45332 — Sigmoidoscopy W/fb Removal
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SIGMOIDOSCOPY W/FB REMOVAL (CPT 45332) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/45332?code_type=CPT
MLA (9th ed.)
“SIGMOIDOSCOPY W/FB REMOVAL (CPT 45332) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/45332?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“SIGMOIDOSCOPY W/FB REMOVAL (CPT 45332) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/45332?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $996–$2,405 (25th–75th percentile) across 1,923 hospitals · 5,201 payers.
“Negotiated” is what insurers actually pay hospitals for this CPT/HCPCS 45332 — the consumer-grade median across the country.
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 | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Troy | Medicare Advantage | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Humana Choicecare | Medicare Advantage | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Aetna Nc State Health Plan | Commercial | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Cigna | Commercial | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | United Healthcare | Compass | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Multiplan | Commercial | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Longevity | Medicare Advantage | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Humana Choicecare | Commercial | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Aetna | Medicare Advantage | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Medcost | Commercial | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Carolina Complete Health | Managed Medicaid | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Wellcare | Managed Medicaid | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Blue Medicare Partner Health Plan | Medicare | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Humana | Medicare Advantage | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Liberty Advantage | Medicare Advantage | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Healthy Blue | Managed Medicaid | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | United Healthcare | Managed Medicaid | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Wellcare | Medicare Advantage | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | United Healthcare | Onenet Ppo | $2.67 | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | New Hanover | Medicare Advantage | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Blue Cross Blue Shield Of Nc | Commercial | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Humana | Commercial | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | First Carolina Care | Medicare Advantage | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Aetna | Commercial | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL | Humana | Tricare | — | $2,381.00 | $1,428.60 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.04 | $262.00 | $49.78 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER | MPI - ALL PLANS | MPI - ALL PLANS | $3.34 | $392.00 | $254.80 | 2026-05-07 | MRF ↗ |
| MONMOUTH MEDICAL CENTER | Clover | Managed Medicare | $4.34 | $2,409.00 | $1,188.95 | 2024-12-31 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $6.08 | $746.00 | $746.00 | 2026-02-13 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR | Aetna | Aetna Whole Health | $7.07 | $5,099.00 | $3,824.25 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER | Blue Shield of California | Covered California/IFP/PPO | $11.02 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City | Blue Shield of California | Covered California/IFP/PPO | $11.09 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | Blue Shield of California | Covered California/IFP/PPO | $11.09 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER | Blue Shield of California | HMO | $12.63 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | Blue Shield of California | HMO | $12.71 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City | Blue Shield of California | HMO | $12.71 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER | Blue Shield of California | EPO/PPO/Out of State | $13.75 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City | Blue Shield of California | EPO/PPO/Out of State | $13.84 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | Blue Shield of California | EPO/PPO/Out of State | $13.84 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL | Medicare | Part B | $23.00 | $209.00 | $105.00 | 2025-06-12 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $25.70 | — | — | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HURLEY MEDICAL CENTER | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $33.34 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| EAST COOPER MEDICAL CENTER | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| HURLEY MEDICAL CENTER | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $36.67 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $36.67 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $36.67 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $38.61 | $286.00 | $214.50 | 2026-01-16 | MRF ↗ |
| RIVERLAND MEDICAL CENTER | Humana Advantage Care Plans Med Advantage | Default | $41.16 | $198.00 | $99.00 | 2024-10-24 | MRF ↗ |
| HURLEY MEDICAL CENTER | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $42.35 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $42.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $42.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $42.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $42.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $42.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $42.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $42.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $42.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $42.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $42.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $42.89 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $43.66 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $43.66 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $43.66 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $43.66 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $43.66 | — | — | 2026-01-01 | MRF ↗ |
| Northern Montana Hospital | Healthy Kids Medicaid | Medicaid | $44.44 | $166.00 | $116.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital | Montana Medicaid | Medicaid | $44.44 | $166.00 | $116.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital | Healthy Kids Medicaid | Medicaid | $44.44 | $166.00 | $116.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital | Montana Medicaid | Medicaid | $44.44 | $166.00 | $116.20 | 2026-04-02 | MRF ↗ |
| ST JAMES HOSPITAL | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO | $44.62 | — | — | 2026-01-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL | EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] | BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH PLUS [220108],EXCELLUS HEALTHY NY [220110], EXCELLUS ESSENTIAL (NO MEDICAID) [220109], EXCELLUS ESSENTIAL (W/ MEDICAID) [170604], UNIVERA HEALTHY NY [220112], UNIVERA ESSENTIAL (NO MEDICAID) [220 | $44.62 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL | EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] | BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH PLUS [220108],EXCELLUS HEALTHY NY [220110], EXCELLUS ESSENTIAL (NO MEDICAID) [220109], EXCELLUS ESSENTIAL (W/ MEDICAID) [170604], UNIVERA HEALTHY NY [220112], UNIVERA ESSENTIAL (NO MEDICAID) [220 | $44.62 | — | — | 2026-04-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO | $44.62 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO | $44.62 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $46.38 | — | — | 2026-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL | HIGHMARK BC/BS OF WESTERN NY MEDICAID [1702], AMERIGROUP (BSWNY ALTERNATE) [1720], HIGHMARK BC/BS OF WESTERN NY [5143] | HIGHMARK BC/BS OF WESTERN NY MEDICAID [170201], AMERIGROUP (BSWNY ALTERNATE) [172001], COMMUNITY BLUE CHILD HEALTH PLUS [514306], BC/BS OF WNY ESSENTIAL (NO MEDICAID) [514307] | $46.38 | — | — | 2026-04-01 | MRF ↗ |
| F F THOMPSON HOSPITAL | HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 | HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 | $46.38 | — | — | 2026-01-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL | HIGHMARK BC/BS OF WESTERN NY MEDICAID [1702], AMERIGROUP (BSWNY ALTERNATE) [1720], HIGHMARK BC/BS OF WESTERN NY [5143] | HIGHMARK BC/BS OF WESTERN NY MEDICAID [170201], AMERIGROUP (BSWNY ALTERNATE) [172001], COMMUNITY BLUE CHILD HEALTH PLUS [514306], BC/BS OF WNY ESSENTIAL (NO MEDICAID) [514307] | $46.38 | — | — | 2026-04-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $46.38 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL | HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 | HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 | $46.38 | — | — | 2026-01-01 | MRF ↗ |
| HURLEY MEDICAL CENTER | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $47.06 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $47.06 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $47.06 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $47.06 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $47.06 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $47.06 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $48.60 | $150.00 | $75.00 | 2026-03-24 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $49.47 | $761.00 | $494.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $49.47 | $761.00 | $494.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $49.47 | $761.00 | $494.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $49.47 | $761.00 | $494.65 | 2026-03-12 | MRF ↗ |
| HURLEY MEDICAL CENTER | TRICARE [1056] | TRICARE FOR LIFE [105602] | $49.63 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER | VHA OFFICE OF COMMUNITY CARE [1011] | CHAMPVA [101101] | $49.63 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER | TRICARE [1056] | TRICARE WEST [105601] | $49.63 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER | HUMANA MILITARY [1098] | HUMANA MILITARY TRICARE EAST [109801] | $49.63 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| Northern Montana Hospital | Humana Medicare Advantage | Medicare | $49.80 | $166.00 | $116.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital | Humana Medicare Advantage | Medicare | $49.80 | $166.00 | $116.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital | United Medicare Advantage | Medicare | $49.80 | $166.00 | $116.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital | TriWest | PPO | $49.80 | $166.00 | $116.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital | United Medicare Advantage | Medicare | $49.80 | $166.00 | $116.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital | TriWest | PPO | $49.80 | $166.00 | $116.20 | 2026-04-02 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $50.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $50.00 | — | — | 2026-04-01 | MRF ↗ |
| MAYERS MEMORIAL HOSPITAL | MEDI-CAL | MEDI-CAL | $50.00 | $1,203.00 | $1,203.00 | 2026-05-12 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL | Amerihealth | F8102_Amerihealth | $50.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL | Amerihealth | F8102_Amerihealth | $50.00 | — | — | 2026-04-01 | MRF ↗ |
| UPMC ALTOONA | Aetna | Medicaid | $50.00 | $2,444.00 | $1,466.40 | 2026-03-06 | MRF ↗ |
| GEISINGER MEDICAL CENTER | Medicaid | Medicaid | $50.00 | $7,003.00 | $4,341.86 | 2025-07-01 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL | Traditional Medicaid | Traditional Medicaid | $50.00 | $2,904.80 | $1,462.00 | 2024-12-19 | MRF ↗ |
| EAST COOPER MEDICAL CENTER | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SURGICAL INSTITUTE OF READING | Unison | Med Plus | $50.00 | $2,206.00 | $1,726.34 | 2026-04-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE | Medicaid | Medicaid | $50.00 | $7,830.00 | $4,854.60 | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM | Keystone First | Medicaid | $50.00 | — | — | 2026-02-26 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER | AmeriHealth | All Products | $50.00 | $1,474.00 | $294.80 | 2026-03-27 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL | Aetna | Aetna Better Health CHIP | $50.00 | $292.00 | $67.16 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER | Aetna | Aetna Better Health CHIP | $50.00 | $292.00 | $67.16 | 2026-04-14 | MRF ↗ |
| St. Luke's Sacred Heart Hospital | Keystone First | Medicaid | $50.00 | — | — | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS | Keystone First | Medicaid | $50.00 | — | — | 2026-02-26 | MRF ↗ |
| UPMC ALTOONA | Aetna | Medicaid | $50.00 | $2,444.00 | $1,466.40 | 2026-03-06 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL | Aetna | Aetna Better Health CHIP | $50.00 | $292.00 | $64.24 | 2026-04-14 | MRF ↗ |
| HURLEY MEDICAL CENTER | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH ADVANTAGE [103801] | $50.62 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH PLAN COMMUNITY [103802] | $50.62 | $214.00 | $214.00 | 2026-03-23 | MRF ↗ |
| Northern Montana Hospital | Aetna Medicare Advantage | Medicare | $51.46 | $166.00 | $116.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital | Aetna Medicare Advantage | Medicare | $51.46 | $166.00 | $116.20 | 2026-04-02 | MRF ↗ |
| GEISINGER MEDICAL CENTER | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $51.50 | $7,003.00 | $4,341.86 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $51.50 | $7,830.00 | $4,854.60 | 2026-04-01 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL | MOLINA MCR ADV - ALL PLANS | MOLINA MCR ADV - ALL PLANS | $51.93 | $150.00 | $75.00 | 2026-03-24 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH | McLaren | MEDICAID | $52.44 | $3,173.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH | Blue Cross Complete | MEDICAID | $52.44 | $3,173.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH | Priority Health | MEDICAID | $52.44 | $3,173.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH | HAP CareSource | MEDICAID | $52.44 | $3,173.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH | Meridian Health Plan of MI | MEDICAID HMO | $52.44 | $3,173.00 | — | 2025-06-28 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | EMBLEM | HIP_ESS_3_4_MR/DD/TBI Pts | $52.49 | $1,020.00 | $1,020.00 | 2025-12-01 | MRF ↗ |
| HIGHLAND HOSPITAL | EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] | BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH PLUS [220108],EXCELLUS HEALTHY NY [220110], EXCELLUS ESSENTIAL (NO MEDICAID) [220109], EXCELLUS ESSENTIAL (W/ MEDICAID) [170604], UNIVERA HEALTHY NY [220112], UNIVERA ESSENTIAL (NO MEDICAID) [220 | $52.49 | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | EMBLEM | HIP_ESS_3_4_HOSP_OP_DEPT | $52.49 | $1,020.00 | $1,020.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | [EMBLEM] | [HIP_ESS_1_2_HOSP_OP_DEPT] | $52.49 | $1,020.00 | $1,020.00 | 2024-09-15 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL | EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] | BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH PLUS [220108],EXCELLUS HEALTHY NY [220110], EXCELLUS ESSENTIAL (NO MEDICAID) [220109], EXCELLUS ESSENTIAL (W/ MEDICAID) [170604], UNIVERA HEALTHY NY [220112], UNIVERA ESSENTIAL (NO MEDICAID) [220 | $52.49 | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | EMBLEM | HIP_ESS_3_4_HOSP_OP_DEPT | $52.49 | $1,020.00 | $1,020.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | EMBLEM | HIP_ESS_3_4_AMB_SURG | $52.49 | $1,020.00 | $1,020.00 | 2025-12-01 | MRF ↗ |
| ST JAMES HOSPITAL | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO | $52.49 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO | $52.49 | — | — | 2026-01-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | EMBLEM | HIP_ESS_3_4_HOSP_OP_DEPT | $52.49 | $1,020.00 | $1,020.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | [EMBLEM] | [HIP_ESS_1_2_AMB_SURG] | $52.49 | $1,020.00 | $1,020.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | [EMBLEM] | [HIP_ESS_3_4_HOSP_OP_DEPT] | $52.49 | $1,020.00 | $1,020.00 | 2024-09-15 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER | New York Medicaid | Medicaid | $52.49 | $1,775.00 | $1,160.85 | 2026-04-01 | MRF ↗ |
| F F THOMPSON HOSPITAL | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110, UNIVERA ESSENTIAL (NO | $52.49 | — | — | 2026-01-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | [EMBLEM] | [HIP_ESS_3_4_MR/DD/TBI Pts] | $52.49 | $1,020.00 | $1,020.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | EMBLEM | HIP_ESS_3_4_AMB_SURG | $52.49 | $1,020.00 | $1,020.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | [EMBLEM] | [HIP_ESS_1_2_MR/DD/TBI Pts] | $52.49 | $1,020.00 | $1,020.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | EMBLEM | HIP_ESS_3_4_AMB_SURG | $52.49 | $1,020.00 | $1,020.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | [EMBLEM] | [HIP_ESS_3_4_AMB_SURG] | $52.49 | $1,020.00 | $1,020.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | EMBLEM | HIP_ESS_3_4_MR/DD/TBI Pts | $52.49 | $1,020.00 | $1,020.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases | EMBLEM | HIP_ESS_3_4_MR/DD/TBI Pts | $52.49 | $1,020.00 | $1,020.00 | 2025-12-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Caritas D-SNP Medicare | $52.50 | $292.00 | $64.24 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC | Amerihealth | Amerihealth Caritas Medicare (NY) | $52.50 | $292.00 | $64.24 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL | Amerihealth | Amerihealth Caritas Medicare (NY) | $52.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL | Amerihealth | Amerihealth Caritas D-SNP Medicare | $52.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL | Amerihealth | Amerihealth Caritas Medicare (NY) | $52.50 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL | Amerihealth | Amerihealth Caritas Medicare (NY) | $52.50 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL | Amerihealth | Amerihealth Caritas Medicare (NY) | $52.50 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL | Amerihealth | Amerihealth Caritas D-SNP Medicare | $52.50 | — | — | 2026-04-14 | 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.