49402 — Remove Foreign Body Adbomen
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Remove foreign body adbomen (OTHER 49402) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49402?code_type=OTHER
MLA (9th ed.)
“Remove foreign body adbomen (OTHER 49402) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49402?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Remove foreign body adbomen (OTHER 49402) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49402?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,189–$4,265 (25th–75th percentile) across 205 hospitals · 496 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 49402 — 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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $11.58 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $13.19 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Ppo | $15.49 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $25.26 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $51.87 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-05-27 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $95.85 | $2,369.00 | $1,658.30 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $95.85 | $2,369.00 | $1,658.30 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $95.85 | $2,369.00 | $1,658.30 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $95.85 | $2,369.00 | $1,658.30 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $149.46 | $9,145.00 | $6,401.50 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $149.46 | $9,145.00 | $6,401.50 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $149.46 | $9,145.00 | $6,401.50 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $149.46 | $9,145.00 | $6,401.50 | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $162.41 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $168.91 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $192.78 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $192.78 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $192.78 | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $204.35 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $206.43 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $206.43 | — | — | 2026-05-23 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $208.20 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $208.20 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $208.20 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $212.06 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $220.19 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $220.19 | — | — | 2026-05-14 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $227.14 | $596.16 | $596.16 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $228.51 | $596.16 | $596.16 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $231.19 | $596.16 | $596.16 | 2026-05-27 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $240.98 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $240.98 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $240.98 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $240.98 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $240.98 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $250.61 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $250.61 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $250.61 | — | — | 2026-05-06 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $256.23 | — | — | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $9,512.00 | $6,658.40 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $9,512.00 | $6,658.40 | 2026-05-08 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $269.89 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $269.89 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $269.89 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $269.89 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $269.89 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $269.89 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $269.89 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $269.89 | — | — | 2026-05-09 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $271.85 | $596.16 | $596.16 | 2026-05-27 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $279.53 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $279.53 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $279.53 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $279.53 | — | — | 2026-05-09 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $281.39 | $596.16 | $596.16 | 2026-05-27 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $294.95 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $294.95 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $294.95 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $294.95 | — | — | 2026-05-14 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $319.54 | $596.16 | $596.16 | 2026-05-27 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $359.80 | $1,400.00 | $410.34 | 2026-05-31 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK Outpatient | Multiplan | All | — | $17,883.84 | $4,470.96 | 2026-05-09 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK Outpatient | Zelis | All | — | $17,883.84 | $4,470.96 | 2026-05-09 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK Outpatient | Caresource (Passe) | All | $367.98 | $17,883.84 | $4,470.96 | 2026-05-09 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK Outpatient | Summit Care (Passe) | All | $367.98 | $17,883.84 | $4,470.96 | 2026-05-09 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK Outpatient | Empower (Passe) | All | $367.98 | $17,883.84 | $4,470.96 | 2026-05-09 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK Outpatient | Healthlink | All | — | $17,883.84 | $4,470.96 | 2026-05-09 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK Outpatient | Ar Total Care (Passe) | All | $367.98 | $17,883.84 | $4,470.96 | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $385.44 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $385.44 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $396.43 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $404.71 | — | — | 2026-05-08 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Supplental Product | — | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Multiplan | — | — | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Three Rivers | — | — | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Meridian Health Plan | — | $406.05 | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Prime Health Services | — | — | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | — | — | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | United Healthcare | — | — | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Medicaid | $406.05 | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Workers Compensation | — | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Interplan Health Group | — | — | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Blue Cross Community Health Plan | Medicaid | $406.05 | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Rental Network | — | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Molina | — | $406.05 | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Dentaquest | — | $406.05 | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Siho Network Llc | — | — | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Triwest | Healthcare Alliance | $406.05 | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Quanex Employees | — | — | $3,889.00 | $3,889.00 | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $415.82 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $415.82 | — | — | 2026-05-24 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $421.72 | — | — | 2026-05-13 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $447.12 | $596.16 | $596.16 | 2026-05-27 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $448.27 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $448.27 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $448.27 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $448.27 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $448.27 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $448.27 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $448.27 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $448.27 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $448.27 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $448.27 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | In Medicaid | $457.46 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | In Medicaid | $457.46 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $457.94 | $1,801.75 | $1,261.23 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $457.94 | $1,801.75 | $1,261.23 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $1,801.75 | $1,261.23 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $1,801.75 | $1,261.23 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $457.94 | $1,801.75 | $1,261.23 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $457.94 | $1,801.75 | $1,261.23 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $1,801.75 | $1,261.23 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $1,801.75 | $1,261.23 | 2026-05-13 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $471.47 | — | — | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $472.98 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $475.57 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $475.57 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $480.19 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $487.17 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $487.17 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $487.17 | — | — | 2026-05-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Humana | Humanamedicaid | $491.79 | — | — | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $496.63 | — | — | 2026-05-08 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $500.27 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $500.27 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $500.27 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $500.27 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $500.27 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $500.27 | — | — | 2026-05-06 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $501.36 | — | — | 2026-05-08 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $506.74 | $596.16 | $596.16 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $506.74 | $596.16 | $596.16 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $506.74 | $596.16 | $596.16 | 2026-05-27 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Cigna | Commercial | $531.00 | — | — | 2026-05-09 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $532.14 | $1,400.00 | $410.34 | 2026-05-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan - Dhp | $539.46 | — | — | 2026-05-08 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Medicaid | Professional | $543.58 | $1,685.00 | $842.50 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $543.58 | $1,685.00 | $842.50 | 2026-05-13 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicaid | Professional | $543.58 | $1,685.00 | $842.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $543.58 | $1,685.00 | $842.50 | 2026-05-08 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Medicare | Medicare Advantage Plan (100% Pom) | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Cigna | Cigna Medicare Advantage | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Upmc | Upmc Medicare Advantage | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Traditional | $550.00 | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare Medicare Advantage | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross Med Adv (102% Pom) | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Med Adv (102% Pom) | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Upmc | Upmc | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Veterans Affairs | Veterans Affairs | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Tricare | Tricare | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Traditional | $550.00 | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross (100% Pom) | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Cigna | Cigna Medicare Advantage | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross Med Adv (102% Pom) | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare Medicare Advantage | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Ambetter | Ambetter | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Upmc | Upmc Medicare Advantage | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Med Adv | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Hmo Tiered | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Highmark-Bc Central | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Highmark-Bc Central | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Upmc | Upmc | — | $6,600.00 | $6,600.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Medicare | Medicare Advantage Plan (100% Pom) | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Ambetter | Ambetter | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross (100% Pom) | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Tricare | Tricare | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Hmo Tiered | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Med Adv | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Med Adv (102% Pom) | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Veterans Affairs | Veterans Affairs | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | — | $6,600.00 | $6,600.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $551.46 | $1,724.00 | $862.00 | 2026-05-14 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $551.46 | $1,724.00 | $862.00 | 2026-05-09 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $551.46 | $1,724.00 | $862.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $551.46 | $1,724.00 | $862.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $551.46 | $1,724.00 | $862.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $551.46 | $1,724.00 | $862.00 | 2026-05-23 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $551.46 | $1,724.00 | $862.00 | 2026-05-23 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Healthpartners | Healthpartners Pmap Professional | $552.40 | $2,942.00 | $2,942.00 | 2026-05-14 | 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.