49613 — Rpr Aa Hrn Rcr < 3 Rdc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RPR AA HRN RCR < 3 RDC (CPT 49613) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49613?code_type=CPT
MLA (9th ed.)
“RPR AA HRN RCR < 3 RDC (CPT 49613) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49613?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RPR AA HRN RCR < 3 RDC (CPT 49613) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49613?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,614–$6,077 (25th–75th percentile) across 1,826 hospitals · 4,460 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49613 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$2,614
$3,856 typical
$6,077
The middle 50% of negotiated facility rates for this procedure, measured across 1,826 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,856 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $387 × 1.22 commercial. | $472 |
| Likely subtotal | $4,328 |
Surgical episode (typical)
~$4,328
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$8,113
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE MEDICAID (FORMERLY BMC) HR [40] Plans | $2.89 | $13,205.39 | $13,205.39 | 2026-04-03 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $3.32 | $16,163.89 | $10,506.53 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $3.32 | $16,163.89 | $10,506.53 | 2026-03-12 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.46 | $856.00 | $642.00 | 2025-03-07 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | LONGEVITY HEALTH PLAN [10477] | HB OKLC MANAGED MEDICARE | $3.86 | $14,448.09 | $9,391.26 | 2026-03-12 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | ALBANY COUNTY CORRECTIONAL FACILITY | ALBANY CORRECTIONAL FACILITY | $7.58 | — | $11,395.27 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $8.03 | — | $11,395.27 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $8.03 | — | $11,395.27 | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM NEW PRAGUE OutpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $8.63 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM NEW PRAGUE OutpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $8.63 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - MANKATO OutpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $8.90 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - MANKATO OutpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $8.90 | — | — | 2026-03-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL AETNA CARE [700912] | $10.46 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $11.78 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL UNITED HEALTHCARE LABS [106809] | $13.19 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL UNITED HEALTHCARE CARE [700909] | $13.19 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $13.19 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $16.32 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $16.48 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $16.48 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $16.48 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $16.96 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $16.96 | — | — | 2025-08-01 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $17.04 | — | $11,395.27 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $17.04 | — | $11,395.27 | 2026-03-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $17.27 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $17.27 | — | — | 2025-08-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL MED PLUS BLUE CARE [700903] | $18.93 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL WELLCARE CARE [700920] | $18.93 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $19.63 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MIDWEST HEALTH CAID [300607] | $20.04 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $20.04 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $20.72 | — | — | 2025-08-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $21.03 | $11,686.00 | $3,888.76 | 2024-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL VACCN [106827] | $23.66 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL MIDWEST HEALTHCARE CARE [700907] | $23.66 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL AMERIHEALTH CARITAS VIP [700921] | $23.66 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL GENERIC MEDICARE [700914] | $23.66 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL PRIORITY HEALTH CARE [700911] | $23.66 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL HAP CARE [700904] | $23.66 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | OMNICARE CARE [700906] | $23.66 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | $11,773.50 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | $11,773.50 | 2024-12-08 | 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 | TRICARE- ALL PLANS | TRICARE- 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 | VA CCN -ALL PLANS | VA CCN -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 | 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 ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MHCP | BCBS MHCP | $38.16 | $104.00 | $91.52 | 2026-02-03 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | MUNICIPAL HEALTH - ALL PLANS | MUNICIPAL HEALTH - ALL PLANS | $45.00 | $1,614.31 | $807.16 | 2026-05-05 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MCAID | MEDICA MCAID | $48.05 | $104.00 | $91.52 | 2026-02-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | OSCAR-ALL PLANS | OSCAR-ALL PLANS | $48.17 | $89.20 | $80.28 | 2026-01-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL AETNA LABS [106802] | $48.76 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $48.88 | $104.00 | $91.52 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $48.88 | $104.00 | $91.52 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $48.88 | $104.00 | $91.52 | 2026-02-03 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $981.00 | $588.60 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $981.00 | $588.60 | 2026-05-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $11,773.50 | 2024-12-08 | 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 ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR ADV | UCARE MCR ADV | $52.00 | $104.00 | $91.52 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR SELECT | UCARE MCR SELECT | $52.00 | $104.00 | $91.52 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE SR HLTH OPTIONS (MSHO) | UCARE SR HLTH OPTIONS (MSHO) | $52.00 | $104.00 | $91.52 | 2026-02-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | MANAGED HLTH MCAID - ALL PLANS | MANAGED HLTH MCAID - ALL PLANS | $53.26 | $2,059.75 | $1,184.36 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | BCBS MCAID | BCBS MCAID | $53.26 | $2,059.75 | $1,184.36 | 2026-03-03 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | INDEPENDENT CARE MCAID | INDEPENDENT CARE MCAID | $53.26 | $2,059.75 | $1,184.36 | 2026-03-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL HAP LABS [106805] | $54.18 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL HAP PPO PLAN [106821] | $54.18 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL CIGNA LABS [106804] | $54.18 | $68,585.51 | $68,585.51 | 2026-03-23 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $55.46 | — | — | 2026-04-14 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Medicare B NY Upstate JK | Default | $57.15 | $887.00 | $549.94 | 2026-03-16 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | ANTHEM EXCH | ANTHEM EXCH | $59.89 | $96.60 | $67.62 | 2026-03-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $60.68 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $60.68 | — | — | 2025-10-24 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Blue Cross Blue Shield of NY Empire | Medicare Advantage | $61.24 | $887.00 | $549.94 | 2026-03-16 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MIDLANDS NEW BUSINESS | MIDLANDS NEW BUSINESS | $62.44 | $89.20 | $80.28 | 2026-01-03 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC ARK MEDICAID | $64.40 | $14,448.09 | $9,391.26 | 2026-03-12 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MSHO | MEDICA MSHO | $64.69 | $104.00 | $91.52 | 2026-02-03 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $65.50 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | United Healthcare | Medicare | $65.50 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Aetna | Medicare | $65.50 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Medicare | $65.50 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peia | Other Governmental | $65.50 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Humana | Medicare | $65.50 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Medicare | $65.50 | — | — | 2026-05-06 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | ANTHEM PPO | ANTHEM PPO | $66.55 | $96.60 | $67.62 | 2026-03-31 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | ANTHEM HMO | ANTHEM HMO | $66.55 | $96.60 | $67.62 | 2026-03-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Medicare Advantage | $67.71 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $67.96 | — | — | 2025-08-01 | MRF ↗ |
| Shepherd Center Outpatient | Medicare | Commercial | $68.27 | — | — | 2026-05-06 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $68.50 | $3,639.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Non-Contracted Medi-Cal | Non-Contracted Medi-Cal | $68.50 | $3,639.00 | $5,619.00 | 2024-12-19 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Molina | Molina Medi-Cal | $68.50 | $3,639.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $68.50 | $3,639.00 | $5,619.00 | 2024-12-19 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Vantage Care | Vantage Care Medi-Cal | $68.50 | $3,639.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Blue Shield Of Promise | Blue Sheild Of Promise Medi-Cal | $68.50 | $3,639.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | LA Care Health Plan | LA Care Health Plan Medi-Cal - IPA | $68.50 | $30,150.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Heritage Victor Valley Medical Group | Heritage Victor Valley Medical Group Medi-Cal | $68.50 | $3,639.00 | $5,619.00 | 2024-12-19 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Avanti Hospitals, LLC | Avanti Hospitals, LLC Medi-Cal | $68.50 | $30,150.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | HIGH DESERT PACE | HIGH DESERT PACE Med-Cal | $68.50 | $3,639.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Vantage Care | Vantage Care Medi-Cal | $68.50 | $3,639.00 | $5,619.00 | 2024-12-19 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $68.50 | $1,394.00 | $264.86 | 2026-01-31 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | United Healthcare | United Health Care Medi-Cal | $68.50 | $13,087.50 | $4,582.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Heritage Victor Valley Medical Group | Heritage Victor Valley Medical Group Medi-Cal | $68.50 | $3,639.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $68.50 | $1,394.00 | $264.86 | 2026-01-31 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Inland Empire Health Plan | Inland Empire Healthpaln Medi-Cal | $68.50 | $3,639.00 | $5,619.00 | 2024-12-19 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $68.50 | $1,394.00 | $264.86 | 2026-01-31 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Molina | Molina Medi-Cal | $68.50 | $3,639.00 | $5,619.00 | 2024-12-19 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $68.50 | $1,394.00 | $264.86 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $68.50 | $1,394.00 | $264.86 | 2026-01-31 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Molina | Molina Medi-Cal | $68.50 | $13,087.50 | $4,582.00 | 2026-03-17 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $68.50 | $1,735.00 | $1,735.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $68.50 | $1,735.00 | $1,735.00 | 2025-10-04 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Blue Shield Of Promise | Blue Sheild Of Promise Medi-Cal | $68.50 | $3,639.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | HIGH DESERT PACE | HIGH DESERT PACE Med-Cal | $68.50 | $3,639.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Molina | Molina Medi-Cal | $68.50 | $3,639.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $68.50 | $1,735.00 | $1,735.00 | 2025-10-04 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Heritage Victor Valley Medical Group | Heritage Victor Valley Medical Group Medi-Cal | $68.50 | $3,639.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $68.50 | $1,735.00 | $1,735.00 | 2025-10-04 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Vantage Care | Vantage Care Medi-Cal | $68.50 | $3,639.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Heritage Provider Netwrok | Heritage Provider Network Medi-Cal | $68.50 | $13,087.50 | $4,582.00 | 2026-03-17 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Health Excel Ins | Health Excel Ins Medi-Cal | $68.50 | $13,087.50 | $4,582.00 | 2026-03-17 | MRF ↗ |
| SHASTA REGIONAL MEDICAL CENTER Outpatient | Vibra Hospital | Vibra Hospital Medi-Cal | $68.50 | $26,887.50 | $4,582.00 | 2026-03-17 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Golden Physicians Medical Group | Golden Physicians Medical Group Medi-Cal | $68.50 | $13,087.50 | $4,582.00 | 2026-03-17 | MRF ↗ |
| SHASTA REGIONAL MEDICAL CENTER Outpatient | Vibra Hospital | Vibra Hospital Medi-Cal | $68.50 | $26,887.50 | $5,619.00 | 2024-12-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Aetna Better Health Medi-Cal | Aetna Better Health Medi-Cal | $68.50 | $13,087.50 | $5,619.00 | 2024-12-19 | MRF ↗ |
| SHASTA REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Medi-Cal | Non-Contracted Medi-Cal | $68.50 | $26,887.50 | $5,619.00 | 2024-12-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | COUNTY OF SAN DIEGO | COUNTY OF SAN DIEGO County Medical Services (CMS) | $68.50 | $13,087.50 | $4,582.00 | 2026-03-17 | MRF ↗ |
| SHASTA REGIONAL MEDICAL CENTER Outpatient | Traditional Medi-cal | Traditional Medi-Cal | $68.50 | $26,887.50 | $4,582.00 | 2026-03-17 | MRF ↗ |
| SHASTA REGIONAL MEDICAL CENTER Outpatient | Traditional Medi-cal | Traditional Medi-Cal | $68.50 | $26,887.50 | $5,619.00 | 2024-12-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Heritage Provider Netwrok | Heritage Provider Network Medi-Cal | $68.50 | $13,087.50 | $5,619.00 | 2024-12-19 | MRF ↗ |
| CHINO VALLEY MEDICAL CENTER Outpatient | Blue Shield Of Promise | Blue Shield Of Promise Medi-Cal | $68.50 | $18,750.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| CHINO VALLEY MEDICAL CENTER Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $68.50 | $18,750.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Molina | Molina Medi-Cal | $68.50 | $13,087.50 | $5,619.00 | 2024-12-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Blue Sheid Of Promise | Blue Shield Of Promise Medi-Cal | $68.50 | $13,087.50 | $4,582.00 | 2026-03-17 | MRF ↗ |
| CHINO VALLEY MEDICAL CENTER Outpatient | Vantage Care | Vantage Care Medi-Cal | $68.50 | $18,750.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Non-Contracted Medi-Cal | Non-Contracted Medi-Cal | $68.50 | $13,087.50 | $5,619.00 | 2024-12-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $68.50 | $13,087.50 | $4,582.00 | 2026-03-17 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $68.50 | $13,087.50 | $5,619.00 | 2024-12-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | United Healthcare | United Health Care Medi-Cal | $68.50 | $13,087.50 | $5,619.00 | 2024-12-19 | MRF ↗ |
| CHINO VALLEY MEDICAL CENTER Outpatient | Molina | Molina Medi-Cal | $68.50 | $18,750.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Traditional Medi-Cal | Traditional Medi-Cal | $68.50 | $3,639.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Health Excel Ins | Health Excel Ins Medi-Cal | $68.50 | $13,087.50 | $5,619.00 | 2024-12-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Golden Physicians Medical Group | Golden Physicians Medical Group Medi-Cal | $68.50 | $13,087.50 | $5,619.00 | 2024-12-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Blue Sheid Of Promise | Blue Shield Of Promise Medi-Cal | $68.50 | $13,087.50 | $5,619.00 | 2024-12-19 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Kaiser Hospital Foundation | Kaiser Hospital Foundation Medi-cal | $68.50 | $30,150.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Molina | Molina Medi-Cal | $68.50 | $30,150.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Blue Shield Of Promise | Blue Sheild Of Promise Medi-Cal | $68.50 | $3,639.00 | $5,619.00 | 2024-12-19 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Traditional Medi-Cal | Traditional Medi-cal | $68.50 | $30,150.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Aetna Better Health Medi-Cal | Aetna Better Health Medi-Cal | $68.50 | $13,087.50 | $4,582.00 | 2026-03-17 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | AIDS Healthcare Foundation | Aids Health Care Foundation Medi-Cal | $68.50 | $30,150.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Health Net Of CA | Health Net Of CA Medi-Cal IPA | $68.50 | $30,150.00 | $4,582.00 | 2026-03-17 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Blue Cross Blue Shield | Freedom Network | $69.71 | — | — | 2026-05-26 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Blue Cross Blue Shield | Freedom Network Select | $69.71 | — | — | 2026-05-26 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.72 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.72 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.72 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.72 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.72 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.72 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.72 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.72 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.72 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.72 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $69.72 | — | — | 2026-04-14 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $69.87 | $1,735.00 | $1,735.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $69.87 | $1,735.00 | $1,735.00 | 2025-10-04 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $70.00 | $1,259.00 | $1,107.92 | 2026-02-03 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Devoted | Medicare Advantage Prevailing (MMG) | $70.71 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Humana | Medicare Advantage (MMG) | $70.71 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Devoted | Medicare Advantage (MMG) | $70.71 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Humana | HMO/PPO | $71.38 | — | — | 2025-10-24 | MRF ↗ |
| WITHAM HEALTH SERVICES Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $71.48 | $96.60 | $67.62 | 2026-03-31 | 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.