54231 — Dynamic Cavernosometry
Cite this view
HANK Price Transparency. (n.d.). Dynamic cavernosometry (OTHER 54231) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/54231?code_type=OTHER
“Dynamic cavernosometry (OTHER 54231) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/54231?code_type=OTHER. Accessed .
“Dynamic cavernosometry (OTHER 54231) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/54231?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $149–$506 (25th–75th percentile) across 37 hospitals · 94 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 54231 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $41.05 | — | — | 2026-07-31 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $41.05 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $41.05 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $49.52 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $49.52 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $49.52 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $49.52 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $49.52 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $54.08 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $54.44 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $57.53 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $57.53 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $57.53 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $57.53 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Myblue Health Exchange | — | $57.53 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $65.16 | — | — | 2026-08-01 | MRF ↗ |
| HARRIS HEALTH Outpatient | Bcbs Tx | Blue Advantage | $65.81 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Bcbs Tx | Blue Advantage | $65.81 | — | — | 2026-05-22 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $67.27 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $67.27 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $70.61 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $70.61 | — | — | 2026-05-24 | MRF ↗ |
| HARRIS HEALTH Outpatient | Bcbs Tx | Ppo Pos | $72.98 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Bcbs Tx | Ppo Pos | $72.98 | — | — | 2026-05-22 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $82.84 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $82.84 | — | — | 2026-05-24 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $85.36 | — | — | 2026-07-30 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $85.36 | — | — | 2026-07-31 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $85.36 | — | — | 2026-07-31 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Blue Advantage Exchange | — | $85.36 | — | — | 2026-08-01 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $85.63 | $291.00 | $203.70 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $85.63 | $291.00 | $203.70 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $85.63 | $291.00 | $203.70 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $85.63 | $291.00 | $203.70 | 2026-05-22 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Premier | — | $86.01 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Premier | — | $86.01 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Premier | — | $86.01 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Premier | — | $86.01 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Commercial|Bcbs - Tx|Premier | — | $88.62 | — | — | 2026-07-31 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Commercial|Bcbs - Tx|Premier | — | $88.62 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Commercial|Bcbs - Tx|Premier | — | $88.62 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-07-30 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-07-31 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-07-30 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-08-01 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-07-31 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Hmo | — | $93.83 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Commercial|Bcbs - Tx|Ppo Pos | — | $96.44 | — | — | 2026-08-01 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Premier | — | $99.69 | — | — | 2026-07-31 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $102.60 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $102.60 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $102.60 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $102.60 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $102.82 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $102.82 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $102.87 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $102.87 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $102.87 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $102.87 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $103.69 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $103.69 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $103.82 | — | — | 2026-05-23 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Commercial|Bcbs - Tx|Ppo Trad | — | $104.26 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Commercial|Bcbs - Tx|Ppo Trad | — | $104.26 | — | — | 2026-07-31 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Ppo | — | $104.26 | — | — | 2026-07-31 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Ppo | — | $104.26 | — | — | 2026-07-31 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER | Commercial|Bcbs - Tx|Ppo | — | $104.26 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Commercial|Bcbs - Tx|Ppo Trad | — | $104.26 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Commercial|Bcbs - Tx|Ppo Trad | — | $104.26 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Commercial|Bcbs - Tx|Ppo Trad | — | $104.26 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Commercial|Bcbs - Tx|Ppo Trad | — | $104.26 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Commercial|Bcbs - Tx|Ppo | — | $104.26 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Commercial|Bcbs - Tx|Ppo Trad | — | $104.26 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Commercial|Bcbs - Tx|Ppo Trad | — | $104.26 | — | — | 2026-07-30 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $105.15 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $105.15 | — | — | 2026-05-23 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Hmo | — | $108.17 | — | — | 2026-07-31 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $109.15 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $109.15 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $109.15 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $109.15 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $109.15 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $109.15 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $109.15 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $109.15 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $109.15 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $109.15 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $109.15 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $109.15 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $109.15 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $109.15 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $111.33 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $111.33 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $111.33 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $111.33 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $112.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $112.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $112.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $112.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $112.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $112.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $112.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $112.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $112.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $112.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $112.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $112.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $112.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $112.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $112.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $112.11 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $112.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $112.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $112.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $112.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $112.11 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $112.11 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $112.42 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $112.42 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $112.42 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $112.42 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $112.42 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $112.42 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $113.09 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $113.09 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $113.09 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $113.09 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $116.48 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $116.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $117.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $117.88 | — | — | 2026-05-23 | MRF ↗ |
| Baylor St Lukes Medical Center | Commercial|Bcbs - Tx|Ppo Trad | — | $117.94 | — | — | 2026-07-31 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $118.74 | — | — | 2026-05-23 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Hmo | $118.94 | $291.00 | $203.70 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Hmo | $118.94 | $291.00 | $203.70 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Ppo | $118.94 | $291.00 | $203.70 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Ppo | $118.94 | $291.00 | $203.70 | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $118.97 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $118.97 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $121.85 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $121.85 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $125.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $125.00 | — | — | 2026-05-13 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Medicare|Bcbs - Mn|All Plans | — | $125.65 | — | — | 2026-08-01 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Medicare|Humana|All Plans | — | $125.65 | — | — | 2026-08-01 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Medicare|Prime West Health|All Plans | — | $125.65 | — | — | 2026-08-01 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Medicare|Ucare|All Plans | — | $125.65 | — | — | 2026-08-01 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicare|Humana|All Plans | — | $125.65 | — | — | 2026-07-31 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Medicare|Medica|All Plans | — | $125.65 | — | — | 2026-08-01 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicare|Medica|All Plans | — | $125.65 | — | — | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicare|Bcbs - Mn|All Plans | — | $125.65 | — | — | 2026-07-31 | MRF ↗ |
| ST GABRIELS HOSPITAL | Medicare|Ucare|All Plans | — | $125.65 | — | — | 2026-07-31 | MRF ↗ |
| CHI OAKES HOSPITAL | Medicare|Medica|All Plans | — | $125.81 | — | — | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $126.78 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $126.78 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $126.78 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $126.78 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $127.41 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $127.41 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $127.41 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $127.41 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $128.76 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $128.76 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $130.05 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $133.99 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $133.99 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $135.54 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $135.54 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $135.54 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $135.54 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $135.54 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $135.54 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $135.54 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $135.54 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $135.54 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $135.54 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $135.54 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $135.54 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $135.54 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $135.54 | — | — | 2026-05-14 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $136.56 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $136.56 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $136.56 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $136.56 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $136.56 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $136.56 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $136.56 | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $138.07 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $138.07 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $138.07 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $138.07 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $138.07 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $138.07 | — | — | 2026-05-24 | 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.