55250 — Removal Of Sperm Duct(s)
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REMOVAL OF SPERM DUCT(S) (HCPCS 55250) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/55250?code_type=HCPCS
MLA (9th ed.)
“REMOVAL OF SPERM DUCT(S) (HCPCS 55250) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/55250?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“REMOVAL OF SPERM DUCT(S) (HCPCS 55250) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/55250?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,012–$3,465 (25th–75th percentile) across 2,662 hospitals · 6,178 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 55250 — 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
$1,012
$2,142 typical
$3,465
The middle 50% of negotiated facility rates for this procedure, measured across 2,662 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. | $2,142 |
| Surgeon (professional fee) Estimate national typical Medicare $218 × 1.22 commercial. | $266 |
| 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 | $3,116 |
Surgical episode (typical)
~$3,116
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $1,012–$3,465.
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)
~$6,900
- 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 |
|---|---|---|---|---|---|---|---|
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.01 | $192.95 | $192.95 | 2026-04-24 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $3.20 | $446.00 | $312.20 | 2026-07-15 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.22 | $764.00 | $573.00 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.22 | $764.00 | $573.00 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.22 | $2,147.00 | $1,610.25 | 2026-07-01 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $6.55 | $470.00 | $470.00 | 2026-03-09 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $6.55 | $590.00 | $112.10 | 2026-01-25 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | UHC MCR ADV | UHC MCR ADV | $6.55 | $3,821.00 | $1,910.50 | 2026-03-23 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $6.55 | $811.00 | $154.09 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $9.30 | $62.00 | $11.78 | 2026-05-20 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $9.52 | $1,110.00 | $1,110.00 | 2026-07-09 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $9.87 | $1,264.00 | $1,264.00 | 2026-07-16 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $10.26 | $986.35 | $986.35 | 2026-04-24 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.47 | $5,816.00 | $2,036.51 | 2024-12-31 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $13.10 | $500.00 | $500.00 | 2026-02-13 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Traditional | Commercial | $13.38 | $446.00 | $312.20 | 2026-07-15 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRIWEST WELLMARK-ALL PLANS | TRIWEST WELLMARK-ALL PLANS | $13.50 | $37.50 | $33.75 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MEDICAL ASSOCIATES-ALL PLANS | MEDICAL ASSOCIATES-ALL PLANS | $13.50 | $37.50 | $33.75 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRICARE- ALL PLANS | TRICARE- ALL PLANS | $13.50 | $37.50 | $33.75 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | VA CCN -ALL PLANS | VA CCN -ALL PLANS | $13.50 | $37.50 | $33.75 | 2026-01-03 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $13.60 | $611.00 | $366.60 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $13.60 | $611.00 | $366.60 | 2026-02-12 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | WELLMARK MCR ADV- ALL PLANS | WELLMARK MCR ADV- ALL PLANS | $13.64 | $37.50 | $33.75 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC MCR ADV | UHC MCR ADV | $13.91 | $37.50 | $33.75 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | OSCAR-ALL PLANS | OSCAR-ALL PLANS | $20.25 | $37.50 | $33.75 | 2026-01-03 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $23.75 | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | BCBS | ALL PRODUCTS | $23.75 | $25.00 | $24.00 | 2025-12-28 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $23.75 | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | UHC | ALL PRODUCTS | $24.00 | $25.00 | $24.00 | 2025-12-28 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | MIDLANDS CHOICE | ALL PRODUCTS | $25.00 | $25.00 | $24.00 | 2025-12-28 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MIDLANDS NEW BUSINESS | MIDLANDS NEW BUSINESS | $26.25 | $37.50 | $33.75 | 2026-01-03 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $26.97 | $62.00 | $11.78 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $26.97 | $62.00 | $11.78 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $28.52 | $62.00 | $11.78 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | WESTERN GROWERS/PINNACLE- ALL PLANS | WESTERN GROWERS/PINNACLE- ALL PLANS | $28.52 | $62.00 | $11.78 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $29.27 | $591.00 | $189.12 | 2026-05-18 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $30.00 | $811.00 | $137.87 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $30.00 | $811.00 | $137.87 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $30.00 | $811.00 | $154.09 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCAL | BC MCAL | $30.00 | $811.00 | $137.87 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $30.00 | $811.00 | $154.09 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $30.00 | $811.00 | $137.87 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $30.00 | $811.00 | $154.09 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $30.00 | $811.00 | $154.09 | 2026-05-19 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | MEDI-CAL | MEDI-CAL | $30.00 | $3,821.00 | $1,910.50 | 2026-03-23 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $30.00 | $811.00 | $154.09 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | MEDI-CAL | MEDI-CAL | $30.00 | $811.00 | $137.87 | 2026-05-23 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $695.00 | $521.25 | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $31.00 | $62.00 | $11.78 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | KAISER - ALL OTHER PLANS | KAISER - ALL OTHER PLANS | $31.00 | $62.00 | $11.78 | 2026-05-20 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $32.33 | $37.50 | $33.75 | 2026-01-03 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest | Commercial | $32.71 | $84.30 | $67.44 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $33.60 | $62.00 | $11.78 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $33.60 | $62.00 | $11.78 | 2026-05-20 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health | Commercial | $33.72 | $84.30 | $67.44 | 2026-07-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna | Medicare | $33.72 | $84.30 | $67.44 | 2026-07-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare | Medicare | $33.72 | $84.30 | $67.44 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $33.79 | $62.00 | $11.78 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $33.79 | $62.00 | $11.78 | 2026-01-25 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $35.63 | $37.50 | $33.75 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MIDLANDS CHOICE - ALL OTHER PLANS | MIDLANDS CHOICE - ALL OTHER PLANS | $36.38 | $37.50 | $33.75 | 2026-01-03 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Wppa | Commercial | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Centurion Of Kansas | Commercial | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Individual Exchange | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | All Payer | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna Better Health | Medicaid | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Commercial | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Medica | Medicare Advantage | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Medica | Medicare Advantage | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Centurion Of Kansas | Commercial | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Preferred Health Systems | Commercial | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Medicaid | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wppa | Commercial | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Commercial Exchange | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Veterans Affairs Program | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Health Partners Of Kansas | Commercial | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Corizon | Commercial | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Three Rivers Provider Networks | Workers Comp | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Open Network | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Providrs | Chambers Plan | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Individual Exchange | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Medicare Advantage | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Commercial/Self Insured | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | All Payer | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Medicare | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicare | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Ambetter | Commercial Exchange | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Local Best Plan | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicaid | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Medicare | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Compalliance | Compresults Workers Comp | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Open Network Plan | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Ambetter | Medicare Advantage | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Providrs | Care Network | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Sunflower | Commercial Exchange | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Commercial Exchange | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Corizon | Commercial | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Workers Compensation | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Sunflower | Commercial Exchange | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Wesley Preferred Network | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Health Partners Of Kansas | Commercial | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Hospice | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Medicaid | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Providrs | Care Network | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | First Health | Commercial | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Coventry | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Commercial Exchange | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | First Health | Commercial | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Medicare Advantage | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Veterans Affairs Program | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicaid | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Workers Comp/Automobile Insurance | — | $525.00 | $525.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | — | $525.00 | $210.00 | 2026-08-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $38.75 | $62.00 | $11.78 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $38.75 | $62.00 | $11.78 | 2026-01-25 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $39.00 | $983.00 | $983.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $39.00 | $983.00 | $983.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $39.00 | $983.00 | $983.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $39.00 | $983.00 | $983.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $39.78 | $983.00 | $983.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $39.78 | $983.00 | $983.00 | 2025-10-04 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | — | $568.00 | $568.00 | 2025-03-18 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $568.00 | $568.00 | 2025-03-18 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $40.30 | $62.00 | $11.78 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $40.30 | $62.00 | $11.78 | 2026-01-25 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | GOLD COAST MEDI-CAL-ALL PLANS | GOLD COAST MEDI-CAL-ALL PLANS | $40.50 | $3,821.00 | $1,910.50 | 2026-03-23 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $44.00 | $811.00 | $154.09 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | MEDI-CAL | MEDI-CAL | $44.00 | $811.00 | $121.65 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $44.00 | $811.00 | $154.09 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BC MCAL | BC MCAL | $44.00 | $811.00 | $154.09 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $44.00 | $811.00 | $154.09 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $44.00 | $811.00 | $121.65 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | MEDI-CAL | MEDI-CAL | $44.00 | $811.00 | $154.09 | 2026-05-20 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $44.00 | $564.00 | $564.00 | 2025-12-03 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $44.00 | $811.00 | $154.09 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $44.00 | $811.00 | $218.97 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $44.00 | $811.00 | $218.97 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $44.00 | $811.00 | $121.65 | 2026-07-29 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $44.00 | $442.00 | $221.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $45.00 | $442.00 | $221.00 | 2025-02-03 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $45.00 | $811.00 | $137.87 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $45.00 | $811.00 | $137.87 | 2026-05-23 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ACA PPO - ALL OTHER PLANS | AVERA ACA PPO - ALL OTHER PLANS | $46.00 | $1,878.50 | $1,127.10 | 2025-12-20 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA HMO | AVERA HMO | $46.00 | $1,878.50 | $1,127.10 | 2025-12-20 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $46.86 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $46.86 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $46.86 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $46.86 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $46.86 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $46.86 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $46.86 | — | — | 2026-04-01 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ASO PPO | AVERA ASO PPO | $48.00 | $1,878.50 | $1,127.10 | 2025-12-20 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $48.33 | $358.00 | $268.50 | 2026-01-16 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest | Commercial | $49.43 | $127.40 | $101.92 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $49.60 | $62.00 | $11.78 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | PHYSICIANS MED GROUP OP/PROFEE ONLY- ALL PLANS | $49.60 | $62.00 | $11.78 | 2026-05-20 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $50.00 | $442.00 | $221.00 | 2025-02-03 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM SHORT TERM LIMITED DURATION | 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PPO PREFERRED | 9232_ANTHEM PREFERRED VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC POS | 9228_ANTHEM HEALTHSYNC POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HMO/POS | 9229_ANTHEM HMO POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY X | 9231_ANTHEM PATHWAY X VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC HMO | 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | UNIFIED GROUP SERVICES | 8812_ANTHEM UNIFIED GROUPS VHIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY | 9230_ANTHEM PATHWAY VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM TRADITIONAL | 9233_ANTHEM TRADITIONAL VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $50.40 | $811.00 | $154.09 | 2026-05-19 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $50.70 | $983.00 | $983.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $50.70 | $983.00 | $983.00 | 2025-10-04 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna | Medicare | $50.96 | $127.40 | $101.92 | 2026-07-15 | 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.