571T — Insj/rplcmt Icds Ss Eltrd
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INSJ/RPLCMT ICDS SS ELTRD (CPT 571T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/571T?code_type=CPT
MLA (9th ed.)
“INSJ/RPLCMT ICDS SS ELTRD (CPT 571T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/571T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“INSJ/RPLCMT ICDS SS ELTRD (CPT 571T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/571T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $20,936–$45,664 (25th–75th percentile) across 116 hospitals · 317 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 571T — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | KanCare Medicaid | $375.03 | — | — | 2026-03-06 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicaid | $375.03 | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | BCBS - KS | Healthy Blue KanCare | $375.03 | — | — | 2026-03-06 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | State of Kansas | Medical Assistance Program | $375.03 | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | KanCare Medicaid | $375.03 | — | — | 2026-03-06 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | United Healthcare | Medicaid MCO | $375.03 | — | — | 2026-03-24 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Triwest | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | State of Kansas | Medical Assistance Program | $375.03 | — | — | 2026-03-06 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | CommercialExchange | — | — | — | 2026-03-17 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | Sunflower Health Plan Medicaid | $375.03 | — | — | 2026-03-06 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Health Partners | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | Sunflower Health Plan Medicaid | $375.03 | — | — | 2026-03-06 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | UHC | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicaid | $375.03 | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Healthy Blue | Medicaid Advantage | $375.03 | — | — | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Wellcare | by Allwell Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | BCBS - KS | Healthy Blue KanCare | $375.03 | — | — | 2026-03-06 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Sunflower Health Plan | Medicaid MCO | $375.03 | — | — | 2026-03-24 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicaid Advantage | $375.03 | — | — | 2026-03-17 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Celtic Insurance Company | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Humana | ChoiceCare | — | — | — | 2026-03-17 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | Healthy Blue | Medicaid MCO | $375.03 | — | — | 2026-03-24 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $450.00 | — | — | 2026-04-14 | MRF ↗ |
| CUMBERLAND MEDICAL CENTER BothFacility | United Healthcare | All Other Plans | $473.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | All Other Plans | $475.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER BothFacility | United Healthcare | All Other Plans | $475.00 | $44,296.00 | $14,174.72 | 2025-12-23 | MRF ↗ |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION BothFacility | United Healthcare | All Other Plans | $475.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER BothFacility | United Healthcare | All Other Plans | $475.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER BothFacility | United Healthcare | All Other Plans | $475.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| METHODIST MEDICAL CENTER OF OAK RIDGE BothFacility | United Healthcare | All Other Plans | $475.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| PARKWEST MEDICAL CENTER BothFacility | United Healthcare | All Other Plans | $475.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| CUMBERLAND MEDICAL CENTER BothFacility | United Healthcare | Heritage Select | $556.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER BothFacility | United Healthcare | Heritage Select | $558.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Heritage Select | $558.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER BothFacility | United Healthcare | Heritage Select | $558.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION BothFacility | United Healthcare | Heritage Select | $558.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER BothFacility | United Healthcare | Heritage Select | $558.00 | $44,296.00 | $14,174.72 | 2025-12-23 | MRF ↗ |
| METHODIST MEDICAL CENTER OF OAK RIDGE BothFacility | United Healthcare | Heritage Select | $558.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| PARKWEST MEDICAL CENTER BothFacility | United Healthcare | Heritage Select | $558.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $605.00 | — | — | 2026-04-14 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Molina | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Premera | All | — | — | — | 2026-03-30 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Cigna | All | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | Medicare Advantage | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | First Choice Health | Pacific Source | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Dept of Labor and Industry - Washington State | All | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | CHIP | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | Basic | — | — | — | 2026-03-30 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Coordinated Care | All | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | First Choice Health | Ameriben | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | First Choice Health | Lifstyle Health | — | — | — | 2026-03-30 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Aetna | All | $611.21 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Aetna | All | $611.21 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Amerigroup | All | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Cigna | All | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-03-30 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Wellcare | All | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | First Choice Health | Eagle | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | First Choice Health | Washington Fire Commission | — | — | — | 2026-03-30 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Asuris | All | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Coordinated Care | Apple Health | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | First Choice Health | Standard | — | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Community Health Network of Washington | Healthy Options | — | — | — | 2026-03-30 | MRF ↗ |
| PARKWEST MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $632.55 | — | — | 2026-04-27 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $632.55 | — | — | 2026-04-27 | MRF ↗ |
| CUMBERLAND MEDICAL CENTER BothFacility | United Healthcare | Options PPO | $680.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Options PPO | $682.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| METHODIST MEDICAL CENTER OF OAK RIDGE BothFacility | United Healthcare | Options PPO | $682.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| PARKWEST MEDICAL CENTER BothFacility | United Healthcare | Options PPO | $682.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION BothFacility | United Healthcare | Options PPO | $682.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER BothFacility | United Healthcare | Options PPO | $682.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER BothFacility | United Healthcare | Options PPO | $682.00 | $44,296.00 | $14,174.72 | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER BothFacility | United Healthcare | Options PPO | $682.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $690.00 | — | — | 2026-04-14 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Premera | First Exchange | $790.03 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Premera | Commercial | $790.03 | — | — | 2026-03-30 | MRF ↗ |
| COLUMBIA BASIN HOSPITAL OutpatientFacility | Lifewise | All | $790.03 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | Asuris | All | $805.73 | — | — | 2026-03-30 | MRF ↗ |
| MID VALLEY HOSPITAL & CLINIC OutpatientFacility | United Healthcare | Commercial | $830.50 | — | — | 2026-03-30 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $855.00 | — | — | 2026-04-14 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | UMR | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | CoFinity | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Humana | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Multiplan | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Tricare | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Cigna | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Blue Cross | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Meritain | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | United Healthcare | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Rocky Mountain Health Plan | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Aetna | All | $861.13 | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | VA | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | PHCS | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | First Health | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $934.93 | — | — | 2026-02-19 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $970.00 | — | — | 2026-04-14 | MRF ↗ |
| FRESNO SURGICAL HOSPITAL OutpatientFacility | Blue Shield of CA | Commercial | $986.66 | — | $54,813.99 | 2026-04-08 | MRF ↗ |
| FRESNO SURGICAL HOSPITAL OutpatientFacility | Blue Shield of CA | Commercial | $986.66 | — | $54,813.99 | 2026-04-08 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Interwest Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Choice Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Health Network | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Coventry | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Prime Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | All | $1,015.20 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Allegiance | All | $1,032.15 | — | — | 2026-03-28 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL OutpatientFacility | Missoula County Employee Benefits Plan | All | — | — | — | 2026-05-22 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Montana | Medicare Advantage | — | — | — | 2026-05-22 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Montana | Blue Options | — | — | — | 2026-05-22 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL OutpatientFacility | Allegiance | All | $1,032.15 | — | — | 2026-05-22 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Montana | Traditional | — | — | — | 2026-05-22 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Montana | Tricare | — | — | — | 2026-05-22 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Montana | PPO | — | — | — | 2026-05-22 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL OutpatientFacility | First Choice Network | All | — | — | — | 2026-05-22 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL OutpatientFacility | Mountain CoOp | All | — | — | — | 2026-05-22 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-05-22 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $1,115.00 | — | — | 2026-04-14 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $1,315.00 | — | — | 2026-04-14 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Anthem | All | $1,321.48 | — | — | 2026-03-29 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $1,345.00 | — | — | 2026-04-14 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $1,810.00 | — | — | 2026-04-14 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL- WINNSBORO OutpatientFacility | Cigna | New Business | $2,050.00 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL- JACKSONVILLE OutpatientFacility | Cigna | New Business | $2,050.00 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Cigna | New Business | $2,050.00 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Cigna | New Business | $2,050.00 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Cigna | New Business | $2,050.00 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $2,052.00 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | New Business | $2,052.00 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $2,052.00 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $2,052.00 | — | — | 2026-01-12 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | $2,184.00 | — | — | 2026-03-17 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | CCN Managed Care | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | USA Managed Care Organization | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Community Services Network | NonProfit Public Benefit | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | National Provider Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CUMBERLAND MEDICAL CENTER BothFacility | Cigna | IFP | $2,281.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Correctional Medical Services | Correctional Facilities Inmate Claims | — | — | — | 2025-12-23 | MRF ↗ |
| PARKWEST MEDICAL CENTER BothFacility | Cigna | IFP | $2,281.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Cigna | IFP | $2,281.00 | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER BothFacility | Cigna | IFP | $2,281.00 | $44,296.00 | $14,174.72 | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Direct Care America | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | Cigna | IFP | $2,281.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER BothFacility | Cigna | IFP | $2,281.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Initial Group | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | EHN | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | CCN Managed Care | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | NovaNet | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Direct Care America | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | USA Managed Care Organization | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Galaxy Health Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Correctional Medical Services | Correctional Facilities Inmate Claims | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | National Provider Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | EHN | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Community Services Network | NonProfit Public Benefit | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | MedSave USA | Commercial | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Cigna | IFP | $2,281.00 | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Initial Group | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | MedSave USA | Commercial | — | — | — | 2025-12-23 | MRF ↗ |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION BothFacility | Cigna | IFP | $2,281.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | NovaNet | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| METHODIST MEDICAL CENTER OF OAK RIDGE BothFacility | Cigna | IFP | $2,281.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Galaxy Health Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER BothFacility | Cigna | IFP | $2,281.00 | $44,296.00 | $13,731.76 | 2025-12-23 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | Humana | Choicecare | $2,349.00 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | Humana | Choicecare | $2,349.00 | — | — | 2026-01-13 | 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.