64417 — Njx Aa&/strd Ax Nerve Img
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NJX AA&/STRD AX NERVE IMG (CPT 64417) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64417?code_type=CPT
MLA (9th ed.)
“NJX AA&/STRD AX NERVE IMG (CPT 64417) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64417?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“NJX AA&/STRD AX NERVE IMG (CPT 64417) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64417?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $828–$2,052 (25th–75th percentile) across 2,226 hospitals · 7,474 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 64417 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$828
$1,174 typical
$2,052
The middle 50% of negotiated facility rates for this procedure, measured across 2,226 hospitals. The the surgeon's fee 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. | $1,174 |
| Surgeon (professional fee) Estimate national typical Medicare $61 × 1.22 commercial. | $75 |
| Likely subtotal | $1,249 |
Surgical episode (typical)
~$1,249
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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $10,528.50 | $6,843.53 | 2025-11-26 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Uhc | Commercial | — | $1,603.00 | $1,282.40 | 2026-05-09 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $10,528.50 | $6,843.53 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $13,688.38 | $8,897.45 | 2025-11-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $1.08 | $1,900.00 | $1,425.00 | 2026-03-26 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicaid | Geisinger Medicaid | $1.46 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicaid | Geisinger Medicaid | $1.46 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicaid | $1.46 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicaid | $1.46 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $1.47 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $1.47 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc | $1.70 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc | $1.70 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $1.75 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $1.75 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $1.80 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $1.80 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $1.82 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $1.82 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $1.84 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $1.84 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $2.04 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $2.04 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $2.04 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $2.04 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United | $2.46 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United | $2.46 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.59 | $1,437.00 | $935.63 | 2024-12-31 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Carelon/Beacon Beahvioral Health | Carelon/Beacon Behavioral Health | $4.50 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Carelon/Beacon Beahvioral Health | Carelon/Beacon Behavioral Health | $4.50 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Cigna | Cigna | $4.86 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Cigna | Cigna | $4.86 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.90 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.94 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.94 | — | — | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $7.00 | $219.00 | $41.61 | 2026-01-31 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $7.00 | $272.00 | $272.00 | 2025-10-04 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $7.00 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $7.00 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $7.00 | $219.00 | $59.13 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $7.00 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $7.00 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $7.00 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $7.00 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $7.00 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $7.00 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $7.00 | $219.00 | $41.61 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $7.00 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $7.00 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $219.00 | $41.61 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $219.00 | $59.13 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $7.00 | $219.00 | $41.61 | 2026-01-31 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $272.00 | $272.00 | 2025-10-04 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $7.00 | $219.00 | $41.61 | 2026-01-31 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $7.14 | $272.00 | $272.00 | 2025-10-04 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $7.90 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $7.95 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $7.95 | — | — | 2026-03-18 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Multiplan | Multiplan | $8.10 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Multiplan | Multiplan | $8.10 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Multiplan | Multiplan | $8.10 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Multiplan | Multiplan | $8.10 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $8.34 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $8.40 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Humana | Humana Medicare Hmo | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Humana | Humana Hix | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Uhc | Uhc All Payer | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Essence | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Uhc | Uhc Managed Medicare | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Healthlink | Healthlink | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Todays Options | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Humana | Humana Medicare Ppo | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Ccn | Ccn | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Managed Medicare 100% | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Secure Horizons | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Tricare | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Bcbs Of Ky Hmo/Ppo | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Aetna | Aetna Medicare | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Aetna | Aetna | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Passport | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Unicare | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Prime Health | Prime Health | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Wellcare | Managed Medicare 100% | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Bcbs Of Ky | Anthem Hix | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Centercare Network | Centercare | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Phcs | Phcs | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Prime Health | Prime Health Indigent | — | $28.10 | $11.24 | 2026-05-22 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $8.61 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $8.66 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $8.66 | — | — | 2026-03-18 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Workers' Compensation | Pa Workers Compensation | $9.00 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $9.00 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $9.00 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Snf Episodic Bundle | $9.00 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Workers' Compensation | Pa Workers Compensation | $9.00 | $9.00 | $2.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Snf Episodic Bundle | $9.00 | $9.00 | $2.70 | 2026-05-14 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $9.10 | $272.00 | $272.00 | 2025-10-04 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $9.80 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $9.80 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $9.80 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $9.80 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $9.80 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $9.80 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $10.04 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $10.04 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $11.04 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $11.04 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $11.04 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $11.20 | $231.00 | $41.58 | 2026-01-30 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $14.56 | — | — | 2026-03-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Medicare | Medicare | $15.30 | $2,042.00 | $1,531.50 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - HMO | $15.30 | $2,042.00 | $1,531.50 | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $15.82 | — | — | 2026-01-01 | MRF ↗ |
| PIGGOTT COMMUNITY HOSPITAL Outpatient | UHC MEDICAID | UHC MEDICAID | $16.06 | $117.00 | $81.90 | 2026-04-02 | MRF ↗ |
| PIGGOTT COMMUNITY HOSPITAL Outpatient | AR TOTAL CARE MCAID - ALL PLANS | AR TOTAL CARE MCAID - ALL PLANS | $16.06 | $117.00 | $81.90 | 2026-04-02 | MRF ↗ |
| PIGGOTT COMMUNITY HOSPITAL Outpatient | MISSOURI CARE MCAID- ALL PLANS | MISSOURI CARE MCAID- ALL PLANS | $16.06 | $117.00 | $81.90 | 2026-04-02 | MRF ↗ |
| PIGGOTT COMMUNITY HOSPITAL Outpatient | HOME STATE HP MCAID - ALL PLANS | HOME STATE HP MCAID - ALL PLANS | $16.06 | $117.00 | $81.90 | 2026-04-02 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $17.42 | $129.00 | $96.75 | 2026-01-16 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $20.37 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $20.37 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $20.37 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $20.37 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $20.37 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $20.37 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $20.37 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $20.37 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $20.37 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $20.37 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $20.37 | — | — | 2026-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,400.00 | $1,560.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,600.00 | $1,040.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,600.00 | $1,040.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,400.00 | $1,560.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,600.00 | $1,040.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,600.00 | $1,040.00 | 2025-01-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $20.56 | $136.00 | $136.00 | 2026-03-23 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $21.00 | $1,837.00 | $495.99 | 2024-12-30 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | PA Health & Wellness | PA Health & Wellness Medicaid | $21.00 | $3,194.65 | $1,161.00 | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $21.00 | $3,194.65 | $1,161.00 | 2024-12-19 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $21.00 | $181.00 | $39.82 | 2026-04-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $21.00 | $1,837.00 | $495.99 | 2025-01-14 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Outpatient | Health Partners | Managed Medicaid | $21.00 | $2,413.00 | $1,447.80 | 2025-02-18 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $21.00 | $3,194.65 | $1,161.00 | 2024-12-19 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Upmc | F8120_Upmc Health Plan - Medicaid | $21.00 | — | — | 2026-04-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $21.00 | $3,194.65 | $1,161.00 | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $21.00 | $3,194.65 | $904.00 | 2026-03-17 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $21.00 | $1,941.00 | $524.07 | 2026-03-27 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Outpatient | Geisinger | Managed Medicaid | $21.00 | $2,413.00 | $1,447.80 | 2025-02-18 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $21.00 | $3,663.80 | $870.00 | 2026-03-17 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $21.00 | $3,194.65 | $1,129.00 | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $21.00 | $3,194.65 | $1,169.00 | 2024-12-19 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Aetna | Medicaid | $21.00 | $3,809.00 | $2,285.40 | 2026-03-06 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | PA Health & Wellness | PA Health & Wellness Medicaid | $21.00 | $3,194.65 | $1,129.00 | 2024-12-19 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $21.00 | $3,194.65 | $1,129.00 | 2024-12-19 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Outpatient | Geisinger | Managed Medicaid | $21.00 | $2,413.00 | $1,447.80 | 2026-02-12 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $21.00 | $3,194.65 | $1,169.00 | 2024-12-19 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $21.00 | $1,941.00 | $524.07 | 2026-03-27 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $21.00 | $158.00 | $79.00 | 2025-02-03 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $21.00 | $1,064.65 | $212.93 | 2026-03-27 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | Health Partners | Health Partners Plan Medicaid | $21.00 | $3,194.65 | $1,129.00 | 2024-12-19 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Outpatient | Health Partners | Managed Medicaid | $21.00 | $2,413.00 | $1,447.80 | 2026-02-12 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | PA Health & Wellness | PA Health & Wellness Medicaid | $21.00 | $3,194.65 | $1,169.00 | 2024-12-19 | MRF ↗ |
| SURGICAL INSTITUTE OF READING BothFacility | Unison | Med Plus | $21.00 | $1,912.00 | $1,275.99 | 2026-04-08 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $21.00 | — | — | 2026-04-01 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Outpatient | Amerihealth | Managed Medicaid | $21.00 | $2,413.00 | $1,447.80 | 2026-02-12 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $21.00 | $3,194.65 | $1,169.00 | 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.