54401 — Insert Self-contd Prosthesis
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INSERT SELF-CONTD PROSTHESIS (CPT 54401) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/54401?code_type=CPT
MLA (9th ed.)
“INSERT SELF-CONTD PROSTHESIS (CPT 54401) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/54401?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“INSERT SELF-CONTD PROSTHESIS (CPT 54401) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/54401?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,010–$23,972 (25th–75th percentile) across 1,490 hospitals · 2,335 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 54401 — 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 fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$6,010
$18,813 typical
$23,972
The middle 50% of negotiated facility rates for this procedure, measured across 1,490 hospitals. The surgeon and 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. | $18,813 |
| Surgeon (professional fee) Estimate national typical Medicare $618 × 1.22 commercial. | $753 |
| Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $708 |
| Likely subtotal | $20,274 |
Surgical episode (typical)
~$20,274
Your recovery plan — adjust to what your doctor told you
After your procedure, 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)
~$24,059
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
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
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk
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 |
|---|---|---|---|---|---|---|---|
| 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 | Pcsh Ibc Medicare Advantage | Pcsh Ibc Medicare Advantage | $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 | Humana Gold Choice | Humana Gold Choice | $25.39 | $47,073.64 | $20.31 | 2026-05-08 | 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 | Personal Choice 65 | Personal Choice 65 | $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 | Cigna-Healthspring | Cigna-Healthspring | $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 | Vibra Health Plan | Vibra Health Plan | $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 | 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 | Health Partners - Medicare | Health Partners - Medicare | $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 | Humana Pffs | Humana Pffs | $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 | Aarp Medicare Complete | Aarp Medicare Complete | $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 | 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 | Aarp | Aarp | $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 | Ibc Security 65 | Ibc Security 65 | $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 | Aetna Senior Supplemental | Aetna Senior Supplemental | $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 | 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 | 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 | Medicare Supplement Plan J | Medicare Supplement Plan J | $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 | Shenandoah Life | Shenandoah Life | $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 | Unified Health Services | Unified Health Services | $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 | 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 | Devon Health Services | Devon Health Services | $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 | Csi Medicare Supplement | Csi Medicare Supplement | $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 | Independence Bc | Independence Bc | $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 | Independence Federal | Independence Federal | $27.42 | $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 | Ibc - Local | Ibc - Local | $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 | Amerihealth Administrators | Amerihealth Administrators | $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 | Keystone Direct Pos | Keystone Direct Pos | $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 | Ibc | Ibc | $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 | Bcbs Federal | Bcbs Federal | $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 | Regence Blue Shield | Regence Blue Shield | $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 | Keystone Hmo | Keystone Hmo | $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 | Pcsh Ibc | Pcsh Ibc | $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 | Anthem Ppo | Anthem Ppo | $27.42 | $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 | Aetna Medicare | $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 (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 Ppo | Aetna Medicare Ppo | $28.44 | $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 ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | $18,231.38 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | $18,231.38 | 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 ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Outpatient | CONTRA COSTA COUNTY JAIL [1012104] | CCC JAIL [101210401] | $40.80 | $233,101.84 | $104,895.83 | 2026-03-23 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $43.49 | $24,162.00 | $21,169.78 | 2024-12-31 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $47.23 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $47.23 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $47.23 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $47.23 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $47.23 | — | — | 2026-03-28 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $18,231.38 | 2024-12-08 | 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 | Umr | Umr | $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 | Uhc Golden Rule | Uhc Golden Rule | $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 | United Healthcare | United Healthcare | $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 | Golden Rule Op | Golden Rule Op | $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 | Surest | Surest | $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 | Uhc Student Resources | Uhc Student Resources | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | 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 Choice Plus | United Healthcare Choice Plus | $53.87 | $47,073.64 | $20.31 | 2026-05-08 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $54.46 | — | — | 2026-04-14 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $68.80 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $68.80 | — | — | 2026-04-01 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $69.20 | — | — | 2026-04-14 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $81.32 | $428.00 | $428.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $81.32 | $428.00 | $428.00 | 2026-05-22 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $89.05 | — | — | 2026-04-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $89.36 | — | — | 2025-12-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $89.64 | $664.00 | $498.00 | 2026-01-16 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $102.72 | $428.00 | $428.00 | 2026-05-22 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $128.40 | $428.00 | $428.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $129.72 | $428.00 | $428.00 | 2026-05-22 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $137.78 | $664.00 | $498.00 | 2026-01-16 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Complete Care | Magellan Complete Care | $138.80 | $428.00 | $428.00 | 2026-05-22 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $144.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $144.90 | — | — | 2026-01-01 | 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.