46615 — Anoscopy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ANOSCOPY (CPT 46615) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/46615?code_type=CPT
MLA (9th ed.)
“ANOSCOPY (CPT 46615) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/46615?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ANOSCOPY (CPT 46615) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/46615?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,187–$4,120 (25th–75th percentile) across 1,652 hospitals · 3,356 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 46615 — 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 |
|---|---|---|---|---|---|---|---|
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.01 | $993.00 | $744.75 | 2025-03-07 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.64 | $227.00 | $43.13 | 2026-01-25 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $7.03 | $351.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $7.03 | $351.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $7.03 | $351.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $7.03 | $351.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $7.03 | $351.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $7.03 | $351.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $7.03 | $351.50 | — | 2026-03-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.38 | $5,767.00 | $2,821.07 | 2024-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $13.75 | — | — | 2025-12-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $19.31 | $143.00 | $107.25 | 2026-01-16 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Medicare | Part B | $20.00 | $182.00 | $91.00 | 2025-06-12 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $23.89 | — | — | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $28.97 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $29.67 | $143.00 | $107.25 | 2026-01-16 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $31.87 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $31.87 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $31.87 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $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 ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $35.23 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $35.23 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $35.23 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $35.23 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $35.23 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $35.23 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $35.23 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $35.23 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $35.23 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $35.23 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $35.23 | — | — | 2026-01-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $37.04 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $39.95 | $110.97 | $69.91 | 2026-01-27 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $41.15 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $41.15 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $41.15 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $41.15 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $41.15 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $41.15 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $42.07 | — | — | 2026-03-18 | MRF ↗ |
| HIGHLAND HOSPITAL Both | 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 | $42.15 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | 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 | $42.15 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $42.34 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $42.34 | — | — | 2026-03-18 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | VETERANS [99909] | UVA HB VETERANS CHOICE | $42.86 | $5,438.32 | $3,262.99 | 2026-03-24 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HUMANA MILITARY [1098] | HUMANA MILITARY TRICARE EAST [109801] | $43.13 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE WEST [105601] | $43.13 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE FOR LIFE [105602] | $43.13 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VHA OFFICE OF COMMUNITY CARE [1011] | CHAMPVA [101101] | $43.13 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HIGHLAND HOSPITAL Both | 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] | $43.83 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | 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] | $43.83 | — | — | 2026-04-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH ADVANTAGE [103801] | $43.99 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH PLAN COMMUNITY [103802] | $43.99 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $45.58 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $45.58 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $45.58 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $45.58 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $45.58 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $47.86 | — | — | 2025-06-28 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $48.22 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $48.52 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $48.52 | — | — | 2026-03-18 | MRF ↗ |
| HIGHLAND HOSPITAL Both | 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 | $49.59 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $49.59 | $1,520.00 | $994.08 | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | 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 | $49.59 | — | — | 2026-04-01 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | McLaren | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $49.61 | — | — | 2025-06-28 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HIGHLAND HOSPITAL Both | 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] | $51.56 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | 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] | $51.56 | — | — | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $52.50 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $52.83 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $52.83 | — | — | 2026-03-18 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $52.86 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $52.86 | — | — | 2026-03-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HANOVER INSURANCE [8019] | HANOVER INSURANCE [801901] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FREMONT INSURANCE [8015] | FREMONT INSURANCE [801501] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ENCOMPASS INSURANCE [8010] | ENCOMPASS INSURANCE [801001] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ESURANCE [8039] | ESURANCE [803901] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FARM BUREAU AUTO INSURANCE [8012] | FARM BUREAU AUTO INSURANCE [801201] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HARTFORD AUTO INSURANCE [8021] | HARTFORD AUTO INSURANCE [802101] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GRANGE INSURANCE [8018] | GRANGE INSURANCE 182657 [801802] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GEICO INSURANCE [8016] | GEICO INSURANCE [801601] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CITIZENS AUTO INSURANCE [8008] | CITIZENS AUTO INSURANCE [800801] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HASTINGS MUTUAL [8022] | HASTINGS MUTUAL [802201] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AUTO OWNERS AUTO INSURANCE [8006] | AUTO OWNERS AUTO INSURANCE [800601] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BRISTOL WEST [8007] | BRISTOL WEST [800701] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AAA AUTO INSURANCE [8001] | AAA AUTO INSURANCE [800102] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE 9229 [800302] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE AUTO INSURANCE [800301] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GRANGE INSURANCE [8018] | GRANGE INSURANCE [801801] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MACKINAW ADMINISTRATORS [8040] | MACKINAW ADMINISTRATORS AUTO [804001] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE 9231 [800303] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA TEXAS 26001 [803603] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | LIBERTY MUTUAL [8025] | LIBERTY MUTUAL [802501] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA [803601] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEMPER INSURANCE [8024] | KEMPER INSURANCE [802401] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEEMIC INSURANCE [8026] | MEEMIC INSURANCE [802601] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | NATIONWIDE [8028] | NATIONWIDE [802801] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MITCHELL WCS FRANKENMUTH 135801 [8014] | MITCHELL WCS FRANKENMUTH 135801 [801401] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | STATE AUTO GROUP [8033] | STATE AUTO GROUP [803301] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PROGRESSIVE AUTO INSURANCE [8031] | PROGRESSIVE AUTO INSURANCE [803101] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | STATE FARM AUTO INSURANCE [8034] | STATE FARM AUTO INSURANCE [803401] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PIONEER STATE MUTUAL AUTO [8030] | PIONEER STATE MUTUAL AUTO [803001] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FARMERS AUTO INSURANCE [8013] | FARMERS AUTO INSURANCE [801301] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GENERIC NO FAULT AUTO [8000] | COFINITY GENERIC AUTO [800002] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | NATIONAL GENERAL INS [8017] | NATIONAL GENERAL INS [801701] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | SAFECO-AUTO [8037] | SAFECO-AUTO [803701] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ESIS [8011] | ESIS [801101] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FARMERS AUTO INSURANCE [8013] | FARMERS 27260 [801302] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA TEXAS [803602] | $53.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | MOLINA MCAID | MOLINA MCAID | $53.91 | $489.28 | $391.42 | 2026-05-04 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Blue Cross Complete | MEDICAID | $54.07 | — | — | 2025-06-28 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | AMERIGROUP MCAID-ALL PLANS | AMERIGROUP MCAID-ALL PLANS | $55.48 | $489.28 | $391.42 | 2026-05-04 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UPN MCAL PROFEE | UPN MCAL PROFEE | $56.75 | $227.00 | $43.13 | 2026-01-25 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTHCARE MARKETPLACE [105810] | $57.17 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GENERIC COMMERCIAL [1000] | COFINITY GENERIC [100002] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | NGS [1043] | COFINITY NGS [104303] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MERITAIN HEALTH [1039] | COFINITY MERITAIN HEALTH [103904] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TEAMSTERS HEALTH AND WELFARE FUND [1054] | COFINITY TEAMSTERS HLTH & WELF [105402] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JP FARLEY CORPORATION [1033] | COFINITY JP FARLEY CORP [103302] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ZELIS [1093] | ZELIS [109301] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GOLDEN RULE [1067] | COFINITY GOLDEN RULE [106702] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ASSURANT HEALTH [1008] | COFINITY ASSURANT [100802] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | IBEW LOCAL 17 [1031] | COFINITY IBEW LOCAL 17 [103102] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CHESTERFIELD RESOURCES [1012] | COFINITY CHESTERFIELD RESOURCES [101202] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GLOBALCARE [1024] | COFINITY-GLOBAL CARE [102402] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CORESOURCE [1016] | COFINITY CORESOURCE [101602] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AETNA [1003] | AETNA [100305] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AUTOMATED BENEFIT SERVICES [1002] | COFINITY AUTOMATED BENEFIT SVCS [100202] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | COFINITY KEY BENEFIT ADMIN [108902] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AETNA [1003] | AETNA 1109 [100302] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AETNA [1003] | AETNA 1107 [100301] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | LUMINARE [1085] | LUMINARE [108501] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AETNA [1003] | AETNA 14079 [100303] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLIANCE HEALTH AND LIFE [1004] | COFINITY ALLIANCE HEALTH AND LIFE [100402] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLIED INSURANCE [1006] | COFINITY ALLIED INSURANCE [100602] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BANKERS LIFE [1009] | COFINITY BANKERS LIFE [100902] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AARP [1001] | COFINITY AARP [100102] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNIVERSITY OF MICHIGAN HEALTH PLAN [1046] | UNIVERSITY OF MICHIGAN HEALTH PLAN [104601] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CIGNA [1013] | COFINITY CIGNA [101306] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED BEHAVIORAL HEALTH [1057] | COFINITY UNITED BEHAVIORAL HEALTH [105702] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AETNA [1003] | COFINITY AETNA [100304] | $57.21 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.