52356 — Cysto/uretero W/lithotripsy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CYSTO/URETERO W/LITHOTRIPSY (CPT 52356) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/52356?code_type=CPT
MLA (9th ed.)
“CYSTO/URETERO W/LITHOTRIPSY (CPT 52356) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/52356?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CYSTO/URETERO W/LITHOTRIPSY (CPT 52356) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/52356?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,106–$8,985 (25th–75th percentile) across 2,534 hospitals · 5,579 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 52356 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Also priced as a different code
The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the CPT/HCPCS 52356 table above — including hospitals that only publish the bundled version.
2,842 facilities · 756 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
3,048 facilities · 878 not in the CPT/HCPCS table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
An MS-DRG / APR-DRG price is the hospital’s single bundled charge for the entire inpatient stay — operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies — so it’s a broader, usually higher figure than the CPT/HCPCS 52356 line above, which prices the procedure alone. Neither includes the surgeon’s or anesthesiologist’s professional fees, which are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$4,106
$5,599 typical
$8,985
The middle 50% of negotiated facility rates for this procedure, measured across 2,534 hospitals. The the surgeon's fee are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $5,599 |
| Surgeon (professional fee) Estimate national typical Medicare $365 × 1.22 commercial. | $445 |
| Likely subtotal | $6,045 |
Surgical episode (typical)
~$6,045
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $4,106–$8,985.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $0.80 | $797.00 | $557.90 | 2026-07-15 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL, INC Outpatient | United Healthcare | Commercial | — | $12,859.99 | $12,216.99 | 2026-07-15 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | UNITED HEALTHCARE INSURANCE COMPANY | POS | $7.00 | $19,879.77 | $7,951.91 | 2026-05-06 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | UNITED HEALTHCARE INSURANCE COMPANY | POS | $7.00 | $19,879.77 | $7,951.91 | 2026-07-08 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | UNITED HEALTHCARE INSURANCE COMPANY | POS | $7.00 | $19,879.77 | $7,951.91 | 2025-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $11.98 | $1,394.00 | $264.86 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $11.98 | $1,017.00 | $193.23 | 2026-01-25 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $19.21 | $10,670.00 | $5,162.62 | 2024-12-31 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $18,200.00 | $12,740.00 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $18,200.00 | $12,740.00 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $18,200.00 | $12,740.00 | 2026-07-14 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | AETNA | POS | $21.36 | $4,893.41 | $1,957.36 | 2025-09-24 | MRF ↗ |
| LOURDES COUNSELING CENTER OutpatientFacility | AETNA | POS | $21.36 | $4,893.41 | $1,957.36 | 2026-07-10 | MRF ↗ |
| LOURDES COUNSELING CENTER OutpatientFacility | AETNA | POS | $21.36 | $4,893.41 | $1,957.36 | 2026-07-10 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $30,135.00 | $3,013.50 | 2026-07-18 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $23.96 | $2,574.00 | $2,574.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $23.96 | $2,574.00 | $2,574.00 | 2026-06-03 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $29.27 | $1,007.00 | $322.24 | 2026-05-18 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $30.00 | $1,394.00 | $236.98 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $30.00 | $1,394.00 | $236.98 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | MEDI-CAL | MEDI-CAL | $30.00 | $1,394.00 | $236.98 | 2026-05-23 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $1,728.00 | $1,296.00 | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $30.00 | $1,394.00 | $236.98 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCAL | BC MCAL | $30.00 | $1,394.00 | $236.98 | 2026-05-23 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Traditional | Commercial | $33.44 | $797.00 | $557.90 | 2026-07-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $775.00 | $775.00 | 2025-03-18 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $45.00 | $1,394.00 | $236.98 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $45.00 | $1,394.00 | $236.98 | 2026-05-23 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA HMO | AVERA HMO | $46.00 | $2,028.00 | $1,216.80 | 2025-12-20 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ACA PPO - ALL OTHER PLANS | AVERA ACA PPO - ALL OTHER PLANS | $46.00 | $2,028.00 | $1,216.80 | 2025-12-20 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | PACIFICSOURCE - ALL PLANS | PACIFICSOURCE - ALL PLANS | $48.00 | $1,816.50 | $980.91 | 2026-05-22 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ASO PPO | AVERA ASO PPO | $48.00 | $2,028.00 | $1,216.80 | 2025-12-20 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA NONACA PPO | AVERA NONACA PPO | $54.00 | $2,028.00 | $1,216.80 | 2025-12-20 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $57.65 | $427.00 | $320.25 | 2026-01-16 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $60.00 | $1,394.00 | $236.98 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $60.00 | $1,394.00 | $209.10 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $60.00 | $1,394.00 | $209.10 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | MEDI-CAL | MEDI-CAL | $60.00 | $1,394.00 | $209.10 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $65.00 | $1,394.00 | $264.86 | 2026-05-20 | MRF ↗ |
| NATIVIDAD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $65.00 | $1,235.00 | $1,235.00 | 2026-08-14 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $65.00 | $1,394.00 | $264.86 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $65.00 | $1,394.00 | $264.86 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $65.00 | $1,394.00 | $264.86 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BC MCAL | BC MCAL | $65.00 | $1,394.00 | $264.86 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $65.00 | $1,394.00 | $264.86 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $65.00 | $1,394.00 | $264.86 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $65.00 | $1,394.00 | $264.86 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $65.00 | $1,394.00 | $264.86 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | MEDI-CAL | MEDI-CAL | $65.00 | $1,394.00 | $264.86 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $65.00 | $1,394.00 | $264.86 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $1,394.00 | $278.80 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $1,394.00 | $278.80 | 2026-05-24 | MRF ↗ |
| VIRGINIA GAY HOSPITAL Outpatient | HUMANA PPO/POS/HMO-ALL PLANS | HUMANA PPO/POS/HMO-ALL PLANS | $70.00 | $1,436.00 | $1,148.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL Outpatient | United | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | United | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | — | $914.00 | $457.00 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Anthem | Anthem In Marketplace Stld | — | $270.00 | $148.50 | 2026-07-15 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $76.98 | $1,177.00 | $1,177.00 | 2026-02-09 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $2,023.95 | $1,315.57 | 2026-08-10 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 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 ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-07-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $81.25 | $1,394.00 | $264.86 | 2026-05-20 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY Outpatient | CIGNA [1037] | CIGNA HMO-NID-MICHIGAN CITY & LAPORTE | — | $45,058.72 | $9,372.21 | 2026-01-01 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $84.60 | $1,394.00 | $209.10 | 2026-10-05 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $88.60 | $427.00 | $320.25 | 2026-01-16 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $94.10 | $941.00 | $941.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Lutheran Three Rivers Preferred Plus 175 | Lutheran Three Rivers Preferred Plus 175 | $94.50 | $270.00 | $135.00 | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Cigna | Cigna Hmo | $94.77 | $270.00 | $72.90 | 2026-07-17 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $95.00 | $936.00 | $468.00 | 2025-02-03 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $95.58 | $270.00 | $64.80 | 2026-07-15 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $96.00 | $936.00 | $468.00 | 2025-02-03 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Nbd | $97.20 | $270.00 | $148.50 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Aetna Pssd J&J | Aetna Pssd Jj | $97.20 | $270.00 | $148.50 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Encore Work Comp In | Encore Work Comp In | $97.20 | $270.00 | $135.00 | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Self Pay | Self Pay | $97.20 | $270.00 | $97.20 | 2026-07-17 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Prime Health Services | Prime Health Services In Work Comp | $97.20 | $270.00 | $135.00 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $97.50 | $1,394.00 | $264.86 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $97.50 | $1,394.00 | $264.86 | 2026-05-20 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Aetna | Aetna Nbd | $97.74 | $270.00 | $148.50 | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Aetna Pssd J&J | Aetna Pssd Jj | $97.74 | $270.00 | $148.50 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Anthem Bcbs | Anthem In Ppo | $97.93 | $270.00 | $64.80 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Cigna | Cigna Ppo | $98.01 | $270.00 | $148.50 | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Cigna | Cigna Ppo | $98.01 | $270.00 | $72.90 | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Cigna | Cigna Ppo | $98.01 | $270.00 | $97.20 | 2026-07-17 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $98.24 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $98.86 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $98.86 | — | — | 2026-03-18 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Physicians Health Plan | Php Options | $99.63 | $270.00 | $56.70 | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Aetna Pssd J And J | Aetna Pssd Jj | $99.90 | $270.00 | $72.90 | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Aetna | Aetna Nbd | $99.90 | $270.00 | $72.90 | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Anthem Bcbs | Anthem In Ppo | $100.17 | $270.00 | $81.00 | 2026-07-17 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Partners Direct Health Llc | Partners Direct Health Miami County | $102.60 | $270.00 | $135.00 | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Php Freedom Network | Php Freedom Network | $104.27 | $270.00 | $56.70 | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Outpatient | Php Management Systems | Php Platinum | $104.54 | $270.00 | $64.80 | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Physicians Health Plan | Php Platinum Network | $104.54 | $270.00 | $72.90 | 2026-07-15 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $104.57 | — | — | 2026-01-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Physicians Health Plan | Php Platinum | $104.73 | $270.00 | $72.90 | 2026-07-17 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $105.00 | $936.00 | $468.00 | 2025-02-03 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Aetna Pssd J&J | Aetna Pssd Jj | $105.30 | $270.00 | $72.90 | 2026-07-17 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | United Healthcare | Uhc Apa Group Specific | $105.30 | $270.00 | $105.30 | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Self Pay | Self Pay | $105.30 | $270.00 | $105.30 | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Aetna | Aetna Nbd | $105.30 | $270.00 | $72.90 | 2026-07-17 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | WASHINGTON STATE DSHS - Medicaid | WASHINGTON STATE DSHS - Medicaid | $105.72 | $691.00 | $552.80 | 2026-01-05 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Physicians Health Plan | Php Platinum | $106.60 | $270.00 | $56.70 | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Physicians Health Plan Of Northern Indiana | Php Platinum | $106.60 | $270.00 | $97.20 | 2026-07-17 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Cigna | Cigna Ppo | $107.19 | $270.00 | $72.90 | 2026-07-17 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Php | Php Platinum | $107.89 | $270.00 | $148.50 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Managed Health Services | Mhs Com Exchange | $108.00 | $270.00 | $135.00 | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Outpatient | Lutheran Trma | Lutheran Preferred Three Rivers Plus | $108.00 | $270.00 | $64.80 | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Trma Inc | Lutheran Preferred Three Rivers Plus | $108.00 | $270.00 | $56.70 | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Lutheran Preferred | Lutheran Preferred Three Rivers Plus | $108.00 | $270.00 | $64.80 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Three Rivers Preferred Plus | Lutheran Preferred Three Rivers Plus | $108.00 | $270.00 | $135.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Lutheran Northwest Health Preferred | Lutheran Northwest Health Preferred | $108.00 | $270.00 | $135.00 | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Encore | Encore Combined Ppo | $108.00 | $270.00 | $56.70 | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Outpatient | Lutheran Preferred | Lutheran Preferred Three Rivers Plus | $108.00 | $270.00 | $72.90 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Work Comp | In Work Comp | $108.00 | $270.00 | $135.00 | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Aetna Pssd J And J | Aetna Pssd Jj | $108.00 | $270.00 | $97.20 | 2026-07-17 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Aetna | Aetna Nbd | $108.00 | $270.00 | $97.20 | 2026-07-17 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Three Rivers Preferred | Lutheran Preferred Three Rivers Plus | $108.00 | $270.00 | $72.90 | 2026-07-17 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Lutheran Preferred | Three Rivers Preferred Plus | $108.00 | $270.00 | $81.00 | 2026-07-17 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Physicians Health Plan | Php Platinum | $108.59 | $270.00 | $148.50 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $109.20 | $1,394.00 | $264.86 | 2026-05-19 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Aetna | Aetna Pssd Jj | $110.70 | $270.00 | $56.70 | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Outpatient | Aetna | Aetna Nbd | $110.70 | $270.00 | $56.70 | 2026-07-15 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Premera | Premera | $110.94 | $161.95 | $161.95 | 2026-07-15 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $111.60 | $248.00 | $223.20 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $111.60 | $248.00 | $223.20 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $111.60 | $248.00 | $223.20 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $111.60 | $248.00 | $223.20 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $111.60 | $248.00 | $223.20 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $111.60 | $248.00 | $223.20 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $111.60 | $248.00 | $223.20 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $111.60 | $248.00 | $223.20 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $111.60 | $248.00 | $223.20 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $111.60 | $248.00 | $223.20 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $111.60 | $248.00 | $223.20 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $111.60 | $248.00 | $223.20 | 2026-04-05 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Physicians Health Plan | Php Options | $112.37 | $270.00 | $148.50 | 2026-07-15 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $113.00 | $936.00 | $468.00 | 2025-02-03 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Cigna | Cigna All | $114.48 | $270.00 | $135.00 | 2026-07-15 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $117.09 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Health Network | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $117.09 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $117.09 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $117.09 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Coventry | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Prime Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $117.09 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Interwest Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $119.00 | $936.00 | $468.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $119.00 | $936.00 | $468.00 | 2025-02-03 | 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.