55876 — Place Rt Device/marker Pros
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PLACE RT DEVICE/MARKER PROS (HCPCS 55876) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/55876?code_type=HCPCS
MLA (9th ed.)
“PLACE RT DEVICE/MARKER PROS (HCPCS 55876) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/55876?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PLACE RT DEVICE/MARKER PROS (HCPCS 55876) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/55876?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,082–$2,955 (25th–75th percentile) across 1,868 hospitals · 5,643 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 55876 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,082
$1,705 typical
$2,955
The middle 50% of negotiated facility rates for this procedure, measured across 1,868 hospitals. The the surgeon's fee 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. | $1,705 |
| Surgeon (professional fee) Estimate national typical Medicare $91 × 1.22 commercial. | $111 |
| Likely subtotal | $1,816 |
Surgical episode (typical)
~$1,816
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- 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 $1,082–$2,955.
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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $3,532.00 | $1,045.48 | 2026-02-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $30,037.00 | $24,630.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $30,037.00 | $24,630.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $30,037.00 | $24,630.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $30,037.00 | $24,630.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $6,528.00 | $5,352.96 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $17,529.80 | $11,394.37 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $30,037.00 | $24,630.34 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $17,529.80 | $11,394.37 | 2025-11-26 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $5.82 | $351.00 | $351.00 | 2026-02-13 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.21 | $3,449.00 | $1,471.95 | 2024-12-31 | MRF ↗ |
| MERCY MEDICAL CTR OutpatientFacility | CARELON HEALTH MEDICAID | CARELON MEDICAID | $7.94 | — | $8,530.44 | 2026-03-31 | MRF ↗ |
| MERCY MEDICAL CTR OutpatientFacility | WELLSENSE HEALTH PLAN | WELLSENSE SILVER | $8.69 | — | $8,530.44 | 2026-03-31 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $10.20 | $40,932.58 | $8,186.52 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $10.20 | $40,932.58 | $8,186.52 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $10.20 | $40,932.58 | $8,186.52 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $10.38 | $40,932.58 | $8,186.52 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $10.38 | $40,932.58 | $8,186.52 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $10.38 | $40,932.58 | $8,186.52 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $10.39 | $40,932.58 | $8,186.52 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $10.39 | $40,932.58 | $8,186.52 | 2026-03-26 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $18.36 | $136.00 | $102.00 | 2026-01-16 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $20.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $20.43 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $20.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $20.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $20.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $20.43 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $20.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $20.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $20.43 | — | — | 2026-04-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,703.00 | $1,106.95 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,703.00 | $1,106.95 | 2025-01-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $24.11 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $24.26 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $24.26 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $24.55 | — | — | 2026-01-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $27.63 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $27.81 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $27.81 | — | — | 2026-03-18 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $28.22 | $136.00 | $102.00 | 2026-01-16 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | $9,240.75 | 2024-12-08 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $30.09 | — | — | 2026-03-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | $9,240.75 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $31.05 | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $32.00 | $318.00 | $159.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $32.00 | $318.00 | $159.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $32.70 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $33.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $33.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $33.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $33.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $33.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $33.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $33.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $33.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $33.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $33.34 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $33.34 | — | — | 2026-01-01 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $34.28 | $95.21 | $59.98 | 2026-01-27 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $35.97 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $35.97 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $35.97 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $36.00 | $318.00 | $159.00 | 2025-02-03 | MRF ↗ |
| GOUVERNEUR HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY | $36.36 | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| GOUVERNEUR HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | WELLCARE TODAY'S OPTIONS [12503] | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| GOUVERNEUR HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $36.36 | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| GOUVERNEUR HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $36.36 | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| GOUVERNEUR HOSPITAL Outpatient | AETNA [100] | AETNA|AETNA DENTAL|MERITAIN HEALTH | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $38.00 | $318.00 | $159.00 | 2025-02-03 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Commercial | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicare | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicaid | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Commercial Exchange | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Health Partners Of Kansas | Commercial | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wppa | Commercial | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $38.38 | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | All Payer | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Centurion Of Kansas | Commercial | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Sunflower | Commercial Exchange | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Providrs | Care Network | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Sunflower | Commercial Exchange | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Compalliance | Compresults Workers Comp | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Corizon | Commercial | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Medicare Advantage | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Three Rivers Provider Networks | Workers Comp | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Medica | Medicare Advantage | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Compalliance | Compresults Workers Comp | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Veterans Affairs Program | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Commercial/Self Insured | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | All Payer | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Commercial | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicaid | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Veterans Affairs Program | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Medica | Medicare Advantage | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna Better Health | Medicaid | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Corizon | Commercial | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Workers Compensation | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | First Health | Commercial | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Individual Exchange | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna Better Health | Medicaid | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $38.38 | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Medicare Advantage | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Commercial Exchange | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Workers Compensation | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicaid | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | First Health | Commercial | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wppa | Commercial | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicaid | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Individual Exchange | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Commercial Exchange | — | $68.00 | $27.20 | 2026-05-18 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Health Partners Of Kansas | Commercial | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Three Rivers Provider Networks | Workers Comp | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicare | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Providrs | Care Network | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Commercial Exchange | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Centurion Of Kansas | Commercial | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Commercial/Self Insured | — | $68.00 | $27.20 | 2026-05-22 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $40.00 | $318.00 | $159.00 | 2025-02-03 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | — | — | — | — | — | 2026-01-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $40.00 | $318.00 | $159.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $40.29 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MH OPTUM [170] | MH OPTUM COMMUNITY | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|EMPIRE BLUE CROSS (NYC)|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICARE | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | AETNA [100] | AETNA|AETNA DENTAL|MERITAIN HEALTH | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP GOLD PPO | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP|CIGNA|GWH CIGNA|NALC CIGNA | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP GOLD HMO | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR|MEDICARE BLUE PPO | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | GENERIC CARRIER [107] | COMMERCIAL|HUMANA|CDPHP COMMERCIAL | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $41.81 | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | VETERANS ADMINISTRATION [178] | VA VETERAN'S CHOICE VACAA [17803] | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC CHPS|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $42.00 | $318.00 | $159.00 | 2025-02-03 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 3&4 | — | $5,097.95 | $3,313.67 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE | — | $23,529.81 | $15,294.38 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO | — | $23,529.81 | $15,294.38 | 2024-12-30 | 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.