58671 — Laparoscopy Tubal Block
Cite this view
HANK Price Transparency. (n.d.). LAPAROSCOPY TUBAL BLOCK (HCPCS 58671) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/58671?code_type=HCPCS
“LAPAROSCOPY TUBAL BLOCK (HCPCS 58671) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/58671?code_type=HCPCS. Accessed .
“LAPAROSCOPY TUBAL BLOCK (HCPCS 58671) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/58671?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,086–$8,215 (25th–75th percentile) across 2,107 hospitals · 3,912 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 58671 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees 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 2,107 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. | $5,834 |
| Surgeon (professional fee) Estimate national typical Medicare $333 × 1.22 commercial. | $406 |
| Anesthesia Estimate national typical 00851, ~90 min typical. Medicare $246 × 3.14 commercial. | $772 |
| Likely subtotal | $7,013 |
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 $2,086–$8,215.
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 |
|---|---|---|---|---|---|---|---|
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $4.31 | $3,492.00 | $2,619.00 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $4.31 | $1,195.00 | $896.25 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $4.31 | $1,195.00 | $896.25 | 2025-03-07 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $6.48 | $10.80 | $10.80 | 2026-03-16 | 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 ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $7.29 | $700.50 | $700.50 | 2026-04-24 | 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 | $9.27 | $15.45 | $15.45 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $9.99 | $16.65 | $16.65 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $10.62 | $17.70 | $17.70 | 2026-03-16 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $10.67 | $1,275.00 | $242.25 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $10.67 | $911.00 | $173.09 | 2026-01-25 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $11.07 | $18.45 | $18.45 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $11.61 | $19.35 | $19.35 | 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 | $13.77 | $22.95 | $22.95 | 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 ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $15.50 | $999.00 | $999.00 | 2026-07-09 | 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 ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $19.23 | $10,683.00 | $5,722.52 | 2024-12-31 | 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 HMO | AETNA/FIRST HEALTH HMO | $19.59 | $1,431.00 | $1,001.70 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $1,431.00 | $1,001.70 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $1,431.00 | $1,001.70 | 2026-07-14 | 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 ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $21.34 | $2,455.00 | $2,455.00 | 2026-02-13 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $24.12 | $40.20 | $40.20 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $24.93 | $41.55 | $41.55 | 2026-03-16 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Cigna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | 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 | $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 ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $27.45 | $45.75 | $45.75 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $29.25 | $48.75 | $48.75 | 2026-03-16 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $1,444.00 | $1,083.00 | 2026-03-18 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $33.46 | $55.77 | $55.77 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $36.09 | $60.15 | $60.15 | 2026-03-16 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $38.07 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $38.07 | — | — | 2026-04-01 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $38.16 | $63.60 | $63.60 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $39.15 | $65.25 | $65.25 | 2026-03-16 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $858.00 | $858.00 | 2025-03-18 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $40.35 | $2,839.00 | $2,129.25 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $40.35 | $2,839.00 | $2,129.25 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $40.35 | $2,839.00 | $2,129.25 | 2026-10-01 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $41.96 | $69.93 | $69.93 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $42.57 | $70.95 | $70.95 | 2026-03-16 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $1,402.00 | $911.30 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $1,402.00 | $911.30 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $1,402.00 | $911.30 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $1,402.00 | $911.30 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $1,402.00 | $911.30 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $1,402.00 | $911.30 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $1,402.00 | $911.30 | 2026-08-01 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $43.83 | $73.05 | $73.05 | 2026-03-16 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ACA PPO - ALL OTHER PLANS | AVERA ACA PPO - ALL OTHER PLANS | $46.00 | $1,820.00 | $1,092.00 | 2025-12-20 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA HMO | AVERA HMO | $46.00 | $1,820.00 | $1,092.00 | 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 | $1,820.00 | $1,092.00 | 2025-12-20 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $49.41 | $366.00 | $274.50 | 2026-01-16 | 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 | $1,820.00 | $1,092.00 | 2025-12-20 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $54.18 | $90.30 | $90.30 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $55.62 | $92.70 | $92.70 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $55.71 | $92.85 | $92.85 | 2026-03-16 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | BCBS OREGON NON-PAR - ALL OTHER PLANS | BCBS OREGON NON-PAR - ALL OTHER PLANS | $60.61 | $999.00 | $999.00 | 2026-07-09 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | BCBS OREGON PAR | BCBS OREGON PAR | $60.61 | $999.00 | $999.00 | 2026-07-09 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $1,275.00 | $255.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $1,275.00 | $255.00 | 2026-05-24 | MRF ↗ |
| KNOXVILLE HOSPITAL & CLINICS Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $71.93 | $1,205.00 | $723.00 | 2026-01-24 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $73.26 | $122.10 | $122.10 | 2026-03-16 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $74.10 | $741.00 | $741.00 | 2026-07-15 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $75.95 | $366.00 | $274.50 | 2026-01-16 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MAGNACARE [115] | MAGNACARE | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|UNIVERA MYHEALTH PLUS|HEALTHY NY | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP|CIGNA|GWH CIGNA|NALC CIGNA | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC CARRIER [107] | COMMERCIAL|HUMANA|MULTIPLAN|CDPHP COMMERCIAL | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 1&2 | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | CHILD HEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|UNIVERA ESSENTIAL 1&2 | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | VALUE OPTIONS [145] | VALUE OPTIONS GOLD [14502] | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC MEDICARE COMPLETE | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP GOLD HMO | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|EMPIRE BLUE CROSS (NYC)|BLUE CROSS & BLUE SHIELD|DENTAL BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO|WELLCARE DENTAL | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | VALUE OPTIONS [145] | VALUE OPTIONS OPTION [14503] | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | VALUE OPTIONS [145] | VALUE OPTIONS [14501] | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC|NOVA HEALTHCARE-IHA | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC DUAL COMPLETE | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | AETNA [100] | AETNA MEDICARE ADVANTAGE | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICAID|HIGHMARK ESSENTIALS|HIGHMARK CHP | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK MEDICARE | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | HUMANA MEDICARE HMO|GENERIC MEDICARE HMO|ELDERPLAN|MH OPTUM MEDICARE|CDPHP MEDICARE HMO | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MVP [109] | MVP GOLD PPO | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE|TRICARE FOR LIFE|MARTINS POINT/US FAMILY | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Outpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | — | $17,851.05 | $14,280.84 | 2024-12-30 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $1,038.50 | $675.03 | 2026-08-10 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $83.58 | — | — | 2026-01-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $84.92 | — | — | 2026-03-18 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | BlueChoice (PPO) | $85.00 | $8,610.42 | $5,166.25 | 2026-06-13 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $85.45 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $85.45 | — | — | 2026-03-18 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Both | Cigna | All | $87.93 | $146.55 | $146.55 | 2026-03-16 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | Multiplan | PPO | $88.00 | $378.00 | $264.60 | 2026-01-13 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Ip|Negotiated_Percentage | — | $91.00 | $702.00 | $421.20 | 2026-08-01 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH HEALTHY FAMILIES | NH HEALTHY FAMILIES | $91.59 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Op|Negotiated_Percentage | — | $93.00 | $702.00 | $421.20 | 2026-08-01 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|United Healthcare|Negotiated_Percentage | — | $95.00 | $702.00 | $421.20 | 2026-08-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Cigna|Negotiated_Percentage | — | $95.00 | $702.00 | $421.20 | 2026-08-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Multiplan|Negotiated_Percentage | — | $95.00 | $702.00 | $421.20 | 2026-08-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Aetna|Negotiated_Percentage | — | $95.00 | $702.00 | $421.20 | 2026-08-01 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS NH | AMERIHEALTH CARITAS NH | $96.20 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $96.27 | — | — | 2026-07-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $97.32 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $97.93 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $97.93 | — | — | 2026-03-18 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | First Health | Hmo | — | $1,618.00 | $1,456.20 | 2026-09-20 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Mvp Vt Commercial | Hmo | — | $1,618.00 | $1,456.20 | 2026-09-20 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Mvp Vt Health Connect | Hmo | — | $1,618.00 | $1,456.20 | 2026-09-20 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $102.69 | — | — | 2026-07-18 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | TUFTS HEALTH MEDICARE HMO | $103.50 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | RAILROAD MEDICARE | RAILROAD MEDICARE | $103.50 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | OTHER INSURANCES | OTHER MANAGED CARE | $103.50 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | GENERATIONS ADVANTAGE | $103.50 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | OTHER MEDICARE HMO | $103.50 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE | MEDICARE | $103.50 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | TODAYS OPTIONS | $103.50 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | SMART VALUE BLUE (MC HMO) | $103.50 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | CHAMPVA | CHAMPVA | $103.50 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | US FAMILY HEALTH PLAN | US FAMILY HEALTH PLAN | $103.60 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | TRICARE EAST | TRICARE EAST | $103.60 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH BCBS ACA EXCHANGE | NH BCBS ACA EXCHANGE | $104.47 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | HARVARD PILGRIM NHPAP | HARVARD NHPAP | $105.57 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $105.96 | — | — | 2026-03-18 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | UNITED HEALTHCARE MEDICAR | $106.56 | $207.00 | $113.85 | 2026-04-10 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $106.63 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $106.63 | — | — | 2026-03-18 | 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.