65235 — Remove Foreign Body From Eye
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REMOVE FOREIGN BODY FROM EYE (CPT 65235) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/65235?code_type=CPT
MLA (9th ed.)
“REMOVE FOREIGN BODY FROM EYE (CPT 65235) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/65235?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“REMOVE FOREIGN BODY FROM EYE (CPT 65235) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/65235?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,801–$4,013 (25th–75th percentile) across 1,688 hospitals · 3,468 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 65235 — 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,801
$2,552 typical
$4,013
The middle 50% of negotiated facility rates for this procedure, measured across 1,688 hospitals. Surgeon & anesthesia 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. | $2,552 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $636 × 1.22 commercial. | $775 |
| Likely subtotal | $3,328 |
Surgical episode (typical)
~$3,328
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$7,113
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| FIELD HEALTH SYSTEM Both | Multiplan Inc. for American Family | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Advanced Health | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Connecticut General Cigna | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicaid Mississippi | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Select Health Care | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Primewell Vantage Health Plan | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Magnolia Health Plan MCD Rep | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | First Choice Health Network | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Private Healthcare Systems PHCS | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | GEHA Multiplan Network | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Physicians Care Network | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare B MS JH | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | UHC Community Plan MS | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $11.87 | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare A MS JH | Default | — | $839.00 | $629.25 | 2025-03-07 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $13.75 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $13.75 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $13.75 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $13.75 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $13.75 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $13.75 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $13.75 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $13.75 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $13.75 | — | — | 2026-04-01 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $22.37 | $2,206.00 | $1,433.90 | 2026-05-07 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | TriWest | Healthcare Alliance | $24.50 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | TriWest | Healthcare Alliance | $24.50 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Freedom Blue | $25.35 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Freedom Blue | $25.35 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $26.08 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $26.08 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $26.15 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $26.15 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna Medicare | $27.54 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United Medicare | $27.54 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicare | $27.54 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicare | $27.54 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna Medicare | $27.54 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United Medicare | $27.54 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicare | $27.82 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicare | $27.82 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $28.09 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $28.09 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | Va Ccn Optum | $28.10 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | Va Ccn Optum | $28.10 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Umwa | Umwa | $28.10 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Wholecare Medicare | $28.10 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Wholecare Medicare | $28.10 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Umwa | Umwa | $28.10 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas Medicare | Amerihealth Caritas Medicare | $28.66 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas Medicare | Amerihealth Caritas Medicare | $28.66 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $29.37 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $29.56 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $29.56 | — | — | 2026-03-18 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Security Blue | $29.72 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Security Blue | $29.72 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $33.66 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $33.87 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $33.87 | — | — | 2026-03-18 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Chip / Social Mission | $33.96 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Chip / Social Mission | $33.96 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $35.13 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $35.13 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $36.65 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $36.88 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $36.88 | — | — | 2026-03-18 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $38.32 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $38.32 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $38.82 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $38.82 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $39.34 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $39.34 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $39.34 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $39.34 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicaid | $42.70 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicaid | $42.70 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicaid | $44.84 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicaid | $44.84 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $46.58 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $46.58 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $46.58 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $46.58 | $474.00 | $142.20 | 2026-05-14 | 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicaid | Geisinger Medicaid | $51.24 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicaid | Geisinger Medicaid | $51.24 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $56.20 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $56.20 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $59.42 | — | — | 2026-04-14 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | PMAP | $64.40 | $266.00 | $212.80 | 2026-03-04 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Aca / My Direct Blue / My Blue Access Ppo | $65.81 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Aca / My Direct Blue / My Blue Access Ppo | $65.81 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Comm Community Blue | $67.07 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Comm Community Blue | $67.07 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | Ambetter Exchange PPO | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Humana | Gold Choice | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | AARP Medicare | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | MCR ADV | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | MCR ADV | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | WellCare by Allwell Medicare | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | WellCare by Allwell Medicare | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | AARP Medicare | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | WPPA | Medica Prime Medicare Cost | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Humana | Choice Care Network | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | BCBS - KS | Medicare Advantage | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | WPPA | Medica Prime Medicare Cost | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | Ambetter Exchange PPO | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Humana | Gold Choice | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Humana | Choice Care Network | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | BCBS - KS | Medicare Advantage | $67.62 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | AblePay Health | All Plans | $68.60 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | AblePay Health | All Plans | $68.60 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | UHC MCR ADV | UHC MCR ADV | $69.02 | $203.00 | $121.80 | 2025-11-18 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United | $70.25 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United | $70.25 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Comm Managed/Indemnity | $71.53 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Comm Managed/Indemnity | $71.53 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $74.09 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $74.09 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $74.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $74.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $74.46 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $74.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $74.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $74.46 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $74.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $74.46 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $74.46 | — | — | 2026-04-14 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Molina | Managed Medicaid | $75.38 | $4,952.25 | $2,476.13 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Molina | Managed Medicaid | $75.38 | $4,952.25 | $2,476.13 | 2025-12-04 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Medical Rental Products | $78.64 | $3,835.36 | $3,835.36 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Gatekeeper/Non Gatekeeper | $78.64 | $3,835.36 | $3,835.36 | 2026-05-26 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $78.68 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $78.68 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $78.68 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $78.68 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $78.76 | $203.00 | $121.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $81.20 | $203.00 | $121.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $81.20 | $203.00 | $121.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | HUMANA MEDICARE-ALL PLANS | HUMANA MEDICARE-ALL PLANS | $81.20 | $203.00 | $121.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $81.20 | $203.00 | $121.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | UHC VA CCN | UHC VA CCN | $81.20 | $203.00 | $121.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | MOLINA MCR ADV | MOLINA MCR ADV | $81.20 | $203.00 | $121.80 | 2025-11-18 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $3,867.00 | $2,370.89 | 2024-12-31 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Aetna | MCR ADV HMO | $83.30 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Aetna | MCR ADV HMO | $83.30 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER OutpatientFacility | Sanford Health Plan Align | Medicare Replacement | $83.52 | $266.00 | $212.80 | 2026-03-04 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $85.26 | $203.00 | $121.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | MOLINA MCAID/CHIP | MOLINA MCAID/CHIP | $85.26 | $203.00 | $121.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Both | AMERIGROUP MEDICAID - ALL OTHER PLANS | AMERIGROUP MEDICAID - ALL OTHER PLANS | $86.97 | $203.00 | $121.80 | 2025-11-18 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Christian Health Aid | All Plans | $88.20 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | Commercial | $88.20 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | Exchange | $88.20 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Christian Health Aid | All Plans | $88.20 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | Exchange | $88.20 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | Commercial | $88.20 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna | $89.36 | $474.00 | $142.20 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna | $89.36 | $474.00 | $142.20 | 2026-05-23 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER OutpatientFacility | Wellmark SD | Medicare Replacement | $89.64 | $266.00 | $212.80 | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER OutpatientFacility | Ucare | Medicare Replacement | $89.64 | $266.00 | $212.80 | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER OutpatientFacility | Great Plains Medicare Advantage | Medicare Replacement | $90.44 | $266.00 | $212.80 | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER OutpatientFacility | Aetna | Medicare Replacement | $90.44 | $266.00 | $212.80 | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Replacement | $90.44 | $266.00 | $212.80 | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER OutpatientFacility | Health Partners | Medicare Replacement | $90.44 | $266.00 | $212.80 | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Minnesota | Medicare Replacement | $92.17 | $266.00 | $212.80 | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER OutpatientFacility | Primewest | Medicare Replacement | $92.17 | $266.00 | $212.80 | 2026-03-04 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Health Partners | Commercial PPO | $93.10 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Health Partners | Commercial PPO | $93.10 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $95.85 | $710.00 | $532.50 | 2026-01-16 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | Optum VA CCN | $98.00 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | Optum VA CCN | $98.00 | $98.00 | $83.30 | 2026-03-06 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $99.34 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $99.34 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $99.34 | — | — | 2026-04-14 | 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.