66991 — Xcapsl Ctrc Rmvl Insj 1+
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). XCAPSL CTRC RMVL INSJ 1+ (CPT 66991) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/66991?code_type=CPT
MLA (9th ed.)
“XCAPSL CTRC RMVL INSJ 1+ (CPT 66991) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/66991?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“XCAPSL CTRC RMVL INSJ 1+ (CPT 66991) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/66991?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,688–$7,898 (25th–75th percentile) across 1,474 hospitals · 2,632 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 66991 — 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
$3,688
$5,756 typical
$7,898
The middle 50% of negotiated facility rates for this procedure, measured across 1,474 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. | $5,756 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $582 × 1.22 commercial. | $710 |
| Likely subtotal | $6,466 |
Surgical episode (typical)
~$6,466
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)
~$10,251
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 |
|---|---|---|---|---|---|---|---|
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $0.32 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AR | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MA | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - HI | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE DISTINCTION TRANSPLANT | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CO (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CT (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NJ (HORIZON) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NH (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - RI | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - SD (WELLMARK) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WV (HIGHMARK) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NV (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OR (REGENCE) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - SC | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - PA (HIGHMARK) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - FL | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NE | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WI (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | KAISER DOMESTIC | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NC | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (EXCELLUS) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BCN DOMESTIC | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | PRE-EMPLOYMENT | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - TX | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CARE NETWORK | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (CAREFIRST) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BCBS GENERIC | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - UT (REGENCE) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CA (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ME (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | WC DOMESTIC | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - PA (CAPITAL) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AZ | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - KS | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MS | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MT | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL ALTERNATE | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WY | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - WA (REGENCE) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AK (PREMERA) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MI | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - PA (INDEPENDENCE) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OK | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK HMO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MN | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - LA | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - DE (HIGHMARK) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NM | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VT | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ID | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - TN | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - FEDERAL | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OH (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ND | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IN (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AL | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS DOMESTIC | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - GA (ANTHEM) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - CA | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCYONE DYERSVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - DC (CAREFIRST) | WELLMARK PPO | $3.44 | — | $10,269.95 | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $3.93 | $21,349.23 | $13,877.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $3.93 | $21,349.23 | $13,877.00 | 2026-03-12 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NEBRASKA TOTAL CARE | MANAGED MEDICAID | $6.40 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | HEALTHY BLUE | MANAGED MEDICAID | $6.40 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC COMMUNITY PLAN NE | MANAGED MEDICAID | $6.40 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | LAW ENFORCEMENT | MANAGED MEDICAID | $6.40 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NEBRASKA TOTAL CARE | MANAGED MEDICAID | $6.40 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | HEALTHY BLUE | MANAGED MEDICAID | $6.40 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | LAW ENFORCEMENT | MANAGED MEDICAID | $6.40 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC COMMUNITY PLAN NE | MANAGED MEDICAID | $6.40 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | BLUE CROSS | PPO | $11.69 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | BLUE CROSS | PPO | $11.69 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | UHC | PPO | $11.82 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | AETNA | PPO | $11.82 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | NE WORKERS COMP | NE WORKERS COMP | $11.82 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | MIDLANDS CHOICE | PPO | $11.82 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | MIDLANDS CHOICE | PPO | $11.82 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | AETNA | PPO | $11.82 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | NE WORKERS COMP | NE WORKERS COMP | $11.82 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | UHC | PPO | $11.82 | $12.31 | $11.08 | 2025-12-27 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $13.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $13.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $13.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $13.43 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $13.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $13.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $13.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $13.43 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $13.43 | — | — | 2026-04-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $13.54 | $14,500.00 | $10,875.00 | 2026-03-26 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medica Government Plans Medicare Advantage | Medicare Advantage | $25.02 | $4,909.75 | $3,927.80 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medicare Railroad Palmetto Gba | Default | $25.02 | $4,909.75 | $3,927.80 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medica Choice Care Dos Lt 01012022 Or Snbc | Medicare Advantage | $25.02 | $4,909.75 | $3,927.80 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Bcbs Mn Secure Blue Mcr Adv Dos After 1/1/19 | Medicare Advantage | $25.02 | $4,909.75 | $3,927.80 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Cigna Medicare Advantage | Medicare Advantage | $25.02 | $4,909.75 | $3,927.80 | 2026-05-08 | MRF ↗ |
| RIVER'S EDGE HOSPITAL & CLINIC Both | Medicare A Mn J6 | Default | $25.02 | $4,909.75 | $3,927.80 | 2026-05-08 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $25.37 | $14,092.00 | $4,666.71 | 2024-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | 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 ↗ |
| 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 ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | 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 | VA CCN -ALL PLANS | VA CCN -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 ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $43.80 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $43.80 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $43.80 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $43.80 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC MCR ADV | UHC MCR ADV | $43.87 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $46.80 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $46.80 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - CANNON FALLS OutpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $48.49 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - LAKE CITY OutpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $48.49 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - CANNON FALLS OutpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $48.49 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - LAKE CITY OutpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [150] | $48.49 | — | — | 2026-03-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER 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 ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $55.36 | — | — | 2026-04-14 | MRF ↗ |
| THEDACARE MEDICAL CENTER-WAUPACA BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $56.11 | $15,091.30 | $8,451.13 | 2026-03-02 | MRF ↗ |
| THEDACARE REGIONAL MED CTR - NEENAH BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $56.11 | $15,091.30 | $8,451.13 | 2026-03-02 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | OSCAR-ALL PLANS | OSCAR-ALL PLANS | $63.88 | $118.30 | $106.47 | 2026-01-03 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $65.65 | $219.00 | $65.70 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $65.65 | $219.00 | $65.70 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $66.36 | — | — | 2025-12-31 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $69.03 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $69.03 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $69.37 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $69.37 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $69.37 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $69.37 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $69.37 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $69.37 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $69.37 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $69.37 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $69.37 | — | — | 2026-04-14 | 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 | Aetna | Medicare Advantage | — | $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 | Aetna | 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 | Aetna | Default | — | $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 | 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 | United Healthcare | 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 | United Healthcare | 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 | Blue Cross Blue Shield of AZ | Federal | — | $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 | Blue Cross Blue Shield of AZ | Medicare Advantage | — | $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 | Great West Healthcare AZ | 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 | 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 | Cigna | Default | — | $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 | 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 | Presbyterian Health Plan MCR Adv | 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 | Tricare East Region DOS lt 01012025 | Federal | — | $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 | Humana | Medicare Advantage | — | $4,378.02 | $2,495.47 | 2026-03-16 | 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.