61624 — Transcath Occlusion Cns
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Transcath occlusion cns (CPT 61624) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/61624?code_type=CPT
MLA (9th ed.)
“Transcath occlusion cns (CPT 61624) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/61624?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Transcath occlusion cns (CPT 61624) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/61624?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,162–$16,988 (25th–75th percentile) across 2,031 hospitals · 4,942 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 61624 — 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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$3,162
$7,866 typical
$16,988
The middle 50% of negotiated facility rates for this procedure, measured across 2,031 hospitals. The physician 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. | $7,866 |
| Physician fee Estimate national typical Medicare $1,045 × 1.22 commercial. | $1,275 |
| Likely subtotal | $9,141 |
Complete-episode estimate (typical)
~$9,141
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 $3,162–$16,988.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician 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 |
|---|---|---|---|---|---|---|---|
| Rehabilitation Hospital of Fort Myers BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | AETNA [210101] | AETNA PPO [21010105] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | AETNA [210101] | AETNA PPO [21010105] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | AETNA [210101] | AETNA PPO [21010105] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | — | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $140,550.36 | $91,357.73 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $140,550.36 | $91,357.73 | 2025-11-26 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $34.07 | $18,926.00 | — | 2024-12-31 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | UHC | MEDICAID | $44.08 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIDELIS | MEDICAID | $45.40 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH MCD/CHIP | $46.29 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON NJ HEALTH | HORIZON NJ HEALTH | $46.51 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE PRIME | $50.12 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | GOLDEN MEDICARE | $61.00 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE MCR | $63.20 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER | $69.00 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | Molina | Medicare Advantage | $75.00 | $11,018.00 | $7,161.70 | 2025-01-01 | MRF ↗ |
| KANSAS MEDICAL CENTER LLC Outpatient | UNITED | UNITED HEALTHCARE COMMERCIAL PLAN | $84.00 | $4,033.80 | $2,420.28 | 2026-03-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $140,550.36 | $91,357.73 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $9,617.00 | $5,289.35 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $9,617.00 | $5,289.35 | 2025-01-01 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $125.00 | $12,678.00 | $5,071.20 | 2026-07-17 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIRST MCO | ACTIVE CARE | $138.00 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | CIGNA | HMO/POS | $138.00 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE | $143.52 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $155.93 | $1,155.00 | $866.25 | 2026-01-16 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHP/Medicare Advantage Special Needs HMO | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC NEXUS | UHC NEXUS | $160.00 | $9,847.00 | $4,923.50 | 2026-01-17 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC EXCHANGE | UHC EXCHANGE | $162.00 | $9,847.00 | $4,923.50 | 2026-01-17 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | MEDI-CAL | MEDI-CAL | $166.79 | $2,810.00 | $421.50 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $166.79 | $2,810.00 | $421.50 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $166.79 | $2,810.00 | $421.50 | 2026-07-29 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $178.00 | $9,847.00 | $4,923.50 | 2026-01-17 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | MULTIPLAN | MULTIPLAN | $179.40 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIRST MCO | FIRST MCO | $179.40 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIRST MCO | ACTIVE CARE PLUS | $179.40 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | MAGNACARE | MAGNACARE | $179.40 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | MAGNACARE | WORKERS COMP | $193.20 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL PREFERRED | $207.00 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | DEVON HEALTH | DEVON HEALTH | $207.00 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | QUALCARE | OSCAR | $207.00 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | QUALCARE | PPO | $207.00 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | QUALCARE | HMO/POS | $207.00 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Triwest Healthcare Alliance | Tricare | — | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | BeechStreetWorkersComp | — | — | — | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | WorkersComp | — | — | — | 2024-10-01 | MRF ↗ |
| Research Medical Center Outpatient | CorVel Corporation | KSWC | — | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | OHA Network | KansasWCOMP | — | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Multiplan | WCOMPKansas | — | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Multiplan | WCOMPKansas | — | — | — | 2026-03-01 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | UHCCP | Managed Medicaid | $209.07 | — | — | 2025-06-28 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | CorVel Corporation | KSWC | — | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | CorVel Corporation | KSWC | — | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Multiplan | WCOMPMissouri | — | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | First Health | WCOMP | — | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | WorkersComp | — | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | OHA Network | KansasWCOMP | — | — | — | 2025-01-01 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | UHCCP | Managed Medicaid | $209.07 | — | — | 2025-06-28 | MRF ↗ |
| KANSAS MEDICAL CENTER LLC Outpatient | KANCARE_HEALTHY_BLUE | KANSAS BCBS MEDICAID | $209.07 | $4,033.80 | $2,420.28 | 2026-03-31 | MRF ↗ |
| KANSAS MEDICAL CENTER LLC Outpatient | KANCARE_UHC | KANCARE UNITED HEALTHCARE MEDICAID | $209.07 | $4,033.80 | $2,420.28 | 2026-03-31 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Multiplan | PrimaryNetwork | — | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Multiplan | WCOMPKansas | — | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | BeechStreetWorkersComp | — | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Multiplan | PrimaryNetwork | — | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | OHA Network | KansasWCOMP | — | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Multiplan | WCOMPKansas | — | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Triwest Healthcare Alliance | Tricare | — | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Multiplan | WCOMPMissouri | — | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Multiplan | PrimaryNetwork | — | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | CorVel Corporation | KSWC | — | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | OHA Network | KansasWCOMP | — | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Multiplan | PrimaryNetwork | — | — | — | 2026-03-01 | MRF ↗ |
| KANSAS MEDICAL CENTER LLC Outpatient | KANCARE_SUNFLOWER | SUNFLOWER MEDICAID MANAGED CARE | $209.07 | $4,033.80 | $2,420.28 | 2026-03-31 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Multiplan | WCOMPMissouri | — | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | Multiplan | WCOMPMissouri | — | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | OHA Network | KansasWCOMP | — | — | — | 2026-03-01 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | Connecticare (CBI) | Exchange | $211.91 | $398.86 | — | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | ANTHEM | Pathway Individual | $232.93 | $398.86 | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | MULTIPLAN | WORKER'S COMP | $234.60 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $235.17 | $2,810.00 | $421.50 | 2026-07-29 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 | — | — | — | 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 CARMEL Both | ANTHEM PPO PREFERRED | 9232_ANTHEM PREFERRED VCIN 20250101 | — | — | — | 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 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 ANDERSON Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 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 | 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 CARMEL Both | ANTHEM PATHWAY | 9230_ANTHEM PATHWAY VCIN 20250101 | — | — | — | 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 CARMEL Both | ANTHEM HMO/POS | 9229_ANTHEM HMO POS VCIN 20250101 | — | — | — | 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 Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 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 KOKOMO 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 ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $239.66 | $1,155.00 | $866.25 | 2026-01-16 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | MULTIPLAN | AUTO ACCIDENT MEDICAL | $248.40 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Ar State Medicaid Plan | Medicaid | $250.00 | $4,565.00 | $3,423.75 | 2026-07-17 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | United Healthcare | All Products | $252.20 | $398.86 | — | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | Connecticare (CCI) | All Products | $253.28 | $398.86 | — | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | Aetna | Tiered | $255.27 | $398.86 | — | 2025-11-26 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON BCBS | MANAGED | $255.91 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON BCBS | PPO | $255.91 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON BCBS | INDEMNITY | $255.91 | $276.00 | $4,500.00 | 2025-11-10 | MRF ↗ |
| ST MARY'S HOSPITAL OutpatientFacility | Cigna | All products | $258.00 | $7,398.00 | $4,808.70 | 2025-01-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | United | MOMGMCD | $261.34 | — | — | 2026-03-01 | MRF ↗ |
| Florida Medical Center Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $263.07 | $8,769.05 | $8,769.05 | 2026-07-15 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $263.16 | — | — | 2026-07-15 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | Veterans Affairs | Community Care Network | $263.78 | $1,199.00 | $839.30 | 2026-02-06 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $266.00 | — | — | 2024-12-11 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | Aetna | All Products | $267.24 | $398.86 | — | 2025-11-26 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Aetna | Aetna Medicaid Adjusted Rate | $268.27 | $4,650.65 | — | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | Aetna | Aetna Medicaid Adjusted Rate | $268.27 | $4,650.65 | — | 2024-12-19 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $24,165.00 | $24,165.00 | 2026-04-01 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Tennessee | BlueChoice HMO | $271.69 | $1,199.00 | $839.30 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Tennessee | BlueCare | $271.69 | $1,199.00 | $839.30 | 2026-02-06 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | Oxford | All Products | $273.10 | $398.86 | — | 2025-11-26 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | Cigna-HealthSpring | Medicare Advantage | $273.73 | $1,199.00 | $839.30 | 2026-02-06 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $275.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $275.00 | $1,663.00 | $1,247.25 | 2024-12-11 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | Ohio Preferred Network | Commercial | $276.02 | $345.03 | $345.03 | 2026-03-16 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $278.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $278.00 | — | — | 2024-12-08 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $279.00 | — | — | 2024-12-11 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | United | MOMGMCD | $282.24 | — | — | 2026-03-01 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | Veterans Affairs | Community Care Network | $287.76 | $1,199.00 | $839.30 | 2026-02-05 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $289.00 | $1,663.00 | $1,247.25 | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $289.00 | — | — | 2024-12-11 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | Cigna | All Products | $291.89 | $398.86 | — | 2025-11-26 | MRF ↗ |
| University Hospitals Rehabilitation Hospital Inpatient | First Health | Commercial | $293.28 | $345.03 | $345.03 | 2026-03-16 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $293.80 | $4,520.00 | $2,938.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $293.80 | $4,520.00 | $2,938.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $293.80 | $4,520.00 | $2,938.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $293.80 | $4,520.00 | $2,938.00 | 2026-06-10 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Tennessee | BlueCare | $296.39 | $1,199.00 | $839.30 | 2026-02-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Tennessee | BlueChoice HMO | $296.39 | $1,199.00 | $839.30 | 2026-02-05 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $6,675.00 | $4,338.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $8,652.00 | $5,623.80 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $6,675.00 | $4,338.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $6,675.00 | $4,338.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC ARK MEDICAID | $297.00 | $5,563.00 | $3,615.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $6,675.00 | $4,338.75 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $6,675.00 | $4,338.75 | 2026-03-13 | 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.