54150 — Circumcision W/regionl Block
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CIRCUMCISION W/REGIONL BLOCK (CPT 54150) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/54150?code_type=CPT
MLA (9th ed.)
“CIRCUMCISION W/REGIONL BLOCK (CPT 54150) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/54150?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CIRCUMCISION W/REGIONL BLOCK (CPT 54150) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/54150?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $443–$2,702 (25th–75th percentile) across 2,365 hospitals · 7,683 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 54150 — 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
$443
$1,732 typical
$2,702
The middle 50% of negotiated facility rates for this procedure, measured across 2,365 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. | $1,732 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $84 × 1.22 commercial. | $103 |
| Likely subtotal | $1,834 |
Surgical episode (typical)
~$1,834
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)
~$5,619
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 |
|---|---|---|---|---|---|---|---|
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.73 | $805.00 | $603.75 | 2025-03-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.80 | $216.00 | $205.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.80 | $216.00 | $205.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.80 | $216.00 | $205.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.82 | $216.00 | $205.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.84 | $216.00 | $205.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.86 | $216.00 | $205.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.88 | $183.00 | $173.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.88 | $183.00 | $173.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.90 | $183.00 | $173.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.90 | $183.00 | $173.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.93 | $183.00 | $173.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.94 | $192.00 | $182.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.94 | $192.00 | $182.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.96 | $192.00 | $182.40 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $12,855.00 | $8,355.75 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.00 | $192.00 | $182.40 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $12,855.00 | $8,355.75 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.04 | $192.00 | $182.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.10 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.10 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.10 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.13 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.16 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.19 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.43 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.43 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.46 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.46 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.46 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.46 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.49 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.51 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.54 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.60 | $297.00 | $282.15 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2.08 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2.08 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.08 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2.08 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.84 | $236.00 | $44.84 | 2026-01-25 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $4.43 | $426.35 | $426.35 | 2026-04-24 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $4.80 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $4.80 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $5.68 | $513.00 | $513.00 | 2026-02-13 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MC ANTHEM [20455] | HB CAPE ANTHEM BLUE ACCESS | $5.79 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM BLUE ACCESS | $5.79 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MC GENERIC ANTHEM [20456] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $5.79 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $5.79 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MC ANTHEM [20455] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $5.79 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Coordinated Care | Medicaid | $6.05 | $2,625.00 | $2,100.00 | 2026-03-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.19 | $5,661.00 | $2,036.51 | 2024-12-31 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $15.20 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $15.24 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $15.69 | — | — | 2026-03-04 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB CAPE DEC CONSOCIATE IP 175% OP 175% DEFAULT 50% | $16.00 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB CAPE DEC CONSOCIATE IP 225% OP 225% DEFAULT 50% | $16.00 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB CAPE DEC CONSOCIATE IP 140% OP 140% DEFAULT 50% | $16.00 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB CAPE DEC CONSOCIATE IP 225% OP 225% DEFAULT 50% | $16.00 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $16.14 | — | — | 2026-03-04 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $16.38 | $1,575.00 | $1,575.00 | 2026-04-24 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA CONTRACTED [320008] | HB CAPE AETNA COMMERCIAL / FIRST HEALTH | $17.34 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB CAPE AETNA COMMERCIAL / FIRST HEALTH | $17.34 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| OKEENE MUNICIPAL HOSPITAL Outpatient | PREF COMMUNITY CHOICE PPO-ALL PLANS | PREF COMMUNITY CHOICE PPO-ALL PLANS | $19.20 | $128.00 | $102.40 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB CAPE HEALTHLINK HMO | $19.20 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| OKEENE MUNICIPAL HOSPITAL Outpatient | PREF COMMUNITY CHOICE PPO-ALL PLANS | PREF COMMUNITY CHOICE PPO-ALL PLANS | $19.20 | $128.00 | $102.40 | 2026-03-18 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $19.72 | — | — | 2026-03-04 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,828.00 | $1,188.20 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,828.00 | $1,188.20 | 2025-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $20.79 | $154.00 | $115.50 | 2026-01-16 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HEALTH ALLIANCE CONTRACTED [320164] | HB CAPE STOD HEALTH ALLIANCE MEDICAL PLAN COMMERCIAL (HAMP) | $20.80 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB CAPE DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $20.80 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-S | $21.22 | $3,442.00 | $3,442.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIAL | $21.22 | $982.00 | $982.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-P | $21.22 | $982.00 | $982.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIALPPO | $21.22 | $3,442.00 | $3,442.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-P | $21.22 | $3,442.00 | $3,442.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-S | $21.22 | $3,442.00 | $3,442.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-P | $21.22 | $3,442.00 | $3,442.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIALPPO | $21.22 | $982.00 | $982.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIAL | $21.22 | $3,442.00 | $3,442.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIAL | $21.22 | $982.00 | $982.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-S | $21.22 | $982.00 | $982.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-P | $21.22 | $982.00 | $982.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIALPPO | $21.22 | $3,442.00 | $3,442.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIAL | $21.22 | $3,442.00 | $3,442.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-S | $21.22 | $982.00 | $982.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIALPPO | $21.22 | $982.00 | $982.00 | 2026-03-27 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD HERMANN DEC 010125 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD TALL TREE DEC NEW 11.01.25 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD LACLEDE CHAIN DEC NEW 11.01.25 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB CAPE STOD WOODARD DEC NEW 110125 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD LEVEL HEALTH DEC NEW 01.01.26 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD BARTEL DEC NEW 11.01.25 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD EASTER SEALS DEC NEW 010125 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD WOODARD DEC NEW 110125 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $21.76 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB CAPE DEC ROBINSON CONSTRUCTION NEW 010125 | $22.40 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE CITY OF JACKSON DEC 165% W/O SEQ NEW 010125 | $22.40 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | PREFERRED HEALTH PLAN CONTRACTED [320522] | HB CAPE CITY OF CAPE DEC 175% MCR W/O SEQ | $22.40 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AUXIANT CONTRACTED [320462] | HB CAPE CITY OF JACKSON DEC 165% W/O SEQ NEW 010125 | $22.40 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | EBMS CONTRACTED [320493] | HB CAPE CRADER DISTRIBUTING DEC 165% W/O SEQ NEW 090125 | $22.40 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB CAPE HEALTHLINK PPO/WC | $22.40 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AUXIANT CONTRACTED [320462] | HB CAPE DEC BUCHHEIT IP 225% OP 200% DEFAULT 70% | $22.40 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB CAPE DEC RATES IP 150% OP 150% DEFAULT 70% | $22.40 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB CAPE WW WOODS DEC 171% DEFAULT 70% W/O SEQ | $22.40 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB CAPE SCHAEFER ELECTRICAL DEC 165% W/O SEQ | $22.40 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HOPE TRUST CONTRACTED [320488] | HB CAPE DEC HOPE TRUST IP 250% OP 250% DEFAULT 70% | $22.40 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.55 | — | — | 2026-01-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $23.00 | $231.00 | $115.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $23.00 | $231.00 | $115.00 | 2025-02-03 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | WORKERS COMP [20426] | HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT | $24.00 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | STATE FARM AUTO | STATE FARM HEALTH | $24.00 | $120.00 | — | 2025-06-09 | MRF ↗ |
| WAYNE GENERAL HOSPITAL Outpatient | ML HEALTHCARE-ALL PLANS | ML HEALTHCARE-ALL PLANS | $24.00 | $60.00 | $60.00 | 2026-05-07 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | WORKERS COMP [20426] | HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP | $25.60 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB CAPE MULTIPLAN/PHCS | $25.60 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB CAPE MULTIPLAN/PHCS | $25.60 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $26.00 | $231.00 | $115.00 | 2025-02-03 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | CHIP | $26.56 | $3,968.00 | $2,380.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | CHIP | $26.56 | $3,968.00 | $2,380.80 | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC PHCS PRIMARY | — | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SAMC PHCS PRIMARY | — | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $26.59 | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC PHCS PRIMARY | — | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $26.59 | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $26.59 | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SAMC PHCS PRIMARY | — | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $26.59 | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $26.59 | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $26.59 | $409.00 | $265.85 | 2026-03-12 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | — | $6,479.64 | $4,211.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | — | $6,479.64 | $4,211.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | — | $6,479.64 | $4,211.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $6,479.64 | $4,211.77 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $6,479.64 | $4,211.77 | 2024-12-30 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $410.00 | $266.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $410.00 | $266.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $410.00 | $266.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $410.00 | $266.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $26.65 | $410.00 | $266.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $26.65 | $410.00 | $266.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $26.65 | $410.00 | $266.50 | 2026-03-12 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Health Plan | CHIP | $27.00 | $2,081.00 | $1,248.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Health Plan | Managed Medicaid | $27.00 | $2,081.00 | $1,248.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Health Plan | CHIP | $27.00 | $2,081.00 | $1,248.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Health Plan | Managed Medicaid | $27.00 | $2,081.00 | $1,248.60 | 2026-03-06 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HUMANA CONTRACTED [320193] | HB CAPE HUMANA COMMERCIAL | $27.20 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Anthem | Medicare Advantage | $27.48 | $91.60 | $91.60 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | United Healthcare | Medicare Advantage | $27.48 | $91.60 | $91.60 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Aetna | Medicare Advantage | $27.48 | $91.60 | $91.60 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Anthem | Medicare Advantage | $27.48 | $91.60 | $91.60 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | United Healthcare | Medicare Advantage | $27.48 | $91.60 | $91.60 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Aetna | Medicare Advantage | $27.48 | $91.60 | $91.60 | 2025-09-09 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $28.00 | $231.00 | $115.00 | 2025-02-03 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Wellcare | Medicare Advantage | $28.30 | $91.60 | $91.60 | 2025-09-09 | MRF ↗ |
| Franklin Memorial Hospital OutpatientFacility | Wellcare | Medicare Advantage | $28.30 | $91.60 | $91.60 | 2025-09-09 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | $21,534.75 | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $29.00 | $231.00 | $115.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $29.00 | $231.00 | $115.00 | 2025-02-03 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM TRAD | $30.40 | $32.00 | $20.80 | 2026-03-18 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PACE MEDICAID HMO [9020] | GENESYS PACE [902001] | $30.57 | $182.00 | $182.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH OAKLAND COUNTY [901005] | $30.57 | $182.00 | $182.00 | 2026-03-23 | 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.