57 — Level Iii Spine Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LEVEL III SPINE PROCEDURES (EAPG 57) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/57?code_type=EAPG
MLA (9th ed.)
“LEVEL III SPINE PROCEDURES (EAPG 57) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/57?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“LEVEL III SPINE PROCEDURES (EAPG 57) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/57?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,049–$21,290 (25th–75th percentile) across 80 hospitals · 91 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 57 — 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 |
|---|---|---|---|---|---|---|---|
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Essential Plan 1,2,5,6 | $3,031.33 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $3,031.33 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $3,031.33 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $3,031.33 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $3,031.33 | — | — | 2026-07-15 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | MVP Health Care | Managed Medicaid | $3,123.98 | — | — | 2025-08-07 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $3,198.26 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $3,198.26 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $3,198.26 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | GHC | Managed Medicaid | $3,198.26 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Anthem BCBS | Managed Medicaid | $3,198.26 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $3,198.26 | — | — | 2026-01-29 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $3,471.09 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $3,471.09 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $3,471.09 | — | — | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Fidelis | Managed Medicaid | $3,471.09 | — | — | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | United Healthcare | Managed Medicaid | $3,471.09 | — | — | 2025-08-07 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | Galaxy Health | Workers Comp | $3,741.69 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | EmblemHealth | Essential Plan 3/Essential Plan 4 | $3,818.15 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | United Healthcare | CHIP/Family Health Plus/Medicaid | $3,818.15 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | EmblemHealth | Medicaid | $3,818.15 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | Hamaspik Choice | Medicaid | $3,818.15 | — | — | 2026-05-22 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Fidelis | Medicare Advantage | $3,818.20 | — | — | 2025-08-07 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | WellCare | Child Health Plus/Family Health Plus/Medicaid | $4,009.09 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | MVP Health Care of NY | Child Health Plus/Family Health Plus/HARP/Medicaid | $4,009.09 | — | — | 2026-05-22 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid | $4,165.31 | — | — | 2025-08-07 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | EmblemHealth | Essential Plan 1/Essential Plan 2 | $4,581.70 | — | — | 2026-05-22 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | EmblemHealth | Managed Medicaid | $4,942.86 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | $4,942.86 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | $4,942.86 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $5,437.15 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | $5,931.43 | — | — | 2025-10-28 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $6,876.20 | — | — | 2026-03-24 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Fidelis | Commercial | $6,942.18 | — | — | 2025-08-07 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $7,013.72 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $7,495.05 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $7,495.05 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID TRILOGY | $7,701.34 | — | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Anthem Medicaid | Mco Anthem | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | My Choice Medicaid | Mco Hmo My Choice | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Icare Medicaid | Mco Icare | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Mercy Care Medicaid | Mco Mercycare | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | United Healthcare Medicaid | Mco United Healthcare | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Community Care Medicaid | Mco Community Care Family Care | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Dean Health Plan Medicaid | Mco Deancare | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $7,745.80 | — | — | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $7,907.63 | — | — | 2026-03-24 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | MVP Health Care of NY | Essential Plan 3&4 | $8,209.12 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | MVP Health Care of NY | Essential Plan 1&2 | $8,209.12 | — | — | 2026-05-22 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | United Healthcare Insurance Company | WI MEDICAID UHC COMMUNITY PLAN | $8,412.19 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $8,412.19 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $8,580.43 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | ICare | WI Medicaid I Care - CFV | $8,595.25 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $9,169.28 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $9,421.65 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MY CHOICE | $9,421.65 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $9,674.02 | — | — | 2026-03-23 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA AH | $9,889.14 | $9,889.14 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA AH BLIND_DISABLED | $9,889.14 | $9,889.14 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $9,889.14 | $9,889.14 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $10,154.02 | $10,154.02 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | UHC Apple Health | UNITED HEALTH CARE AH | $10,154.02 | $10,154.02 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $10,154.02 | $10,154.02 | — | 2024-07-01 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $10,288.92 | — | — | 2026-11-02 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid | $10,288.92 | — | — | 2026-11-02 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $10,288.92 | — | — | 2026-11-02 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicaid | $10,288.92 | — | — | 2026-11-02 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | ICare | WI MEDICAID I CARE | $10,515.23 | — | — | 2026-03-23 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $10,570.91 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $10,571.00 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | United Health Care | Medicaid | $10,700.47 | — | — | 2026-11-02 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | CHPW Apple Health | CHP WASHINGTON HEALTH | $10,727.95 | $10,727.95 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | CHPW Apple Health | CHP-BEHAVIORAL HEALTH ONLY | $10,727.95 | $10,727.95 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | CHPW Apple Health | CHP AH | $10,727.95 | $10,727.95 | — | 2024-07-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $10,931.17 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Molina IL | Managed Medicaid | $10,931.17 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Meridian Health IL | Managed Medicaid | $10,931.17 | — | — | 2026-02-13 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient | Blue Cross Blue Shield | Medicaid- Aca, Fhp, Icp | $10,931.17 | — | — | 2026-09-20 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $10,931.17 | — | — | 2026-02-11 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Wellcare (IL) Medicaid | Managed Medicaid | $10,931.17 | — | — | 2026-02-11 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | MeridianHealth (IL) | Managed Medicaid | $10,931.17 | — | — | 2026-02-11 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Aetna Better Health IL | Managed Medicaid | $10,931.17 | — | — | 2026-02-13 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | COORDINATED CARE BH | $11,036.98 | $11,036.98 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | COORDINATED CARE AH | $11,036.98 | $11,036.98 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | COORDINATED CARE-BEHAVIORAL HEALTH ONLY | $11,036.98 | $11,036.98 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | OPTICARE MANAGED VISION | $11,036.98 | $11,036.98 | — | 2024-07-01 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Denver Health | Managed Medicaid | $11,086.82 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $11,086.82 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Colorado Access | Managed Medicaid | $11,086.82 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Naphcare | Managed Medicaid | $11,086.82 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Denver Health | Managed Medicaid | $11,086.82 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Colorado Access | Managed Medicaid | $11,086.82 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $11,086.82 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Kaiser | Managed Medicaid | $11,086.82 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $11,086.82 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Denver Health | Managed Medicaid | $11,086.82 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Colorado Access | Managed Medicaid | $11,086.82 | — | — | 2024-12-02 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Staywell | Wellcare Medicaid | $11,099.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Humana | Medicaid | $11,099.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Humana | Medicaid | $11,099.45 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Staywell | Wellcare Medicaid | $11,099.45 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid | $11,112.03 | — | — | 2026-11-02 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | $11,121.44 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $11,121.44 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | $11,121.44 | — | — | 2025-10-28 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient | Meridian | Medicaid | $11,259.10 | — | — | 2026-09-20 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Vivada | Medicaid | $11,310.87 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Vivada | Medicaid | $11,311.00 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | $11,317.81 | — | — | 2026-11-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Kaiser | Managed Medicaid | $11,380.39 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Denver Health | Managed Medicaid | $11,380.39 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Colorado Access | Managed Medicaid | $11,380.39 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $11,380.39 | — | — | 2024-12-02 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Aetna | Medicaid | $11,416.58 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Aetna | Medicaid | $11,416.58 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $11,628.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Sunshine State Health | Medicaid | $11,628.00 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Community Care Plan | Medicaid | $11,832.26 | — | — | 2026-11-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Naphcare | Managed Medicaid | $11,895.84 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $11,895.84 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $11,895.84 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Naphcare | Managed Medicaid | $11,962.98 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $11,962.98 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $11,962.98 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $11,962.98 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Kaiser | Managed Medicaid | $11,962.98 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok Blue Lines | Hmo | $12,102.04 | — | — | 2026-11-02 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Advantage | $12,102.04 | — | — | 2026-11-02 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Prestige Health | Medicaid | $12,346.70 | — | — | 2026-11-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $12,404.46 | — | — | 2024-12-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $12,404.46 | — | — | 2024-12-02 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $12,685.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Simply | Medicaid | $12,685.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Simply | Medicaid | $12,685.09 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $12,685.09 | — | — | 2026-07-15 | MRF ↗ |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL OutpatientFacility | BCBS ND | Medicaid | $13,588.21 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | BCBS ND | Medicaid | $13,588.21 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | BCBS ND | Medicaid | $13,588.21 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS ND | Medicaid | $13,588.21 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | BCBS ND | Medicaid | $13,588.21 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | BCBS ND | Medicaid | $13,588.21 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | BCBS ND | Medicaid | $13,588.21 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | BCBS ND | Medicaid | $13,588.21 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BCBS ND | Medicaid | $13,588.21 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | BCBS ND | Medicaid | $13,588.21 | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR OutpatientFacility | BCBS ND | Medicaid | $13,588.21 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | BCBS ND | Medicaid | $13,588.21 | — | — | 2026-01-01 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | Meridian | Medicaid All Plans | $13,756.38 | — | — | 2026-03-27 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | County Care | Medicaid All Plans | $13,756.38 | — | — | 2026-03-27 | MRF ↗ |
| ST ELIZABETH HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $13,860.37 | — | — | 2024-12-02 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $14,315.91 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $14,315.91 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $14,315.91 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Meridian Health Plan | Managed Medicaid | $14,315.91 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $14,315.91 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $14,315.91 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Meridian Health Plan | Managed Medicaid | $14,315.91 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $14,315.91 | — | — | 2025-11-12 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $14,988.56 | — | — | 2024-12-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER OutpatientFacility | Denver Health | Managed Medicaid | $14,988.56 | — | — | 2024-12-02 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $14,988.57 | — | — | 2024-12-02 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER OutpatientFacility | Denver Health | Managed Medicaid | $14,988.57 | — | — | 2024-12-02 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER OutpatientFacility | Colorado Access | Managed Medicaid | $14,988.57 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Ppo | $15,469.74 | — | — | 2026-11-02 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Lighthouse | Medicaid | $15,694.72 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Medicaid | Medicaid | $15,694.72 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Florida Community Care | Medicaid | $15,694.72 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Sunshine | Medicaid | $15,694.72 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Wellcare | Medicaid | $16,165.56 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Molina Medicaid | Mco | $16,441.51 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Humana Medicaid | Mco | $16,441.51 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Amerihealth Caritas Medicaid | Mco | $16,441.51 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Buckeye Community Health Plan Medicaid | Mco | $16,441.51 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Caresource Medicaid | Mco | $16,441.51 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Uhc Community Plan Medicaid | Mco | $16,441.51 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Paramount Advantage Medicaid | Mco | $16,441.51 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $16,628.07 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Aetna Better Health | Mycare | $16,960.63 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Mycare | $17,126.91 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $17,126.91 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $17,126.91 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $17,126.91 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $17,293.19 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $17,459.47 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $17,459.47 | — | — | 2026-08-01 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Choice | Managed Care | $17,570.31 | — | — | 2026-11-02 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | BCBS ND | Commercial | $17,709.90 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BCBS ND | Commercial | $17,709.90 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | BCBS ND | Commercial | $17,709.90 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS ND | Commercial | $17,709.90 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | BCBS ND | Commercial | $17,709.90 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | BCBS ND | Commercial | $17,709.90 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL OutpatientFacility | BCBS ND | Commercial | $17,709.90 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | BCBS ND | Commercial | $17,709.90 | — | — | 2026-01-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.