45383 — Pr Colonoscopy,ablate Lesion
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR COLONOSCOPY,ABLATE LESION (HCPCS 45383) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/45383?code_type=HCPCS
MLA (9th ed.)
“PR COLONOSCOPY,ABLATE LESION (HCPCS 45383) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/45383?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PR COLONOSCOPY,ABLATE LESION (HCPCS 45383) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/45383?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,083–$3,153 (25th–75th percentile) across 511 hospitals · 463 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 45383 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the physician and sedation fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,083
$1,871 typical
$3,153
The middle 50% of negotiated facility rates for this procedure, measured across 511 hospitals. The physician and sedation 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. | $1,871 |
| Anesthesia Estimate national typical Generic anesthesia (~30 min typical, median CMS base units). Medicare $123 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $386 |
| Likely subtotal | $2,258 |
Complete-episode estimate (typical)
~$2,258
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 $1,083–$3,153.
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)
~$6,042
- Endoscopist (professional fee): no Medicare benchmark for 45383 — leg omitted.
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- 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 · basis: generic surgical anesthesia — 4 base units (typical CMS value) × ~30 min; approximate, NOT a procedure-specific crosswalk
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 |
|---|---|---|---|---|---|---|---|
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | UHC Fort Logan Hospital | PPO | $3.62 | $9.40 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $9.36 | $9.40 | — | 2026-02-24 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $3,155.00 | $24.67 | 2026-03-22 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $12.79 | $1,230.00 | $1,230.00 | 2026-04-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $12.90 | $20.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $14.19 | $22.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $17.92 | $18.00 | — | 2026-02-24 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $3,155.00 | $24.67 | 2026-03-22 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $19.91 | $20.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $20.90 | $21.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $21.90 | $22.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $22.58 | $35.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $22.89 | $23.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $23.89 | $24.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $24.04 | $24.15 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $24.89 | $25.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $25.80 | $40.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $25.88 | $26.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $25.99 | $26.11 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $26.88 | $27.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $27.74 | $43.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $27.87 | $28.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $28.87 | $29.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $29.86 | $30.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $31.36 | $31.50 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $31.85 | $32.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $32.25 | $50.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $32.85 | $33.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $33.84 | $34.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $34.84 | $35.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $35.83 | $36.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $36.83 | $37.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $37.33 | $37.50 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $38.82 | $39.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $39.24 | $60.84 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $39.82 | $40.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $39.99 | $62.00 | — | 2026-02-24 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $40.64 | $63.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $40.81 | $41.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $41.06 | $41.25 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $41.93 | $65.00 | — | 2026-02-24 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $42.80 | $43.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $44.79 | $45.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $45.04 | $45.25 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $46.78 | $47.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $47.03 | $47.25 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $48.77 | $49.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $49.77 | $50.00 | — | 2026-02-24 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $51.76 | $52.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $52.51 | $52.75 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $52.76 | $53.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $54.83 | $85.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $56.68 | $87.88 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $56.74 | $57.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $58.73 | $59.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $60.56 | $60.84 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $60.72 | $61.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $61.71 | $62.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $61.96 | $62.25 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $62.71 | $63.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $63.95 | $64.25 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $64.50 | $100.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | UHC Fort Logan Hospital | PPO | $64.68 | $168.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $64.70 | $65.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $65.70 | $66.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $66.69 | $67.00 | — | 2026-02-24 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | CHIP | $66.88 | $6,288.00 | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | Managed Medicaid | $66.88 | $6,288.00 | — | 2025-12-02 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $67.69 | $68.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $68.68 | $69.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $69.68 | $70.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $71.67 | $72.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $72.66 | $73.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $73.66 | $74.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $75.65 | $76.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $76.40 | $76.75 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $76.65 | $77.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $79.63 | $80.00 | — | 2026-02-24 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Nap | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Other | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Src | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha-Asa | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | — | — | — | 2026-07-15 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $80.63 | $81.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $81.87 | $82.25 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $83.61 | $84.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $84.61 | $85.00 | — | 2026-02-24 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $85.60 | $86.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $86.60 | $87.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $87.48 | $87.88 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $88.59 | $89.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $89.59 | $90.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $90.58 | $91.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $90.95 | $141.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $91.58 | $92.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $92.24 | $143.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $94.56 | $95.00 | — | 2026-02-24 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $95.56 | $96.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $99.54 | $100.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $100.54 | $101.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $102.53 | $103.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $105.78 | $164.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $107.50 | $108.00 | — | 2026-02-24 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | BLUE-SP_1401 | BC SPEC PROGRAMS AMBULATORY SURGERY | $108.99 | $3,155.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1401 | NY MEDICAID AMBULATORY SURGERY | $108.99 | $3,155.00 | $24.67 | 2026-03-22 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $109.49 | $110.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $110.49 | $111.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $111.48 | $112.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $112.48 | $113.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $114.47 | $115.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $117.55 | $182.25 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $118.45 | $119.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $119.45 | $120.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $121.44 | $122.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $121.94 | $122.50 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $122.43 | $123.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $123.43 | $124.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $124.43 | $125.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $125.42 | $126.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $126.42 | $127.00 | — | 2026-02-24 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | Health Options HMO | $127.31 | $6,288.00 | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | BlueSelect | $127.31 | $6,288.00 | — | 2025-12-02 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $127.41 | $128.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $130.40 | $131.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $131.39 | $132.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $138.36 | $139.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $140.35 | $141.00 | — | 2026-02-24 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | NetworkBlue | $141.10 | $6,288.00 | — | 2025-12-02 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $141.35 | $142.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $142.34 | $143.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $144.33 | $145.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $146.32 | $147.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $147.32 | $148.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $149.31 | $150.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $152.30 | $153.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $156.28 | $157.00 | — | 2026-02-24 | MRF ↗ |
| CRENSHAW COMMUNITY HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $156.56 | $639.00 | $319.50 | 2025-10-13 | MRF ↗ |
| CRENSHAW COMMUNITY HOSPITAL Both | Medicare A AL JJ | All Plans | $156.56 | $639.00 | $319.50 | 2025-10-13 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $157.27 | $158.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $158.03 | $245.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $159.26 | $160.00 | — | 2026-02-24 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Va | Medicare | $160.53 | $1,792.00 | $1,164.80 | 2026-07-15 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $161.25 | $162.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $163.25 | $164.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $164.24 | $165.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $166.23 | $167.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $167.23 | $168.00 | — | 2026-02-24 | MRF ↗ |
| ELECTRA MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $168.00 | $600.00 | $420.00 | 2026-03-11 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $169.22 | $170.00 | — | 2026-02-24 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare B MS JH | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | UHC Community Plan MS | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | GEHA Multiplan Network | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicaid Mississippi | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Blue Cross Blue Shield of MS INST | Default | $170.00 | $903.00 | $677.25 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Advanced Health | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Magnolia Health Plan MCD Rep | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Connecticut General Cigna | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Blue Cross Blue Shield of MS INST | Default | $170.00 | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Private Healthcare Systems PHCS | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Primewell Vantage Health Plan | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare A MS JH | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | First Choice Health Network | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Physicians Care Network | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Blue Cross Blue Shield of MS INST | Default | $170.00 | $1,506.00 | $1,129.50 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Select Health Care | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Multiplan Inc. for American Family | Default | — | $903.00 | $677.25 | 2025-03-07 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $174.20 | $175.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $175.19 | $176.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $177.18 | $178.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $179.17 | $180.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $180.17 | $181.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $181.16 | $182.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $181.41 | $182.25 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $182.16 | $183.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $183.15 | $184.00 | — | 2026-02-24 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | PPO_PPC | $184.60 | $6,288.00 | — | 2025-12-02 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $185.14 | $186.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $186.14 | $187.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Outpatient | UHC Fort Logan Hospital | PPO | $188.99 | $293.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $189.13 | $190.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $191.12 | $192.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $192.11 | $193.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $194.10 | $195.00 | — | 2026-02-24 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Both | Bcbs Ks | All Commercial Products | $194.80 | $974.00 | $584.40 | 2026-09-21 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $195.10 | $196.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $196.09 | $197.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $197.09 | $198.00 | — | 2026-02-24 | MRF ↗ |
| EPHRAIM MCDOWELL FORT LOGAN HOSPITAL Inpatient | Anthem Commercial Traditional Fort Logan Hospital | PPO | $198.08 | $199.00 | — | 2026-02-24 | 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.