511 — Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC (OTHER 511) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/511?code_type=OTHER
MLA (9th ed.)
“SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC (OTHER 511) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/511?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC (OTHER 511) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/511?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13,435–$27,032 (25th–75th percentile) across 378 hospitals · 653 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 511 — 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 |
|---|---|---|---|---|---|---|---|
| ELKHART GENERAL HOSPITAL Inpatient | Devoted Healthcare | Medicare Advantage | $1.14 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Healthsync | $1.19 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Commercial | $1.40 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $2.56 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Immergrun | Commercial | $3.42 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Cha | Employer Group 4 | $3.42 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 1 | $3.65 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial Select | $3.70 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | Exchange | $3.70 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 2 | $3.76 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Commercial | $3.83 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Aetna | Commercial | $3.86 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Humana | Commercial | $3.91 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial | $3.99 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Commercial | $3.99 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Multiplan | Commercial | $4.10 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna | Oap | $4.10 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Signature | Commercial | $4.16 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Encore | Commercial | $4.22 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna Sagamore | Ppo | $4.33 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 3 | $4.45 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Immergrun | Commercial | $4.56 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Plain Church | Commercial | $4.56 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Heartland | Hospice | $5.70 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Caresource | In Medicaid Hip | $7.41 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $7.41 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $7.41 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $7.41 | $5.70 | $3.71 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Devoted Healthcare | Medicare Advantage | $8.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Healthsync | $8.37 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicaid Replacement) | — | $8.81 | $15.00 | $9.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $9.15 | $15.00 | $9.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Ppo) | — | $9.15 | $15.00 | $9.00 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Commercial | $9.85 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicaid Replacement) | — | $10.34 | $15.00 | $9.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $10.34 | $15.00 | $9.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Medicare Advantage) | — | $10.88 | $15.00 | $9.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicare Advantage) | — | $10.88 | $15.00 | $9.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $10.88 | $15.00 | $9.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicare Advantage) | — | $10.88 | $15.00 | $9.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Ppo) | — | $10.94 | $15.00 | $9.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Hmo) | — | $10.94 | $15.00 | $9.00 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $18.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicaid Replacement) | — | $22.31 | $38.00 | $22.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $23.18 | $38.00 | $22.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Ppo) | — | $23.18 | $38.00 | $22.80 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Immergrun | Commercial | $24.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Cha | Employer Group 4 | $24.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 1 | $25.60 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial Select | $26.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | Exchange | $26.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicaid Replacement) | — | $26.19 | $38.00 | $22.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $26.19 | $38.00 | $22.80 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 2 | $26.40 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicaid Replacement) | — | $26.42 | $45.00 | $27.00 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Commercial | $26.88 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Aetna | Commercial | $27.08 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $27.45 | $45.00 | $27.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Ppo) | — | $27.45 | $45.00 | $27.00 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Humana | Commercial | $27.47 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicare Advantage) | — | $27.55 | $38.00 | $22.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicare Advantage) | — | $27.55 | $38.00 | $22.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Medicare Advantage) | — | $27.55 | $38.00 | $22.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $27.55 | $38.00 | $22.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Hmo) | — | $27.71 | $38.00 | $22.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Ppo) | — | $27.71 | $38.00 | $22.80 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial | $28.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Commercial | $28.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna | Oap | $28.80 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Multiplan | Commercial | $28.80 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Signature | Commercial | $29.20 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicaid Replacement) | — | $29.36 | $50.00 | $30.00 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Encore | Commercial | $29.60 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna Sagamore | Ppo | $30.40 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Ppo) | — | $30.50 | $50.00 | $30.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $30.50 | $50.00 | $30.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicaid Replacement) | — | $31.01 | $45.00 | $27.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $31.01 | $45.00 | $27.00 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 3 | $31.20 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Immergrun | Commercial | $32.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Plain Church | Commercial | $32.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicare Advantage) | — | $32.63 | $45.00 | $27.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicare Advantage) | — | $32.63 | $45.00 | $27.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Medicare Advantage) | — | $32.63 | $45.00 | $27.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $32.63 | $45.00 | $27.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Ppo) | — | $32.81 | $45.00 | $27.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Hmo) | — | $32.81 | $45.00 | $27.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $34.46 | $50.00 | $30.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicaid Replacement) | — | $34.46 | $50.00 | $30.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicare Advantage) | — | $36.26 | $50.00 | $30.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Medicare Advantage) | — | $36.26 | $50.00 | $30.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $36.26 | $50.00 | $30.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicare Advantage) | — | $36.26 | $50.00 | $30.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Hmo) | — | $36.46 | $50.00 | $30.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Ppo) | — | $36.46 | $50.00 | $30.00 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicaid Replacement) | — | $39.34 | $67.00 | $40.20 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Heartland | Hospice | $40.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Ppo) | — | $40.87 | $67.00 | $40.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $40.87 | $67.00 | $40.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $46.18 | $67.00 | $40.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicaid Replacement) | — | $46.18 | $67.00 | $40.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Medicare Advantage) | — | $48.58 | $67.00 | $40.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $48.58 | $67.00 | $40.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicare Advantage) | — | $48.58 | $67.00 | $40.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicare Advantage) | — | $48.58 | $67.00 | $40.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Hmo) | — | $48.85 | $67.00 | $40.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Ppo) | — | $48.85 | $67.00 | $40.20 | 2026-05-22 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $52.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Caresource | In Medicaid Hip | $52.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $52.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $52.00 | $40.00 | $26.00 | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicaid Replacement) | — | $66.34 | $113.00 | $67.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $68.93 | $113.00 | $67.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Ppo) | — | $68.93 | $113.00 | $67.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicaid Replacement) | — | $72.80 | $124.00 | $74.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Ppo) | — | $75.64 | $124.00 | $74.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $75.64 | $124.00 | $74.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $77.88 | $113.00 | $67.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicaid Replacement) | — | $77.88 | $113.00 | $67.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicaid Replacement) | — | $78.67 | $134.00 | $80.40 | 2026-05-22 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE | Payer Negotiated Charge: United Healthcare (Plan: All) | — | $78.79 | $154.58 | — | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicaid Replacement) | — | $79.85 | $136.00 | $81.60 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $81.74 | $134.00 | $80.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Ppo) | — | $81.74 | $134.00 | $80.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicare Advantage) | — | $81.94 | $113.00 | $67.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Medicare Advantage) | — | $81.94 | $113.00 | $67.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $81.94 | $113.00 | $67.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicare Advantage) | — | $81.94 | $113.00 | $67.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Hmo) | — | $82.39 | $113.00 | $67.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Ppo) | — | $82.39 | $113.00 | $67.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $82.96 | $136.00 | $81.60 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Ppo) | — | $82.96 | $136.00 | $81.60 | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $85.46 | $124.00 | $74.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicaid Replacement) | — | $85.46 | $124.00 | $74.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $89.91 | $124.00 | $74.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicare Advantage) | — | $89.91 | $124.00 | $74.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Medicare Advantage) | — | $89.91 | $124.00 | $74.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicare Advantage) | — | $89.91 | $124.00 | $74.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Hmo) | — | $90.41 | $124.00 | $74.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Ppo) | — | $90.41 | $124.00 | $74.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $92.35 | $134.00 | $80.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicaid Replacement) | — | $92.35 | $134.00 | $80.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicaid Replacement) | — | $93.73 | $136.00 | $81.60 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $93.73 | $136.00 | $81.60 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicare Advantage) | — | $97.16 | $134.00 | $80.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Medicare Advantage) | — | $97.16 | $134.00 | $80.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicare Advantage) | — | $97.16 | $134.00 | $80.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $97.16 | $134.00 | $80.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Hmo) | — | $97.70 | $134.00 | $80.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Ppo) | — | $97.70 | $134.00 | $80.40 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $98.61 | $136.00 | $81.60 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Medicare Advantage) | — | $98.61 | $136.00 | $81.60 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicare Advantage) | — | $98.61 | $136.00 | $81.60 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicare Advantage) | — | $98.61 | $136.00 | $81.60 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Hmo) | — | $99.16 | $136.00 | $81.60 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Ppo) | — | $99.16 | $136.00 | $81.60 | 2026-05-22 | MRF ↗ |
| MCLAREN OAKLAND | Medicaid United Healthcare Community | — | $100.28 | $260.90 | $130.45 | 2026-07-05 | MRF ↗ |
| MCLAREN OAKLAND | Medicaid - Hmo | — | $100.28 | $260.90 | $130.45 | 2026-07-05 | MRF ↗ |
| MCLAREN OAKLAND | Medicaid - Molina | — | $102.29 | $260.90 | $130.45 | 2026-07-05 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicaid Replacement) | — | $130.34 | $222.00 | $133.20 | 2026-05-22 | MRF ↗ |
| MCLAREN OAKLAND | Mclaren Health Advantage | — | $132.32 | $260.90 | $130.45 | 2026-07-05 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicaid Replacement) | — | $133.86 | $228.00 | $136.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Ppo) | — | $135.42 | $222.00 | $133.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $135.42 | $222.00 | $133.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Ppo) | — | $139.08 | $228.00 | $136.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Ppo) | — | $139.08 | $228.00 | $136.80 | 2026-05-22 | MRF ↗ |
| MCLAREN OAKLAND | Hap - Hmo | — | $151.07 | $260.90 | $130.45 | 2026-07-05 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicaid Replacement) | — | $153.00 | $222.00 | $133.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $153.00 | $222.00 | $133.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage) | — | $157.14 | $228.00 | $136.80 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicaid Replacement) | — | $157.14 | $228.00 | $136.80 | 2026-05-22 | MRF ↗ |
| MCLAREN OAKLAND | Oc Inmates Correct Care Solutions Llc | — | $158.07 | $260.90 | $130.45 | 2026-07-05 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hcc Bh | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hcc | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Pathways For Aging | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hip | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hhw | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hcc | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Caresource | In Medicaid Hhw | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hhw Bh | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hhw | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Pathways For Aging | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Pathways For Aging | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hhw | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Caresource | In Medicaid Hip | $159.12 | — | — | 2026-05-13 | MRF ↗ |
| MCLAREN OAKLAND | Medicare - Hmo | — | $160.33 | $260.90 | $130.45 | 2026-07-05 | MRF ↗ |
| MCLAREN OAKLAND | Medicare - Humana | — | $160.33 | $260.90 | $130.45 | 2026-07-05 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Medicare Advantage) | — | $160.97 | $222.00 | $133.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Humana (Plan: Medicare Advantage) | — | $160.97 | $222.00 | $133.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Presbyterian Health Plan (Plan: Medicare Advantage) | — | $160.97 | $222.00 | $133.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Cigna (Plan: Medicare Advantage) | — | $160.97 | $222.00 | $133.20 | 2026-05-22 | MRF ↗ |
| LAKELAND BEHAVIORAL HEALTH SYSTEM | Payer Negotiated Charge: Blue Cross Blue Shield Of Nm (Plan: Hmo) | — | $161.86 | $222.00 | $133.20 | 2026-05-22 | 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.