58260 — Vaginal Hysterectomy
Cite this view
HANK Price Transparency. (n.d.). VAGINAL HYSTERECTOMY (CPT 58260) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/58260?code_type=CPT
“VAGINAL HYSTERECTOMY (CPT 58260) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/58260?code_type=CPT. Accessed .
“VAGINAL HYSTERECTOMY (CPT 58260) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/58260?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,804–$7,525 (25th–75th percentile) across 2,303 hospitals · 4,636 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 58260 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Also priced as a different code
The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the CPT/HCPCS 58260 table above — including hospitals that only publish the bundled version.
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
- Acuity Specialty Hospital Ohio Valley, BELLAIRE • only here
An MS-DRG / APR-DRG price is the hospital’s single bundled charge for the entire inpatient stay — operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies — so it’s a broader, usually higher figure than the CPT/HCPCS 58260 line above, which prices the procedure alone. Neither includes the surgeon’s or anesthesiologist’s professional fees, which are billed separately.
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
The middle 50% of negotiated facility rates for this procedure, measured across 2,303 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $5,233 |
| Surgeon (professional fee) Estimate national typical Medicare $742 × 1.22 commercial. | $905 |
| Anesthesia Estimate national typical 00944, ~90 min typical. Medicare $246 × 3.14 commercial. | $772 |
| Likely subtotal | $6,911 |
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $2,804–$7,525.
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national
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 |
|---|---|---|---|---|---|---|---|
| Utmb Galveston Transplant Outpatient | Cigna | Hmo Ppo Pos | — | $52,712.09 | $22,667.79 | 2026-07-15 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $7.02 | $11.70 | $11.70 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $7.29 | $12.15 | $12.15 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $7.65 | $12.75 | $12.75 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $8.10 | $13.50 | $13.50 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $8.55 | $14.25 | $14.25 | 2026-03-16 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Multiplan Inc. for American Family | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare A MS JH | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Primewell Vantage Health Plan | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | GEHA Multiplan Network | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Connecticut General Cigna | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $8.77 | $5,969.00 | $4,476.75 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $8.77 | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Magnolia Health Plan MCD Rep | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicaid Mississippi | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Private Healthcare Systems PHCS | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | First Choice Health Network | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare B MS JH | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Select Health Care | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Advanced Health | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Physicians Care Network | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | UHC Community Plan MS | Default | — | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $10.62 | $17.70 | $17.70 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $13.05 | $21.75 | $21.75 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $13.95 | $23.25 | $23.25 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $14.13 | $23.55 | $23.55 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $15.49 | $25.81 | $25.81 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $15.66 | $26.10 | $26.10 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $15.93 | $26.55 | $26.55 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $16.74 | $27.90 | $27.90 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $17.37 | $28.95 | $28.95 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $17.55 | $29.25 | $29.25 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $19.35 | $32.25 | $32.25 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $19.50 | $32.50 | $32.50 | 2026-03-16 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $3,290.00 | $2,303.00 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $3,290.00 | $2,303.00 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $3,290.00 | $2,303.00 | 2026-07-14 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $20.16 | $33.60 | $33.60 | 2026-03-16 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $20.35 | $11,304.00 | $5,088.98 | 2024-12-31 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $20.48 | $34.13 | $34.13 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $20.70 | $34.50 | $34.50 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $21.69 | $36.15 | $36.15 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $22.23 | $37.05 | $37.05 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $22.68 | $37.80 | $37.80 | 2026-03-16 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $24.12 | $40.20 | $40.20 | 2026-03-16 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $24.20 | $457.00 | $86.83 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $24.20 | $337.00 | $64.03 | 2026-01-25 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $24.39 | $40.65 | $40.65 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $24.93 | $41.55 | $41.55 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $25.65 | $42.75 | $42.75 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $26.91 | $44.85 | $44.85 | 2026-03-16 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $29.27 | $992.00 | $317.44 | 2026-05-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $3,464.00 | $2,598.00 | 2026-03-18 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $30.69 | $51.15 | $51.15 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $33.57 | $55.95 | $55.95 | 2026-03-16 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $35.00 | $457.00 | $91.40 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $35.00 | $457.00 | $91.40 | 2026-05-24 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $35.22 | $5,412.00 | $5,412.00 | 2026-07-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $36.09 | $60.15 | $60.15 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $38.70 | $64.50 | $64.50 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $39.15 | $65.25 | $65.25 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $39.42 | $65.70 | $65.70 | 2026-03-16 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $387.00 | $387.00 | 2025-03-18 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $1,875.00 | $1,875.00 | 2025-03-18 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $40.23 | $67.05 | $67.05 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $42.57 | $70.95 | $70.95 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $43.83 | $73.05 | $73.05 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $44.91 | $74.85 | $74.85 | 2026-03-16 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ACA PPO - ALL OTHER PLANS | AVERA ACA PPO - ALL OTHER PLANS | $46.00 | $3,942.00 | $2,365.20 | 2025-12-20 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA HMO | AVERA HMO | $46.00 | $3,942.00 | $2,365.20 | 2025-12-20 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $47.43 | $79.05 | $79.05 | 2026-03-16 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ASO PPO | AVERA ASO PPO | $48.00 | $3,942.00 | $2,365.20 | 2025-12-20 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $48.40 | $4,232.00 | $4,232.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $48.40 | $4,232.00 | $4,232.00 | 2026-02-13 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $51.27 | $85.45 | $85.45 | 2026-03-16 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA NONACA PPO | AVERA NONACA PPO | $54.00 | $3,942.00 | $2,365.20 | 2025-12-20 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $58.23 | $97.05 | $97.05 | 2026-03-16 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $60.00 | $457.00 | $68.55 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | MEDI-CAL | MEDI-CAL | $60.00 | $457.00 | $68.55 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $60.00 | $457.00 | $68.55 | 2026-10-05 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $61.74 | $102.90 | $102.90 | 2026-03-16 | MRF ↗ |
| LOURDES COUNSELING CENTER OutpatientFacility | AETNA | POS | $64.19 | $85.59 | $34.24 | 2026-07-10 | MRF ↗ |
| LOURDES COUNSELING CENTER OutpatientFacility | AETNA | POS | $64.19 | $85.59 | $34.24 | 2026-07-10 | MRF ↗ |
| LOURDES MEDICAL CENTER Outpatient | AETNA | POS | $64.19 | $85.59 | $34.24 | 2025-09-24 | MRF ↗ |
| NATIVIDAD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $65.00 | $2,311.00 | $2,311.00 | 2026-08-14 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $457.00 | $91.40 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $457.00 | $91.40 | 2026-05-24 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $73.26 | $122.10 | $122.10 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $76.14 | $126.90 | $126.90 | 2026-03-16 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $76.98 | $2,431.00 | $2,431.00 | 2026-02-09 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $78.08 | $130.13 | $130.13 | 2026-03-16 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $1,948.80 | $1,266.72 | 2026-08-10 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UPN MCAL PROFEE | UPN MCAL PROFEE | $84.25 | $337.00 | $64.03 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $84.60 | $457.00 | $68.55 | 2026-10-05 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $86.49 | $144.15 | $144.15 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $87.93 | $146.55 | $146.55 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $88.53 | $147.55 | $147.55 | 2026-03-16 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $93.43 | $4,750.00 | $3,562.50 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $93.43 | $4,750.00 | $3,562.50 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $93.43 | $4,750.00 | $3,562.50 | 2026-10-01 | MRF ↗ |
| SUBLETTE COUNTY HEALTH Outpatient | TRICARE PROFEE ONLY - ALL PLANS | TRICARE PROFEE ONLY - ALL PLANS | $97.00 | $1,993.00 | $1,793.70 | 2026-10-07 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | LIFETIME_BEN | LIFETIME BENEFITS | $97.24 | $154.35 | $279.36 | 2025-01-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UPN MCAL PROFEE | UPN MCAL PROFEE | $97.25 | $389.00 | $73.91 | 2026-05-19 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $97.81 | $163.02 | $163.02 | 2026-03-16 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Mvp Vt Health Connect | Hmo | — | $1,048.00 | $943.20 | 2026-09-20 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | First Health | Hmo | — | $1,048.00 | $943.20 | 2026-09-20 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Mvp Vt Commercial | Hmo | — | $1,048.00 | $943.20 | 2026-09-20 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $103.02 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $103.02 | — | — | 2026-04-01 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $104.44 | $174.07 | $174.07 | 2026-03-16 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $112.32 | $832.00 | $624.00 | 2026-01-16 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UPN MCAL PROFEE | UPN MCAL PROFEE | $114.25 | $457.00 | $86.83 | 2026-05-19 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $120.19 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $120.19 | — | — | 2026-04-01 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | AETNA | AETNA | $120.39 | $154.35 | $279.36 | 2025-01-19 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | HEALTH NET | HEALTH NET | $152.00 | $304.00 | $228.00 | 2026-04-27 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $152.00 | $2,509.00 | $2,207.92 | 2026-02-03 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $152.00 | $304.00 | $228.00 | 2026-04-27 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR SELECT | UCARE MCR SELECT | $152.00 | $2,509.00 | $2,207.92 | 2026-02-03 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | TRICARE | TRICARE | $153.97 | $329.00 | $329.00 | 2025-07-29 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | HUMANA_MCARE_ADV | HUMANA GOLD PLUS MEDICARE HMO | $154.35 | $154.35 | $279.36 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | AETNA_MCAREHMO | AETNA MEDICARE HMO | $154.35 | $154.35 | $279.36 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UHC_MCARE_ADV | UHC MEDICARE COMPLETE CHOICE | $154.35 | $154.35 | $279.36 | 2025-01-19 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $162.14 | $457.00 | $86.83 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $162.14 | $457.00 | $86.83 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $162.14 | $457.00 | $86.83 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $162.14 | $457.00 | $86.83 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $162.14 | $457.00 | $86.83 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BC MCAL | BC MCAL | $162.14 | $457.00 | $86.83 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $162.14 | $457.00 | $86.83 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $162.14 | $457.00 | $86.83 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $162.14 | $457.00 | $86.83 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | MEDI-CAL | MEDI-CAL | $162.14 | $457.00 | $86.83 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $162.14 | $457.00 | $86.83 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $162.14 | $457.00 | $86.83 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $162.14 | $457.00 | $86.83 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $162.14 | $457.00 | $86.83 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $162.14 | $457.00 | $86.83 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $162.14 | $457.00 | $86.83 | 2026-05-19 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Blue Cross Blue Shield of MS INST | Default | $170.00 | $5,969.00 | $4,476.75 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Blue Cross Blue Shield of MS INST | Default | $170.00 | $5,969.00 | $4,476.75 | 2025-03-07 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $172.64 | $832.00 | $624.00 | 2026-01-16 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|CDPHP MEDICARE HMO | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR|MEDICARE BLUE PPO | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MULTIPLAN [141] | MULTIPLAN | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 1&2 | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL 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 | — | $12,667.15 | $8,233.65 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC CARRIER [107] | COMMERCIAL|HUMANA|CDPHP COMMERCIAL | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICARE | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP ROCHESTER|MVP|CIGNA|GWH CIGNA|NALC CIGNA | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MVP [109] | MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | — | $17,785.73 | $11,560.72 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $14,922.56 | $9,699.66 | 2024-12-30 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_IA_TOTALCARE | MANAGED CARE IOWA MEDICAID | $180.95 | $329.00 | $329.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_AMERIHEALTH | MANAGED CARE IOWA MEDICAID | $180.95 | $329.00 | $329.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_UNITEDHEALTHCARE | MANAGED CARE IOWA MEDICAID | $180.95 | $329.00 | $329.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MEDICAID_IOWA | IOWA MEDICAID | $180.95 | $329.00 | $329.00 | 2025-07-29 | MRF ↗ |
| JACKSON COUNTY REGIONAL HEALTH CENTER Outpatient | MCO_AMERIGROUP | MANAGED CARE IOWA MEDICAID | $182.76 | $329.00 | $329.00 | 2025-07-29 | MRF ↗ |
| PELLA REGIONAL HEALTH CENTER Outpatient | Wellmark Inc Dba Wellmark Blue Cross And Blue Shield Of Iowa | Ppo | $183.50 | $2,347.00 | $2,347.00 | 2026-07-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $186.45 | — | — | 2025-10-24 | 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.