50393 — Insert Ureteral Tube
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INSERT URETERAL TUBE (HCPCS 50393) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/50393?code_type=HCPCS
MLA (9th ed.)
“INSERT URETERAL TUBE (HCPCS 50393) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/50393?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INSERT URETERAL TUBE (HCPCS 50393) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/50393?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $994–$4,890 (25th–75th percentile) across 533 hospitals · 387 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 50393 — 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 |
|---|---|---|---|---|---|---|---|
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| DOCTORS' CENTER HOSPITAL, INC Outpatient | Triple-S | Commercial | $30.00 | $300.00 | $300.00 | 2025-10-20 | MRF ↗ |
| DOCTOR'S CENTER DE SAN JUAN Outpatient | Triple-S | Commercial | $30.00 | $300.00 | $300.00 | 2025-10-20 | MRF ↗ |
| DOCTORS CENTER HOSPITAL CAROLINA LLC Outpatient | Triple-S | Commercial | $30.00 | $300.00 | $300.00 | 2025-10-20 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $30.51 | $226.00 | $169.50 | 2026-01-16 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $46.90 | $226.00 | $169.50 | 2026-01-16 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $72.10 | $103.00 | $72.10 | 2026-02-02 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Src | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Nap | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Other | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha-Asa | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | — | — | — | 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 ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $101.70 | $226.00 | $169.50 | 2026-01-16 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $106.00 | $441.00 | $441.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $106.00 | $441.00 | $441.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $106.00 | $441.00 | $441.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $106.00 | $441.00 | $441.00 | 2025-07-03 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1401 | NY MEDICAID AMBULATORY SURGERY | $108.99 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | BLUE-SP_1401 | BC SPEC PROGRAMS AMBULATORY SURGERY | $108.99 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MVP | MVP/CIGNA | $134.00 | $335.00 | $226.93 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $134.00 | $335.00 | $226.93 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $134.00 | $335.00 | $226.93 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MVP | MVP/CIGNA | $134.00 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $134.00 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MVP | MVP/CIGNA | $134.00 | $335.00 | $226.93 | 2026-05-23 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $143.00 | $441.00 | $441.00 | 2025-07-03 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRCDPHP | MEDICARE ADVANTAGE CDPHP | $167.50 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRCDPHP | MEDICARE ADVANTAGE CDPHP | $167.50 | $335.00 | $226.93 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRCDPHP | MEDICARE ADVANTAGE CDPHP | $167.50 | $335.00 | $226.93 | 2026-05-23 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthcare Highways | Commercial | $168.80 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $174.75 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | JIB | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Centivo | Centivo Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Preferred | — | — | — | 2026-04-01 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Tricare Prime West Tw | Commercial | $177.24 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Triwest | Commercial | $177.24 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Texas Dual Medicare Advantage | Medicare Advantage | $177.24 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Humana Choicecare | Medicare Advantage | $177.24 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Christus Health Plan | Commercial | $177.24 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Triwest | Va | $177.24 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UHC SELECT PLUS-ALL PLANS | UHC SELECT PLUS-ALL PLANS | $180.80 | $226.00 | $169.50 | 2026-01-16 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Bav | $181.46 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Texas Mutual | Workers Comp | $182.56 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Health Plan of Upper Ohio Valley | Commercial | — | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Health Plan of Upper Ohio Valley | Commercial | — | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | UPMC Health Plan | Managed Medicare | $188.19 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | UPMC Health Plan | Managed Medicare | $188.19 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Hmo | $189.90 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | BCBS-ALL PLANS | BCBS-ALL PLANS | $191.42 | $226.00 | $169.50 | 2026-01-16 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | GREATWEST HEALTHCARE-ALL PLANS | GREATWEST HEALTHCARE-ALL PLANS | $191.42 | $226.00 | $169.50 | 2026-01-16 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Superior | Managed Medicaid | $192.43 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Health Plan of Upper Ohio Valley | Commercial | — | $570.10 | $171.03 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | UPMC Health Plan | Managed Medicare | $193.83 | $570.10 | $171.03 | 2025-08-06 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Curative | Commercial | $194.96 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| DOCTORS CENTER HOSPITAL CAROLINA LLC Outpatient | Humana | Commercial | $195.00 | $300.00 | $300.00 | 2025-10-20 | MRF ↗ |
| DOCTORS' CENTER HOSPITAL, INC Outpatient | Humana | Commercial | $195.00 | $300.00 | $300.00 | 2025-10-20 | MRF ↗ |
| DOCTOR'S CENTER DE SAN JUAN Outpatient | Humana | Commercial | $195.00 | $300.00 | $300.00 | 2025-10-20 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HPI | $198.42 | — | — | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HEALTH PARTNERS | $198.42 | — | — | 2025-12-28 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $202.65 | $579.00 | $347.40 | 2025-11-18 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | VANTAGE-ALL PLANS | VANTAGE-ALL PLANS | $203.40 | $226.00 | $169.50 | 2026-01-16 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Ppo | $211.00 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Both | Direct Health | Direct Health | $211.80 | $909.00 | $545.40 | 2026-07-17 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | POMCO-OIN | POMCO ONEIDA INDIAN NATION | $217.75 | $335.00 | $226.93 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | POMCO-OIN | POMCO ONEIDA INDIAN NATION | $217.75 | $335.00 | $226.93 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | POMCO-OIN | POMCO ONEIDA INDIAN NATION | $217.75 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $219.99 | $9,878.00 | $9,878.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $219.99 | $9,878.00 | $9,878.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $219.99 | — | — | 2026-03-01 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $221.40 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $221.40 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Medicare | $221.40 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna | Advantra Washington Prime | $221.40 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $221.40 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $221.40 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Medicare | $221.40 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna | Advantra Washington Prime | $221.40 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | REGENCE BLUE SHIELD - ALL PLANS | REGENCE BLUE SHIELD - ALL PLANS | $222.38 | $103.00 | $72.10 | 2026-02-02 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $222.98 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $222.98 | — | — | 2026-05-06 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $226.52 | — | — | 2026-07-15 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Medicare | $228.04 | $570.10 | $171.03 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna | Advantra Washington Prime | $228.04 | $570.10 | $171.03 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $228.04 | $570.10 | $171.03 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $228.04 | $570.10 | $171.03 | 2025-08-06 | MRF ↗ |
| UPMC GREENE InpatientFacility | United Healthcare | Commercial | $232.47 | $553.50 | $221.40 | 2025-08-06 | MRF ↗ |
| UPMC GREENE InpatientFacility | United Healthcare | Commercial | $232.47 | $553.50 | $221.40 | 2025-08-06 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $233.00 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $233.00 | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | $233.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $233.00 | — | — | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Bi | $233.00 | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $233.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $233.00 | — | — | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $233.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $233.00 | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2026-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | 1199 | 1199 | $233.00 | $1,107.56 | $724.34 | 2026-04-01 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $233.00 | — | — | 2025-09-05 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $234.68 | $586.70 | $410.69 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $234.68 | $586.70 | $410.69 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $234.68 | $586.70 | $410.69 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $234.68 | $586.70 | $410.69 | 2026-03-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $238.00 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $238.00 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $238.00 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $238.00 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | AETNA | AETNA | $241.20 | $335.00 | $226.93 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | AETNA | AETNA | $241.20 | $335.00 | $226.93 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | AETNA | AETNA | $241.20 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $241.72 | $604.30 | $423.01 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $241.72 | $604.30 | $423.01 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $245.14 | $570.10 | $171.03 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $245.14 | $570.10 | $171.03 | 2025-08-06 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Affinity | Medicaid - Specialists | $248.49 | $1,107.56 | $724.34 | 2026-04-01 | MRF ↗ |
| UPMC GREENE OutpatientFacility | United Healthcare | Commercial | $249.07 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | United Healthcare | Commercial | $249.07 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $250.00 | $441.00 | $441.00 | 2025-07-03 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | POMCO | POMCO | $251.25 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | POMCO | POMCO | $251.25 | $335.00 | $226.93 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | POMCO | POMCO | $251.25 | $335.00 | $226.93 | 2026-05-14 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $252.28 | $586.70 | $410.69 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $252.28 | $586.70 | $410.69 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | United Healthcare | Commercial | $256.55 | $570.10 | $171.03 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $259.85 | $604.30 | $423.01 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | United Healthcare | Commercial | $264.01 | $586.70 | $410.69 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | United Healthcare | Commercial | $264.01 | $586.70 | $410.69 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | United Healthcare | Commercial | $271.94 | $604.30 | $423.01 | 2026-03-06 | MRF ↗ |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE OutpatientFacility | Humana | All Commercial Plans | $272.36 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE OutpatientFacility | Humana | All Commercial Plans | $272.36 | — | — | 2025-01-01 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CASH | CASH DISCOUNT | $275.45 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CASH | CASH DISCOUNT | $275.45 | $335.00 | $226.93 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CASH | CASH DISCOUNT | $275.45 | $335.00 | $226.93 | 2026-05-23 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $276.75 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $276.75 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| Shepherd Center Outpatient | Humana | Commercial | $278.64 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Humana | Commercial | $278.64 | — | — | 2026-09-21 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $278.85 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $278.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $278.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN BROKEN ARROW Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $278.85 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $278.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $278.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $278.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $278.85 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $278.85 | — | — | 2026-01-01 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Health Plan of Upper Ohio Valley | Commercial | — | $830.30 | $249.09 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | UPMC Health Plan | Managed Medicare | $282.30 | $830.30 | $249.09 | 2025-08-06 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | EMBLEM | EMBLEM HEALTH | $284.75 | $335.00 | $226.93 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MULTIPLAN | MULTIPLAN | $284.75 | $335.00 | $226.93 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | EMBLEM | EMBLEM HEALTH | $284.75 | $335.00 | $226.93 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MULTIPLAN | MULTIPLAN | $284.75 | $335.00 | $226.93 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MULTIPLAN | MULTIPLAN | $284.75 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | EMBLEM | EMBLEM HEALTH | $284.75 | $335.00 | $24.67 | 2026-03-22 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $285.05 | $570.10 | $171.03 | 2025-08-06 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $287.00 | $441.00 | $441.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $287.00 | $441.00 | $441.00 | 2025-07-03 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | PPO | $290.67 | — | — | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | HMO | $290.67 | — | — | 2025-12-29 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $295.29 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $295.29 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $295.29 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $295.29 | $553.50 | $166.05 | 2025-08-06 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthsmart | Commercial | $295.40 | $422.00 | $253.20 | 2026-09-21 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | CareSource | Managed Care | $297.00 | $2,570.00 | $1,670.50 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Arkansas Total Care | Managed Care | $297.00 | $2,570.00 | $1,670.50 | 2025-02-14 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Advantage | $300.00 | $441.00 | $441.00 | 2025-07-03 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN | $301.50 | $335.00 | $226.93 | 2026-05-14 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.