49204 — Exc Abd Tum Over 5 Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EXC ABD TUM OVER 5 CM (CPT 49204) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49204?code_type=CPT
MLA (9th ed.)
“EXC ABD TUM OVER 5 CM (CPT 49204) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49204?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“EXC ABD TUM OVER 5 CM (CPT 49204) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49204?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,430–$6,343 (25th–75th percentile) across 1,106 hospitals · 1,392 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49204 — 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 ↗ |
| St Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $6.00 | $7.00 | $7.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $6.00 | $7.00 | $7.00 | 2026-03-31 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Aetna | Commercial | $7.00 | $7.00 | $7.00 | 2026-03-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $7.11 | $3,948.00 | — | 2024-12-31 | 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 | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| HENRY COUNTY MEMORIAL HOSPITAL Outpatient | ENCORE WORKERS COMP-ALL PLANS | ENCORE WORKERS COMP-ALL PLANS | $48.00 | $5,300.90 | $3,710.63 | 2026-04-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $2,201.00 | $1,320.60 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $2,201.00 | $1,320.60 | 2026-05-18 | 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 ↗ |
| NORTHERN LIGHT C A DEAN HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MERCY HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-04-15 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MAINE COAST HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MAYO HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER OutpatientFacility | Harvard | Commercial | — | — | — | 2026-02-03 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Ip|Negotiated_Percentage | — | $91.00 | $2,201.00 | $1,320.60 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Ip|Negotiated_Percentage | — | $91.00 | $2,201.00 | $1,320.60 | 2026-05-21 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA MEDICARE SUPPLEMENTAL [101309] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA 188017 [101305] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA [101307] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA 182223 [101302] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | COFINITY CIGNA [101306] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA PRIORITY HEALTH [101308] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA EXPATRIOT BENEFITS [101304] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH [105102] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH HMA [105104] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH PLAN [105101] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CIGNA [1013] | CIGNA 55270 [101303] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH 853923 [105103] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Op|Negotiated_Percentage | — | $93.00 | $2,201.00 | $1,320.60 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Op|Negotiated_Percentage | — | $93.00 | $2,201.00 | $1,320.60 | 2026-05-21 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|United Healthcare|Negotiated_Percentage | — | $95.00 | $2,201.00 | $1,320.60 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Cigna|Negotiated_Percentage | — | $95.00 | $2,201.00 | $1,320.60 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Aetna|Negotiated_Percentage | — | $95.00 | $2,201.00 | $1,320.60 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Multiplan|Negotiated_Percentage | — | $95.00 | $2,201.00 | $1,320.60 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Multiplan|Negotiated_Percentage | — | $95.00 | $2,201.00 | $1,320.60 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Aetna|Negotiated_Percentage | — | $95.00 | $2,201.00 | $1,320.60 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Cigna|Negotiated_Percentage | — | $95.00 | $2,201.00 | $1,320.60 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|United Healthcare|Negotiated_Percentage | — | $95.00 | $2,201.00 | $1,320.60 | 2026-05-18 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $138.56 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $138.56 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $153.96 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $153.96 | — | — | 2026-04-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL OutpatientFacility | Denver Health Medical Plan | Medicaid Choice | $186.59 | — | — | 2025-11-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | MEDICAID [300001] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MOLINA HEALTH CARE [9008] | MOLINA HEALTH CARE [900801] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MOLINA [1071] | MOLINA MICHILD [107101] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MCLAREN HEALTH PLAN [9006] | MCLAREN HEALTH PLAN [900601] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | GENESEE COUNTY INCARCERATED [1104] | GENESEE COUNTY INCARCERATED [110401] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | MCLAREN MICHILD [1070] | MCLAREN MICHILD [107001] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $187.66 | $24,645.45 | $24,645.45 | 2026-03-23 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $192.93 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $192.93 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $192.93 | — | — | 2025-08-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $198.44 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $198.44 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $202.12 | — | — | 2025-08-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network P | $217.00 | — | — | 2026-02-28 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $219.35 | — | — | 2025-12-23 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $236.39 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Aetna | Medicare | $236.39 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Medicare | $236.39 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Humana | Medicare | $236.39 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peia | Other Governmental | $236.39 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Medicare | $236.39 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | United Healthcare | Medicare | $236.39 | — | — | 2026-05-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $242.54 | — | — | 2025-08-01 | MRF ↗ |
| Shepherd Center Outpatient | Medicare | Commercial | $246.27 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Medicare | Commercial | $246.27 | — | — | 2026-05-06 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Blue Cross Blue Shield | Freedom Network Select | $251.65 | — | — | 2026-05-26 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Blue Cross Blue Shield | Freedom Network | $251.65 | — | — | 2026-05-26 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Devoted | Medicare Advantage Prevailing (MMG) | $253.11 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Humana | Medicare Advantage (MMG) | $253.11 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Devoted | Medicare Advantage (MMG) | $253.11 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Humana | HMO/PPO | $255.09 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Commercial | $255.28 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Medicare Advantage | $257.64 | — | — | 2025-08-01 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | FULTON COUNTY HEALTH DEPARTMENT [1013223] | HB ODH BCCP PROJECT | $258.28 | $30,665.53 | $18,399.32 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | TRINITY BCCP [101328] | HB ODH BCCP PROJECT | $258.28 | $30,665.53 | $18,399.32 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | OU COMM HLTH PROG OUHCOM HAP BSP [101321] | HB ODH BCCP PROJECT | $258.28 | $30,665.53 | $18,399.32 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | NOBLE COUNTY HEALTH DEPARTMENT [10017599] | HB ODH BCCP PROJECT | $258.28 | $30,665.53 | $18,399.32 | 2026-03-27 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | CarePlus | Medicare Advantage (MMG) | $265.76 | — | — | 2025-10-24 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $266.22 | $4,345.00 | $955.90 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $266.22 | $4,345.00 | $955.90 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare Medicaid | $266.22 | $4,345.00 | $955.90 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare CHIP | $266.22 | $4,345.00 | $955.90 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $266.22 | $4,345.00 | $1,042.80 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $266.22 | $4,345.00 | $1,042.80 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $266.22 | $4,345.00 | $955.90 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | United Healthcare | United Healthcare Medicaid | $266.22 | $4,345.00 | $999.35 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $266.22 | $4,345.00 | $1,173.15 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | United Healthcare | United Healthcare CHIP | $266.22 | $4,345.00 | $999.35 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $266.22 | $4,345.00 | $1,129.70 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $266.22 | $4,345.00 | $955.90 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $266.22 | $4,345.00 | $782.10 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $266.22 | $4,345.00 | $999.35 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $266.22 | $4,345.00 | $1,129.70 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $266.22 | $4,345.00 | $1,173.15 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare CHIP | $266.22 | $4,345.00 | $955.90 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $266.22 | $4,345.00 | $999.35 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $266.22 | $4,345.00 | $782.10 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $266.22 | $4,345.00 | $825.55 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $266.22 | $4,345.00 | $825.55 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare Medicaid | $266.22 | $4,345.00 | $955.90 | 2026-04-14 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | WellCare Oncology | Medicare Advantage | $268.29 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Baycare | Medicare Advantage (MMG) | $270.82 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Freedom Optimum Oncology | Medicare Advantage | $271.73 | — | — | 2025-08-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $278.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $278.00 | — | — | 2024-12-08 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Freedom Health | Medicare Advantage (MMG) | $278.42 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Optimum | Medicare Advantage (MMG) | $278.42 | — | — | 2025-10-24 | MRF ↗ |
| Shepherd Center Outpatient | Kaiser | Commercial | $283.21 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Humana | Commercial | $284.04 | — | — | 2026-05-06 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Exchange (MMG) | $284.58 | — | — | 2025-10-24 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | TRICARE | TRICARE | $292.50 | $625.00 | $625.00 | 2025-07-29 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $301.80 | — | — | 2026-05-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicare Advantage | $309.17 | — | — | 2025-08-01 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | HMO/PPO/Traditional | $315.50 | — | — | 2026-02-13 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $326.55 | — | — | 2025-10-24 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $343.33 | — | — | 2026-05-06 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MEDICAID_IOWA | IOWA MEDICAID | $343.75 | $625.00 | $625.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_UNITEDHEALTHCARE | MANAGED CARE IOWA MEDICAID | $343.75 | $625.00 | $625.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_IA_TOTALCARE | MANAGED CARE IOWA MEDICAID | $343.75 | $625.00 | $625.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_AMERIHEALTH | MANAGED CARE IOWA MEDICAID | $343.75 | $625.00 | $625.00 | 2025-07-29 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM TRADITIONAL | 9233_ANTHEM TRADITIONAL VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PPO PREFERRED | 9232_ANTHEM PREFERRED VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HMO/POS | 9229_ANTHEM HMO POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY X | 9231_ANTHEM PATHWAY X VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC POS | 9228_ANTHEM HEALTHSYNC POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC HMO | 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM SHORT TERM LIMITED DURATION | 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $343.76 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $343.76 | — | — | 2026-01-01 | 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.