64430 — Njx Aa&/strd Pudendal Nerve
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NJX AA&/STRD PUDENDAL NERVE (CPT 64430) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64430?code_type=CPT
MLA (9th ed.)
“NJX AA&/STRD PUDENDAL NERVE (CPT 64430) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64430?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“NJX AA&/STRD PUDENDAL NERVE (CPT 64430) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64430?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $835–$2,001 (25th–75th percentile) across 2,047 hospitals · 6,448 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 64430 — 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
$835
$1,225 typical
$2,001
The middle 50% of negotiated facility rates for this procedure, measured across 2,047 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. | $1,225 |
| Surgeon (professional fee) Estimate national typical Medicare $49 × 1.22 commercial. | $59 |
| Likely subtotal | $1,285 |
Surgical episode (typical)
~$1,285
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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $8,937.19 | $5,809.17 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $6,874.78 | $4,468.61 | 2025-11-26 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | UHC MCR ADV | UHC MCR ADV | $1.59 | $4,531.00 | $2,265.50 | 2026-03-23 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.16 | $2,310.00 | $935.63 | 2024-12-31 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $372.00 | $372.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $7.14 | $372.00 | $372.00 | 2025-10-04 | 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 ↗ |
| Thousand Oaks Surgical 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 ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $11.04 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $12.00 | $187.00 | $50.49 | 2026-01-31 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $4,531.00 | $2,265.50 | 2026-03-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $281.00 | $75.87 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $12.00 | $281.00 | $75.87 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $187.00 | $50.49 | 2026-01-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.22 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.30 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.30 | — | — | 2026-03-18 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $14.56 | — | — | 2026-03-01 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Coordinated Care | Medicaid | $14.94 | $998.00 | $798.40 | 2026-03-26 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Commercial | — | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $15.15 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $15.25 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $15.25 | — | — | 2026-03-18 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | $15.34 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Uhc | Medicaid | $15.34 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Medicaid | $15.34 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Iowa Total Care | Medicaid | $15.34 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $15.60 | $372.00 | $372.00 | 2025-10-04 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | GOLD COAST MEDI-CAL-ALL PLANS | GOLD COAST MEDI-CAL-ALL PLANS | $16.20 | $4,531.00 | $2,265.50 | 2026-03-23 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $16.38 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.50 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.60 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.60 | — | — | 2026-03-18 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Medicare | $16.64 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $16.64 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Uhc | Medicare | $16.64 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Health Partners | Medicare | $16.64 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $16.64 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Medicare | $16.64 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Champus | Commercial | $17.16 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Health Partners | Commercial | $17.16 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Uhc | Commercial | $17.16 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $17.58 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | $3,780.00 | $2,268.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | $4,320.00 | $2,592.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | $4,320.00 | $2,592.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | $3,780.00 | $2,268.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | $4,320.00 | $2,592.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | $4,320.00 | $2,592.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $18.02 | — | — | 2026-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $18.77 | $139.00 | $104.25 | 2026-01-16 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $19.34 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $19.34 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $19.34 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $21.67 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $22.47 | $62.41 | $39.32 | 2026-01-27 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $23.14 | $26.00 | $18.20 | 2026-05-22 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $23.40 | $4,320.00 | $2,592.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $23.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $23.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $23.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $23.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $23.40 | $4,320.00 | $2,592.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $23.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $23.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $23.40 | $4,320.00 | $2,592.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $23.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $23.40 | — | — | 2026-01-01 | MRF ↗ |
| GOLDEN PLAINS COMMUNITY HOSPITAL Outpatient | Cigna | All Commercial | $23.92 | $130.00 | $91.00 | 2026-03-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $24.08 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $24.08 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $24.08 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $24.08 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $24.08 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $24.08 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $24.51 | $377.00 | $245.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $24.51 | $377.00 | $245.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $24.51 | $377.00 | $245.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $24.51 | $377.00 | $245.05 | 2026-03-12 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | AMBETTER NH HEALTHY FAMILIES | NH HEALTHY FAMILIES AMBETTER | $25.00 | $131.00 | $70.61 | 2026-01-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | NH HEALTHY FAMILIES | NH HEALTHY FAMILIES | $26.00 | $131.00 | $70.61 | 2026-01-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HUMANA MILITARY [1098] | HUMANA MILITARY TRICARE EAST [109801] | $26.30 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE FOR LIFE [105602] | $26.30 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE WEST [105601] | $26.30 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VHA OFFICE OF COMMUNITY CARE [1011] | CHAMPVA [101101] | $26.30 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH ADVANTAGE [103801] | $26.83 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH PLAN COMMUNITY [103802] | $26.83 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $27.76 | $677.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $27.76 | $677.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $27.76 | $677.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $27.76 | $677.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $27.76 | $677.00 | — | 2025-06-28 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $28.84 | $139.00 | $104.25 | 2026-01-16 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $28.86 | $444.00 | $288.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $28.86 | $444.00 | $288.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $28.86 | $444.00 | $288.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $28.86 | $444.00 | $288.60 | 2026-03-12 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $29.15 | $677.00 | — | 2025-06-28 | MRF ↗ |
| GOLDEN PLAINS COMMUNITY HOSPITAL Outpatient | Aetna Medicare Advantage | Medicare Advantage | $29.90 | $130.00 | $91.00 | 2026-03-12 | MRF ↗ |
| GOLDEN PLAINS COMMUNITY HOSPITAL Outpatient | Humana Medicare Advantage | Medicare Advantage | $29.90 | $130.00 | $91.00 | 2026-03-12 | MRF ↗ |
| GOLDEN PLAINS COMMUNITY HOSPITAL Outpatient | WellMed | Medicare Advantage | $29.90 | $130.00 | $91.00 | 2026-03-12 | MRF ↗ |
| GOLDEN PLAINS COMMUNITY HOSPITAL Outpatient | United Healthcare Medicare Advantage | Medicare Advantage | $29.90 | $130.00 | $91.00 | 2026-03-12 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | McLaren | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $30.15 | $624.00 | — | 2025-06-28 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource Oh | Managed Care Medicaid Plan | $30.40 | $706.00 | $360.06 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Oh | Managed Care Medicaid Plan | $30.40 | $706.00 | $360.06 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem Oh | Managed Care Medicaid Plan | $30.40 | $706.00 | $360.06 | 2026-05-09 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Amerihealth Caritas Oh | Managed Care Medicaid Plan | $31.28 | $706.00 | $360.06 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Molina Oh | Managed Care Medicaid Plan | $31.86 | $706.00 | $360.06 | 2026-05-09 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $31.98 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $31.98 | — | — | 2026-03-01 | MRF ↗ |
| ST CLAIRE REGIONAL MEDICAL CENTER Outpatient | WELLCARE MCAID | WELLCARE MCAID | $32.43 | $141.00 | $105.75 | 2026-02-02 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | Passport | Medicaid HMO | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | Anthem | Medicaid HMO | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | Anthem | Medicare Advantage / Mediblue Access / Medicare Select | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | UHC | Medicaid HMO | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | Aetna | Medicare HMO | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | Wellcare | Medicare HMO | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | Wellcare | Medicaid HMO | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | UHC | Medicare HMO | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | Gateway | Medicare HMO | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | Humana | Caresource KY | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | Humana | Medicare HMO/Gold Plus Medicare HMO | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | The Funds - UMWA | Medicare HMO | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | Cigna | Medicare HMO | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC Outpatient | Aetna | Medicaid HMO | $32.66 | $71.00 | $42.60 | 2025-01-01 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Blue Cross Complete | MEDICAID | $32.86 | $624.00 | — | 2025-06-28 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Aetna Better Health Ky | Managed Care Medicaid Plan | $33.27 | $706.00 | $360.06 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Buckeye Oh | Managed Care Medicaid Plan | $33.30 | $706.00 | $360.06 | 2026-05-09 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE AUTO INSURANCE [800301] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AUTO OWNERS AUTO INSURANCE [8006] | AUTO OWNERS AUTO INSURANCE [800601] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CITIZENS AUTO INSURANCE [8008] | CITIZENS AUTO INSURANCE [800801] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GEICO INSURANCE [8016] | GEICO INSURANCE [801601] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AAA AUTO INSURANCE [8001] | AAA AUTO INSURANCE [800102] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE 9229 [800302] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | STATE FARM AUTO INSURANCE [8034] | STATE FARM AUTO INSURANCE [803401] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BRISTOL WEST [8007] | BRISTOL WEST [800701] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | SAFECO-AUTO [8037] | SAFECO-AUTO [803701] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE 9231 [800303] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | STATE AUTO GROUP [8033] | STATE AUTO GROUP [803301] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | NATIONAL GENERAL INS [8017] | NATIONAL GENERAL INS [801701] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MACKINAW ADMINISTRATORS [8040] | MACKINAW ADMINISTRATORS AUTO [804001] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA TEXAS [803602] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA TEXAS 26001 [803603] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEEMIC INSURANCE [8026] | MEEMIC INSURANCE [802601] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | NATIONWIDE [8028] | NATIONWIDE [802801] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | LIBERTY MUTUAL [8025] | LIBERTY MUTUAL [802501] | $33.71 | $156.00 | $156.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEMPER INSURANCE [8024] | KEMPER INSURANCE [802401] | $33.71 | $156.00 | $156.00 | 2026-03-23 | 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.