64625 — Rf Abltj Nrv Nrvtg Si Jt
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RF ABLTJ NRV NRVTG SI JT (HCPCS 64625) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64625?code_type=HCPCS
MLA (9th ed.)
“RF ABLTJ NRV NRVTG SI JT (HCPCS 64625) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64625?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“RF ABLTJ NRV NRVTG SI JT (HCPCS 64625) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64625?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,673–$3,936 (25th–75th percentile) across 2,318 hospitals · 5,319 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 64625 — 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
$1,673
$2,481 typical
$3,936
The middle 50% of negotiated facility rates for this procedure, measured across 2,318 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. | $2,481 |
| Physician fee Estimate national typical Medicare $177 × 1.22 commercial. | $216 |
| Likely subtotal | $2,697 |
Complete-episode estimate (typical)
~$2,697
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 $1,673–$3,936.
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 |
|---|---|---|---|---|---|---|---|
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Traditional | Commercial | $4.86 | $538.00 | $376.60 | 2026-07-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $4.87 | $3,600.00 | $2,700.00 | 2026-03-26 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Outpatient | Summit Administration Services, Inc | Default | $5.00 | $551.13 | $440.90 | 2026-03-31 | MRF ↗ |
| DELTA MEMORIAL HOSPITAL Outpatient | Summit Administration Services, Inc | Default | $5.00 | $551.13 | $440.90 | 2026-03-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $5.59 | $680.00 | $129.20 | 2026-05-20 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $8.10 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $8.10 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $8.10 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $8.10 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $8.10 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $8.10 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $8.10 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $8.10 | — | — | 2026-04-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $9.98 | $5,542.00 | $1,973.53 | 2024-12-31 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $10.80 | $538.00 | $376.60 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BC MEDI-CAL | BC MEDI-CAL | $15.00 | $680.00 | $102.00 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | MEDI-CAL | MEDI-CAL | $15.00 | $680.00 | $102.00 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | UNIVERSAL HC MCAL PROFEE ONLY | UNIVERSAL HC MCAL PROFEE ONLY | $15.00 | $680.00 | $102.00 | 2026-10-05 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $19.25 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $19.25 | — | — | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BC MCAL | BC MCAL | $20.00 | $680.00 | $129.20 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | CENTRAL CA ALLIANCE MCAL PROFEE ONLY | $20.00 | $680.00 | $129.20 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | UPN MCAL PROFEE ONLY-ALL OTHER PLANS | $20.00 | $680.00 | $129.20 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CAL VIVA HLTH MCAL - ALL PLANS | CAL VIVA HLTH MCAL - ALL PLANS | $20.00 | $680.00 | $129.20 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | MEDI-CAL | MEDI-CAL | $20.00 | $680.00 | $129.20 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | DIGNITY MCAL OP/PROFEE ONLY-ALL OTHER PLANS | $20.00 | $680.00 | $129.20 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | KERN HEALTH SYSTEMS MCAL | KERN HEALTH SYSTEMS MCAL | $21.15 | $680.00 | $102.00 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | KERN HEALTH SYSTEMS MCAL-ALL PLANS | KERN HEALTH SYSTEMS MCAL-ALL PLANS | $25.00 | $680.00 | $129.20 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CCS PROFEE ONLY | CENTRAL CA ALLIANCE CCS PROFEE ONLY | $30.00 | $680.00 | $129.20 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | CENTRAL CA ALLIANCE COMM PROFEE ONLY - ALL OTHER P | $30.00 | $680.00 | $129.20 | 2026-05-20 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $432.00 | $432.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $432.00 | $432.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | — | $648.00 | $648.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $648.00 | $648.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | — | $432.00 | $432.00 | 2025-03-18 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | CENTRAL CA ALLIANCE CHDP PROFEE ONLY | $40.00 | $680.00 | $129.20 | 2026-05-20 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | — | $432.00 | $432.00 | 2025-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $44.53 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $44.53 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $44.53 | — | — | 2026-03-18 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Inpatient | United Healthcare � Commercial Hmo Ppo | All Plans | $44.60 | $223.00 | $46.83 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $45.00 | $680.00 | $129.20 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | MEDI-CAL | MEDI-CAL | $45.00 | $680.00 | $115.60 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $45.00 | $680.00 | $115.60 | 2026-05-23 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD PROMISE [1017] | BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) | $45.00 | $3,991.46 | $2,195.30 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCAL | BC MCAL | $45.00 | $680.00 | $115.60 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $45.00 | $680.00 | $115.60 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $45.00 | $680.00 | $115.60 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $45.00 | $680.00 | $129.20 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $45.00 | $680.00 | $129.20 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $45.00 | $680.00 | $129.20 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $45.00 | $680.00 | $129.20 | 2026-05-19 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN OutpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $45.15 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN OutpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $45.15 | — | — | 2026-03-31 | MRF ↗ |
| HARRISON COUNTY HOSPITAL Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $48.00 | $987.00 | $592.20 | 2026-07-16 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $48.49 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $48.49 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $48.49 | — | — | 2026-03-18 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Cross | Blue Cross - PPO | $48.91 | $4,302.00 | $3,226.50 | 2026-04-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | $7,373.00 | $4,423.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | $7,373.00 | $4,423.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | $7,373.00 | $4,423.80 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT JENNINGS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | $7,373.00 | $4,423.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | $7,373.00 | $4,423.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | $7,373.00 | $4,423.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $48.92 | — | — | 2026-01-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $49.32 | $5,208.72 | $3,125.23 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $49.32 | $5,208.72 | $3,125.23 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $49.32 | $5,208.72 | $3,125.23 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $49.32 | $5,208.72 | $3,125.23 | 2025-08-11 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | MEDI-CAL | MEDI-CAL | $50.00 | $680.00 | $136.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | KAISER MEDI-CAL | KAISER MEDI-CAL | $50.00 | $680.00 | $136.00 | 2026-05-24 | MRF ↗ |
| Crittenden Community Hospital Outpatient | Blue Cross Blue Shield of KY Anthem | PPO | $50.00 | $441.00 | $185.22 | 2026-07-09 | MRF ↗ |
| HILLSBORO COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield of KS | Default | $52.20 | $428.00 | $256.80 | 2024-11-14 | MRF ↗ |
| HILLSBORO COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield of KS | Default | $52.20 | $428.00 | $256.80 | 2024-11-14 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $55.48 | $7,373.00 | $4,423.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $55.48 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $55.48 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $55.48 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $55.48 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $55.48 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $55.48 | $7,373.00 | $4,423.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $55.48 | $7,373.00 | $4,423.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $55.48 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $55.48 | $7,373.00 | $4,423.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $55.48 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $55.48 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EVANGELICAL COMMUNITY HOSPITAL Outpatient | UPMC_Medicaid | All_Plans | $56.10 | $9,665.50 | $7,732.40 | 2026-01-01 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | Imagine Health | Imagine Health | $56.22 | $562.21 | $562.21 | 2026-07-15 | MRF ↗ |
| Florida Medical Center Outpatient | Imagine Health | Imagine Health | $56.22 | $562.21 | $562.21 | 2026-07-15 | MRF ↗ |
| Florida Medical Center Outpatient | Imagine Health | Imagine Health | $56.22 | $562.21 | — | 2026-09-21 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Medicare | Part B | $58.00 | $532.00 | $266.00 | 2025-06-12 | MRF ↗ |
| WELLSPAN EVANGELICAL COMMUNITY HOSPITAL Outpatient | Amerihealth_Caritas_Medicaid | All_Plans | $60.18 | $9,665.50 | $7,732.40 | 2026-01-01 | MRF ↗ |
| MADISON COUNTY HEALTH CARE SYSTEM Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $63.50 | $1,240.00 | $992.00 | 2026-06-05 | MRF ↗ |
| WELLSPAN EVANGELICAL COMMUNITY HOSPITAL Outpatient | Health_Partners_Medicaid | All_Plans | $63.75 | $9,665.50 | $7,732.40 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $63.75 | $4,161.00 | $3,328.80 | 2026-01-01 | MRF ↗ |
| WELLSPAN EVANGELICAL COMMUNITY HOSPITAL Outpatient | Highmark_Wholecare_Gateway_Medicare | All_Plans | $63.75 | $9,665.50 | $7,732.40 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | UPMC_Medicaid | All_Plans | $63.75 | $4,161.00 | $3,328.80 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Health_Partners_Medicaid | All_Other_Plans | $63.75 | $4,161.00 | $3,328.80 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $63.75 | $4,161.00 | $3,328.80 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Geisinger_Medicaid | All_Plans | $63.75 | $4,161.00 | $3,328.80 | 2026-01-01 | MRF ↗ |
| CROSSING RIVERS HEALTH MEDICAL CENTER Outpatient | QUARTZ - ALL PLANS | QUARTZ - ALL PLANS | $65.00 | $949.00 | $949.00 | 2026-04-02 | MRF ↗ |
| CROSSING RIVERS HEALTH MEDICAL CENTER Outpatient | QUARTZ - ALL PLANS | QUARTZ - ALL PLANS | $65.00 | $949.00 | $949.00 | 2026-04-02 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $65.52 | $713.00 | $213.90 | 2026-07-15 | MRF ↗ |
| GOLDEN PLAINS COMMUNITY HOSPITAL Outpatient | Blue Cross - Blue Advantage | HMO | $66.01 | $161.00 | $112.70 | 2026-03-12 | MRF ↗ |
| WELLSPAN EVANGELICAL COMMUNITY HOSPITAL Outpatient | Geisinger_Medicaid | All_Plans | $66.17 | $9,665.50 | $7,732.40 | 2026-01-01 | MRF ↗ |
| WELLSPAN EVANGELICAL COMMUNITY HOSPITAL Outpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $66.30 | $9,665.50 | $7,732.40 | 2026-01-01 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $680.00 | $136.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $680.00 | $136.00 | 2026-05-24 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $67.19 | $2,904.41 | $1,887.87 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $67.19 | $2,904.41 | $1,887.87 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $67.19 | $2,904.41 | $1,887.87 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $67.19 | $2,904.41 | $1,887.87 | 2026-03-13 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $67.50 | $680.00 | $115.60 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $67.50 | $680.00 | $115.60 | 2026-05-23 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $71.30 | $713.00 | $213.90 | 2026-07-15 | MRF ↗ |
| SEARHC WRANGELL MEDICAL CENTER & LTC Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $72.00 | $1,475.79 | $1,475.79 | 2024-12-09 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $72.01 | $713.00 | $213.90 | 2026-07-15 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Amerihealth_Caritas_Medicaid | All_Plans | $72.42 | $4,161.00 | $3,328.80 | 2026-01-01 | MRF ↗ |
| STEELE MEMORIAL MEDICAL CENTER Outpatient | INTERWEST HEALTH - ALL PLANS | INTERWEST HEALTH - ALL PLANS | $73.00 | $1,271.00 | $953.25 | 2026-02-26 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Tricare | Commercial | $73.00 | $456.00 | $456.00 | 2025-11-07 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | VALLEY CHILDRENS - ALL PLANS | VALLEY CHILDRENS - ALL PLANS | $75.60 | $680.00 | $129.20 | 2026-05-19 | MRF ↗ |
| GOLDEN PLAINS COMMUNITY HOSPITAL Outpatient | Blue Cross Essentials HMO | HMO | $75.67 | $161.00 | $112.70 | 2026-03-12 | MRF ↗ |
| OLIVIA HOSPITAL & CLINIC BothFacility | BCBS MEDICAID REPLACEMENT [950295] | BCBS PMAP [95296] | $75.78 | $435.00 | $265.35 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $76.19 | $24,703.66 | $9,881.46 | 2026-05-29 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Inpatient | Verity Commercial | All Plans | $78.05 | $223.00 | $46.83 | 2026-07-15 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $1,753.88 | $1,140.02 | 2026-08-10 | MRF ↗ |
| Florida Medical Center Outpatient | Solis Health Plans Medicare | Solis Health Plans Medicare | $78.71 | $562.21 | $562.21 | 2026-07-15 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | Solis Health Plans Medicare | Solis Health Plans Medicare | $78.71 | $562.21 | $562.21 | 2026-07-15 | MRF ↗ |
| SGMC HEALTH | Humana | — | $79.78 | $494.00 | $370.50 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Molina | Mmai Dual Eligibility | $81.64 | $1,130.00 | $339.00 | 2026-09-21 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Cigna | PPO | $82.00 | $5,604.00 | $5,604.00 | 2026-04-15 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $85.28 | $4,688.00 | $1,406.40 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $85.28 | $4,688.00 | $1,406.40 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE CHDP MCAL | CENTRAL CA ALLIANCE CHDP MCAL | $90.00 | $680.00 | $115.60 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Prime Health Services | Workers Comp | $90.40 | $1,130.00 | $339.00 | 2026-09-21 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Wellsense | $91.05 | $713.00 | $213.90 | 2026-07-15 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Florida Medical Center Outpatient | United Healthcare Of Florida Exchange | United Healthcare Of Florida Exchange | $95.58 | $562.21 | $562.21 | 2026-07-15 | MRF ↗ |
| GOLDEN PLAINS COMMUNITY HOSPITAL Inpatient | Blue Cross - Blue Advantage | HMO | $96.60 | $161.00 | $112.70 | 2026-03-12 | MRF ↗ |
| Florida Medical Center Outpatient | Cigna Surefit | Cigna Surefit | $97.82 | $562.21 | $562.21 | 2026-07-15 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | Cigna Surefit | Cigna Surefit | $97.82 | $562.21 | $562.21 | 2026-07-15 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $97.99 | $239.00 | $191.20 | 2026-04-13 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | Regence Blueshield of Idaho | Medicare Advantage | $97.99 | $239.00 | $191.20 | 2026-04-13 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | United Healthcare | HMO Medicare Advantage | $97.99 | $239.00 | $191.20 | 2026-04-13 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | $97.99 | $239.00 | $191.20 | 2026-04-13 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | Humana | PPO | $97.99 | $239.00 | $191.20 | 2026-04-13 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | American Health Plan | Medicare Advantage | $97.99 | $239.00 | $191.20 | 2026-04-13 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | Medicare Advantage | $98.96 | $239.00 | $191.20 | 2026-04-13 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $100.00 | $985.00 | $492.00 | 2025-02-03 | MRF ↗ |
| STONE COUNTY MEDICAL CENTER Outpatient | BCBS Metallic/Exchange SCMC | Metallic/Exchange | $100.00 | $4,338.00 | $3,253.50 | 2026-03-19 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Anthem | — | $100.09 | $320.00 | $256.00 | 2024-01-17 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | PacificSource | HMO Medicare Advantage | $100.92 | $239.00 | $191.20 | 2026-04-13 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $101.00 | $985.00 | $492.00 | 2025-02-03 | MRF ↗ |
| GOLDEN PLAINS COMMUNITY HOSPITAL Inpatient | Blue Cross Essentials HMO | HMO | $101.43 | $161.00 | $112.70 | 2026-03-12 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Sinai Medical Group | All Products | $102.05 | $1,130.00 | $339.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Coventry | Medicare Advantage | $102.05 | $1,130.00 | $339.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Medicare | Part A And B & Medicare Railroad | $102.05 | $1,130.00 | $339.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Health Alliance | Medicare | $102.05 | $1,130.00 | $339.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Veterans Affairs Ccn Optum | All Products | $102.05 | $1,130.00 | $339.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | United | Medicare Hmo & Ppo | $102.05 | $1,130.00 | $339.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Longevity Health Plan | Medicare Advantage | $102.05 | $1,130.00 | $339.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Aetna | Medicare Hmo, Ppo, & Nap | $102.05 | $1,130.00 | $339.00 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Sunrise Medicare | All Products | $102.05 | $1,130.00 | $339.00 | 2026-09-21 | MRF ↗ |
| GLACIAL RIDGE HOSPITAL Outpatient | MEDICA MCAID | MEDICA MCAID | $102.89 | $289.83 | $197.08 | 2026-01-24 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $103.42 | $1,591.00 | $1,034.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $103.42 | $1,591.00 | $1,034.15 | 2026-03-12 | 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.