59400 — Obstetrical Care
Cite this view
HANK Price Transparency. (n.d.). OBSTETRICAL CARE (HCPCS 59400) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/59400?code_type=HCPCS
“OBSTETRICAL CARE (HCPCS 59400) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/59400?code_type=HCPCS. Accessed .
“OBSTETRICAL CARE (HCPCS 59400) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/59400?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,255–$5,527 (25th–75th percentile) across 1,666 hospitals · 2,835 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 59400 — 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 59400 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
- 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
- Advanced Care Hospital Of Montana, BILLINGS • only here
- BAYSTATE NOBLE HOSPITAL, WESTFIELD • only here
- BAYSTATE WING HOSPITAL, PALMER • only here
- BETHESDA HOSPITAL EAST, BOYNTON BEACH • only here
- BRONXCARE HOSPITAL CENTER, BRONX • only here
- CAPE CORAL HOSPITAL, CAPE CORAL • 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 59400 line above, which prices the procedure alone. Neither includes the surgeon’s or anesthesiologist’s professional fees, which are billed separately.
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
The middle 50% of negotiated facility rates for this procedure, measured across 1,666 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,128 |
| Likely subtotal | $3,128 |
This is a global-package service: the professional fee bundles months of care (office visits, the procedure itself, and follow-up) into one charge, so a single episode total computed from the facility price would be structurally wrong. The facility charge below is shown alone; ask the practice for the global professional fee.
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- 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 $2,255–$5,527.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
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 |
|---|---|---|---|---|---|---|---|
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $5.21 | $216.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $5.72 | $216.00 | — | 2026-08-17 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $5,965.00 | $4,175.50 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $5,965.00 | $4,175.50 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $5,965.00 | $4,175.50 | 2026-07-14 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $29.27 | $5,924.00 | $1,895.68 | 2026-05-18 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $5,252.00 | $3,939.00 | 2026-03-18 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $32.40 | $216.00 | — | 2026-08-17 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $35.00 | $8,073.00 | $1,533.87 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $35.00 | $8,073.00 | $1,533.87 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $35.00 | $8,073.00 | $1,533.87 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $35.00 | $8,073.00 | $1,533.87 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $35.00 | $8,073.00 | $1,533.87 | 2026-05-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $40.00 | $8,073.00 | $1,614.60 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $40.00 | $8,073.00 | $1,614.60 | 2026-05-24 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Bc State | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Sc Preferred | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Choice | — | — | — | 2026-10-03 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MHCP-ALL OTHER PLANS | BCBS MN MHCP-ALL OTHER PLANS | $53.30 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $55.08 | $216.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $55.08 | $216.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $55.08 | $216.00 | — | 2026-08-17 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | 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 | 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 | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MHCP-ALL OTHER PLANS | BCBS MN MHCP-ALL OTHER PLANS | $57.19 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $58.80 | $8,073.00 | $1,533.87 | 2026-05-19 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | BCBS OREGON PAR | BCBS OREGON PAR | $60.61 | $6,484.00 | $6,484.00 | 2026-07-09 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | BCBS OREGON NON-PAR - ALL OTHER PLANS | BCBS OREGON NON-PAR - ALL OTHER PLANS | $60.61 | $6,484.00 | $6,484.00 | 2026-07-09 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MHCP-ALL OTHER PLANS | BCBS MN MHCP-ALL OTHER PLANS | $61.35 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $61.53 | $8,073.00 | $1,533.87 | 2026-05-20 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $61.53 | $3,175.00 | $3,175.00 | 2026-03-09 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $61.53 | $5,944.00 | $1,129.36 | 2026-01-25 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $64.80 | $216.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $64.80 | $216.00 | — | 2026-08-17 | MRF ↗ |
| VETERANS MEMORIAL HOSPITAL Outpatient | QUARTZ COMM - ALL OTHER PLANS | QUARTZ COMM - ALL OTHER PLANS | $65.00 | $7,682.00 | $4,378.74 | 2026-05-11 | MRF ↗ |
| PERHAM HEALTH Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $65.28 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR HEALTH OPTIONS | UCARE MN SENIOR HEALTH OPTIONS | $65.28 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $65.28 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $65.28 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | PRIME WEST HEALTH MEDICARE-ALL PLANS | PRIME WEST HEALTH MEDICARE-ALL PLANS | $65.28 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MEDICARE SELECT | BCBS MN MEDICARE SELECT | $65.28 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $8,073.00 | $1,614.60 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $8,073.00 | $1,614.60 | 2026-05-24 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MHCP-ALL OTHER PLANS | BCBS MN MHCP-ALL OTHER PLANS | $66.62 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | $67.20 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UHC MEDICAID | UHC MEDICAID | $67.20 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | $68.54 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR CARE PLUS | UCARE MN SENIOR CARE PLUS | $69.12 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MEDICAL ASSISTANCE | UCARE MN MEDICAL ASSISTANCE | $69.12 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE | UCARE MN SPECIAL NEEDS BASIC CARE | $69.12 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MINNESOTA CARE | UCARE MN MINNESOTA CARE | $69.12 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICAID | SOUTH COUNTRY HA-MEDICAID | $69.22 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCAL | BC MCAL | $70.00 | $8,073.00 | $1,372.41 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | MEDI-CAL | MEDI-CAL | $70.00 | $8,073.00 | $1,372.41 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $70.00 | $8,073.00 | $1,372.41 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BC MCAL | BC MCAL | $70.00 | $8,073.00 | $1,533.87 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | MEDI-CAL | MEDI-CAL | $70.00 | $8,073.00 | $1,533.87 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $70.00 | $8,073.00 | $1,372.41 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $70.00 | $8,073.00 | $1,533.87 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $70.00 | $8,073.00 | $1,533.87 | 2026-05-20 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $70.00 | $4,078.00 | $4,078.00 | 2026-09-24 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $70.00 | $8,073.00 | $1,533.87 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $70.00 | $8,073.00 | $1,533.87 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $70.00 | $8,073.00 | $1,372.41 | 2026-05-23 | MRF ↗ |
| PERHAM HEALTH Outpatient | PRIME WEST HEALTH MEDICARE-ALL PLANS | PRIME WEST HEALTH MEDICARE-ALL PLANS | $70.04 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MEDICARE SELECT | BCBS MN MEDICARE SELECT | $70.04 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $70.04 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $70.04 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR HEALTH OPTIONS | UCARE MN SENIOR HEALTH OPTIONS | $70.04 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $70.04 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $70.27 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| NORTHERN LIGHT MAYO HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT C A DEAN HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MAINE COAST HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MERCY HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-04-15 | MRF ↗ |
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL OutpatientFacility | Harvard | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | DEAN HEALTH PLAN - ALL PLANS | DEAN HEALTH PLAN - ALL PLANS | $71.99 | $6,006.00 | $3,903.90 | 2026-01-15 | MRF ↗ |
| SEARHC WRANGELL MEDICAL CENTER & LTC Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $72.00 | $11,901.97 | $11,901.97 | 2024-12-09 | MRF ↗ |
| PERHAM HEALTH Outpatient | UHC MEDICAID | UHC MEDICAID | $72.10 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | $72.10 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MEDICARE ADV PLANS | UCARE MEDICARE ADV PLANS | $72.58 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MHCP-ALL OTHER PLANS | BCBS MN MHCP-ALL OTHER PLANS | $72.73 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | $73.54 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE | UCARE MN SPECIAL NEEDS BASIC CARE | $74.16 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MEDICAL ASSISTANCE | UCARE MN MEDICAL ASSISTANCE | $74.16 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MINNESOTA CARE | UCARE MN MINNESOTA CARE | $74.16 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR CARE PLUS | UCARE MN SENIOR CARE PLUS | $74.16 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICAID | SOUTH COUNTRY HA-MEDICAID | $74.26 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $75.00 | $3,937.50 | $3,937.50 | 2026-04-24 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $75.00 | $3,937.50 | $3,937.50 | 2026-07-22 | MRF ↗ |
| PERHAM HEALTH Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $75.14 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MEDICARE SELECT | BCBS MN MEDICARE SELECT | $75.14 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR HEALTH OPTIONS | UCARE MN SENIOR HEALTH OPTIONS | $75.14 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $75.14 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | PRIME WEST HEALTH MEDICARE-ALL PLANS | PRIME WEST HEALTH MEDICARE-ALL PLANS | $75.14 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $75.14 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $75.40 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $76.98 | $4,278.00 | $4,278.00 | 2026-02-09 | MRF ↗ |
| PERHAM HEALTH Outpatient | UHC MEDICAID | UHC MEDICAID | $77.35 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | $77.35 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MEDICARE ADV PLANS | UCARE MEDICARE ADV PLANS | $77.87 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $4,220.00 | $2,743.00 | 2026-08-10 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | $78.90 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MN (MSHO) | MEDICA MN (MSHO) | $79.10 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE INDIVIDUAL AND FAMILY PLAN-ALL OTHER PLANS | UCARE INDIVIDUAL AND FAMILY PLAN-ALL OTHER PLANS | $79.49 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MINNESOTA CARE | UCARE MN MINNESOTA CARE | $79.56 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MEDICAL ASSISTANCE | UCARE MN MEDICAL ASSISTANCE | $79.56 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR CARE PLUS | UCARE MN SENIOR CARE PLUS | $79.56 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE | UCARE MN SPECIAL NEEDS BASIC CARE | $79.56 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICAID | SOUTH COUNTRY HA-MEDICAID | $79.67 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MHCP-ALL OTHER PLANS | BCBS MN MHCP-ALL OTHER PLANS | $79.95 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-07-31 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $80.89 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | PRIME WEST HEALTH MEDICARE-ALL PLANS | PRIME WEST HEALTH MEDICARE-ALL PLANS | $81.60 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR HEALTH OPTIONS | UCARE MN SENIOR HEALTH OPTIONS | $81.60 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $81.60 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $81.60 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $81.60 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MEDICARE SELECT | BCBS MN MEDICARE SELECT | $81.60 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $82.08 | $216.00 | — | 2026-08-17 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $5,834.00 | — | 2024-12-31 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MEDICARE ADV PLANS | UCARE MEDICARE ADV PLANS | $83.54 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UHC MEDICAID | UHC MEDICAID | $84.00 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | $84.00 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MN (MSHO) | MEDICA MN (MSHO) | $84.87 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE INDIVIDUAL AND FAMILY PLAN-ALL OTHER PLANS | UCARE INDIVIDUAL AND FAMILY PLAN-ALL OTHER PLANS | $85.28 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | $85.68 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MEDICAL ASSISTANCE | UCARE MN MEDICAL ASSISTANCE | $86.40 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR CARE PLUS | UCARE MN SENIOR CARE PLUS | $86.40 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE | UCARE MN SPECIAL NEEDS BASIC CARE | $86.40 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MINNESOTA CARE | UCARE MN MINNESOTA CARE | $86.40 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICAID | SOUTH COUNTRY HA-MEDICAID | $86.52 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $87.50 | $8,073.00 | $1,533.87 | 2026-05-20 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $87.84 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MHCP-ALL OTHER PLANS | BCBS MN MHCP-ALL OTHER PLANS | $88.83 | $320.00 | $208.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $89.08 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $89.08 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | PRIME WEST HEALTH MEDICARE-ALL PLANS | PRIME WEST HEALTH MEDICARE-ALL PLANS | $89.08 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $89.08 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR HEALTH OPTIONS | UCARE MN SENIOR HEALTH OPTIONS | $89.08 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MEDICARE SELECT | BCBS MN MEDICARE SELECT | $89.08 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $89.40 | $6,484.00 | $6,484.00 | 2026-07-09 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $90.65 | $3,675.00 | $3,675.00 | 2026-07-16 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MEDICARE ADV PLANS | UCARE MEDICARE ADV PLANS | $90.72 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MN (MSHO) | MEDICA MN (MSHO) | $91.05 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE INDIVIDUAL AND FAMILY PLAN-ALL OTHER PLANS | UCARE INDIVIDUAL AND FAMILY PLAN-ALL OTHER PLANS | $91.49 | $221.00 | $143.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | $91.70 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UHC MEDICAID | UHC MEDICAID | $91.70 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Highmark | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Highmark | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Highmark | Chip | — | — | — | 2026-07-15 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | $93.53 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MINNESOTA CARE | UCARE MN MINNESOTA CARE | $94.32 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MEDICAL ASSISTANCE | UCARE MN MEDICAL ASSISTANCE | $94.32 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE | UCARE MN SPECIAL NEEDS BASIC CARE | $94.32 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR CARE PLUS | UCARE MN SENIOR CARE PLUS | $94.32 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICAID | SOUTH COUNTRY HA-MEDICAID | $94.45 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCAID MN CARE | MEDICA MCAID MN CARE | $95.89 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HEALTH PARTNERS MINNESOTA CARE | HEALTH PARTNERS MINNESOTA CARE | $96.00 | $192.00 | $124.80 | 2026-02-01 | MRF ↗ |
| SUBLETTE COUNTY HEALTH Outpatient | TRICARE PROFEE ONLY - ALL PLANS | TRICARE PROFEE ONLY - ALL PLANS | $97.00 | $5,676.00 | $5,108.40 | 2026-10-07 | MRF ↗ |
| PERHAM HEALTH Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $97.92 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR HEALTH OPTIONS | UCARE MN SENIOR HEALTH OPTIONS | $97.92 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | PRIME WEST HEALTH MEDICARE-ALL PLANS | PRIME WEST HEALTH MEDICARE-ALL PLANS | $97.92 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MEDICARE SELECT | BCBS MN MEDICARE SELECT | $97.92 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $97.92 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $97.92 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | MEDICA MN (MSHO) | MEDICA MN (MSHO) | $98.88 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MEDICARE ADV PLANS | UCARE MEDICARE ADV PLANS | $99.04 | $262.00 | $170.30 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE INDIVIDUAL AND FAMILY PLAN-ALL OTHER PLANS | UCARE INDIVIDUAL AND FAMILY PLAN-ALL OTHER PLANS | $99.36 | $240.00 | $156.00 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | BCBS MN MHCP-ALL OTHER PLANS | BCBS MN MHCP-ALL OTHER PLANS | $100.21 | $361.00 | $234.65 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | SOUTH COUNTRY HA-MEDICARE-ALL OTHER PLANS | $100.80 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UHC MEDICAID | UHC MEDICAID | $100.80 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | UCARE MN SPECIAL NEEDS BASIC CARE DUAL | $102.82 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | HEALTH PARTNERS MINNESOTA CARE | HEALTH PARTNERS MINNESOTA CARE | $103.00 | $206.00 | $133.90 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MINNESOTA CARE | UCARE MN MINNESOTA CARE | $103.68 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SENIOR CARE PLUS | UCARE MN SENIOR CARE PLUS | $103.68 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN SPECIAL NEEDS BASIC CARE | UCARE MN SPECIAL NEEDS BASIC CARE | $103.68 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | UCARE MN MEDICAL ASSISTANCE | UCARE MN MEDICAL ASSISTANCE | $103.68 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
| PERHAM HEALTH Outpatient | SOUTH COUNTRY HA-MEDICAID | SOUTH COUNTRY HA-MEDICAID | $103.82 | $288.00 | $187.20 | 2026-02-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.