Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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49572 — Rpr Epigastric Hern Blocked

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $3,934

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.