47533 — Plmt Biliary Drainage Cath
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PLMT BILIARY DRAINAGE CATH (HCPCS 47533) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/47533?code_type=HCPCS
MLA (9th ed.)
“PLMT BILIARY DRAINAGE CATH (HCPCS 47533) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/47533?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PLMT BILIARY DRAINAGE CATH (HCPCS 47533) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/47533?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,566–$6,384 (25th–75th percentile) across 2,085 hospitals · 6,979 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 47533 — 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$2,566
$4,095 typical
$6,384
The middle 50% of negotiated facility rates for this procedure, measured across 2,085 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $4,095 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $227 × 1.22 commercial. | $277 |
| Likely subtotal | $4,372 |
Surgical episode (typical)
~$4,372
Your recovery plan — adjust to what your surgeon told you
After surgery, 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)
~$8,156
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $6,565.00 | $1,943.24 | 2026-02-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $8,643.00 | $7,087.26 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $10,233.70 | $6,651.91 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $8,643.00 | $7,087.26 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $8,643.00 | $7,087.26 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $10,233.70 | $6,651.91 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $19,174.00 | $15,722.68 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $8,643.00 | $7,087.26 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $8,643.00 | $7,087.26 | 2025-11-26 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Kaiser | Kaiser - HMO | $1.21 | $7,769.00 | $5,826.75 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $7.72 | $635.00 | $120.65 | 2026-01-25 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $15.00 | $8,334.00 | $3,888.76 | 2024-12-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,700.00 | $3,055.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,700.00 | $3,055.00 | 2025-01-01 | 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 | 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 ↗ |
| Davis Regional Medical Center OutpatientFacility | UHC | Managed Medicaid | $47.65 | $208.00 | $145.60 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Vaya | Managed Medicaid | $47.65 | $208.00 | $56.16 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Healthy Blue | Managed Medicaid | $47.65 | $208.00 | $56.16 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $47.65 | $208.00 | $145.60 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Carolina Complete Health | Managed Medicaid | $47.65 | $208.00 | $56.16 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Alliance | Managed Medicaid | $47.65 | $208.00 | $56.16 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Carolina Complete Health | Managed Medicaid | $47.65 | $208.00 | $145.60 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | UHC | Managed Medicaid | $47.65 | $208.00 | $56.16 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Alliance | Managed Medicaid | $47.65 | $208.00 | $145.60 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Trillium | Managed Medicaid | $47.65 | $208.00 | $145.60 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Wellcare | Managed Medicaid | $47.65 | $208.00 | $56.16 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | UHC | Managed Care | $47.65 | $208.00 | $145.60 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $47.65 | $208.00 | $56.16 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Vaya | Managed Medicaid | $47.65 | $208.00 | $145.60 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Partners | Managed Medicaid | $47.65 | $208.00 | $145.60 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Healthy Blue | Managed Medicaid | $47.65 | $208.00 | $145.60 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Trillium | Managed Medicaid | $47.65 | $208.00 | $56.16 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Wellcare | Managed Medicaid | $48.61 | $208.00 | $145.60 | 2025-12-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL 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 ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $55.05 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $55.40 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $55.40 | — | — | 2026-03-18 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | BCBS | All Products | $58.45 | $208.00 | $145.60 | 2025-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $63.09 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $63.49 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $63.49 | — | — | 2026-03-18 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | None | — | — | $66.91 | $65.57 | 2025-11-05 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $68.69 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $69.12 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $69.12 | — | — | 2026-03-18 | MRF ↗ |
| UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER Both | None | — | — | $80.30 | $78.69 | 2025-11-05 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Cigna | Managed Care | $80.29 | $208.00 | $145.60 | 2025-12-31 | MRF ↗ |
| UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER Both | None | — | — | $82.23 | $80.59 | 2025-11-05 | MRF ↗ |
| UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both | None | — | — | $83.78 | $82.10 | 2025-11-05 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA [1071] | MOLINA MICHILD [107101] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MIDWEST HEALTH CAID [300607] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | OUT OF COUNTY CMH [901001] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH SHIAWASSEE COUNTY [901003] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH LAPEER COUNTY [901004] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL OMNICARE CAID [300608] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PACE MEDICAID HMO [9020] | GENESYS PACE [902001] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MCLAREN CAID [300601] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH CLINTON EATON & INGHAM COUNTY [901006] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL GREAT LAKES [300602] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID [300001] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH SAGINAW COUNTY [901002] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL PRIORITY HEALTH CAID [300611] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MOLINA CAID [300603] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA HEALTH CARE [9008] | MOLINA HEALTH CARE [900801] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL HEALTH PLUS CAID [300604] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL TOTAL HEALTHCARE [300606] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENESEE COUNTY CMH [9003] | GENESEE COUNTY CMH [900301] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH OAKLAND COUNTY [901005] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MICHIGAN COMPLETE HEALTH MEDICAID [9019] | MICHIGAN COMPLETE HEALTH MEDICAID [901901] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $82.11 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | BCBS | Managed Care (HPN) | $86.67 | $208.00 | $56.16 | 2025-12-31 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | $14,280.00 | $8,568.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | $16,616.00 | $9,969.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | $14,852.00 | $8,911.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | $14,280.00 | $8,568.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | $10,136.00 | $6,081.60 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | $14,280.00 | $8,568.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | $14,280.00 | $8,568.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | $10,136.00 | $6,081.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | $14,280.00 | $8,568.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | $14,280.00 | $8,568.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | $14,852.00 | $8,911.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | $16,616.00 | $9,969.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $87.29 | — | — | 2026-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $8,499.00 | $7,224.15 | 2025-01-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $90.32 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $90.32 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $90.32 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| UMD UPPER CHESAPEAKE MEDICAL CENTER Both | None | — | — | $94.41 | $92.52 | 2025-11-05 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS Both | None | — | — | $96.69 | $94.76 | 2025-11-05 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $10,233.70 | $6,651.91 | 2025-11-26 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | ANTHEM MEDICARE | ANTHEM MEDICARE | $96.75 | $450.00 | $225.00 | 2026-02-18 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $101.90 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $8,643.00 | $7,087.26 | 2025-11-26 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | Empire | Medicare Advantage | $107.00 | $8,499.00 | $7,224.15 | 2025-01-01 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Medicare A KY J15 | Default | $107.49 | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Wellcare of Kentucky MCR Adv | Medicare Advantage | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $107.49 | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Cigna PPO | Default | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | VA Community Care Network VACCN Region 1-3 Optum | Default | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Passport Health Plan by Molina Healthcare MCD Rep | Medicaid Replacement | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Blue Cross Blue Shield of KY Anthem | Medicare Advantage | $107.49 | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Cigna PPO | Default | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Passport Health Plan by Molina Healthcare MCD Rep | Medicaid Replacement | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Wellcare of Kentucky MCR Adv | Medicare Advantage | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Humana | Default | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Aetna | Medicare Advantage | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Cigna Medicare Advantage | Medicare Advantage | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Aetna Better Health KY | Medicaid Replacement | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Medicare Railroad Palmetto GBA | Default | $107.49 | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Aetna | Default | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Aetna Better Health KY | Medicaid Replacement | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | PHCS GEHA Govt Employee Health Assc | Default | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $107.49 | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | VA Community Care Network VACCN Region 1-3 Optum | Default | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Humana | Default | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Medicare A KY J15 | Default | $107.49 | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Blue Cross Blue Shield of KY Anthem | Medicare Advantage | $107.49 | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Aetna | Default | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Medicare Railroad Palmetto GBA | Default | $107.49 | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Cigna Medicare Advantage | Medicare Advantage | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Aetna | Medicare Advantage | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | PHCS GEHA Govt Employee Health Assc | Default | — | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| TAYLOR REGIONAL HOSPITAL Outpatient | COVENTRY CARES MEDICAID | COVENTRY CARES MEDICAID | $108.00 | $450.00 | $225.00 | 2026-02-18 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | UHC Community Plan - Multi State | Medicaid Replacement | $109.68 | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | UHC Community Plan - Multi State | Medicaid Replacement | $109.68 | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Medicaid Kentucky | Default | $109.68 | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| MARSHALL COUNTY HOSPITAL Both | Medicaid Kentucky | Default | $109.68 | $174.10 | $174.10 | 2026-04-07 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CARE NETWORK ADVANTAGE [7001] | BCN ADVANTAGE U-M PREMIER CARE [700102] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AETNA MEDICARE [7014] | AETNA MEDICARE [701401] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP MEDICARE CONNECT HMO [700301] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AMERIVANTAGE MEDICARE HMO [7018] | AMERIVANTAGE MEDICARE HMO [701801] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH PARTNERS MEDICARE HMO [7017] | HEALTH PARTNERS MEDICARE HMO [701701] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP HENRY FORD SELECT [700307] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP SENIOR PLUS PPO [700305] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UPPER PENINSULA HEALTH PLAN MEDICARE [7019] | UPPER PENINSULA HEALTH PLAN MEDICARE [701901] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP MEDICARE DIABETES AND HEART HMO CSNP [700312] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP MEDICARE MEDICAL ACCESS HMO [700303] | $113.22 | $500.00 | $500.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP MEMBER ASSIST [700309] | $113.22 | $500.00 | $500.00 | 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.