59300 — Episiotomy Or Vaginal Repair
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EPISIOTOMY OR VAGINAL REPAIR (HCPCS 59300) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/59300?code_type=HCPCS
MLA (9th ed.)
“EPISIOTOMY OR VAGINAL REPAIR (HCPCS 59300) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/59300?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“EPISIOTOMY OR VAGINAL REPAIR (HCPCS 59300) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/59300?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,280–$4,690 (25th–75th percentile) across 1,891 hospitals · 5,571 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 59300 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
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 figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,280
$3,116 typical
$4,690
The middle 50% of negotiated facility rates for this procedure, measured across 1,891 hospitals. Surgeon & 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. | $3,116 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $134 × 1.22 commercial. | $163 |
| Likely subtotal | $3,279 |
Surgical episode (typical)
~$3,279
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$7,063
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
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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $3.17 | $1,044.83 | $679.14 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $3.17 | $1,044.83 | $679.14 | 2026-03-12 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.80 | $365.40 | $365.40 | 2026-04-24 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $4.26 | $356.00 | $67.64 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH AND RIDEOUT Outpatient | PREMIER PHYS EMPLOY PROFEE ONLY | PREMIER PHYS EMPLOY PROFEE ONLY | $4.69 | $423.00 | $93.06 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $4.69 | $394.00 | $256.10 | 2026-05-07 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $6.54 | $7,158.00 | $2,648.46 | 2026-03-31 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $8.52 | $632.00 | $632.00 | 2026-02-13 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $11.17 | $6,205.00 | $3,104.30 | 2024-12-31 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $12.80 | $1,044.83 | $679.14 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $12.80 | $1,044.83 | $679.14 | 2026-03-12 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $18.00 | $484.00 | $130.68 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $18.00 | $484.00 | $91.96 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $18.00 | $484.00 | $91.96 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $18.00 | $484.00 | $91.96 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $18.00 | $484.00 | $130.68 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $18.00 | $484.00 | $91.96 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $18.00 | $484.00 | $91.96 | 2026-01-31 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Blue Shield | Medicaid | $22.71 | $11,896.00 | $4,758.40 | 2026-05-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Molina | Medicaid | $22.71 | $9,517.00 | — | 2026-05-08 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield Promise | Medi-Cal | $22.71 | — | — | 2026-03-18 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Heritage | Medicaid | $22.71 | $9,517.00 | — | 2026-05-08 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield Promise | Medi-Cal | $22.71 | — | — | 2026-03-18 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS Both | CONTRA COSTA COUNTY JAIL [1012104] | CCC JAIL [101210401] | $22.71 | $8,774.75 | $3,948.64 | 2026-03-23 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Heritage | Medicaid | $22.71 | $13,502.00 | $5,400.80 | 2026-05-06 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield Promise | Medi-Cal | $22.71 | — | — | 2026-03-18 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | United Healthcare | Medicaid | $22.71 | $9,517.00 | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Blue Shield | Medicaid | $22.71 | $11,896.00 | $4,758.40 | 2026-05-14 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Both | MEDI-CAL | MEDI-CAL | $22.71 | $2,026.00 | $2,026.00 | 2025-12-03 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Iehp | Medicaid | $22.71 | $9,517.00 | — | 2026-05-08 | MRF ↗ |
| MOUNTAINS COMMUNITY HOSPITAL OutpatientFacility | KAISER | MED ADV | $22.71 | — | — | 2026-01-14 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | CalOptima | Managed Medi-Cal LTC | $22.71 | — | — | 2026-03-18 | MRF ↗ |
| JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS Both | CONTRA COSTA COUNTY JAIL [1012104] | CCC JAIL [101210401] | $22.71 | $8,774.75 | $3,948.64 | 2026-03-23 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $23.00 | $362.00 | $362.00 | 2025-12-03 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Kaiser | Medicaid | $23.16 | $13,502.00 | $5,400.80 | 2026-05-06 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Kaiser | Medicaid | $23.16 | $9,517.00 | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Kaiser | Medicaid | $23.16 | $11,896.00 | $4,758.40 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Kaiser | Medicaid | $23.16 | $11,896.00 | $4,758.40 | 2026-05-14 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Health Net | Medicaid | $23.75 | $13,502.00 | $5,400.80 | 2026-05-06 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Health Net | Medicaid | $23.75 | $9,517.00 | — | 2026-05-08 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Health Net of California | Managed Medi-Cal | $24.98 | — | — | 2026-03-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Health Net of California | Managed Medi-Cal | $24.98 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Health Net of California | Managed Medi-Cal | $24.98 | — | — | 2026-03-18 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $26.06 | $193.00 | $144.75 | 2026-01-16 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 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 MERCY 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 WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 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 Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HMO/POS | 9229_ANTHEM HMO POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY | 9230_ANTHEM PATHWAY VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 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 EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 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 HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 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 CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HEALTHSYNC POS | 9228_ANTHEM HEALTHSYNC POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 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 CARMEL Both | ANTHEM SHORT TERM LIMITED DURATION | 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM TRADITIONAL | 9233_ANTHEM TRADITIONAL VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY 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 CARMEL Both | ANTHEM PPO PREFERRED | 9232_ANTHEM PREFERRED VCIN 20250101 | — | — | — | 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 FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY X | 9231_ANTHEM PATHWAY X VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $26.75 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $26.75 | — | — | 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 CARMEL Both | ANTHEM HEALTHSYNC HMO | 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 | — | — | — | 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 ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $26.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $26.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $26.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $26.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $26.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $26.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $26.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $26.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $26.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $26.86 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $26.86 | — | — | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | Noble IPA | Medicaid|> 21 | $29.32 | — | — | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | Noble IPA | Medicaid|> 21 | $29.32 | $10,848.00 | $5,261.28 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | Noble IPA | Medicaid|< 21 | $29.32 | — | — | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | Noble IPA | Medicaid|< 21 | $29.32 | $10,848.00 | $5,261.28 | 2026-02-28 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $29.52 | $11,896.00 | $4,758.40 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $29.52 | $11,896.00 | $4,758.40 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Molina | Medicaid | $29.75 | $11,896.00 | $4,758.40 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Molina | Medicaid | $29.75 | $11,896.00 | $4,758.40 | 2026-05-14 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $5,449.25 | $3,689.27 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $5,449.25 | $4,242.66 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $5,449.25 | $4,242.66 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $5,449.25 | $4,242.66 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $5,449.25 | $4,242.66 | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| UCSF HEALTH SAINT FRANCIS HOSPITAL Outpatient | SFHP | Medicaid|< 21 | $31.79 | — | — | 2026-02-28 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Aids Healthcare Foundation | Managed Medi-Cal | $31.79 | — | — | 2026-03-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Aids Healthcare Foundation | Managed Medi-Cal | $31.79 | — | — | 2026-03-18 | MRF ↗ |
| UCSF HEALTH SAINT FRANCIS HOSPITAL Outpatient | SFHP | Medicaid|> 21 | $31.79 | — | — | 2026-02-28 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Aids Healthcare Foundation | Managed Medi-Cal | $31.79 | — | — | 2026-03-18 | MRF ↗ |
| UCSF HEALTH ST. MARY'S HOSPITAL Outpatient | SFHP | Medicaid|> 21 | $31.79 | — | — | 2026-02-28 | MRF ↗ |
| UCSF HEALTH ST. MARY'S HOSPITAL Outpatient | SFHP | Medicaid|< 21 | $31.79 | — | — | 2026-02-28 | MRF ↗ |
| UCSF HEALTH ST. MARY'S HOSPITAL Outpatient | SFHP | Medicaid|> 21 | $31.79 | — | — | 2026-02-28 | MRF ↗ |
| UCSF HEALTH ST. MARY'S HOSPITAL Outpatient | SFHP | Medicaid|< 21 | $31.79 | — | — | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | Partnership Health Plan | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| UCSF HEALTH SAINT FRANCIS HOSPITAL Outpatient | Partnership Health Plan | Medicaid|All Plans | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | Partnership Health Plan | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| MARK TWAIN MEDICAL CENTER Outpatient | United | Commercial|Choice | — | — | — | 2026-02-28 | MRF ↗ |
| DOMINICAN HOSPITAL Outpatient | BCBS - Anthem | Medicaid|All Plans | $32.58 | $11,126.00 | $5,006.70 | 2026-02-28 | MRF ↗ |
| UCSF HEALTH SAINT FRANCIS HOSPITAL Outpatient | California Health & Wellness | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| METHODIST HOSPITAL OF SACRAMENTO Outpatient | United | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| MARK TWAIN MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| DOMINICAN HOSPITAL Outpatient | Central California Alliance for Health | Medicaid|All Plans | $32.58 | $11,126.00 | $5,006.70 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | Partnership Health Plan | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| MARK TWAIN MEDICAL CENTER Outpatient | United | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Outpatient | CenCal | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | Care 1st | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Heritage Provider Network | Heritage Provider Network Medi-Cal | $32.58 | $10,274.00 | — | 2026-03-17 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Molina | Molina Medi-Cal | $32.58 | $10,274.00 | — | 2026-03-17 | MRF ↗ |
| MERCY HOSPITAL Outpatient | LA Care | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | Kaiser | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | BCBS - Anthem | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | LA Care | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | HCLA | Medicaid|Preferred IPA < 21 | $32.58 | $10,848.00 | $5,261.28 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | Kaiser | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| SIERRA NEVADA MEMORIAL HOSPITAL Outpatient | Partnership Health Plan | Medicaid|< 21 | $32.58 | $10,143.00 | $5,527.94 | 2026-02-28 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Avanti Hospitals, LLC | Avanti Hospitals, LLC Medi-Cal | $32.58 | $10,274.00 | — | 2026-03-17 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Health Net Of CA | Health Net Of CA Medi-Cal IPA | $32.58 | $10,274.00 | — | 2026-03-17 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Outpatient | Partnership Health Plan | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| UCSF HEALTH SAINT FRANCIS HOSPITAL Outpatient | Partnership | Commercial|All Plans | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | Care 1st | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| Arroyo Grande Community Hospital Outpatient | CenCal | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| Arroyo Grande Community Hospital Outpatient | Partnership Health Plan | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Kaiser Hospital Foundation | Kaiser Hospital Foundation Medi-cal | $32.58 | $10,274.00 | — | 2026-03-17 | MRF ↗ |
| MERCY HOSPITAL Outpatient | Molina | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| Arroyo Grande Community Hospital Outpatient | CenCal | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | Inland Empire Health Plan | Medicaid|All Plans | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | HCLA | Medicaid|Preferred IPA > 21 | $32.58 | $10,848.00 | $5,261.28 | 2026-02-28 | MRF ↗ |
| MARK TWAIN MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | Partnership Health Plan | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | BCBS - Anthem | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Outpatient | BCBS - Anthem | Medicaid|All Plans | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | Molina | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | LA Care Health Plan | LA Care Health Plan Medi-Cal - IPA | $32.58 | $10,274.00 | — | 2026-03-17 | MRF ↗ |
| MARK TWAIN MEDICAL CENTER Outpatient | United | Commercial|Select | — | — | — | 2026-02-28 | MRF ↗ |
| Arroyo Grande Community Hospital Outpatient | Partnership Health Plan | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | BCBS - Anthem | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| UCSF HEALTH SAINT FRANCIS HOSPITAL Outpatient | California Health & Wellness | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| MARK TWAIN MEDICAL CENTER Outpatient | United | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| SEQUOIA HOSPITAL Outpatient | BCBS - Anthem | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| UCSF HEALTH SAINT FRANCIS HOSPITAL Outpatient | Kaiser | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | Preferred IPA | Medicaid|Risk | $32.58 | $10,848.00 | $5,261.28 | 2026-02-28 | MRF ↗ |
| UCSF HEALTH SAINT FRANCIS HOSPITAL Outpatient | Kaiser | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| SEQUOIA HOSPITAL Outpatient | BCBS - Anthem | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | AIDS Healthcare Foundation | Aids Health Care Foundation Medi-Cal | $32.58 | $10,274.00 | — | 2026-03-17 | MRF ↗ |
| MARIAN REGIONAL MEDICAL CENTER Outpatient | Partnership Health Plan | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| SIERRA NEVADA MEMORIAL HOSPITAL Outpatient | Partnership Health Plan | Medicaid|> 21 | $32.58 | $10,143.00 | $5,527.94 | 2026-02-28 | MRF ↗ |
| DOMINICAN HOSPITAL Outpatient | COSC Psych | Medicaid|All Plans | $32.58 | $11,126.00 | $5,006.70 | 2026-02-28 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER Outpatient | Traditional Medi-Cal | Traditional Medi-cal | $32.58 | $10,274.00 | — | 2026-03-17 | MRF ↗ |
| METHODIST HOSPITAL OF SACRAMENTO Outpatient | United | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| SEQUOIA HOSPITAL Outpatient | Kaiser | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | Kaiser | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL OF FOLSOM Outpatient | United | Medicaid|> 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| BAKERSFIELD MEMORIAL HOSPITAL Outpatient | Molina | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | MRF ↗ |
| SEQUOIA HOSPITAL Outpatient | Kaiser | Medicaid|< 21 | $32.58 | — | — | 2026-02-28 | 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.