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 $2,161–$7,181 (25th–75th percentile) across 1,268 hospitals · 1,582 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 |
|---|---|---|---|---|---|---|---|
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| GOOD SAMARITAN 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S 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 ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | 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 ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | 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 ↗ |
| 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 ↗ |
| RARITAN BAY 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 ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | 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 | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | 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 | 2026-08-01 | 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 ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER OutpatientFacility | Harvard | Commercial | — | — | — | 2026-02-03 | 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 MERCY HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-04-15 | 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 SEBASTICOOK VALLEY HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MAINE COAST HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT C A DEAN HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Ip|Negotiated_Percentage | — | $91.00 | $2,201.00 | $1,320.60 | 2026-08-01 | 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 | 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 | CIGNA [1013] | CIGNA 55270 [101303] | $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 | 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 [101307] | $91.25 | $24,645.45 | $24,645.45 | 2026-03-23 | 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 | PRIORITY HEALTH PLAN [1051] | PRIORITY HEALTH 853923 [105103] | $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 | CIGNA [1013] | COFINITY CIGNA [101306] | $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 ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Op|Negotiated_Percentage | — | $93.00 | $2,201.00 | $1,320.60 | 2026-08-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Multiplan|Negotiated_Percentage | — | $95.00 | $2,201.00 | $1,320.60 | 2026-08-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|United Healthcare|Negotiated_Percentage | — | $95.00 | $2,201.00 | $1,320.60 | 2026-08-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Aetna|Negotiated_Percentage | — | $95.00 | $2,201.00 | $1,320.60 | 2026-08-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Cigna|Negotiated_Percentage | — | $95.00 | $2,201.00 | $1,320.60 | 2026-08-01 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $138.56 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $138.56 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center 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 ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER 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 | GENESEE COUNTY INCARCERATED [1104] | GENESEE COUNTY INCARCERATED [110401] | $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 | 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 QMB [300007] | $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 | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $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 | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $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 | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $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 | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $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 | MEDICAID [3000] | MEDICAID MICHILD [300008] | $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 | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $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 | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $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 | 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 HEALTH PLAN [900701] | $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 | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $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 | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $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 MICHILD [1070] | MCLAREN MICHILD [107001] | $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 | 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 | 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 ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $192.93 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $192.93 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $192.93 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology UPW | Medicaid HMO | $192.93 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology UPW | Healthy Kids | $192.93 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology UPW | Medicaid HMO | $192.93 | — | — | 2026-06-30 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology UPW | Healthy Kids | $198.44 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology UPW | Medicaid HMO | $198.44 | — | — | 2026-06-30 | 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 UPW | Medicaid HMO | $202.12 | — | — | 2026-06-30 | 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 ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | BCBS - TN | Commercial|Network P | $217.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network P | $217.00 | — | — | 2026-02-28 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $217.02 | — | — | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $217.02 | — | — | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $217.02 | — | — | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $217.02 | — | — | 2026-07-15 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $219.35 | — | — | 2025-12-23 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Healthy U | Medicaid | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Peia | Other Governmental | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Signature Individual Aca | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Medicaid | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $236.39 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peia | Other Governmental | $236.39 | — | — | 2026-05-06 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Value Individual Aca | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Medicare Advantage | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Med Individual Aca | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Highmark Blue Cross | Ppo/Pos | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $236.39 | — | — | 2026-07-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Signature Individual Aca | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $236.39 | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Molina | Medicare Advantage | $236.39 | — | — | 2026-07-15 | 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.