49653 — Lap Vent/abd Hern Proc Comp
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LAP VENT/ABD HERN PROC COMP (CPT 49653) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49653?code_type=CPT
MLA (9th ed.)
“LAP VENT/ABD HERN PROC COMP (CPT 49653) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49653?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“LAP VENT/ABD HERN PROC COMP (CPT 49653) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49653?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,204–$10,170 (25th–75th percentile) across 1,069 hospitals · 1,287 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49653 — 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 |
|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| Mayo Clinic OutpatientFacility | ACUTE REHABILITATION [1140122] | MEDICARE PPS ACUTE REHAB [1323] | $0.30 | — | — | 2026-03-31 | MRF ↗ |
| Mayo Clinic OutpatientFacility | VA OPTUM HMO [91140004] | VETERAN AFFAIRS OPTUM [1046] | $0.30 | — | — | 2026-03-31 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| Mayo Clinic OutpatientFacility | VETERANS ADMINISTRATION [1140003] | VETERAN AFFAIRS [895] | $0.35 | — | — | 2026-03-31 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS 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 | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | 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 ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SAMC HUMANA MEDICARE W/SEQ IP 97% OP 100% NEW 010124 | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICARE [20244] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | TRICARE CONTRACTED [320380] | HB SAMC TRICARE - HEALTHNET WEST | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ACENTRA HEALTH CONTRACTED [320527] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | GENERIC MEDICARE MANAGED CARE [20137] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY HOSPICE OKC [20252] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | KINDFUL HOSPICE [20434] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $3.22 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB SAMC CIGNA MANAGED MEDICARE 010122 103% 010123 102% W/SEQ NEW 010122 | $3.28 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB SAMC CIGNA MANAGED MEDICARE 010122 103% 010123 102% W/SEQ NEW 010122 | $3.28 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB SAMC ESSENCE MCR 99% 2022 100% 2023 W/O SEQ | $3.28 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SAMC WELLCARE HARMONY MCR 103% | $3.32 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ST JOHNS MERCY REHAB LLC CONTRACTED [320359] | HB SAMC REHAB JV PURCHASED SERVICES AGREEMENT NEW 100322 | $3.55 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB SAMC PROVIDER PARTNERS 110% MCR | $3.55 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CENTIVO CONTRACTED [320505] | HB SAMC CENTIVO 165% MEDICARE NEW 110124 | $5.41 | $14,504.70 | $9,428.05 | 2026-06-10 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | — | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 1&2 | — | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | — | $12,447.79 | $8,091.06 | 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 | — | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | — | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS | — | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $12,447.79 | $8,091.06 | 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 | $7.75 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE|UHC DUAL COMPLETE | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CDPHP [187] | CDPHP MEDICARE HMO | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|RRH CDHP|MEDICARE BLUE DUAL|HIGHMARK MEDICARE|UNIVERA SENIOR | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | VETERANS ADMINISTRATION [178] | VA VETERAN'S CHOICE VACAA [17803] | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO | $8.61 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | $8.87 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | $8.87 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO | $9.04 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $9.04 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | $9.04 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | $9.38 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | $9.38 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $1,551.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $9,108.79 | $24.67 | 2026-03-22 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | $10.76 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | $10.76 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $11.11 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | $11.11 | $12,447.79 | $8,091.06 | 2024-12-30 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $15.11 | $3,728.00 | $3,728.00 | 2026-02-25 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $1,551.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $9,108.79 | $24.67 | 2026-03-22 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $3,645.00 | $2,551.50 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $3,645.00 | $2,551.50 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $3,645.00 | $2,551.50 | 2026-07-14 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $248.06 | $183.10 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $248.06 | $183.10 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $248.06 | $183.10 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1402 | FIDELIS EMERGENCY ROOM | $25.44 | $248.06 | $183.10 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1402 | NY MEDICAID EMERGENCY ROOM | $25.44 | $248.06 | $183.10 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1402 | UNITED COMMUNITY EMERGENCY ROOM | $26.71 | $248.06 | $183.10 | 2025-01-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $40.37 | $3,612.00 | $3,612.00 | 2026-07-16 | MRF ↗ |
| BLUE MOUNTAIN HOSPITAL Outpatient | MODA COMM - ALL PLANS | MODA COMM - ALL PLANS | $42.00 | $3,738.00 | $2,803.50 | 2026-08-18 | MRF ↗ |
| MARY LANNING HEALTHCARE Outpatient | AETNA/COVENTRY HLTH-ALL OTHER PLANS | AETNA/COVENTRY HLTH-ALL OTHER PLANS | $43.50 | $2,033.00 | $1,829.70 | 2026-01-23 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $45.00 | $3,728.00 | $3,728.00 | 2026-02-25 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $45.00 | $3,728.00 | $3,728.00 | 2026-02-25 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN CHIP PERINATE POST PARTUM [138002] | $46.37 | $47,714.45 | $19,085.78 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | BELOW FPIL COOK CHIP PERINATE [138004] | $46.37 | $47,714.45 | $19,085.78 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | ABOVE FPIL COOK CHIP PERINATE [138003] | $46.37 | $47,714.45 | $19,085.78 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PARKLAND CHIP PERINATE [1320] | ABOVE FPIL CHIP PERINATE [132002] | $46.37 | $47,714.45 | $19,085.78 | 2024-12-27 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | PARKLAND CHIP PERINATE [1320] | BELOW FPIL CHIP PERINATE [132001] | $46.37 | $47,714.45 | $19,085.78 | 2024-12-27 | MRF ↗ |
| WINNMED Outpatient | UHC PREMIER - ALL PLANS | UHC PREMIER - ALL PLANS | $47.00 | $3,645.00 | $2,551.50 | 2026-07-14 | MRF ↗ |
| BOONE COUNTY HOSPITAL Outpatient | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $47.00 | $1,796.00 | $1,436.80 | 2026-05-18 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $48.57 | $47,714.45 | $19,085.78 | 2024-12-27 | 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 PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $6,527.00 | $4,699.44 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $6,527.00 | $4,699.44 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $6,527.00 | $4,699.44 | 2026-05-04 | MRF ↗ |
| BLUE MOUNTAIN HOSPITAL Outpatient | PACIFICSOURCE - ALL OTHER PLANS | PACIFICSOURCE - ALL OTHER PLANS | $52.00 | $3,738.00 | $2,803.50 | 2026-08-18 | MRF ↗ |
| BLUE MOUNTAIN HOSPITAL Outpatient | PROVIDENCE PREF - ALL PLANS | PROVIDENCE PREF - ALL PLANS | $52.00 | $3,738.00 | $2,803.50 | 2026-08-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS-EP_1402 | FIDELIS ESSENTIAL PLAN 1-2 EMERGENCY ROOM | $57.24 | $248.06 | $183.10 | 2025-01-19 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $62.58 | $49,377.49 | $12,344.37 | 2026-07-15 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Emerald Health | Emeraldhealth | — | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-07-31 | MRF ↗ |
| MUSCOGEE (CREEK) NATION MEDICAL CENTER Outpatient | HEALTHCHOICE-ALL PLANS | HEALTHCHOICE-ALL PLANS | $66.00 | $1,998.00 | $1,198.80 | 2026-01-24 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS Blue Advantage | Blue Advantage | $69.92 | $879.00 | $615.30 | 2026-01-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | Blue Advantage | $71.00 | $13,179.71 | $7,907.83 | 2026-06-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | UHC Commercial | PPO | $74.50 | $879.00 | $615.30 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | Baylor Scott And White Commercial | UNKNOWN | $75.00 | $879.00 | $615.30 | 2026-01-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | $13,179.71 | $7,907.83 | 2026-06-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS HMO | HMO | $76.00 | $879.00 | $615.30 | 2026-01-13 | MRF ↗ |
| HOLMES REGIONAL MEDICAL CENTER Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $79.33 | $44,227.75 | $11,056.94 | 2026-07-15 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-07-31 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | Blue Essentials (HMO) | $81.00 | $13,179.71 | $7,907.83 | 2026-06-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS PPO | PPO | $82.00 | $879.00 | $615.30 | 2026-01-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | $13,179.71 | $7,907.83 | 2026-06-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | Multiplan | PPO | $88.00 | $879.00 | $615.30 | 2026-01-13 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Mclaren Health Plan | McLarenMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Multiplan | MultiplanWC | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthCigna | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Americas Choice Provider Network | AmericasChoiceProviderNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Point Comfort Underwriters | PointComfortUnderwriters | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Humana | HumanaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Oscar Health | OscarHealthPlanHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | AmerihealthCaritasMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Mclaren Health Plan | McLarenAdvantagePPO | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Aetna | AetnaExistingBusiness | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | American Health Plan | AmericanHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | UnitedCommunityPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Wellcare | MeridianMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Longevity Health Plan | LongevityHealthPlan | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Humana | HumanaCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Corvel | CorvelWC | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Naphcare Inc. | NaphCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | — | — | 2025-01-31 | 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.