49572 — Rpr Epigastric Hern Blocked
Cite this view
HANK Price Transparency. (n.d.). RPR EPIGASTRIC HERN BLOCKED (CPT 49572) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49572?code_type=CPT
“RPR EPIGASTRIC HERN BLOCKED (CPT 49572) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49572?code_type=CPT. Accessed .
“RPR EPIGASTRIC HERN BLOCKED (CPT 49572) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49572?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,349–$6,939 (25th–75th percentile) across 901 hospitals · 882 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49572 — 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 |
|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY HOSPICE OKC [20252] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | TRICARE CONTRACTED [320380] | HB STLO TRICARE - HEALTHNET WEST | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICARE [20244] | HB STLO MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 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 | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | KINDFUL HOSPICE [20434] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICARE [20244] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 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 | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB STLO UHC CORE NEW 100121 | — | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB STLO UHC HMO PPO ALL PAYER | — | $12,408.24 | $8,065.36 | 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 | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO CIGNA HMO | — | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB STLO UHC COMPASS/EXCHANGE | — | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB STLO UHC HMO PPO ALL PAYER | — | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 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 | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | GENERIC MEDICARE MANAGED CARE [20137] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB STLO MANAGED MEDICARE | $0.30 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB STLO UHC HMO PPO ALL PAYER | — | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB STLO WELLCARE HARMONY MCR 103% | $0.31 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB STLO PROVIDER PARTNERS 110% MCR | $0.33 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HEALTHSCOPE CONTRACTED [320182] | HB STLO DEC ORSCHELN MCR 125% | $0.38 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB STLO CENTIVO 165% MEDICARE NEW 110124 | $0.50 | $12,408.24 | $8,065.36 | 2026-03-12 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $285.60 | $165.26 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $285.60 | $165.26 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $285.60 | $165.26 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1402 | NY MEDICAID EMERGENCY ROOM | $25.44 | $285.60 | $165.26 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1402 | FIDELIS EMERGENCY ROOM | $25.44 | $285.60 | $165.26 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1402 | UNITED COMMUNITY EMERGENCY ROOM | $26.71 | $285.60 | $165.26 | 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 | 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 ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $45.00 | $1,921.00 | $1,921.00 | 2026-02-25 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $45.00 | $1,921.00 | $1,921.00 | 2026-02-25 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $45.33 | $1,921.00 | $1,921.00 | 2026-02-25 | 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 ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $1,945.00 | $1,400.40 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $1,945.00 | $1,400.40 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $1,945.00 | $1,400.40 | 2026-05-04 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS-EP_1402 | FIDELIS ESSENTIAL PLAN 1-2 EMERGENCY ROOM | $57.24 | $285.60 | $165.26 | 2025-01-19 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $69.80 | $517.00 | $387.75 | 2026-01-16 | MRF ↗ |
| THE NEBRASKA MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $76.43 | $1,331.40 | $865.41 | 2026-01-05 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $76.43 | $1,331.40 | $865.41 | 2025-12-29 | MRF ↗ |
| THE NEBRASKA MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $80.09 | $1,331.40 | $865.41 | 2026-01-05 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $80.09 | $1,331.40 | $865.41 | 2025-12-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | TRICARE | TRICARE | $82.84 | $177.00 | $177.00 | 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 ↗ |
| Shepherd Center Outpatient | Humana | Commercial | $93.17 | — | — | 2026-05-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Freedom Optimum Oncology | Medicare Advantage | $93.39 | — | — | 2025-08-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_AMERIHEALTH | MANAGED CARE IOWA MEDICAID | $97.35 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_IA_TOTALCARE | MANAGED CARE IOWA MEDICAID | $97.35 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_UNITEDHEALTHCARE | MANAGED CARE IOWA MEDICAID | $97.35 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MEDICAID_IOWA | IOWA MEDICAID | $97.35 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_AMERIGROUP | MANAGED CARE IOWA MEDICAID | $98.32 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $101.22 | — | — | 2026-05-06 | MRF ↗ |
| FAIRBANKS MEMORIAL HOSPITAL Outpatient | AETNA/ETHIX - ALL PLANS | AETNA/ETHIX - ALL PLANS | $101.50 | $2,264.00 | $2,150.80 | 2026-02-17 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $105.16 | — | — | 2025-10-24 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $107.28 | $517.00 | $387.75 | 2026-01-16 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1401 | NY MEDICAID AMBULATORY SURGERY | $108.48 | $285.60 | $165.26 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1401 | FIDELIS AMBULATORY SURGERY | $108.48 | $285.60 | $165.26 | 2025-01-19 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 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 Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM TRADITIONAL | 9233_ANTHEM TRADITIONAL VCIN 20250101 | — | — | — | 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 | $110.66 | — | — | 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 CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 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 | ANTHEM PATHWAY X | 9231_ANTHEM PATHWAY X VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 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 PPO PREFERRED | 9232_ANTHEM PREFERRED VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 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 Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 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 CARMEL Both | ANTHEM PATHWAY | 9230_ANTHEM PATHWAY VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 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 Seton Specialty Hospital 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 Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 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 WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 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 FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 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 Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | 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 SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $110.66 | — | — | 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 KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $110.66 | — | — | 2026-01-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $112.64 | — | — | 2026-05-06 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1401 | UNITED COMMUNITY AMBULATORY SURGERY | $113.90 | $285.60 | $165.26 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED-EP/CHP_1401 | UNITED ESSENTIAL-CHIP AMBULATORY SURGERY | $113.90 | $285.60 | $165.26 | 2025-01-19 | MRF ↗ |
| Shepherd Center Outpatient | Cigna | Commercial | $114.68 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Aetna | Commercial | $121.89 | — | — | 2026-05-06 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MAHP | MEDICAL ASSOCIATES HEALTH PLAN | $132.75 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | CASH_PAY_W_DISCOUNT | CASH DISCOUNT | $132.75 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| ELECTRA MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $134.40 | $480.00 | $336.00 | 2026-03-11 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | UNITED_HEALTHCARE | UNITED HEALTHCARE | $135.05 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | UMR | UMR | $137.53 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | UHC_RIVER_VALLEY | UHC RIVER VALLEY COMMERCIAL | $143.19 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | UHC_PREMIER_JDEERE | UHC JOHN DEERE PREMIER | $143.19 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | AETNA_COVENTRY | AETNA COVENTRY | $148.50 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | HEALTH_CHOICES | HEALTH CHOICES - PREFERRED HEALTH CHOICES | $150.45 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Christian Health Aid | Commercial | $170.00 | $226.00 | $158.00 | 2025-10-24 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MIDLANDS_CHOICE | MIDLANDS CHOICE | $171.69 | $177.00 | $177.00 | 2025-07-29 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $176.00 | $220.00 | $220.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $176.00 | $220.00 | $220.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $176.00 | $220.00 | $220.00 | 2026-04-01 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | LIFETIME_BEN | LIFETIME BENEFITS | $179.93 | $285.60 | $165.26 | 2025-01-19 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL OutpatientFacility | Denver Health Medical Plan | Medicaid Choice | $186.59 | — | — | 2025-11-01 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | $188.00 | $226.00 | $158.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Health Partners of Kansas | Commercial | $192.00 | $226.00 | $158.00 | 2025-10-24 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $194.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $194.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $194.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $194.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $194.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $194.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $194.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $194.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $194.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $194.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $194.43 | — | — | 2026-01-01 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $203.00 | $226.00 | $158.00 | 2025-10-24 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $208.78 | $803.00 | $401.50 | 2026-06-14 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL OutpatientFacility | Humana | Commercial | — | $803.00 | $401.50 | 2026-06-14 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | — | $803.00 | $401.50 | 2026-06-14 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $209.00 | $871.00 | $871.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $209.00 | $871.00 | $871.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $209.00 | $871.00 | $871.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $209.00 | $871.00 | $871.00 | 2025-07-03 | 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 ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | AETNA | AETNA | $222.77 | $285.60 | $165.26 | 2025-01-19 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $223.53 | $835.00 | $584.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $223.53 | $835.00 | $584.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $223.53 | $835.00 | $584.50 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $223.53 | $835.00 | $584.50 | 2026-04-02 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS Empire Healthplus | Essential 3 & 4 | $223.60 | $4,795.00 | $3,135.93 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS Empire Healthplus | Essential 1 & 2 | $223.60 | $4,795.00 | $3,135.93 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBC Empre Healthplus | Medicaid & HARP | $223.60 | $4,795.00 | $3,135.93 | 2026-04-01 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $224.84 | $803.00 | $401.50 | 2026-06-14 | 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.