57250 — Repair Rectum & Vagina
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Repair rectum & vagina (OTHER 57250) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/57250?code_type=OTHER
MLA (9th ed.)
“Repair rectum & vagina (OTHER 57250) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/57250?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Repair rectum & vagina (OTHER 57250) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/57250?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,086–$5,224 (25th–75th percentile) across 72 hospitals · 254 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 57250 — 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 |
|---|---|---|---|---|---|---|---|
| San Angelo Community Medical Center | Bcbs Blue Adv | — | $20.19 | $31.82 | $15.91 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Aetna Commercial | — | $21.32 | $31.82 | $15.91 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Humana Commercial | — | $22.27 | $31.82 | $15.91 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Cigna Commercial | — | $22.91 | $31.82 | $15.91 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Ppo/Pos | — | $23.30 | $31.82 | $15.91 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Hmo | — | $23.30 | $31.82 | $15.91 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Indemnity | — | $23.30 | $31.82 | $15.91 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | First Health | — | $23.87 | $31.82 | $15.91 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | United Healthcare Commercial | — | $24.82 | $31.82 | $15.91 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Healthsmart | — | $28.32 | $31.82 | $15.91 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Ebpa Multiplan | — | $28.63 | $31.82 | $15.91 | 2026-07-30 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $40.50 | $306.00 | $306.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Medicaid | $40.50 | $306.00 | $306.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $40.50 | $306.00 | $306.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Essential Plans 1 -4 | $40.50 | $306.00 | $306.00 | 2026-05-22 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE | Hcra | — | $41.06 | $4,709.03 | $2,825.42 | 2026-07-30 | MRF ↗ |
| Jeanes Hospital | Jns Health Partners Ma And Chip | — | $54.34 | $59,793.32 | $4,701.21 | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $57.66 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $57.66 | — | — | 2026-05-24 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Govt Programs/ Special Products | $61.75 | $306.00 | $306.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Govt Programs/ Special Products | $61.75 | $306.00 | $306.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Commercial | $78.72 | $306.00 | $306.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Aetna | Commercial | $78.72 | $306.00 | $306.00 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $79.76 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $79.76 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $87.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $87.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $87.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $87.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $88.19 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $88.19 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $89.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $89.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $89.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $89.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $89.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $89.55 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $92.84 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $92.84 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $92.84 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $92.84 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $92.84 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $92.84 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $92.84 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $92.84 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $92.84 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $92.84 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $92.84 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $92.84 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $92.84 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $92.84 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $94.69 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $94.69 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $94.69 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $94.69 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $94.69 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $94.69 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $95.62 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $95.62 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $95.62 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $95.62 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $95.62 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $95.62 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $96.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $96.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $96.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $96.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $96.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $96.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $96.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $96.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $96.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $96.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $96.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $96.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $96.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $96.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $96.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $96.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $96.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $96.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $96.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $96.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $96.10 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $96.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $96.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $96.10 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $100.26 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $100.26 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $101.19 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $101.19 | — | — | 2026-05-14 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Commercial | $107.29 | $306.00 | $306.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | United Health | Commercial | $107.29 | $306.00 | $306.00 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $113.21 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $113.21 | — | — | 2026-05-14 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Cdphp | Commercial | $119.29 | $306.00 | $306.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Cdphp | Commercial | $119.29 | $306.00 | $306.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Commercial | $128.61 | $306.00 | $306.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Excellus | Commercial | $128.61 | $306.00 | $306.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $4,544.66 | $2,272.33 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $205.80 | $4,544.66 | $2,272.33 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $205.80 | $4,544.66 | $2,272.33 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $208.74 | $4,544.66 | $2,272.33 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $209.72 | $4,544.66 | $2,272.33 | 2026-05-13 | MRF ↗ |
| O U MEDICAL CENTER | Bright Health Plan | — | $214.20 | $1,020.00 | $102.00 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Medica Harmony Sync | — | $214.20 | $1,020.00 | $102.00 | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $266.68 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $266.68 | — | — | 2026-05-14 | MRF ↗ |
| MCLAREN FLINT | Medicaid - Psych | — | $275.00 | $12,268.12 | $6,134.06 | 2026-07-05 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Arkansas Medicaid | — | $297.00 | $1,645.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | All Commercial Plans | — | $1,645.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | All Commercial Plans | — | $1,645.00 | — | 2026-07-15 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $297.78 | $306.00 | $306.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $297.78 | $306.00 | $306.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $297.78 | $306.00 | $306.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $297.78 | $306.00 | $306.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Brighton Healthplan | Medicaid | $297.78 | $306.00 | $306.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Outpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $297.78 | $306.00 | $306.00 | 2026-05-13 | MRF ↗ |
| O U MEDICAL CENTER | Healthchoice Ppo | — | $306.00 | $1,020.00 | $102.00 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $352.95 | $905.00 | $633.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $352.95 | $905.00 | $633.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $352.95 | $905.00 | $633.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $352.95 | $905.00 | $633.50 | 2026-07-30 | MRF ↗ |
| O U MEDICAL CENTER | Cigna All Other Ppo | — | $354.96 | $1,020.00 | $102.00 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Chicksaw Nation | — | $357.00 | $1,020.00 | $102.00 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Norman Regional | — | $357.00 | $1,020.00 | $102.00 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $362.00 | $905.00 | $633.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $362.00 | $905.00 | $633.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $362.00 | $905.00 | $633.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $362.00 | $905.00 | $633.50 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $362.00 | $905.00 | $633.50 | 2026-07-30 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $362.11 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $362.11 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $362.11 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $362.11 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $368.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $368.88 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $376.25 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $376.25 | — | — | 2026-05-23 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $380.10 | $905.00 | $633.50 | 2026-07-30 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $385.70 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $385.70 | — | — | 2026-05-23 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $389.15 | $905.00 | $633.50 | 2026-07-30 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $389.45 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $392.39 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $392.39 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $394.05 | $1,222.00 | $611.00 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $394.05 | $1,222.00 | $611.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $395.33 | $1,236.00 | $618.00 | 2026-05-09 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Cigna | Hmo | $397.86 | $12,777.00 | $8,943.90 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Cigna | Ppo | $397.86 | $12,777.00 | $8,943.90 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Cigna | Hmo | $397.86 | $12,777.00 | $8,943.90 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Cigna | Ppo | $397.86 | $12,777.00 | $8,943.90 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $403.60 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $403.60 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $403.60 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $403.60 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $407.89 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $407.89 | — | — | 2026-05-23 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D1 | — | $408.00 | $1,020.00 | $102.00 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Globalhealth Hmo | — | $408.00 | $1,020.00 | $102.00 | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $414.16 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $414.16 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $414.16 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $414.16 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $429.36 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $429.36 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $429.36 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $429.36 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $429.36 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $429.36 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $429.36 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $429.36 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $429.36 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $429.36 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $429.36 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $429.36 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $429.36 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $429.36 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Commercial | $431.44 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Commercial | $431.44 | — | — | 2026-05-13 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Ppo | $434.34 | $12,777.00 | $8,943.90 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Hmo | $434.34 | $12,777.00 | $8,943.90 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Ppo | $434.34 | $12,777.00 | $8,943.90 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Hmo | $434.34 | $12,777.00 | $8,943.90 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $437.95 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $437.95 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $437.95 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $437.95 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $442.24 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $442.24 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $442.24 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $442.24 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $442.24 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $442.24 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $444.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $444.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $444.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $444.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $444.47 | — | — | 2026-05-24 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.