617.00 | $1,617.00 | 2026-07-09 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $26.13 | $3,173.00 | $3,173.00 | 2026-07-16 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $29.27 | $1,482.00 | $474.24 | 2026-05-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $1,938.00 | $1,453.50 | 2026-03-18 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | United Healthcare | Default | — | $102.00 | $61.20 | 2026-05-22 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRICARE- ALL PLANS | TRICARE- ALL PLANS | $35.53 | $98.70 | $88.83 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | VA CCN -ALL PLANS | VA CCN -ALL PLANS | $35.53 | $98.70 | $88.83 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MEDICAL ASSOCIATES-ALL PLANS | MEDICAL ASSOCIATES-ALL PLANS | $35.53 | $98.70 | $88.83 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRIWEST WELLMARK-ALL PLANS | TRIWEST WELLMARK-ALL PLANS | $35.53 | $98.70 | $88.83 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | WELLMARK MCR ADV- ALL PLANS | WELLMARK MCR ADV- ALL PLANS | $35.89 | $98.70 | $88.83 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC MCR ADV | UHC MCR ADV | $36.60 | $98.70 | $88.83 | 2026-01-03 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA HMO | AVERA HMO | $46.00 | $2,914.00 | $1,748.40 | 2025-12-20 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ACA PPO - ALL OTHER PLANS | AVERA ACA PPO - ALL OTHER PLANS | $46.00 | $2,914.00 | $1,748.40 | 2025-12-20 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ASO PPO | AVERA ASO PPO | $48.00 | $2,914.00 | $1,748.40 | 2025-12-20 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $50.00 | $1,621.00 | $1,621.00 | 2026-02-10 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $2,506.00 | $1,804.32 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $2,506.00 | $1,804.32 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $2,506.00 | $1,804.32 | 2026-05-04 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | OSCAR-ALL PLANS | OSCAR-ALL PLANS | $53.30 | $98.70 | $88.83 | 2026-01-03 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA NONACA PPO | AVERA NONACA PPO | $54.00 | $2,914.00 | $1,748.40 | 2025-12-20 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MHCP | BCBS MHCP | $54.67 | $149.00 | $131.12 | 2026-02-03 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | MEDI-CAL | MEDI-CAL | $54.73 | $304.00 | $45.60 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $54.73 | $326.00 | $61.94 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $54.73 | $326.00 | $61.94 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $54.73 | $326.00 | $61.94 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $54.73 | $326.00 | $61.94 | 2026-05-19 | MRF ↗ |
| LAKE DISTRICT HOSPITAL Outpatient | PHC MEDI-CAL-ALL PLANS | PHC MEDI-CAL-ALL PLANS | $54.73 | $1,817.00 | $1,544.45 | 2026-06-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $54.73 | $326.00 | $61.94 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $54.73 | $326.00 | $61.94 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $54.73 | $326.00 | $61.94 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $54.73 | $326.00 | $61.94 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $54.73 | $326.00 | $61.94 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $54.73 | $326.00 | $61.94 | 2026-05-19 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $54.97 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $54.97 | — | — | 2026-04-01 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | BCBS OREGON PAR | BCBS OREGON PAR | $60.61 | $1,617.00 | $1,617.00 | 2026-07-09 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | BCBS OREGON NON-PAR - ALL OTHER PLANS | BCBS OREGON NON-PAR - ALL OTHER PLANS | $60.61 | $1,617.00 | $1,617.00 | 2026-07-09 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $61.08 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $61.08 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $326.00 | $65.20 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $326.00 | $65.20 | 2026-05-24 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | CHIP | $66.88 | $3,006.00 | $600.00 | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | Managed Medicaid | $66.88 | $3,006.00 | $600.00 | 2025-12-02 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MCAID | MEDICA MCAID | $68.84 | $149.00 | $131.12 | 2026-02-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MIDLANDS NEW BUSINESS | MIDLANDS NEW BUSINESS | $69.09 | $98.70 | $88.83 | 2026-01-03 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UPN MCAL PROFEE | UPN MCAL PROFEE | $69.25 | $277.00 | $52.63 | 2026-05-19 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $70.00 | $1,816.00 | $1,598.08 | 2026-02-03 | MRF ↗ |
| VIRGINIA GAY HOSPITAL Outpatient | HUMANA PPO/POS/HMO-ALL PLANS | HUMANA PPO/POS/HMO-ALL PLANS | $70.00 | $2,763.00 | $2,210.40 | 2026-03-12 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $70.03 | $149.00 | $131.12 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $70.03 | $149.00 | $131.12 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $70.03 | $149.00 | $131.12 | 2026-02-03 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | DEAN HEALTH PLAN - ALL PLANS | DEAN HEALTH PLAN - ALL PLANS | $71.99 | $2,475.00 | $1,608.75 | 2026-01-15 | MRF ↗ |
| SEARHC WRANGELL MEDICAL CENTER & LTC Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $72.00 | $2,934.15 | $2,934.15 | 2024-12-09 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE SR HLTH OPTIONS (MSHO) | UCARE SR HLTH OPTIONS (MSHO) | $74.50 | $149.00 | $131.12 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR SELECT | UCARE MCR SELECT | $74.50 | $149.00 | $131.12 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR ADV | UCARE MCR ADV | $74.50 | $149.00 | $131.12 | 2026-02-03 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $75.00 | $1,151.35 | $1,151.35 | 2026-07-22 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $75.00 | $1,151.35 | $1,151.35 | 2026-04-24 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $76.98 | $1,679.00 | $1,679.00 | 2026-02-09 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $78.54 | $885.00 | $531.00 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $78.54 | $885.00 | $531.00 | 2026-02-12 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $1,568.70 | $1,019.66 | 2026-08-10 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Cigna | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | United Healthcare | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Federal | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Health Choice Pathway MCR Adv | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Health Choice Pathway MCR Adv | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | VA Community Care Network VACCN Region 4 Triwest | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | VA Community Care Network VACCN Region 4 Triwest | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Sierra Health and Life MCR Adv | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-07-31 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Presbyterian Health Plan MCR Adv | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Great West Healthcare AZ | PPO | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Presbyterian Health Plan MCR Adv | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Sierra Health and Life MCR Adv | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Federal | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | ASAGEHA | Federal | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Arizona Foundation for Medical Care (AFMC) | PPO | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare East Region DOS lt 01012025 | Federal | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-07-31 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Humana | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | UMR Wausau/UHIS | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare West | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Medicare A AZ JF | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare West | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Humana | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | United Healthcare | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Amerihealth | Regional Preferred | — | — | $3,986.00 | 2026-03-04 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Cigna | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | United Healthcare | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | ASAGEHA | Federal | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Arizona Foundation for Medical Care (AFMC) | PPO | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | United Healthcare | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Cigna | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Cigna | Medicare Advantage | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Great West Healthcare AZ | PPO | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare East Region DOS lt 01012025 | Federal | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Medicare A AZ JF | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | UMR Wausau/UHIS | Default | — | $7,641.34 | $4,355.56 | 2026-03-16 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $81.41 | $603.00 | $452.25 | 2026-01-16 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UPN MCAL PROFEE | UPN MCAL PROFEE | $81.50 | $326.00 | $61.94 | 2026-05-19 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Medicare B ME JK | Default | $83.54 | $450.05 | $360.04 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Default | $84.38 | $450.05 | $360.04 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Wellcare Health Plan Inc MCR Adv | Default | $84.38 | $468.05 | $374.44 | 2026-04-24 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $84.41 | $3,294.00 | $2,470.50 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $84.41 | $3,294.00 | $2,470.50 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $84.41 | $3,294.00 | $2,470.50 | 2026-10-01 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $85.08 | $98.70 | $88.83 | 2026-01-03 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Medicare B NY Upstate JK | Default | $85.46 | $1,657.00 | $1,027.34 | 2026-03-16 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | — | — | — | $450.05 | $360.04 | 2025-03-04 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $90.00 | $1,333.25 | $1,173.26 | 2025-11-14 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Blue Cross Blue Shield of NY Empire | Medicare Advantage | $91.56 | $1,657.00 | $1,027.34 | 2026-03-16 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $91.95 | $326.00 | $61.94 | 2026-05-19 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MSHO | MEDICA MSHO | $92.68 | $149.00 | $131.12 | 2026-02-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $93.77 | $98.70 | $88.83 | 2026-01-03 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | Aetna | Default | — | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | Medicare B AL JJ | Default | — | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | Medicare B AL JJ | Default | — | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | Medicaid Alabama | Default | — | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | VIVA Health Plan MCR Adv | Default | $95.00 | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | Aetna | Default | — | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | VIVA Health Plan MCR Adv | Default | $95.00 | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | Medicaid Alabama | Default | — | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MIDLANDS CHOICE - ALL OTHER PLANS | MIDLANDS CHOICE - ALL OTHER PLANS | $95.74 | $98.70 | $88.83 | 2026-01-03 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Humana | Medicare Advantage | $96.08 | $468.05 | $374.44 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Medicare A ME JK | Default | $96.08 | $450.05 | $360.04 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | United Healthcare | Medicare Advantage | $96.08 | $450.05 | $360.04 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Humana | Medicare Advantage | $97.04 | $450.05 | $360.04 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | VA Community Care Network VACCN Region 1-3 Optum | Default | $98.04 | $450.05 | $360.04 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Aetna Medicare Advantage | Medicare Advantage | $98.04 | $468.05 | $374.44 | 2026-04-24 | MRF ↗ |
| PENOBSCOT VALLEY HOSPITAL Both | Blue Cross Blue Shield of ME Anthem | Medicare Advantage | $98.96 | $450.05 | $360.04 | 2026-04-24 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | SECURITY HP MCAID | SECURITY HP MCAID | $99.18 | $2,069.00 | $1,189.68 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | QUARTZ MCAID | QUARTZ MCAID | $99.18 | $2,069.00 | $1,189.68 | 2026-03-03 | MRF ↗ |
| STEELE MEMORIAL MEDICAL CENTER Outpatient | INTERWEST HEALTH - ALL PLANS | INTERWEST HEALTH - ALL PLANS | $99.28 | $2,101.00 | $1,575.75 | 2026-02-26 | MRF ↗ |
| STEELE MEMORIAL MEDICAL CENTER Outpatient | SELECT HEALTH INC - ALL OTHER PLANS | SELECT HEALTH INC - ALL OTHER PLANS | $99.35 | $2,101.00 | $1,575.75 | 2026-02-26 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | Humana | Default | $100.00 | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | VA Community Care Network VACCN Region 1-3 Optum | All Plans | $100.00 | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | VA Community Care Network VACCN Region 1-3 Optum | All Plans | $100.00 | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | United Healthcare | Default | $100.00 | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | United Healthcare | Default | $100.00 | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | BCBS AHS | BCBS AHS | $100.00 | $1,621.00 | $1,621.00 | 2026-02-10 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | Humana | Default | $100.00 | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | Simpra Advantage AL MCR Adv DOS gt 123122 | Default | $102.00 | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Both | Simpra Advantage AL MCR Adv DOS gt 123122 | Default | $102.00 | $17,503.08 | $7,001.23 | 2026-04-02 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID | CARESOURCE MCAID | $114.11 | $1,601.79 | $800.90 | 2026-05-05 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $8,559.00 | $5,563.35 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $8,559.00 | $5,563.35 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $8,559.00 | $5,563.35 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $8,559.00 | $5,563.35 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $8,559.00 | $5,563.35 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $8,559.00 | $5,563.35 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $8,559.00 | $5,563.35 | 2026-08-01 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | MEDI-CAL | MEDI-CAL | $125.00 | $326.00 | $48.90 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $125.00 | $326.00 | $48.90 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $125.00 | $326.00 | $48.90 | 2026-10-05 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $125.00 | $2,692.60 | $1,615.56 | 2026-09-26 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $125.00 | $2,692.60 | $1,615.56 | 2026-09-26 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $125.12 | $603.00 | $452.25 | 2026-01-16 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $126.25 | $2,692.60 | $1,615.56 | 2026-09-26 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | MEDI-CAL | MEDI-CAL | $130.00 | $2,660.00 | $571.27 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $130.00 | $2,178.00 | $392.04 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $130.00 | $2,178.00 | $392.04 | 2026-05-23 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.