66989 — Xcpsl Ctrc Rmvl Cplx Insj 1+
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). XCPSL CTRC RMVL CPLX INSJ 1+ (HCPCS 66989) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/66989?code_type=HCPCS
MLA (9th ed.)
“XCPSL CTRC RMVL CPLX INSJ 1+ (HCPCS 66989) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/66989?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“XCPSL CTRC RMVL CPLX INSJ 1+ (HCPCS 66989) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/66989?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,596–$8,237 (25th–75th percentile) across 1,621 hospitals · 2,207 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 66989 — 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 fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$3,596
$5,676 typical
$8,237
The middle 50% of negotiated facility rates for this procedure, measured across 1,621 hospitals. The surgeon and 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. | $5,676 |
| Surgeon (professional fee) Estimate national typical Medicare $719 × 1.22 commercial. | $877 |
| Anesthesia Estimate national typical 00140, ~90 min typical. Medicare $225 × 3.14 commercial. | $708 |
| Likely subtotal | $7,261 |
Surgical episode (typical)
~$7,261
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- 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 $3,596–$8,237.
Your recovery plan — adjust to what your doctor told you
After your procedure, 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)
~$11,045
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
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) 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 |
|---|---|---|---|---|---|---|---|
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $13.54 | $15,000.00 | $11,250.00 | 2026-03-26 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $20.33 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $20.33 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $20.33 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $20.33 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $20.33 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $20.33 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $20.33 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $20.33 | — | — | 2026-04-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $25.37 | $14,092.00 | $4,666.71 | 2024-12-31 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | VA CCN -ALL PLANS | VA CCN -ALL PLANS | $42.59 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MEDICAL ASSOCIATES-ALL PLANS | MEDICAL ASSOCIATES-ALL PLANS | $42.59 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRICARE- ALL PLANS | TRICARE- ALL PLANS | $42.59 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRIWEST WELLMARK-ALL PLANS | TRIWEST WELLMARK-ALL PLANS | $42.59 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | WELLMARK MCR ADV- ALL PLANS | WELLMARK MCR ADV- ALL PLANS | $43.01 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC MCR ADV | UHC MCR ADV | $43.87 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | OSCAR-ALL PLANS | OSCAR-ALL PLANS | $63.88 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $1,929.00 | $1,253.85 | 2026-08-10 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Sierra Health and Life MCR Adv | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | United Healthcare | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Medicare A AZ JF | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Great West Healthcare AZ | PPO | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | UMR Wausau/UHIS | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Great West Healthcare AZ | PPO | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare East Region DOS lt 01012025 | Federal | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Cigna | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Cigna | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | ASAGEHA | Federal | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Arizona Foundation for Medical Care (AFMC) | PPO | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Cigna | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | UMR Wausau/UHIS | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare East Region DOS lt 01012025 | Federal | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | ASAGEHA | Federal | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Federal | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Federal | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Humana | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Presbyterian Health Plan MCR Adv | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Health Choice Pathway MCR Adv | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare West | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Medicare A AZ JF | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Aetna | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | United Healthcare | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Humana | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Cigna | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield of AZ | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Health Choice Pathway MCR Adv | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Presbyterian Health Plan MCR Adv | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | VA Community Care Network VACCN Region 4 Triwest | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | VA Community Care Network VACCN Region 4 Triwest | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Tricare West | Default | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | United Healthcare | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | United Healthcare | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Sierra Health and Life MCR Adv | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER Both | Arizona Foundation for Medical Care (AFMC) | PPO | — | $4,378.02 | $2,495.47 | 2026-03-16 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MIDLANDS NEW BUSINESS | MIDLANDS NEW BUSINESS | $82.81 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $86.41 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $86.41 | — | — | 2026-04-01 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $101.97 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $112.39 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MIDLANDS CHOICE - ALL OTHER PLANS | MIDLANDS CHOICE - ALL OTHER PLANS | $114.75 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $140.00 | — | — | 2026-07-17 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $172.83 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $172.83 | — | — | 2026-04-01 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | BCBS NETWORK BLUE-ALL OTHER PLANS | BCBS NETWORK BLUE-ALL OTHER PLANS | $178.20 | $297.00 | $207.90 | 2025-07-17 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $203.00 | — | — | 2026-03-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $203.00 | — | — | 2024-10-01 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | HUMANA PPO-ALL OTHER PLANS | HUMANA PPO-ALL OTHER PLANS | $222.75 | $297.00 | $207.90 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $222.75 | $297.00 | $207.90 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | UHC COMMERCIAL-ALL OTHER PLANS | UHC COMMERCIAL-ALL OTHER PLANS | $222.75 | $297.00 | $207.90 | 2025-07-17 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $226.43 | — | — | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $231.68 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $231.68 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $231.68 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $231.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $231.68 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $231.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $231.68 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $231.68 | — | — | 2026-04-14 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | HEALTHY BLUE | MANAGED MEDICAID | $233.94 | $449.88 | $404.89 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | LAW ENFORCEMENT | MANAGED MEDICAID | $233.94 | $449.88 | $404.89 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC COMMUNITY PLAN NE | MANAGED MEDICAID | $233.94 | $449.88 | $404.89 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC COMMUNITY PLAN NE | MANAGED MEDICAID | $233.94 | $449.88 | $404.89 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | LAW ENFORCEMENT | MANAGED MEDICAID | $233.94 | $449.88 | $404.89 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | HEALTHY BLUE | MANAGED MEDICAID | $233.94 | $449.88 | $404.89 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NEBRASKA TOTAL CARE | MANAGED MEDICAID | $233.94 | $449.88 | $404.89 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NEBRASKA TOTAL CARE | MANAGED MEDICAID | $233.94 | $449.88 | $404.89 | 2025-12-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $235.48 | — | — | 2026-07-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $260.61 | — | — | 2026-03-18 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $267.30 | $297.00 | $207.90 | 2025-07-17 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $286.04 | — | — | 2026-02-19 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $22,460.11 | $14,599.07 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $22,538.06 | $14,649.74 | 2026-06-04 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $331.50 | — | — | 2026-08-19 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | 1199SEIU National Benefit Funds | Commercial | $333.00 | — | — | 2025-10-28 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $336.32 | $2,102.00 | $861.82 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $336.32 | $2,102.00 | $861.82 | 2026-07-15 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Emblem Health (Ghi - New York Group Health Inc.) | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Galaxy | MCIPPO | — | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Three Rivers Provider Network | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Local 1199 | PPO | $341.00 | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Local 1199 | PPO | $341.00 | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Oscar Health | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient | Coventry | FirstHealthPPO | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient | Oscar Health | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Coventry | HMO | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient | Galaxy | MCIPPO | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient | Emblem Health (Ghi - New York Group Health Inc.) | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient | Coventry | HMO | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient | Local 1199 | PPO | $341.00 | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient | Three Rivers Provider Network | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER Outpatient | Local 1199 | PPO | $341.00 | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Three Rivers Provider Network | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Emblem Health (Ghi - New York Group Health Inc.) | Commercial | — | — | — | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Coventry | FirstHealthPPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Outpatient | Local 1199 | PPO | $341.00 | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Oscar Health | AllPlans | — | — | — | 2024-12-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Outpatient | Local 1199 | PPO | $341.00 | — | — | 2024-12-13 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Molina | Mmai Dual Eligibility | $344.87 | $4,711.00 | $1,413.30 | 2026-09-21 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $345.00 | — | — | 2026-04-01 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $351.16 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $351.16 | — | — | 2026-03-06 | MRF ↗ |
| FLUSHING HOSPITAL MEDICAL CENTER Outpatient | 1199 National Benefit Fund | 1199 National Benefit Fund | $352.00 | $1,992.00 | $1,992.00 | 2026-07-15 | MRF ↗ |
| FLUSHING HOSPITAL MEDICAL CENTER Outpatient | 1199 National Benefit Fund | 1199 National Benefit Fund | $352.00 | $1,929.50 | $1,929.50 | 2026-07-15 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $354.51 | — | — | 2026-03-06 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Local 1199 | PPO | $356.00 | — | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | Local 1199 | PPO | $356.00 | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Local 1199 | PPO | $356.00 | — | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Local 1199 | PPO | $356.00 | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Local 1199 | PPO | $356.00 | — | — | 2026-02-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER OutpatientFacility | Local 1199 | PPO | $356.00 | — | — | 2026-02-19 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Cigna | Medicare | $359.09 | $2,102.00 | $1,347.37 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Veteran'S Administration | Triwest | $359.09 | $2,102.00 | $1,347.37 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Medicare | $359.09 | $2,102.00 | $1,347.37 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Humana | Medicare | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Care Improvement Plus | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Tricare | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Wellcare | Medicare | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Aetna | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Arkansas Superior Select Tribute | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Ambetter Exchange | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Vantage | Medicare | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Corvel | Workers Comp | — | — | — | 2026-04-08 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | United Healthcare | Medicare | $367.85 | $2,102.00 | $861.82 | 2026-07-15 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $369.00 | — | — | 2026-04-01 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $371.66 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $371.66 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $371.66 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Interwest Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $371.66 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Prime Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Coventry | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Health Network | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $371.66 | — | — | 2026-03-28 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Prime Health Services | Workers Comp | $376.88 | $4,711.00 | $1,413.30 | 2026-09-21 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Wellpoint | Medicare | $377.05 | $2,102.00 | $1,347.37 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Wellcare | Medicare | $377.05 | $2,102.00 | $1,347.37 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Blue Advantage Hmo | $383.66 | $2,102.00 | $1,347.37 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Blue Essentials Hmo | $388.30 | $2,102.00 | $1,347.37 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Ppo Pos | $401.98 | $2,102.00 | $1,347.37 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Utmb Multi-Share | All Contracted Plans | $406.89 | $2,102.00 | $1,347.37 | 2026-07-15 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Both | Avera Health Insurance | Com | $409.60 | $1,024.00 | $993.28 | 2026-05-09 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | Curative | All Contracted Plans | $409.89 | $2,102.00 | $861.82 | 2026-07-15 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Default | $411.59 | $1,110.00 | $832.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Ppo | $411.59 | $1,110.00 | $832.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Federal | $411.59 | $1,110.00 | $832.50 | 2026-05-18 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $412.19 | $14,092.00 | $4,600.91 | 2024-12-31 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Community Health Choice | Marketplace Plans | $412.96 | $2,102.00 | $1,347.37 | 2026-07-15 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $418.03 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $418.03 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $418.03 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $418.03 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $418.03 | — | — | 2025-06-28 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Humana | Medicare | $419.42 | $2,102.00 | $1,347.37 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | United Healthcare | Medicare | $419.42 | $2,102.00 | $1,347.37 | 2026-07-15 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $13,451.79 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $420.00 | $15,988.40 | — | 2025-09-05 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | BLUE CROSS | PPO | $427.39 | $449.88 | $404.89 | 2025-12-27 | 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.