49999 — Unlisted Px Abd Pertm&omn
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). UNLISTED PX ABD PERTM&OMN (HCPCS 49999) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49999?code_type=HCPCS
MLA (9th ed.)
“UNLISTED PX ABD PERTM&OMN (HCPCS 49999) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49999?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“UNLISTED PX ABD PERTM&OMN (HCPCS 49999) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49999?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $955–$3,515 (25th–75th percentile) across 2,460 hospitals · 6,168 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49999 — 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 |
|---|---|---|---|---|---|---|---|
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID STAR PLUS | $0.25 | — | — | 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 ↗ |
| 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 ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | CP-HUMANA MIDTOWN IMAGING (UB) | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $4,408.00 | — | 2026-07-01 | 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 ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.67 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.67 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | — | — | 2026-09-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $0.79 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $4,809.00 | $3,943.38 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM NON UHRIP | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR KIDS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $4,809.00 | $3,943.38 | 2025-11-26 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID NON UHRIP | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE HEALTH PLAN MEDICAID STAR PLUS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE HEALTH PLAN MEDICAID STAR | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $4,809.00 | $3,943.38 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE - MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR PLUS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE HEALTH PLAN MEDICAID STAR KIDS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $4,809.00 | $3,943.38 | 2025-11-26 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE HEALTH PLAN MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $4,809.00 | $3,943.38 | 2025-11-26 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR PLUS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $7,788.35 | $5,062.43 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $4,809.00 | $3,943.38 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $7,788.35 | $5,062.43 | 2025-11-26 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR KIDS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $1.14 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $1.14 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE HIX | $1.14 | — | — | 2026-09-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $1.14 | $4,795.00 | $4,795.00 | 2026-03-27 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE HIX | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO THE HEALTH PLAN [100176] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO MINUTE MEN OHIOCOMP [100524] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC KROGER CO [100512] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC WALMART CLAIMS [100518] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | GENERIC WORKERS' COMP [10051] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC GENESIS HCS WORKERS COMP [10054] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO COMP MANAGEMENT HEALTH [100123] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC US POST OFFICE [100517] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC ZANDEX [100519] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC US DEPARTMENT OF LABOR BLACK LUNG PROG [100542] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC FRANK GATES [100541] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CORVEL GROUP [100124] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC AVIZENT WORKERS COMP [10052] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO 3 HAB [100522] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC OWEN BROCKWAY [100515] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC DOLLAR GENERAL CORP [100510] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO COMP ONE [100527] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC COMPMANAGEMENT INC [10058] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC CAREWORKS CONSULTANT [10057] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC BROADSPIRE [100540] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC BUNCH & ASSOCIATES [100537] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CAREWORKS OF OHIO [100122] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC AK STEEL ZANESVILLE [10055] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO FRANK GATES MANAGED CARE [100528] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC LONGABERGER [100514] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO TRANSPORTATION CLAIMS [100547] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO TRAVELERS INSURANCE [100548] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC OHIO BWC BLACK LUNG [100534] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO SEDGWICK [100206] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC HELMSMAN MANAGEMENT SRV [100536] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CONDUENT [100545] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC SEDGWICK OF OHIO [100516] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC GALLAGHER BASSETT [10053] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO GATES MCDONALD [100125] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO OCCUPATIONAL HEALTH LINK, INC [100521] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO GENEX CARE OF OHIO [100529] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO HUNTER CONSULTING [100546] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC PEPSI COLA [100539] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO PROMEDICA MEDICAL MGMT [100531] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | SPOONER MEDICAL ADMINISTRATORS INC [100126] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO WORKSTAR HEALTH SRV [100533] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC COMP SERVICES [10056] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC LEAR CORP [100513] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO UNIVERSITY HOSPITALS COMPCARE [100532] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO ADVOCARE [100525] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | BWC PENDING ENABLECOMP [100544] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC CONSTITUTION STATE [10059] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC 888 OHIO COMP LCHN [100535] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO AULTCOMP [100526] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO SHEAKLEY UNICARE [100127] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC ESIS 3700 [100538] | HB OHIO BWC | $1.50 | $15,464.80 | $9,278.88 | 2026-03-27 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS HMO/POS | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS PPO/EPO | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS PPO/EPO | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS HMO/POS | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.23 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $2.53 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $2.53 | — | — | 2026-09-01 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL OutpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MAP [599] | $2.56 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL OutpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MAP [599] | $2.56 | — | — | 2026-03-31 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL PPO | $2.78 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL PPO | $2.78 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.96 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.97 | — | — | 2026-09-01 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | UHC MCARE ADVAN | UHC MCARE ADVAN | $3.00 | $12.00 | $12.00 | 2026-07-16 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $3.28 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $3.28 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | HUMANA | HUMANA COMMERCIAL | $3.35 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL PPO | $3.62 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL PPO | $3.62 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | HUMANA | HUMANA COMMERCIAL | $3.65 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL | $3.65 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | HUMANA | HUMANA EXCHANGE HMOX | $3.94 | — | — | 2026-09-01 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $4.00 | $10,557.45 | $4,222.98 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $4.00 | $10,557.45 | $4,222.98 | 2026-05-29 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | HUMANA | HUMANA EXCHANGE | $4.27 | — | — | 2026-09-01 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | UHC ALL PAYER/OPTIONS PPO-ALL OTHER PLANS | UHC ALL PAYER/OPTIONS PPO-ALL OTHER PLANS | $4.80 | $12.00 | $12.00 | 2026-07-16 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $4.88 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $4.88 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $4.88 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $4.88 | $13,563.00 | $10,172.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $4.88 | $13,563.00 | $10,172.25 | 2026-09-02 | 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.