58 — Level Ii Shoulder And Upper Arm Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LEVEL II SHOULDER AND UPPER ARM PROCEDURES (EAPG 58) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/58?code_type=EAPG
MLA (9th ed.)
“LEVEL II SHOULDER AND UPPER ARM PROCEDURES (EAPG 58) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/58?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“LEVEL II SHOULDER AND UPPER ARM PROCEDURES (EAPG 58) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/58?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,474–$15,995 (25th–75th percentile) across 79 hospitals · 88 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 58 — 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 |
|---|---|---|---|---|---|---|---|
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Advantage | $1,004.44 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Qhp | $1,004.44 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Ppo | $1,283.62 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Choice | Managed Care | $1,458.04 | — | — | 2026-07-15 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $1,717.39 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $1,717.39 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $1,717.39 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | GHC | Managed Medicaid | $1,717.39 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Anthem BCBS | Managed Medicaid | $1,717.39 | — | — | 2026-01-29 | MRF ↗ |
| SAUK PRAIRIE HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $1,717.39 | — | — | 2026-01-29 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $1,764.66 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Essential Plan 1,2,5,6 | $1,764.66 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $1,764.66 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $1,764.66 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $1,764.66 | — | — | 2026-07-15 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | MVP Health Care | Managed Medicaid | $1,818.59 | — | — | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | United Healthcare | Managed Medicaid | $2,020.66 | — | — | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Fidelis | Managed Medicaid | $2,020.66 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $2,020.66 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $2,020.66 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $2,020.66 | — | — | 2025-08-07 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | Galaxy Health | Workers Comp | $2,178.19 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | United Healthcare | CHIP/Family Health Plus/Medicaid | $2,222.70 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | Hamaspik Choice | Medicaid | $2,222.70 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | EmblemHealth | Essential Plan 3/Essential Plan 4 | $2,222.70 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | EmblemHealth | Medicaid | $2,222.70 | — | — | 2026-05-22 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Fidelis | Medicare Advantage | $2,222.73 | — | — | 2025-08-07 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | WellCare | Child Health Plus/Family Health Plus/Medicaid | $2,333.85 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | MVP Health Care of NY | Child Health Plus/Family Health Plus/HARP/Medicaid | $2,333.85 | — | — | 2026-05-22 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid | $2,424.79 | — | — | 2025-08-07 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | EmblemHealth | Essential Plan 1/Essential Plan 2 | $2,667.19 | — | — | 2026-05-22 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | EmblemHealth | Managed Medicaid | $2,877.44 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | $2,877.44 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | $2,877.44 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,165.18 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | $3,452.93 | — | — | 2025-10-28 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Fidelis | Commercial | $4,041.32 | — | — | 2025-08-07 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $4,168.10 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $4,251.46 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $4,543.23 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $4,543.23 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID TRILOGY | $4,668.27 | — | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Community Care Medicaid | Mco Community Care Family Care | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Mercy Care Medicaid | Mco Mercycare | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | United Healthcare Medicaid | Mco United Healthcare | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | My Choice Medicaid | Mco Hmo My Choice | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Dean Health Plan Medicaid | Mco Deancare | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Anthem Medicaid | Mco Anthem | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Icare Medicaid | Mco Icare | $4,695.22 | — | — | 2026-07-15 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | MVP Health Care of NY | Essential Plan 3&4 | $4,778.86 | — | — | 2026-05-22 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | MVP Health Care of NY | Essential Plan 1&2 | $4,778.86 | — | — | 2026-05-22 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $4,793.32 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $5,099.16 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | United Healthcare Insurance Company | WI MEDICAID UHC COMMUNITY PLAN | $5,099.16 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $5,201.15 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | ICare | WI Medicaid I Care - CFV | $5,210.13 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $5,558.09 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $5,711.06 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MY CHOICE | $5,711.06 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $5,864.04 | — | — | 2026-03-23 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Wellcare (IL) Medicaid | Managed Medicaid | $5,869.80 | — | — | 2026-02-11 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $5,869.80 | — | — | 2026-02-11 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $5,869.80 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Molina IL | Managed Medicaid | $5,869.80 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Aetna Better Health IL | Managed Medicaid | $5,869.80 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Meridian Health IL | Managed Medicaid | $5,869.80 | — | — | 2026-02-13 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | MeridianHealth (IL) | Managed Medicaid | $5,869.80 | — | — | 2026-02-11 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient | Blue Cross Blue Shield | Medicaid- Aca, Fhp, Icp | $5,869.80 | — | — | 2026-09-20 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient | Meridian | Medicaid | $6,045.89 | — | — | 2026-09-20 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid | $6,094.53 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $6,094.53 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $6,094.53 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicaid | $6,094.53 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $6,094.53 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $6,095.00 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $6,338.31 | — | — | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | ICare | WI MEDICAID I CARE | $6,373.95 | — | — | 2026-03-23 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Staywell | Wellcare Medicaid | $6,399.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Humana | Medicaid | $6,399.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Humana | Medicaid | $6,399.26 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Staywell | Wellcare Medicaid | $6,399.26 | — | — | 2026-07-15 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | $6,474.24 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | $6,474.24 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $6,474.24 | — | — | 2025-10-28 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Vivada | Medicaid | $6,521.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Vivada | Medicaid | $6,521.15 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid | $6,582.09 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Aetna | Medicaid | $6,582.09 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Aetna | Medicaid | $6,582.09 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | $6,703.98 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Sunshine State Health | Medicaid | $6,703.98 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $6,704.00 | — | — | 2026-07-15 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $7,256.88 | $7,256.88 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA AH BLIND_DISABLED | $7,256.88 | $7,256.88 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Molina Apple Health | MOLINA AH | $7,256.88 | $7,256.88 | — | 2024-07-01 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $7,313.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Simply | Medicaid | $7,313.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Simply | Medicaid | $7,313.44 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $7,313.44 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Prestigehealth | Medicaid | $7,313.44 | — | — | 2026-07-15 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | Meridian | Medicaid All Plans | $7,386.88 | — | — | 2026-03-27 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | County Care | Medicaid All Plans | $7,386.88 | — | — | 2026-03-27 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $7,451.26 | $7,451.26 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | UHC Apple Health | UNITED HEALTH CARE AH | $7,451.26 | $7,451.26 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $7,451.26 | $7,451.26 | — | 2024-07-01 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $7,687.33 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $7,687.33 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $7,687.33 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Meridian Health Plan | Managed Medicaid | $7,687.33 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Meridian Health Plan | Managed Medicaid | $7,687.33 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $7,687.33 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $7,687.33 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS OutpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $7,687.33 | — | — | 2025-11-12 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Molina Medicaid | Mco | $7,720.10 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Paramount Advantage Medicaid | Mco | $7,720.10 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Uhc Community Plan Medicaid | Mco | $7,720.10 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Amerihealth Caritas Medicaid | Mco | $7,720.10 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Caresource Medicaid | Mco | $7,720.10 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Humana Medicaid | Mco | $7,720.10 | — | — | 2026-07-15 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Buckeye Community Health Plan Medicaid | Mco | $7,720.10 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $7,807.69 | — | — | 2026-08-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | CHPW Apple Health | CHP AH | $7,872.42 | $7,872.42 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | CHPW Apple Health | CHP WASHINGTON HEALTH | $7,872.42 | $7,872.42 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | CHPW Apple Health | CHP-BEHAVIORAL HEALTH ONLY | $7,872.42 | $7,872.42 | — | 2024-07-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Aetna Better Health | Mycare | $7,963.85 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $8,041.92 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $8,041.92 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $8,041.92 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Mycare | $8,041.92 | — | — | 2026-08-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | COORDINATED CARE AH | $8,099.20 | $8,099.20 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | COORDINATED CARE BH | $8,099.20 | $8,099.20 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | OPTICARE MANAGED VISION | $8,099.20 | $8,099.20 | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Coordinated Care Apple Health | COORDINATED CARE-BEHAVIORAL HEALTH ONLY | $8,099.20 | $8,099.20 | — | 2024-07-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $8,120.00 | — | — | 2026-08-01 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Denver Health | Managed Medicaid | $8,135.76 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Colorado Access | Managed Medicaid | $8,135.76 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Denver Health | Managed Medicaid | $8,135.76 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $8,135.76 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Kaiser | Managed Medicaid | $8,135.76 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST OutpatientFacility | Naphcare | Managed Medicaid | $8,135.76 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Colorado Access | Managed Medicaid | $8,135.76 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Denver Health | Managed Medicaid | $8,135.76 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Colorado Access | Managed Medicaid | $8,135.76 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $8,135.76 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $8,135.76 | — | — | 2024-12-02 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $8,198.08 | — | — | 2026-08-01 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $8,198.08 | — | — | 2026-08-01 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Colorado Access | Managed Medicaid | $8,351.19 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Kaiser | Managed Medicaid | $8,351.19 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Denver Health | Managed Medicaid | $8,351.19 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $8,351.19 | — | — | 2024-12-02 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Mass Health | Medicaid | $8,458.46 | — | — | 2026-07-15 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Boston Medical Center /Wellsense- | Non-Metals (Baco) | $8,458.46 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Tufts Health Together | Medicaid | $8,518.30 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Masshealth | — | $8,518.30 | — | — | 2026-07-15 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Fallon 365 / Wellforce | Medicaid | $8,518.30 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Ohio Medicaid Ffs | Medicaid | $8,548.24 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $8,548.24 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $8,729.44 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $8,729.44 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL OutpatientFacility | Naphcare | Managed Medicaid | $8,729.44 | — | — | 2024-12-02 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $8,751.14 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $8,751.14 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Non-contracted Medicaid | Non-contracted Medicaid | $8,751.14 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Care Source | Caresource Medicaid | $8,751.14 | — | — | 2024-12-19 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Hne | Medicaid | $8,774.43 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bmc | Healthnet Plan | $8,774.43 | — | — | 2026-07-15 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $8,778.71 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Kaiser | Managed Medicaid | $8,778.71 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Naphcare | Managed Medicaid | $8,778.71 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $8,778.71 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $8,778.71 | — | — | 2024-12-02 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $8,804.69 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $8,804.69 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $8,804.69 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $8,890.17 | — | — | 2026-07-15 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Molina | Molina Medicaid | $8,926.16 | — | — | 2024-12-19 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $8,975.65 | — | — | 2026-07-15 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $8,975.65 | — | — | 2026-07-15 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Molina | Molina Medicaid | $9,005.88 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $9,005.88 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $9,005.88 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $9,005.88 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Anthem BCBS | Anthem BCBS Medicaid | $9,013.67 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Choice Care Humana | Choice care Humana Medicaid | $9,101.19 | — | — | 2024-12-19 | MRF ↗ |
| LONGMONT UNITED HOSPITAL OutpatientFacility | Denver Health | Managed Medicaid | $9,102.69 | — | — | 2024-12-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL OutpatientFacility | Colorado Access | Managed Medicaid | $9,102.69 | — | — | 2024-12-02 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Care Source | Care source Medicaid | $9,186.00 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Paramount | Paramount Medicaid | $9,188.70 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | UHC | UHC Medicaid | $9,188.70 | — | — | 2024-12-19 | MRF ↗ |
| COSHOCTON REGIONAL MEDICAL CENTER Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $9,188.70 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Paramount | Paramount Medicaid | $9,276.06 | — | — | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Anthem Blue Cross | Anthem BCBS Medicaid | $9,276.06 | — | — | 2024-12-19 | 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.