Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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67279 — O/p Visit Assessment Up To 1hr

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $242

Usually $130–$418 (25th–75th percentile) across 3 hospitals · 23 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 67279 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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
ACMH HOSPITAL Outpatient United Chip United Chip $83.60 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient United Chip United Chip $83.60 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient United Medicaid United Medicaid $88.47 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient United Medicaid United Medicaid $88.47 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Freedom Blue $111.87 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Freedom Blue $111.87 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Community/Complete Blue $115.38 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Community/Complete Blue $115.38 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Upmc Health Plan Upmc $116.39 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Upmc Health Plan Upmc $116.39 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Upmc Health Plan Upmc Medicare $127.61 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Upmc Health Plan Upmc Medicare $127.61 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Unitedhealthcare Insurance Company United Medicare $127.61 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Aetna Aetna Medicare $127.61 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Unitedhealthcare Insurance Company United Medicare $127.61 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Aetna Aetna Medicare $127.61 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Centene Corporation Pa H And W Medicare $128.89 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Centene Corporation Pa H And W Medicare $128.89 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Tricare Tricare $129.68 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Umwa Umwa $129.68 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Unitedhealthcare Insurance Company Va Ccn Optum $129.68 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Umwa Umwa $129.68 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Tricare Tricare $129.68 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Unitedhealthcare Insurance Company Va Ccn Optum $129.68 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Geisinger Medicare Geisinger Medicare $130.16 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Geisinger Medicare Geisinger Medicare $130.16 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Security Blue $131.11 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Security Blue $131.11 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Amerihealth Caritas Medicare Amerihealth Caritas Medicare $132.27 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Amerihealth Caritas Medicare Amerihealth Caritas Medicare $132.27 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Wholecare Medicare $136.02 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Wholecare Medicare $136.02 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Upmc Chip Upmc Chip $146.30 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Upmc Chip Upmc Chip $146.30 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Chip / Social Mission $156.74 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Chip / Social Mission $156.74 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Carelon/Beacon Beahvioral Health Carelon/Beacon Behavioral Health $209.00 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Carelon/Beacon Beahvioral Health Carelon/Beacon Behavioral Health $209.00 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Cigna Cigna $225.72 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Cigna Cigna $225.72 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Unitedhealthcare Insurance Company United $242.44 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Unitedhealthcare Insurance Company United $242.44 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Pa Health And Wellness Commercial Pa Health And Wellness Commercial $259.36 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Pa Health And Wellness Commercial Pa Health And Wellness Commercial $259.36 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Aca / My Direct Blue / My Blue Access Ppo $303.69 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Aca / My Direct Blue / My Blue Access Ppo $303.69 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Comm Community Blue $309.52 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Comm Community Blue $309.52 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Comm Managed/Indemnity $330.09 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Comm Managed/Indemnity $330.09 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Geisinger Geisinger $363.10 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient The Health Plan Commercial The Health Plan Commercial $363.10 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Geisinger Geisinger $363.10 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient The Health Plan Commercial The Health Plan Commercial $363.10 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Multiplan Multiplan $376.20 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Inpatient Multiplan Multiplan $376.20 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Multiplan Multiplan $376.20 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Inpatient Multiplan Multiplan $376.20 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Aetna Aetna $412.38 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Aetna Aetna $412.38 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Pa Workers' Compensation Pa Workers Compensation $418.00 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Snf Episodic Bundle $418.00 $418.00 $125.40 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Snf Episodic Bundle $418.00 $418.00 $125.40 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Pa Workers' Compensation Pa Workers Compensation $418.00 $418.00 $125.40 2026-05-23 MRF ↗
DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility United Healthcare HMO/POS/PPO $4,344.00 2026-04-30 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility NEBRASKA TOTAL CARE MANAGED MEDICAID $71,289.55 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility UHC COMMUNITY PLAN NE MANAGED MEDICAID $71,289.55 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility HEALTHY BLUE MANAGED MEDICAID $71,289.55 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility LAW ENFORCEMENT MANAGED MEDICAID $71,289.55 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility NEBRASKA TOTAL CARE MANAGED MEDICAID $71,289.55 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility LAW ENFORCEMENT MANAGED MEDICAID $71,289.55 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility HEALTHY BLUE MANAGED MEDICAID $71,289.55 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL OutpatientFacility UHC COMMUNITY PLAN NE MANAGED MEDICAID $71,289.55 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility BLUE CROSS PPO $130,240.53 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility BLUE CROSS PPO $130,240.53 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility AETNA PPO $131,611.48 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility UHC PPO $131,611.48 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility NE WORKERS COMP NE WORKERS COMP $131,611.48 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility NE WORKERS COMP NE WORKERS COMP $131,611.48 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility AETNA PPO $131,611.48 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility UHC PPO $131,611.48 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility MIDLANDS CHOICE PPO $131,611.48 $137,095.29 $123,385.76 2025-12-27 MRF ↗
COMMUNITY HOSPITAL BothFacility MIDLANDS CHOICE PPO $131,611.48 $137,095.29 $123,385.76 2025-12-27 MRF ↗