49565 — Rerepair Ventrl Hern Reduce
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REREPAIR VENTRL HERN REDUCE (HCPCS 49565) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49565?code_type=HCPCS
MLA (9th ed.)
“REREPAIR VENTRL HERN REDUCE (HCPCS 49565) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49565?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“REREPAIR VENTRL HERN REDUCE (HCPCS 49565) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49565?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,585–$6,836 (25th–75th percentile) across 942 hospitals · 1,080 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49565 — 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 |
|---|---|---|---|---|---|---|---|
| MAYO CLINIC HEALTH SYSTEM - MANKATO OutpatientFacility | VETERANS ADMINISTRATION [1140003] | VETERAN AFFAIRS [911] | $3.93 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - MANKATO OutpatientFacility | ACUTE REHABILITATION [1140122] | MEDICARE PPS ACUTE REHAB [1329] | $3.93 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - MANKATO OutpatientFacility | VA OPTUM HMO [91140004] | VETERAN AFFAIRS OPTUM [1049] | $3.93 | — | — | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICARE [20244] | HB STLO MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | KINDFUL HOSPICE [20434] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB STLO HUMANA MEDICARE W/SEQ IP 97% OP 100% NEW 010124 | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | GENERIC MEDICARE MANAGED CARE [20137] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICARE [20244] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | TRICARE CONTRACTED [320380] | HB STLO TRICARE - HEALTHNET WEST | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY HOSPICE OKC [20252] | HB STLO MANAGED MEDICARE | $7.71 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB STLO CIGNA MANAGED MEDICARE 010122 103% 010123 102% W/SEQ NEW 010122 | $7.86 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB STLO ESSENCE MEDICARE 99% W/O SEQ 1/1/23 100% W/O SEQ | $7.86 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB STLO CIGNA MANAGED MEDICARE 010122 103% 010123 102% W/SEQ NEW 010122 | $7.86 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB STLO WELLCARE HARMONY MCR 103% | $7.95 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB STLO PROVIDER PARTNERS 110% MCR | $8.50 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HEALTHSCOPE CONTRACTED [320182] | HB STLO DEC ORSCHELN MCR 125% | $9.68 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB STLO CENTIVO 165% MEDICARE NEW 110124 | $12.97 | $28,708.64 | $18,660.62 | 2026-03-12 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $15.11 | $2,634.00 | $2,634.00 | 2026-02-25 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 1&2 | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $22.08 | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4 | $22.08 | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $22.08 | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP ESSENTIAL 1&2 | $22.08 | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 3&4 | $22.08 | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | — | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $22.08 | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $277.99 | $245.58 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $277.99 | $245.58 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $277.99 | $245.58 | 2025-01-19 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $23.58 | $11,243.16 | $7,308.05 | 2024-12-30 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1402 | NY MEDICAID EMERGENCY ROOM | $25.44 | $277.99 | $245.58 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1402 | FIDELIS EMERGENCY ROOM | $25.44 | $277.99 | $245.58 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1402 | UNITED COMMUNITY EMERGENCY ROOM | $26.71 | $277.99 | $245.58 | 2025-01-19 | 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 ↗ |
| MARY LANNING HEALTHCARE Outpatient | AETNA/COVENTRY HLTH-ALL OTHER PLANS | AETNA/COVENTRY HLTH-ALL OTHER PLANS | $43.50 | $1,679.00 | $1,511.10 | 2026-01-23 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $45.00 | $2,634.00 | $2,634.00 | 2026-02-25 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $45.00 | $2,634.00 | $2,634.00 | 2026-02-25 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS Outpatient | CONTRA COSTA COUNTY JAIL [1012104] | CCC JAIL [101210401] | $49.14 | $91,134.23 | $41,010.40 | 2026-03-23 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | 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 ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS-EP_1402 | FIDELIS ESSENTIAL PLAN 1-2 EMERGENCY ROOM | $57.24 | $277.99 | $245.58 | 2025-01-19 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS Blue Advantage | Blue Advantage | $69.92 | $4,729.00 | $3,310.30 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | UHC Commercial | PPO | $74.50 | $4,729.00 | $3,310.30 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | Baylor Scott And White Commercial | UNKNOWN | $75.00 | $4,729.00 | $3,310.30 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS HMO | HMO | $76.00 | $4,729.00 | $3,310.30 | 2026-01-13 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $76.43 | $3,094.95 | $2,011.72 | 2025-12-29 | MRF ↗ |
| THE NEBRASKA MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $76.43 | $3,094.95 | $2,011.72 | 2026-01-05 | MRF ↗ |
| THE NEBRASKA MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $80.09 | $3,094.95 | $2,011.72 | 2026-01-05 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $80.09 | $3,094.95 | $2,011.72 | 2025-12-29 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS PPO | PPO | $82.00 | $4,729.00 | $3,310.30 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | Multiplan | PPO | $88.00 | $4,729.00 | $3,310.30 | 2026-01-13 | MRF ↗ |
| CANDLER COUNTY HOSPITAL Outpatient | Peach State Medicaid | HMO | $92.29 | $2,873.00 | — | 2026-03-20 | MRF ↗ |
| CANDLER COUNTY HOSPITAL Outpatient | Caresource Medicaid | HMO | $92.29 | $2,873.00 | — | 2026-03-20 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | TRICARE | TRICARE | $92.66 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $104.22 | $772.00 | $579.00 | 2026-01-16 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1401 | FIDELIS AMBULATORY SURGERY | $108.48 | $277.99 | $245.58 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1401 | NY MEDICAID AMBULATORY SURGERY | $108.48 | $277.99 | $245.58 | 2025-01-19 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MEDICAID_IOWA | IOWA MEDICAID | $108.90 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_IA_TOTALCARE | MANAGED CARE IOWA MEDICAID | $108.90 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_UNITEDHEALTHCARE | MANAGED CARE IOWA MEDICAID | $108.90 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_AMERIHEALTH | MANAGED CARE IOWA MEDICAID | $108.90 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_AMERIGROUP | MANAGED CARE IOWA MEDICAID | $109.99 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | ANTHEM EXCH | ANTHEM EXCH | $110.67 | $178.50 | $124.95 | 2026-03-31 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED-EP/CHP_1401 | UNITED ESSENTIAL-CHIP AMBULATORY SURGERY | $113.90 | $277.99 | $245.58 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1401 | UNITED COMMUNITY AMBULATORY SURGERY | $113.90 | $277.99 | $245.58 | 2025-01-19 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | ANTHEM HMO | ANTHEM HMO | $122.97 | $178.50 | $124.95 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | ANTHEM PPO | ANTHEM PPO | $122.97 | $178.50 | $124.95 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $132.09 | $178.50 | $124.95 | 2026-03-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Freedom Optimum Oncology | Medicare Advantage | $138.33 | — | — | 2025-08-01 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $139.23 | $178.50 | $124.95 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | ANTHEM TRAD-ALL OTHER PLANS | ANTHEM TRAD-ALL OTHER PLANS | $140.55 | $178.50 | $124.95 | 2026-03-31 | MRF ↗ |
| Shepherd Center Outpatient | Humana | Commercial | $140.80 | — | — | 2026-05-06 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MAHP | MEDICAL ASSOCIATES HEALTH PLAN | $148.50 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | CASH_PAY_W_DISCOUNT | CASH DISCOUNT | $148.50 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Capital Blue Cross | Medicare Advantage | $149.40 | $747.00 | $448.20 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Keystone Health Plan | Medicare Advantage | $149.40 | $747.00 | $448.20 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | UPMC Work Partners | Workers Comp | — | $747.00 | $448.20 | 2026-03-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $150.97 | — | — | 2026-05-06 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | UNITED_HEALTHCARE | UNITED HEALTHCARE | $151.07 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | UMR | UMR | $153.85 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | UHC_PREMIER_JDEERE | UHC JOHN DEERE PREMIER | $160.18 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | UHC_RIVER_VALLEY | UHC RIVER VALLEY COMMERCIAL | $160.18 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $160.19 | $772.00 | $579.00 | 2026-01-16 | MRF ↗ |
| BRECKINRIDGE MEMORIAL HOSPITAL Outpatient | AMBETTER COMM/EXCH - ALL PLANS | AMBETTER COMM/EXCH - ALL PLANS | $161.40 | $538.00 | $269.00 | 2026-03-24 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | PHCS/MULTIPLAN-ALL PLANS | PHCS/MULTIPLAN-ALL PLANS | $162.44 | $178.50 | $124.95 | 2026-03-31 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $162.61 | — | — | 2025-10-24 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | SAGAMORE-ALL PLANS | SAGAMORE-ALL PLANS | $164.22 | $178.50 | $124.95 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | HUMANA CHOICE CARE-ALL PLANS | HUMANA CHOICE CARE-ALL PLANS | $166.01 | $178.50 | $124.95 | 2026-03-31 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | AETNA_COVENTRY | AETNA COVENTRY | $166.12 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $167.79 | $178.50 | $124.95 | 2026-03-31 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | HEALTH_CHOICES | HEALTH CHOICES - PREFERRED HEALTH CHOICES | $168.30 | $198.00 | $198.00 | 2025-07-29 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | ENCORE-ALL PLANS | ENCORE-ALL PLANS | $169.58 | $178.50 | $124.95 | 2026-03-31 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Private Healthcare Systems PHCS | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Connecticut General Cigna | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Multiplan Inc. for American Family | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Magnolia Health Plan MCD Rep | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Select Health Care | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare B MS JH | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | GEHA Multiplan Network | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | First Choice Health Network | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Primewell Vantage Health Plan | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Advanced Health | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Physicians Care Network | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | UHC Community Plan MS | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Blue Cross Blue Shield of MS INST | Default | $170.00 | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare A MS JH | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicaid Mississippi | Default | — | $1,892.00 | $1,419.00 | 2025-03-07 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $170.20 | — | — | 2026-05-06 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 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 RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $170.31 | — | — | 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 Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $170.31 | — | — | 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 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 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $170.31 | — | — | 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 CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $170.31 | — | — | 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 CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $170.31 | — | — | 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 CARMEL Both | ANTHEM HEALTHSYNC POS | 9228_ANTHEM HEALTHSYNC POS VCIN 20250101 | — | — | — | 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 KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $170.31 | — | — | 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 | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $170.31 | — | — | 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 HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY | 9230_ANTHEM PATHWAY VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $170.31 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC HMO | 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 | — | — | — | 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.