49590 — Repair Spigelian Hernia
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REPAIR SPIGELIAN HERNIA (CPT 49590) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49590?code_type=CPT
MLA (9th ed.)
“REPAIR SPIGELIAN HERNIA (CPT 49590) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49590?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“REPAIR SPIGELIAN HERNIA (CPT 49590) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49590?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,116–$5,879 (25th–75th percentile) across 986 hospitals · 1,006 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49590 — 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 |
|---|---|---|---|---|---|---|---|
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 3&4 | $3.78 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | — | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | — | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $3.78 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | — | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $3.78 | $12,924.26 | $10,339.41 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 1&2 | — | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $12,924.26 | $8,400.77 | 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 | — | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $3.78 | $12,924.26 | $10,339.41 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $3.78 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS | — | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $4.03 | $12,924.26 | $10,339.41 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $4.03 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC CHPS|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES | $7.95 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES | $7.95 | $12,924.26 | $10,339.41 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $8.83 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MH OPTUM [170] | MH OPTUM COMMUNITY | — | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | — | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $8.83 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | — | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MH OPTUM [170] | MH OPTUM MEDICARE | — | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $8.83 | $12,924.26 | $10,339.41 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE|UHC DUAL COMPLETE | $8.83 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CDPHP [187] | CDPHP MEDICARE HMO | $8.83 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO | $8.83 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | VETERANS ADMINISTRATION [178] | VA VETERAN'S CHOICE VACAA [17803] | $8.83 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO | $8.83 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $8.83 | $12,924.26 | $10,339.41 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|MH OPTUM MEDICARE|CDPHP MEDICARE HMO | $8.83 | $12,924.26 | $10,339.41 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $8.83 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | $9.09 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | $9.09 | $12,924.26 | $10,339.41 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | $9.09 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $9.27 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO | $9.27 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $9.27 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | $9.62 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | $9.62 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | $9.89 | $12,924.26 | $10,339.41 | 2024-12-30 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $5,849.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $880.00 | $24.67 | 2026-03-22 | MRF ↗ |
| UNITY HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | $11.04 | $12,924.26 | $10,339.41 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | $11.04 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | $11.04 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $11.39 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $11.39 | $12,924.26 | $8,400.77 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $11.39 | $12,924.26 | $10,339.41 | 2024-12-30 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $15.11 | $1,778.00 | $1,778.00 | 2026-02-25 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $880.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $5,849.00 | $24.67 | 2026-03-22 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $333.11 | $135.96 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $333.11 | $135.96 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $333.11 | $135.96 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1402 | FIDELIS EMERGENCY ROOM | $25.44 | $333.11 | $135.96 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1402 | NY MEDICAID EMERGENCY ROOM | $25.44 | $333.11 | $135.96 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1402 | UNITED COMMUNITY EMERGENCY ROOM | $26.71 | $333.11 | $135.96 | 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 ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | VA CCN -ALL PLANS | VA CCN -ALL PLANS | $32.11 | $89.20 | $80.28 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MEDICAL ASSOCIATES-ALL PLANS | MEDICAL ASSOCIATES-ALL PLANS | $32.11 | $89.20 | $80.28 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRICARE- ALL PLANS | TRICARE- ALL PLANS | $32.11 | $89.20 | $80.28 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRIWEST WELLMARK-ALL PLANS | TRIWEST WELLMARK-ALL PLANS | $32.11 | $89.20 | $80.28 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | WELLMARK MCR ADV- ALL PLANS | WELLMARK MCR ADV- ALL PLANS | $32.43 | $89.20 | $80.28 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC MCR ADV | UHC MCR ADV | $33.08 | $89.20 | $80.28 | 2026-01-03 | 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 ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $36.00 | $2,666.18 | $2,666.18 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PACIFIC SOURCE MCR ADV | PACIFIC SOURCE MCR ADV | $39.00 | $2,666.18 | $2,666.18 | 2026-10-09 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PACIFICSOURCE COMM - ALL OTHER PLANS | PACIFICSOURCE COMM - ALL OTHER PLANS | $39.00 | $2,666.18 | $2,666.18 | 2026-10-09 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $45.00 | $1,778.00 | $1,778.00 | 2026-02-25 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $45.00 | $1,778.00 | $1,778.00 | 2026-02-25 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $47.00 | $1,170.00 | $936.00 | 2026-05-18 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | OSCAR-ALL PLANS | OSCAR-ALL PLANS | $48.17 | $89.20 | $80.28 | 2026-01-03 | 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $2,292.50 | $1,650.60 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $2,292.50 | $1,650.60 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $2,292.50 | $1,650.60 | 2026-05-04 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS-EP_1402 | FIDELIS ESSENTIAL PLAN 1-2 EMERGENCY ROOM | $57.24 | $333.11 | $135.96 | 2025-01-19 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MIDLANDS NEW BUSINESS | MIDLANDS NEW BUSINESS | $62.44 | $89.20 | $80.28 | 2026-01-03 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PROVIDENCE COMM - ALL PLANS | PROVIDENCE COMM - ALL PLANS | $67.00 | $2,666.18 | $2,666.18 | 2026-10-09 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Tricare | Node Tricare | $67.02 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Department Of Veterans Affairs | Node Champva | $67.02 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS Blue Advantage | Blue Advantage | $69.92 | $4,729.00 | $3,310.30 | 2026-01-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | Blue Cross Blue Shield | Blue Advantage | $71.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | Blue Cross Blue Shield | Blue Advantage | $71.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | Blue Cross Blue Shield | Blue Advantage | $71.00 | $11,343.07 | $6,805.84 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | Blue Cross Blue Shield | Blue Advantage | $71.00 | $11,343.07 | $6,805.84 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | Blue Advantage | $71.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | Blue Cross Blue Shield | Blue Advantage | $71.00 | $11,343.07 | $6,805.84 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | Blue Cross Blue Shield | Blue Advantage | $71.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Iu Health Plan | Node Iu Health Plan Mcr Adv | $71.24 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Humana Mcr Adv | Node Humana Mcr Adv | $71.24 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Managed Health Services | Node Mhs Mcr Adv | $71.24 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Medicare Traditional | Node Medicare Traditional | $71.24 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Anthem In Mcr Select | Node Anthem In Mcr Select | $71.24 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | United Healthcare | Node Uhc Mcr Adv | $71.24 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Medicare Non Par | Node Medicare Non Par | $71.24 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Healthy Indiana Program-Anthem | Anthem In Hip | $72.40 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Va | Node Va | $72.40 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Anthem Blue Cross Blue Shield | Node Anthem In Mcr Adv | $72.40 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Aetna | Node Aetna Mcr Adv | $72.66 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | UHC Commercial | PPO | $74.50 | $4,729.00 | $3,310.30 | 2026-01-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | $11,343.07 | $6,805.84 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | $11,343.07 | $6,805.84 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | $11,343.07 | $6,805.84 | 2026-06-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | Baylor Scott And White Commercial | UNKNOWN | $75.00 | $4,729.00 | $3,310.30 | 2026-01-13 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Miami County Sheriffs Department | Miami County Jail | $75.30 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS HMO | HMO | $76.00 | $4,729.00 | $3,310.30 | 2026-01-13 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Pphp Mcr Adv | Node Pphp Mcr Adv | $76.02 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Self Pay | Self Pay | $76.02 | $362.00 | $76.02 | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Amish Aid | Amish Aid | $76.02 | $362.00 | $76.02 | 2026-07-15 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $76.89 | $89.20 | $80.28 | 2026-01-03 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID | CARESOURCE MCAID | $77.00 | $1,380.91 | $690.46 | 2026-05-05 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $77.49 | $574.00 | $430.50 | 2026-01-16 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $79.00 | $2,666.18 | $2,666.18 | 2026-10-09 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | $11,343.07 | $6,805.84 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | $11,343.07 | $6,805.84 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | $11,343.07 | $6,805.84 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS PPO | PPO | $82.00 | $4,729.00 | $3,310.30 | 2026-01-13 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $84.74 | $89.20 | $80.28 | 2026-01-03 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | $11,343.07 | $6,805.84 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | $11,343.07 | $6,805.84 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | $11,343.07 | $6,805.84 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN OutpatientFacility | Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | $11,438.48 | $6,863.09 | 2026-06-13 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MIDLANDS CHOICE - ALL OTHER PLANS | MIDLANDS CHOICE - ALL OTHER PLANS | $86.52 | $89.20 | $80.28 | 2026-01-03 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Physicians Health Plan | Php Options | $86.55 | $362.00 | $97.74 | 2026-07-17 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Self Pay | Self Pay | $86.88 | $362.00 | $86.88 | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $86.88 | $362.00 | $86.88 | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Outpatient | Amish Aid | Amish Aid | $86.88 | $362.00 | $86.88 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Amish Aid | Amish Aid | $86.88 | $362.00 | $86.88 | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Physicians Health Plan | Php Options | $87.75 | $362.00 | $97.74 | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Outpatient | Physicians Health Plan | Php Options | $87.75 | $362.00 | $86.88 | 2026-07-15 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | Multiplan | PPO | $88.00 | $4,729.00 | $3,310.30 | 2026-01-13 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Physicians Health Plan Of Northern Indiana | Php Options | $89.41 | $362.00 | $108.60 | 2026-07-17 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Php | Php Options | $90.54 | $362.00 | $86.88 | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Ky Work Comp | Ky Work Comp | $91.22 | $362.00 | $130.32 | 2026-07-17 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Outpatient | Node Aetna Mcr Adv | Node Aetna Mcr Adv | $94.12 | $362.00 | $86.88 | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Amish Aid | Amish Aid | $97.74 | $362.00 | $97.74 | 2026-07-17 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Self Pay | Self Pay | $97.74 | $362.00 | $97.74 | 2026-07-17 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Amish Aid | Amish Aid | $97.74 | $362.00 | $97.74 | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Self Pay | Self Pay | $97.74 | $362.00 | $97.74 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Lutheran Preferred | Lutheran Preferred Chs Employees | $103.17 | $362.00 | $199.10 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Anthem | Anthem In Marketplace Stld | — | $362.00 | $199.10 | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Freedom Optimum Oncology | Medicare Advantage | $103.18 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Freedom Optimum Oncology UPW | Medicare Advantage | $103.18 | — | — | 2026-06-30 | MRF ↗ |
| Shepherd Center Outpatient | Humana | Commercial | $104.26 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Humana | Commercial | $104.26 | — | — | 2026-09-21 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Lutheran Preferred | Lutheran Preferred Chs Employees | $105.70 | $362.00 | $97.74 | 2026-07-17 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Lutheran Preferred | Lutheran Preferred Chs Employees | $107.51 | $362.00 | $162.90 | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Lutheran Preferred Network | Lutheran Preferred Chs Employees | $108.24 | $362.00 | $199.10 | 2026-07-15 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1401 | NY MEDICAID AMBULATORY SURGERY | $108.48 | $333.11 | $135.96 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1401 | FIDELIS AMBULATORY SURGERY | $108.48 | $333.11 | $135.96 | 2025-01-19 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Node Lutheran Three Rivers Preferred Plus 175 | Lutheran Three Rivers Preferred Plus 175 | $108.60 | $362.00 | $97.74 | 2026-07-17 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Lutheran Advanced Network | Lutheran Advanced Network | $108.60 | $362.00 | $108.60 | 2026-07-17 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Lutheran Advanced Network | Lutheran Advanced Network | $108.60 | $362.00 | $86.88 | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Node Devoted Health Mcr Adv | Node Devoted Health Mcr Adv | $108.60 | $362.00 | $76.02 | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Lutheran Preferred | Lutheran Three Rivers Preferred Plus 175 | $108.60 | $362.00 | $97.74 | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Lutheran Preferred | Lutheran Three Rivers Preferred Plus 150 | $108.60 | $362.00 | $97.74 | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Node Lutheran Network | Lutheran Three Rivers Preferred Plus 150 | $108.60 | $362.00 | $108.60 | 2026-07-17 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Lutheran Network | Lutheran Northwest Health Preferred | $108.60 | $362.00 | $97.74 | 2026-07-17 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Lutheran Network | Lutheran Northwest Health Preferred | $108.60 | $362.00 | $86.88 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Lutheran Network | Lutheran Three Rivers Preferred Plus 175 | $108.60 | $362.00 | $86.88 | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Lutheran Network | Lutheran Northwest Health Preferred | $108.60 | $362.00 | $108.60 | 2026-07-17 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Node Lutheran Preferred Fixed 2 | Lutheran Preferred Fixed 2 | $108.60 | $362.00 | $108.60 | 2026-07-17 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Lutheran Preferred | Lutheran Northwest Health Preferred | $108.60 | $362.00 | $97.74 | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Lutheran Preferred Fixed 2 | Lutheran Preferred Fixed 2 | $108.60 | $362.00 | $97.74 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Anthem Essentials Mcr Adv | Node Anthem Essentials Marketplace | $108.60 | $362.00 | $181.00 | 2026-07-15 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.