47536 — Exchange Biliary DRG Cath
Cite this view
HANK Price Transparency. (n.d.). EXCHANGE BILIARY DRG CATH (HCPCS 47536) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/47536?code_type=HCPCS
“EXCHANGE BILIARY DRG CATH (HCPCS 47536) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/47536?code_type=HCPCS. Accessed .
“EXCHANGE BILIARY DRG CATH (HCPCS 47536) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/47536?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,534–$6,115 (25th–75th percentile) across 2,530 hospitals · 6,839 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 47536 — 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 |
|---|---|---|---|---|---|---|---|
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $4,120.43 | $412.04 | 2026-07-18 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | $0.18 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | $0.18 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $0.19 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $0.19 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | — | — | 2026-09-01 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $0.20 | $6,308.09 | $4,100.26 | 2026-06-04 | MRF ↗ |
| Harper University Hospital BothFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Ohana Care | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Ohana Care | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $0.50 | $6,485.00 | $4,215.25 | 2026-03-12 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $6,525.00 | — | 2026-07-01 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $9,003.00 | $3,808.27 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $9,003.00 | $2,664.89 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $9,003.00 | $2,664.89 | 2026-02-28 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Multiplan | Commercial | $0.70 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | $0.70 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Multiplan | Commercial | $0.70 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | $0.70 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | $0.72 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | $0.72 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | $0.72 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Western Management Group | Commercial | $0.72 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | $0.72 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Western Management Group | Commercial | $0.72 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Non Trust Local | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Community Health Alliance | Commercial | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Ufcw | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Mainland Administrators | Nontrust Local | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Community Health Alliance | Commercial | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Non Trust Local | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Community Health Alliance | Commercial | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Mainland Administrators | Ufcw | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Non Trust Local | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Community Health Alliance | Commercial | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Ufcw | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Ufcw | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Mainland Administrators | Nontrust Local | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Mainland Administrators | Ufcw | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Non Trust Local | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Community Health Alliance | Commercial | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Community Health Alliance | Commercial | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Ufcw | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | First Health | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Laborers | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Laborers | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Laborers | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Laborers | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | First Health | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Mdx Hawaii | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Mdx Hawaii | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Humana | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Mdx Hawaii | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Mdx Hawaii | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Humana | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Mdx Hawaii | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Mdx Hawaii | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.99 | $1,255.00 | $941.25 | 2025-03-07 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR KIDS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR PLUS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $7,232.00 | $5,424.00 | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $7,352.00 | $5,514.00 | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID NON UHRIP | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM NON UHRIP | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR PLUS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $7,232.00 | $5,424.00 | 2024-12-11 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR KIDS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $10,233.70 | $6,651.91 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE HEALTH PLAN MEDICAID STAR PLUS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE HEALTH PLAN MEDICAID STAR KIDS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE HEALTH PLAN MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $7,352.00 | $5,514.00 | 2024-12-11 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $8,675.00 | $4,337.50 | 2026-07-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE HEALTH PLAN MEDICAID STAR | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $10,233.70 | $6,651.91 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $8,675.00 | $4,337.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $8,675.00 | $4,337.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $8,675.00 | $4,337.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $8,675.00 | $4,337.50 | 2026-07-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $8,675.00 | $4,337.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $8,675.00 | $4,337.50 | 2026-07-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Molina | Molina - Exchange | $3.51 | $6,205.00 | $4,653.75 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.84 | $440.00 | $83.60 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.84 | $319.00 | $60.61 | 2026-01-25 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $4.88 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $4.88 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $4.88 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $4.88 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $4.88 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $4.88 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $4.88 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $4.88 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $4.88 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $4.88 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC CORE | $5.56 | $11,181.61 | $7,827.13 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC HMO/PPO | $5.56 | $11,181.61 | $7,827.13 | 2026-04-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $5.63 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $5.63 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $5.63 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $5.63 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $5.63 | $12,475.00 | $9,356.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $5.63 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $5.63 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $5.63 | $13,244.00 | $9,933.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $5.63 | $13,244.00 | $9,933.00 | 2026-09-02 | 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.