64493 — Inj Paravert F Jnt L/s 1 Lev
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INJ PARAVERT F JNT L/S 1 LEV (CPT 64493) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64493?code_type=CPT
MLA (9th ed.)
“INJ PARAVERT F JNT L/S 1 LEV (CPT 64493) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64493?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“INJ PARAVERT F JNT L/S 1 LEV (CPT 64493) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64493?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $838–$2,152 (25th–75th percentile) across 3,231 hospitals · 9,008 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 64493 — 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
$838
$1,287 typical
$2,152
The middle 50% of negotiated facility rates for this procedure, measured across 3,231 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. | $1,287 |
| Physician fee Estimate national typical Medicare $82 × 1.22 commercial. | $99 |
| Likely subtotal | $1,386 |
Complete-episode estimate (typical)
~$1,386
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 $838–$2,152.
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 |
|---|---|---|---|---|---|---|---|
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $5,679.00 | $4,656.78 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $5,679.00 | $4,656.78 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $5,679.00 | $4,656.78 | 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 | Health Net of California, Inc. | Medicare Advantage | — | $5,679.00 | $4,656.78 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $5,679.00 | $4,656.78 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,874.78 | $4,468.61 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $5,679.00 | $4,656.78 | 2025-11-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $2.15 | $2,400.00 | $1,800.00 | 2026-03-26 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.58 | $472.00 | $89.68 | 2026-05-20 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $2.58 | $250.00 | $250.00 | 2026-03-09 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | AETNA COVENTRY - ALL OTHER PLANS | AETNA COVENTRY - ALL OTHER PLANS | $3.10 | $214.10 | — | 2026-03-02 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $3.20 | $143.00 | $100.10 | 2026-07-15 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $5.16 | $3,450.00 | $3,450.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $5.16 | $3,450.00 | $3,450.00 | 2026-02-13 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.93 | $3,850.00 | $935.63 | 2024-12-31 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $773.00 | $773.00 | 2025-10-04 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $7.00 | $472.00 | $70.80 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $7.00 | $472.00 | $89.68 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $7.00 | $472.00 | $89.68 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BC MEDI-CAL | BC MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $7.00 | $387.00 | $387.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $7.00 | $773.00 | $773.00 | 2025-10-04 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $7.00 | $472.00 | $127.44 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $7.00 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $472.00 | $70.80 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $472.00 | $89.68 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $7.00 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $472.00 | $127.44 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $7.00 | $472.00 | $89.68 | 2026-05-22 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ACCESS MEDI-CAL | ACCESS MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $7.00 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $7.00 | $472.00 | $70.80 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $7.00 | $472.00 | $89.68 | 2026-05-22 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $7.00 | $387.00 | $387.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $7.14 | $387.00 | $387.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $7.14 | $773.00 | $773.00 | 2025-10-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $7.18 | $354.00 | $265.50 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $7.18 | $354.00 | $265.50 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $7.18 | $354.00 | $265.50 | 2026-10-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $8.34 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $8.34 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| OPTIM MEDICAL CENTER - TATTNALL Outpatient | Centene Peach State | Managed Medicaid | — | $18,201.60 | $18,201.60 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $8.40 | $501.00 | $90.18 | 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 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $9.10 | $387.00 | $387.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $9.10 | $773.00 | $773.00 | 2025-10-04 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $9.80 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $9.80 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $9.80 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $9.80 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $9.80 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $9.80 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | EL PROYECTO MCAL PROFEE ONLY | EL PROYECTO MCAL PROFEE ONLY | $9.80 | $501.00 | $90.18 | 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 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $9.80 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | GLOBAL CARE MCAL PROFEE ONLY | GLOBAL CARE MCAL PROFEE ONLY | $9.80 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | HCLA MCAL PROFEE ONLY | HCLA MCAL PROFEE ONLY | $9.80 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | AHP MEDI-CAL | AHP MEDI-CAL | $9.80 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $9.87 | $472.00 | $70.80 | 2026-10-05 | MRF ↗ |
| STORY COUNTY HOSPITAL Outpatient | Humana | Medicare | — | $133.00 | $106.40 | 2026-05-06 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $11.20 | $501.00 | $90.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $11.20 | $501.00 | $90.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $472.00 | $127.44 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCAL OP/PROFEE ONLY | UNIVERSAL IPA MCAL OP/PROFEE ONLY | $12.00 | $472.00 | $127.44 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $12.00 | $472.00 | $89.68 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $12.00 | $472.00 | $89.68 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $12.00 | $472.00 | $89.68 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $12.00 | $472.00 | $89.68 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $472.00 | $89.68 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $472.00 | $89.68 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $472.00 | $94.40 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $12.00 | $472.00 | $89.68 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $12.00 | $472.00 | $94.40 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $12.00 | $472.00 | $89.68 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $12.00 | $472.00 | $89.68 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $12.00 | $472.00 | $89.68 | 2026-05-20 | MRF ↗ |
| NATIVIDAD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $12.00 | $287.00 | $287.00 | 2026-08-14 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | WELLCARE | MEDICARE ADVANTAGE | — | $4,180.00 | — | 2025-12-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BC MCAL | BC MCAL | $12.00 | $472.00 | $89.68 | 2026-05-20 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | MEDICARE | MEDICARE | $12.48 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | MCRADV_AETNA | AETNA MEDICARE ADVANTAGE | $13.26 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | TRIWEST | TRIWEST | $13.26 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | MCRADV_ROCKY_MT | ROCKY MOUNTAIN MEDICARE ADVANTAGE | $13.26 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | MCRADV_HUMANA | HUMANA MEDICARE ADVANTAGE | $13.26 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | MCRADV_UHC | UHC MEDICARE ADVANTAGE | $13.26 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | MCRADV_ANTHEM | ANTHEM BCBS MEDICARE ADVANTAGE | $13.26 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | TRICARE | TRICARE | $13.28 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $15.00 | $472.00 | $89.68 | 2026-05-20 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Humana | Medicare | — | $2,989.63 | $1,793.78 | 2026-08-03 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $18.00 | $472.00 | $89.68 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $18.00 | $472.00 | $89.68 | 2026-05-20 | MRF ↗ |
| STEELE MEMORIAL MEDICAL CENTER Outpatient | INTERWEST HEALTH - ALL PLANS | INTERWEST HEALTH - ALL PLANS | $18.25 | $553.00 | $414.75 | 2026-02-26 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Traditional | Commercial | $18.85 | $143.00 | $100.10 | 2026-07-15 | MRF ↗ |
| STEELE MEMORIAL MEDICAL CENTER Outpatient | SELECT HEALTH INC - ALL OTHER PLANS | SELECT HEALTH INC - ALL OTHER PLANS | $19.01 | $553.00 | $414.75 | 2026-02-26 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | CIGNA | CIGNA | $19.33 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $20.16 | $472.00 | $89.68 | 2026-05-19 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Commercial | $20.48 | — | — | 2026-10-12 | 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 | $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 ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Managed Medicaid | $20.74 | — | — | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Blue Select | $20.78 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Blue Select | $20.78 | — | — | 2025-08-01 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | SELF_PAY | SELF PAY DISCOUNT | $20.80 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| Shepherd Center Outpatient | Aetna | Commercial | $20.90 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Aetna | Commercial | $20.90 | — | — | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $21.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $21.06 | — | — | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Cigna Oncology UPW | Commercial | $21.56 | — | — | 2026-06-30 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Health First | Commercial (MMG) | $21.64 | — | — | 2025-10-24 | MRF ↗ |
| Shepherd Center Outpatient | Coventry | Commercial | $21.72 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Coventry | Commercial | $21.72 | — | — | 2026-09-21 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Health Options | $22.31 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Health Options | $22.31 | — | — | 2026-06-30 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $22.33 | $3,572.78 | $2,143.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $22.33 | $3,572.78 | $2,143.67 | 2025-08-11 | MRF ↗ |
| TOMAH MEMORIAL HOSPITAL Outpatient | MANAGED HLTH MCAID - ALL PLANS | MANAGED HLTH MCAID - ALL PLANS | $22.33 | $511.75 | $294.26 | 2026-03-03 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $22.33 | $3,572.78 | $2,143.67 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $22.33 | $3,572.78 | $2,143.67 | 2025-08-11 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | FRIDAY HEALTH PLAN | FRIDAY HEALTH PLAN | $22.36 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $22.56 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna - Commercial | $22.56 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Other | $22.56 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Group Health | $22.56 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Silver Bow County Employees | $22.56 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $22.56 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Ppo | $22.56 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Other | $22.56 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $22.56 | — | — | 2026-07-15 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | ANTHEM | ANTHEM BLUE CROSS | $22.57 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Healthcomp Tpa | $22.69 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $22.69 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Health | $22.69 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Other | $22.69 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Boon-Chapman | $22.69 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Marketplace | $22.75 | — | — | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Marketplace | $22.75 | — | — | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology UPW | Medicaid HMO | $22.82 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology UPW | Healthy Kids | $22.82 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $22.82 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $22.82 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology UPW | Medicaid HMO | $22.82 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $22.82 | — | — | 2025-08-01 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | UNITED_EMP | UNITED- PIONEERS EMPLOYEES | $22.93 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $23.00 | $208.00 | $104.00 | 2025-02-03 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Multiplan | PHCS\PPO | $23.08 | — | — | 2025-10-24 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $23.09 | $171.00 | $128.25 | 2026-01-16 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp Essential | Commercial | $23.09 | — | — | 2026-10-12 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $23.24 | — | — | 2026-07-15 | MRF ↗ |
| Shepherd Center Outpatient | Cigna | Commercial | $23.36 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Cigna | Commercial | $23.36 | — | — | 2026-05-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Network Blue | $23.43 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Network Blue | $23.43 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology UPW | Medicaid HMO | $23.47 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology UPW | Healthy Kids | $23.47 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $23.47 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $23.47 | — | — | 2025-08-01 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | MULTIPLAN | MULTIPLAN | $23.66 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $5,522.00 | $3,865.40 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $5,522.00 | $3,865.40 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $5,522.00 | $3,865.40 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $5,522.00 | $3,865.40 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $5,522.00 | $3,865.40 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $5,522.00 | $3,865.40 | 2026-09-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology UPW | Medicaid HMO | $23.91 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $23.91 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $23.91 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology UPW | Medicaid HMO | $23.91 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | PPC PPO | $23.99 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Traditional | $23.99 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Traditional | $23.99 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | PPC PPO | $23.99 | — | — | 2025-08-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $24.00 | $472.00 | $89.68 | 2026-05-20 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $24.04 | — | — | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $24.04 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp Essential | Commercial | $24.30 | — | — | 2026-10-12 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Meritain Health | Meritain Health | $24.39 | — | — | 2026-07-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Oscar Health Oncology UPW | Individual Exchange | $24.40 | — | — | 2026-06-30 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Humana Choicecare | Medicare | $24.50 | — | — | 2026-07-15 | MRF ↗ |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT Outpatient | HUMANA | HUMANA | $24.70 | $26.00 | $20.80 | 2026-10-09 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $24.71 | — | — | 2026-07-15 | 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.