45399 — Unlisted Procedure Colon
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). UNLISTED PROCEDURE COLON (HCPCS 45399) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/45399?code_type=HCPCS
MLA (9th ed.)
“UNLISTED PROCEDURE COLON (HCPCS 45399) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/45399?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“UNLISTED PROCEDURE COLON (HCPCS 45399) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/45399?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $962–$2,952 (25th–75th percentile) across 1,660 hospitals · 3,713 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 45399 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.32 | $2,955.00 | $912.42 | 2024-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $19.97 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.10 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.10 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $22.89 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $23.03 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $23.03 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $24.92 | — | — | 2026-03-18 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $2,286.00 | $1,143.00 | 2026-05-14 | MRF ↗ |
| POTOMAC VALLEY HOSPITAL Outpatient | Unitedhealthcare Medicare Advantage | All Plans | — | $2,286.00 | $1,143.00 | 2026-05-22 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.08 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.08 | — | — | 2026-03-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $41.00 | $1,005.45 | — | 2026-02-25 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Blue Access Midlevels | $42.50 | $4,500.00 | $2,943.00 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Connection Midlevels | $42.50 | $4,500.00 | $2,943.00 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Commercial Midlevels | $42.50 | $4,500.00 | $2,943.00 | 2026-04-01 | MRF ↗ |
| PHELPS COUNTY REGIONAL MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $43.50 | $2,192.00 | $1,972.80 | 2026-02-16 | MRF ↗ |
| PHELPS COUNTY REGIONAL MEDICAL CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $43.50 | $2,192.00 | $1,972.80 | 2026-02-16 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $46.84 | — | — | 2026-03-18 | MRF ↗ |
| CENTRAL MONTANA MEDICAL CENTER Outpatient | EBMS - ALL PLANS | EBMS - ALL PLANS | $47.50 | $2,840.00 | $2,414.00 | 2025-11-21 | MRF ↗ |
| CENTRAL MONTANA MEDICAL CENTER Outpatient | HEALTH INFONET - ALL PLANS | HEALTH INFONET - ALL PLANS | $48.00 | $2,840.00 | $2,414.00 | 2025-11-21 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | HEALTHNET-ALL OTHER PLANS | HEALTHNET-ALL OTHER PLANS | $48.00 | $320.25 | $172.94 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | HEALTHNET-ALL OTHER PLANS | HEALTHNET-ALL OTHER PLANS | $48.00 | $320.25 | $172.94 | 2025-12-08 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Commercial | $50.00 | $4,500.00 | $2,943.00 | 2026-04-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| CENTRAL MONTANA MEDICAL CENTER Outpatient | ALLEGIANCE COMM - ALL OTHER PLANS | ALLEGIANCE COMM - ALL OTHER PLANS | $50.00 | $2,840.00 | $2,414.00 | 2025-11-21 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Blue Access | $50.00 | $4,500.00 | $2,943.00 | 2026-04-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Connection | $50.00 | $4,500.00 | $2,943.00 | 2026-04-01 | MRF ↗ |
| CENTRAL MONTANA MEDICAL CENTER Outpatient | ALLEGIANCE RBPHP | ALLEGIANCE RBPHP | $50.00 | $2,840.00 | $2,414.00 | 2025-11-21 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | EBMS - ALL PLANS | EBMS - ALL PLANS | $52.00 | $2,225.00 | $2,113.75 | 2026-05-13 | MRF ↗ |
| CENTRAL MONTANA MEDICAL CENTER Outpatient | MONTANA HEALTH CO-OP - ALL PLANS | MONTANA HEALTH CO-OP - ALL PLANS | $54.30 | $2,840.00 | $2,414.00 | 2025-11-21 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | INTERWEST HEALTH PPO - ALL OTHER PLANS | INTERWEST HEALTH PPO - ALL OTHER PLANS | $54.50 | $2,225.00 | $2,113.75 | 2026-05-13 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | INTERWEST HEALTH TRADITIONAL | INTERWEST HEALTH TRADITIONAL | $56.00 | $2,225.00 | $2,113.75 | 2026-05-13 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $57.56 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $57.56 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $57.56 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $57.56 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $58.41 | $5,380.30 | $3,497.19 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $58.41 | $5,380.30 | $3,497.19 | 2026-03-12 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | MONTANA HEALTH COOP - ALL PLANS | MONTANA HEALTH COOP - ALL PLANS | $59.00 | $2,225.00 | $2,113.75 | 2026-05-13 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Superior Medicaid | Medicaid | $60.00 | $2,612.43 | $1,306.22 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Aetna Medicaid | Medicaid | $60.00 | $2,612.43 | $1,306.22 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Firstcare Medicaid | Medicaid | $60.00 | $2,612.43 | $1,306.22 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $60.00 | $2,612.43 | $1,306.22 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Texas Medicaid | Medicaid | $60.00 | $2,612.43 | $1,306.22 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | BCBS Medicaid | Medicaid | $60.00 | $2,612.43 | $1,306.22 | 2026-01-12 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $64.50 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $64.50 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $64.50 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $64.50 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $64.50 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $64.50 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $65.00 | $2,225.00 | $2,113.75 | 2026-05-13 | MRF ↗ |
| WILLIAM NEWTON HOSPITAL Outpatient | AMBETTER MCAID | AMBETTER MCAID | $65.00 | $577.50 | $577.50 | 2026-05-11 | MRF ↗ |
| Northern Montana Hospital Outpatient | Medicare | Medicare | $66.65 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $66.65 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | BCBS Medicare Advantage | Medicare | $66.65 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Medicare | Medicare | $66.65 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | BCBS Medicare Advantage | Medicare | $66.65 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $66.65 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS Blue Advantage | Blue Advantage | $69.92 | $2,500.00 | $1,750.00 | 2026-01-13 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $71.93 | $1,568.00 | $815.36 | 2026-03-03 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | UHC Commercial | PPO | $74.50 | $2,500.00 | $1,750.00 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | Baylor Scott And White Commercial | UNKNOWN | $75.00 | $2,500.00 | $1,750.00 | 2026-01-13 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Health Network | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $75.04 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $75.04 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Allegiance | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Choice Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Interwest Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $75.04 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Prime Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Coventry | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $75.04 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $75.04 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS HMO | HMO | $76.00 | $2,500.00 | $1,750.00 | 2026-01-13 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $77.62 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $77.62 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $77.62 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $77.62 | $215.00 | $150.50 | 2026-04-02 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS PPO | PPO | $82.00 | $2,500.00 | $1,750.00 | 2026-01-13 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | United Healthcare Charter | Commercial | $84.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE TRINITY HOSPITAL OutpatientFacility | United Healthcare Charter | Commercial | $84.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | United Healthcare Charter | Commercial | $84.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | United Healthcare Charter | Commercial | $84.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Inpatient | BCBS | PPO/HMO/PPS | $85.00 | $2,612.43 | $1,306.22 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Inpatient | Aetna | PPO/HMO | $85.00 | $2,612.43 | $1,306.22 | 2026-01-12 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | Multiplan | PPO | $88.00 | $2,500.00 | $1,750.00 | 2026-01-13 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | United Healthcare-Commercial | PPO/HMO | $90.00 | $2,612.43 | $1,306.22 | 2026-01-12 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | United Healthcare Nexus | Commercial | $98.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE TRINITY HOSPITAL OutpatientFacility | United Healthcare Nexus | Commercial | $98.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | United Healthcare Nexus | Commercial | $98.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | United Healthcare Nexus | Commercial | $98.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | AETNA/ETHIX - ALL PLANS | AETNA/ETHIX - ALL PLANS | $101.50 | $1,490.00 | $1,415.50 | 2026-02-17 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $118.71 | $1,268.25 | $760.95 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $118.71 | $1,268.25 | $760.95 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $118.71 | $1,268.25 | $760.95 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $118.71 | $1,268.25 | $760.95 | 2026-04-21 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Amerigroup | Medicaid | $123.28 | $4,098.00 | $3,278.40 | 2026-03-26 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $124.67 | $1,268.25 | $760.95 | 2026-04-21 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $128.10 | $320.25 | $172.94 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $128.10 | $320.25 | $172.94 | 2025-12-08 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Molina | Managed Medicaid | $128.22 | $1,268.25 | $760.95 | 2026-04-21 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | Blue Access Small Group | $132.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | Small Group EPO_PPO | $132.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | Blue Access Small Group | $132.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | Small Group EPO_PPO | $132.00 | — | — | 2025-09-05 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Both | MGB HEALTH PLAN [150001] | HB AMC MGBHP COMMERCIAL HMO | $134.32 | $368.00 | $276.00 | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Both | MGB HEALTH PLAN [150001] | HB AMC MGBHP COMMERCIAL PPO | $140.94 | $368.00 | $276.00 | 2026-03-27 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | United Healthcare Core Navigate | Commercial | $144.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | United Healthcare Core Navigate | Commercial | $144.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | United Healthcare Core Navigate | Commercial | $144.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE TRINITY HOSPITAL OutpatientFacility | United Healthcare Core Navigate | Commercial | $144.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CALIFORNIA HEALTH & WELLNESS MEDI-CAL [1122] | CALIFORNIA HEALTH AND WELLNESS MEDI-CAL (no longer Medi-Cal plan as of 1/1/24) | $146.17 | $8,267.25 | $4,546.99 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CMS - COUNTY MEDICAL SERVICES [1025] | COUNTY MEDICAL SERVICES | $146.17 | $8,267.25 | $4,546.99 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY CARE IPA [1131] | Community Care IPA Medi-Cal Managed Care | $146.17 | $8,267.25 | $4,546.99 | 2026-04-01 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | BCBS MN MHCP | BCBS MN MHCP | $154.19 | $397.00 | $246.14 | 2026-04-22 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Kaiser National | Transplant (All Contracted Plans) | — | $1,565.00 | $1,017.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Life Trac National | Transplant (All Contracted Plans) | — | $1,565.00 | $1,017.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Commercial (All Contracted Plans) | — | $1,565.00 | $1,017.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Government (All Contracted Plans) | — | $1,565.00 | $1,017.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $156.50 | $1,565.00 | $1,017.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Humana National | Transplant (All Contracted Plans) | — | $1,565.00 | $1,017.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Commercial (All Contracted Plans) | — | $1,565.00 | $1,017.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Medicaid (All Contracted Plans) | — | $1,565.00 | $1,017.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Anthem Centers for Medical Excellence | Transplant (All Contracted Plans) | — | $1,565.00 | $1,017.25 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Blue Cross Blue Shield Association BDCT | Transplant (All Contracted Plans) | — | $1,565.00 | $1,017.25 | 2026-04-17 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $158.01 | $1,219.25 | $731.55 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | United Healthcare | Managed Medicaid | $158.01 | $1,219.25 | $731.55 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Cook Childrens | Managed Medicaid | $158.01 | $1,219.25 | $731.55 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Amerigroup | Managed Medicaid | $158.01 | $1,219.25 | $731.55 | 2026-04-21 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Humana Healthnet | Tricare | — | $520.00 | $436.80 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Encore | Ppo | — | $520.00 | $436.80 | 2026-05-09 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC VA CCN | UHC VA CCN | $158.80 | $397.00 | $246.14 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | BCBS MN MCR ADV | BCBS MN MCR ADV | $158.80 | $397.00 | $246.14 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $158.80 | $397.00 | $246.14 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA MSHO/MCR ADV | MEDICA MSHO/MCR ADV | $158.80 | $397.00 | $246.14 | 2026-04-22 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $159.84 | $3,338.35 | $1,047.00 | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $159.84 | $3,338.35 | $1,047.00 | 2024-12-19 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $160.13 | $320.25 | $172.94 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $160.13 | $320.25 | $172.94 | 2025-12-08 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $160.39 | $397.00 | $246.14 | 2026-04-22 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE Outpatient | UNITED | Medicaid|STARPLUS | $161.10 | — | — | 2026-02-28 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC MEDICAID | UHC MEDICAID | $162.77 | $397.00 | $246.14 | 2026-04-22 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $163.47 | — | — | 2026-03-31 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MSHO/SPECIAL NEEDS | UCARE MSHO/SPECIAL NEEDS | $163.56 | $397.00 | $246.14 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MCR ADV | UCARE MCR ADV | $163.56 | $397.00 | $246.14 | 2026-04-22 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | United Healthcare | Managed Medicaid | $164.37 | $1,268.25 | $760.95 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Amerigroup | Managed Medicaid | $164.37 | $1,268.25 | $760.95 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Cook Childrens | Managed Medicaid | $164.37 | $1,268.25 | $760.95 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $164.37 | $1,268.25 | $760.95 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST FORT WORTH OutpatientFacility | Superior Wellcare | Managed Medicaid | $165.94 | $1,219.25 | $731.55 | 2026-04-21 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | United Healthcare | HMO | $166.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | United Healthcare | HMO | $166.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | United Healthcare | HMO | $166.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| ADVOCATE TRINITY HOSPITAL OutpatientFacility | United Healthcare | HMO | $166.00 | $2,390.00 | $1,195.00 | 2025-11-04 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | DCH ILLINOIS MEDICAID | — | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | DCH ILLINOIS MEDICAID | — | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | DCH ILLINOIS MEDICAID | — | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $168.25 | $3,338.35 | $1,047.00 | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $168.25 | $3,338.35 | $1,047.00 | 2024-12-19 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CENPATICO BEHAVIORAL HEALTH [1603] | KH ILLINOIS MEDICAID | — | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | FAMILY HEALTH NETWORK HMO [1610] | KH ILLINOIS MEDICAID | — | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | KH ILLINOIS MEDICAID | — | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | KH ILLINOIS MEDICAID | — | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | KH ILLINOIS MEDICAID | — | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | KH ILLINOIS MEDICAID | — | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | KH ILLINOIS MEDICAID | — | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | CDH ILLINOIS MEDICAID | $169.12 | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | VWH ILLINOIS MEDICAID | $169.12 | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | VWH ILLINOIS MEDICAID | $169.12 | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | CDH ILLINOIS MEDICAID | $169.12 | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | VWH ILLINOIS MEDICAID | $169.12 | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | VWH ILLINOIS MEDICAID | $169.12 | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | CDH ILLINOIS MEDICAID | $169.12 | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | VWH ILLINOIS MEDICAID | $169.12 | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | FAMILY HEALTH NETWORK HMO [1610] | VWH ILLINOIS MEDICAID | $169.12 | $2,451.00 | $1,715.70 | 2026-04-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Connecticut General Cigna | Default | — | $1,185.00 | $888.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Blue Cross Blue Shield of MS INST | Default | $170.00 | $1,185.00 | $888.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicaid Mississippi | Default | — | $1,185.00 | $888.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Magnolia Health Plan MCD Rep | Default | — | $1,185.00 | $888.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | First Choice Health Network | Default | — | $1,185.00 | $888.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | — | $1,185.00 | $888.75 | 2025-03-07 | 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.