53445 — Insert Uro/ves Nck Sphincter
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INSERT URO/VES NCK SPHINCTER (HCPCS 53445) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/53445?code_type=HCPCS
MLA (9th ed.)
“INSERT URO/VES NCK SPHINCTER (HCPCS 53445) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/53445?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INSERT URO/VES NCK SPHINCTER (HCPCS 53445) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/53445?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,098–$23,321 (25th–75th percentile) across 1,591 hospitals · 2,837 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 53445 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$3,098
$16,382 typical
$23,321
The middle 50% of negotiated facility rates for this procedure, measured across 1,591 hospitals. Surgeon & anesthesia fees 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. | $16,382 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $689 × 1.22 commercial. | $841 |
| Likely subtotal | $17,223 |
Surgical episode (typical)
~$17,223
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$21,008
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 |
|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | LONGEVITY HEALTH PLAN [10477] | HB OKLC MANAGED MEDICARE | $3.86 | $52,987.36 | $34,441.78 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $17.00 | $61,141.36 | $39,741.88 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $17.00 | $61,141.36 | $39,741.88 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $17.00 | $61,141.36 | $39,741.88 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $17.00 | $61,141.36 | $39,741.88 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $17.34 | $61,141.36 | $39,741.88 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $17.34 | $61,141.36 | $39,741.88 | 2026-03-13 | MRF ↗ |
| SAINT LUKE'S EAST HOSPITAL Outpatient | MEDICAID MANAGED CARE (KS) [2252] | SUNFLOWER STATE HEALTH [22505] | $20.86 | $98,946.20 | $59,367.72 | 2025-12-31 | MRF ↗ |
| SAINT LUKE'S EAST HOSPITAL Outpatient | MEDICAID MANAGED CARE (KS) [2252] | UHC COMMUNITY PLAN OF KS [22508] | $20.86 | $98,946.20 | $59,367.72 | 2025-12-31 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $21.59 | $61,141.36 | $39,741.88 | 2026-03-13 | MRF ↗ |
| SAINT LUKE'S EAST HOSPITAL Outpatient | MEDICAID MANAGED CARE (KS) [2252] | HEALTHY BLUE KANSAS [22577] | $21.69 | $98,946.20 | $59,367.72 | 2025-12-31 | MRF ↗ |
| SAINT LUKE'S EAST HOSPITAL Outpatient | MEDICAID MANAGED CARE (KS) [2252] | ZZZAETNA BETTER HEALTH OF KANSAS [22571] | $21.69 | $98,946.20 | $59,367.72 | 2025-12-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $21.77 | $1,914.00 | $363.66 | 2026-01-25 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Gpm Health And Life Insurance Mc Supplement | Gpm Health And Life Insurance Mc Supplement | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Geisinger Medicare Advantage | Geisinger Medicare Advantage | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Health Partners - Medicare | Health Partners - Medicare | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Shenandoah Life | Shenandoah Life | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc Security 65 | Ibc Security 65 | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh United Healthcare Medicare Advantage | Pcsh United Healthcare Medicare Advantage | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Aarp | Pcsh Aarp | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Cigna Healthspring | Cigna Healthspring | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Spartan Plan Pa Medicare Advantage | Spartan Plan Pa Medicare Advantage | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Ibc Medicare Advantage | Pcsh Ibc Medicare Advantage | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc Medicare Advantage | Ibc Medicare Advantage | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc Medicare | Ibc Medicare | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Medicare Novitas Solutions | Medicare Novitas Solutions | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Railroad Medicare | Railroad Medicare | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Keystone 65 Hmo | Keystone 65 Hmo | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Medicare | Medicare | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | United Healthcare Medicare Advantage | United Healthcare Medicare Advantage | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Humana Gold Choice | Humana Gold Choice | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Capital Blue Cross- Senior Medicare Supplement | Capital Blue Cross- Senior Medicare Supplement | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Tricare For Life | Tricare For Life | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Devon Health Services | Devon Health Services | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Personal Choice 65 | Personal Choice 65 | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Provider Partners Health Plan Medicare Advantage | Provider Partners Health Plan Medicare Advantage | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Humana Pffs | Humana Pffs | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Cigna Supplemental | Cigna Supplemental | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aarp | Aarp | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Humana Medicare | Humana Medicare | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Erie Insurance Medicare Supplement | Erie Insurance Medicare Supplement | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Upmc Health Plan - Medicare Advantage | Upmc Health Plan - Medicare Advantage | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Medicare Supplement Plan F- Mutual Of Omaha | Medicare Supplement Plan F- Mutual Of Omaha | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Unified Health Services | Unified Health Services | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Medicare Supplemental/ Plan F | Medicare Supplemental/ Plan F | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Vibra Health Plan | Vibra Health Plan | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Medicare Novitas Solutions | Pcsh Medicare Novitas Solutions | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Cigna-Healthspring | Cigna-Healthspring | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Medicare Supplement Plan J | Medicare Supplement Plan J | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aetna Senior Supplemental | Aetna Senior Supplemental | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aarp Medicare Complete | Aarp Medicare Complete | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Csi Medicare Supplement | Csi Medicare Supplement | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Horizon Of New Jersey | Horizon Of New Jersey | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Keystone Direct Pos | Keystone Direct Pos | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Independence Bc | Independence Bc | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc | Ibc | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Bcbs | Bcbs | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Carefirst Administrators | Carefirst Administrators | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Ibc | Pcsh Ibc | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Keystone Hmo | Keystone Hmo | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Independence Federal | Independence Federal | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Amerihealth Administrators | Amerihealth Administrators | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Regence Blue Shield | Regence Blue Shield | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Anthem Ppo | Anthem Ppo | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc Local | Ibc Local | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Bcbs Federal | Bcbs Federal | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Horizon Blue Cross | Horizon Blue Cross | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Keystone Healthplan East | Keystone Healthplan East | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc 2021 | Ibc 2021 | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc - Local | Ibc - Local | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Capital Blue Cross | Capital Blue Cross | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Amerihealth New Jersey Hmo | Amerihealth New Jersey Hmo | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Independence Administrators | Independence Administrators | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Empire Plan | Empire Plan | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Personal Choice | Personal Choice | $27.42 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Aetna Medicare Supplement | Pcsh Aetna Medicare Supplement | $28.44 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Aetna Medicare Advantage | Pcsh Aetna Medicare Advantage | $28.44 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aetna Medicare Ppo | Aetna Medicare Ppo | $28.44 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $28.44 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aetna Medicare (Adv Silver Ppo) | Aetna Medicare (Adv Silver Ppo) | $28.44 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $28.44 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | $36,462.75 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | $36,462.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB ROGR PASSE AR TOTAL CARE | $38.59 | $61,141.36 | $39,741.88 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB ROGR PASSE AR TOTAL CARE | $38.59 | $61,141.36 | $39,741.88 | 2026-03-13 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $41.59 | $23,106.00 | $21,169.78 | 2024-12-31 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $49.40 | — | — | 2026-04-14 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $36,462.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Umr Uhc | Umr Uhc | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | United Healthcare | United Healthcare | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Oxford Life Insurance Company | Oxford Life Insurance Company | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | United Healthcare Shared Services | United Healthcare Shared Services | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Oxford Health Plan | Oxford Health Plan | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Surest | Surest | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Allsavers | Allsavers | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Umr | Umr | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Uhc Golden Rule | Uhc Golden Rule | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Uhc | Pcsh Uhc | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | United Healthcare Choice Plus | United Healthcare Choice Plus | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Uhc | Uhc | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Golden Rule Op | Golden Rule Op | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Uhc Student Resources | Uhc Student Resources | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.57 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $59.95 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $59.95 | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $60.25 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $60.25 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $60.25 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $60.25 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $60.25 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $60.25 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $60.25 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $60.25 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $60.25 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $67.45 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $67.45 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $67.78 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $67.78 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $67.78 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $67.78 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $67.78 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $67.78 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $67.78 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $67.78 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $67.78 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $78.45 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $78.45 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $78.45 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $78.45 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $78.45 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $78.45 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $78.45 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $78.45 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $78.45 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $88.26 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $88.26 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $88.26 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $88.26 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $88.26 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $88.26 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $88.26 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $88.26 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $88.26 | — | — | 2026-04-14 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $97.84 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $97.84 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $97.84 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $100.64 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $100.64 | — | — | 2025-08-01 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $102.21 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Interwest Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $102.21 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Coventry | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $102.21 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Prime Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $102.21 | — | — | 2026-03-28 | 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.