64483 — Njx Aa&/strd Tfrm Epi L/s 1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NJX AA&/STRD TFRM EPI L/S 1 (CPT 64483) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64483?code_type=CPT
MLA (9th ed.)
“NJX AA&/STRD TFRM EPI L/S 1 (CPT 64483) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64483?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“NJX AA&/STRD TFRM EPI L/S 1 (CPT 64483) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64483?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $849–$2,180 (25th–75th percentile) across 2,654 hospitals · 8,729 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 64483 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $5,409.00 | $4,435.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $5,643.00 | $4,627.26 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $5,643.00 | $4,627.26 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $6,874.78 | $4,468.61 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $5,643.00 | $4,627.26 | 2025-11-26 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $5,643.00 | $4,627.26 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $5,409.00 | $4,435.38 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.22 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.22 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.22 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.25 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.28 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.32 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.58 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.58 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.61 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.61 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.61 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.61 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.65 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.68 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.71 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.78 | $329.00 | $312.55 | 2026-02-20 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $2.15 | $1,101.00 | $825.75 | 2026-03-26 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC HMO/PPO | $2.28 | $4,603.41 | $3,222.39 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC CORE | $2.28 | $4,603.41 | $3,222.39 | 2026-04-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.49 | $3,201.45 | $1,920.87 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.49 | $3,201.45 | $1,920.87 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.49 | $3,201.45 | $1,920.87 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.49 | $3,201.45 | $1,920.87 | 2025-08-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.90 | $784.00 | $744.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.90 | $784.00 | $744.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.90 | $784.00 | $744.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.98 | $784.00 | $744.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.06 | $784.00 | $744.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.14 | $784.00 | $744.80 | 2026-02-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.21 | $275.00 | $52.25 | 2026-01-25 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.72 | $3,201.45 | $1,920.87 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.72 | $3,201.45 | $1,920.87 | 2025-08-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.84 | $784.00 | $744.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.84 | $784.00 | $744.80 | 2026-02-20 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | AETNA COVENTRY - ALL OTHER PLANS | AETNA COVENTRY - ALL OTHER PLANS | $3.85 | $280.71 | — | 2026-03-02 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.92 | $784.00 | $744.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.08 | $784.00 | $744.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $4.23 | $784.00 | $744.80 | 2026-02-20 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | First Health Medicare | $4.49 | $3,725.00 | $2,793.75 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.52 | $941.00 | $893.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.52 | $941.00 | $893.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.61 | $941.00 | $893.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $4.61 | $941.00 | $893.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.80 | $941.00 | $893.95 | 2026-02-20 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $6.42 | $4,408.00 | $4,408.00 | 2026-02-13 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $7.00 | $8,208.00 | $3,283.20 | 2026-05-06 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $7.00 | $8,208.00 | $3,283.20 | 2026-05-06 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $7.00 | $578.00 | $109.82 | 2026-01-31 | MRF ↗ |
| PIH HEALTH DOWNEY HOSPITAL Outpatient | Health Net Medi-Cal Claims | Hmo | $7.00 | $7,991.00 | $1,172.94 | 2026-05-15 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $7.00 | $1,767.68 | $1,060.61 | 2025-09-13 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $7.00 | $578.00 | $109.82 | 2026-01-31 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $7.00 | $8,208.00 | $3,283.20 | 2026-05-06 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $7.00 | $578.00 | $109.82 | 2026-01-31 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $1,767.68 | $1,060.61 | 2025-09-13 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $7.00 | $578.00 | $109.82 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $578.00 | $109.82 | 2026-01-31 | MRF ↗ |
| ORCHARD HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $7.07 | $1,767.68 | $1,060.61 | 2025-09-13 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $7.40 | $2,010.00 | $743.70 | 2026-03-31 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $7.70 | $3,221.00 | $1,288.40 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $7.70 | $4,831.00 | $1,932.40 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $7.70 | $3,221.00 | $1,288.40 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $7.70 | $3,221.00 | $1,288.40 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $7.70 | $3,221.00 | $1,288.40 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $7.70 | $4,831.00 | $1,932.40 | 2026-05-23 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $7.83 | $4,349.00 | $935.63 | 2024-12-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| PIH HEALTH DOWNEY HOSPITAL Outpatient | La Care Health Plan | Hmo | $8.75 | $7,991.00 | $1,172.94 | 2026-05-15 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $10.04 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $10.04 | — | — | 2026-03-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | San Diego Pace | San Diego Pace | $10.87 | $3,725.00 | $2,793.75 | 2026-04-01 | 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 ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $11.04 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $12.00 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $12.00 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $12.00 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $1,052.00 | $1,052.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $12.00 | $527.00 | $527.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $12.00 | $1,052.00 | $1,052.00 | 2025-10-04 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $12.00 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $12.00 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $12.00 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $12.00 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $12.00 | $578.00 | $156.06 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $12.00 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $12.00 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $578.00 | $156.06 | 2026-01-31 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $527.00 | $527.00 | 2025-10-04 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $12.00 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $12.24 | $1,052.00 | $1,052.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $12.24 | $527.00 | $527.00 | 2025-10-04 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.22 | — | — | 2026-03-18 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | BCBS MEDICARE [250503] | BCBS MEDICARE REPLACEMENT [25050301] | $13.23 | $4,973.30 | $994.66 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | CIGNA MCR HMO/PPO [250525] | MEDICARE REPLACEMENT [25052501] | $13.23 | $4,973.30 | $994.66 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | WELLCARE HEALTH PLAN [250516] | MEDICARE REPLACEMENT [25051601] | $13.23 | $4,973.30 | $994.66 | 2026-03-26 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.30 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.30 | — | — | 2026-03-18 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | AETNA COVENTRY MCR REPLACEMENT [250518] | AETNA MEDICARE [25051801] | $13.46 | $4,973.30 | $994.66 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | HUMANA GOLD [250508] | PFFS MEDICARE REPLACEMENT [25050801] | $13.46 | $4,973.30 | $994.66 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTH MCR HMO/PPO [250515] | UHC MEDICARE REPLACEMENT [25051501] | $13.46 | $4,973.30 | $994.66 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | ALIGN SENIOR CARE [250524] | ALIGN MEDICARE REPLACEMENT [25052401] | $13.48 | $4,973.30 | $994.66 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL OutpatientFacility | FREEDOM HEALTH [250505] | FREEDOM HLTH MEDICARE REPLACEMENT [25050501] | $13.48 | $4,973.30 | $994.66 | 2026-03-26 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $14.29 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $14.40 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $14.56 | — | — | 2026-03-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $15.15 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $15.25 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $15.25 | — | — | 2026-03-18 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $15.60 | $1,052.00 | $1,052.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $15.60 | $527.00 | $527.00 | 2025-10-04 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | PH UHC CORE | $16.00 | $3,981.37 | $2,786.96 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | PH UHC ALL OTHER | $16.00 | $3,981.37 | $2,786.96 | 2026-04-01 | 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 ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $16.80 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $16.80 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $16.80 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $16.80 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $16.80 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $16.80 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $19.20 | $612.00 | $110.16 | 2026-01-30 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $3,339.00 | $2,170.35 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,226.00 | $1,446.90 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $3,339.00 | $2,170.35 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,226.00 | $1,446.90 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,226.00 | $1,446.90 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,226.00 | $1,446.90 | 2025-01-01 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA BETTER HLTH | AETNA BETTER HLTH | $20.88 | $4,408.00 | $4,408.00 | 2026-02-13 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | BCBS MEDICAID | BCBS MEDICAID | $20.88 | $265.18 | $185.63 | 2026-02-20 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | BLUE CROSS COMMUNITY CARE-ALL PLANS | BLUE CROSS COMMUNITY CARE-ALL PLANS | $20.88 | $1,440.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | ILLINICARE - ALL PLANS | ILLINICARE - ALL PLANS | $20.88 | $1,440.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID | HEALTH ALLIANCE MEDICAID | $20.88 | $1,440.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | MERIDIAN-ALL PLANS | MERIDIAN-ALL PLANS | $20.88 | $1,440.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | BCBS MCAID | BCBS MCAID | $20.88 | $502.00 | $502.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE MCAID | HLTH ALLIANCE MCAID | $20.88 | $4,408.00 | $4,408.00 | 2026-02-13 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | MOLINA MEDICAID-ALL PLANS | MOLINA MEDICAID-ALL PLANS | $20.88 | $1,440.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $20.88 | $502.00 | $502.00 | 2026-02-13 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $20.88 | $502.00 | $502.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $20.88 | $4,408.00 | $4,408.00 | 2026-02-13 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | AETNA BETTER HEALTH MCAID | AETNA BETTER HEALTH MCAID | $20.88 | $265.18 | $185.63 | 2026-02-20 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $20.88 | $502.00 | $502.00 | 2026-02-13 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | CENTENE MCAID - ALL PLANS | CENTENE MCAID - ALL PLANS | $20.88 | $502.00 | $502.00 | 2026-02-13 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $20.88 | $502.00 | $502.00 | 2026-02-13 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | MERIDIAN MEDICAID-ALL PLANS | MERIDIAN MEDICAID-ALL PLANS | $20.88 | $265.18 | $185.63 | 2026-02-20 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $20.88 | $1,440.00 | $1,440.00 | 2026-04-08 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | MOLINA KY MCAID | MOLINA KY MCAID | $20.88 | $265.18 | $185.63 | 2026-02-20 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | MOLINA MEDICAID-ALL OTHER PLANS | MOLINA MEDICAID-ALL OTHER PLANS | $20.88 | $265.18 | $185.63 | 2026-02-20 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | BCBS MCAID | BCBS MCAID | $20.88 | $502.00 | $502.00 | 2026-02-13 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | ANTHEM BCBS MY MCAID | ANTHEM BCBS MY MCAID | $20.88 | $265.18 | $185.63 | 2026-02-20 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BC COMM CARE MCAID | BC COMM CARE MCAID | $20.88 | $4,408.00 | $4,408.00 | 2026-02-13 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | CENTENE MCAID - ALL PLANS | CENTENE MCAID - ALL PLANS | $20.88 | $502.00 | $502.00 | 2026-02-13 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $22.00 | $177.00 | $88.00 | 2025-02-03 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $22.33 | $3,201.45 | $1,920.87 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $22.33 | $3,201.45 | $1,920.87 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $22.33 | $3,201.45 | $1,920.87 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $22.33 | $3,201.45 | $1,920.87 | 2025-08-11 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | $3,830.00 | $2,298.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | $7,660.00 | $4,596.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.67 | $7,660.00 | $4,596.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | $7,660.00 | $4,596.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.67 | $7,660.00 | $4,596.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $22.67 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $22.67 | — | — | 2026-01-01 | 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.