67430 — Explore/treat Eye Socket
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EXPLORE/TREAT EYE SOCKET (HCPCS 67430) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/67430?code_type=HCPCS
MLA (9th ed.)
“EXPLORE/TREAT EYE SOCKET (HCPCS 67430) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/67430?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“EXPLORE/TREAT EYE SOCKET (HCPCS 67430) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/67430?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,753–$6,293 (25th–75th percentile) across 1,397 hospitals · 1,878 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 67430 — 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
$2,753
$4,118 typical
$6,293
The middle 50% of negotiated facility rates for this procedure, measured across 1,397 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. | $4,118 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $1,213 × 1.22 commercial. | $1,480 |
| Likely subtotal | $5,598 |
Surgical episode (typical)
~$5,598
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)
~$9,383
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 |
|---|---|---|---|---|---|---|---|
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $7.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.01 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $7.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.01 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $7.01 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $13.96 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $13.96 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $17.64 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $22.05 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $30.87 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana | Humana Humx | $31.61 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Dimension Health | Dimension Plus | $33.08 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $33.08 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $34.55 | $73.50 | $73.50 | 2026-05-22 | 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 ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Healthcare | $35.28 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Options Ppo | $43.37 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension International | $44.10 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Care Management Network | Care Management Network | $47.77 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna | $47.77 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careworks Workers Comp | Careworks Workers Comp | $49.61 | $73.50 | $73.50 | 2026-05-22 | 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 ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Corvel Healthcare | Corvel Healthcare | $51.27 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension | $51.45 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $51.45 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Behavioral Services Network | Behavioral Services Network | $51.45 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $51.45 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Coventry | Coventry | $52.18 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Multiplan | Multiplan | $55.12 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $55.12 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Beech Street | Beech Street | $55.13 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Workmans Compensation | Workmans Compensation | $55.13 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Seasons Hospice | Seasons Hospice | $55.13 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna International Ppo | Aetna International Ppo | $62.48 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | First Health Network | First Health | $62.48 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Wellcare | Wellcare | $62.48 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicaid | Geisinger Medicaid | $63.61 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicaid | Geisinger Medicaid | $63.61 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicaid | $69.97 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicaid | $69.97 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $69.97 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $69.97 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $71.42 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $71.87 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $71.87 | — | — | 2026-03-18 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicaid | $73.47 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicaid | $73.47 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicare | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Tricare | Tricare | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Concordia Behavioral Health | Concordia Behavioral Health | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Value Options | Value Options Behavioral Health | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Careplus Medicare | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Humana Medicare | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | New Directions Behavioral Health | New Directions Behavioral Health | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Miscellaneous Insurances | Miscellaneous Insurances | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Behavioral Health | Magellan Behavioral Health | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Rehab Ppo | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Coventry Medicare | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health Medicare | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicaid | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cenpatico Behavioral Health | Cenpatico Behavioral Health | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Mental Health Associates | Mental Health Associates | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Med Onc | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Simply Medicare | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Vitas Healthcare Of Fl | Vitas | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | University Of Miami Behavioral Health | University Of Miami Behavioral Health | $73.50 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $74.42 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $74.42 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $81.85 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $82.36 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $82.36 | — | — | 2026-03-18 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Freedom Blue | $85.26 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Freedom Blue | $85.26 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $87.93 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $87.93 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $89.11 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $89.67 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $89.67 | — | — | 2026-03-18 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna Medicare | $92.86 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United Medicare | $92.86 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicare | $92.86 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna Medicare | $92.86 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United Medicare | $92.86 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicare | $92.86 | $290.00 | $87.00 | 2026-05-14 | 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 ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicare | $93.79 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicare | $93.79 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | Va Ccn Optum | $94.37 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Umwa | Umwa | $94.37 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Wholecare Medicare | $94.37 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | Va Ccn Optum | $94.37 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Umwa | Umwa | $94.37 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Wholecare Medicare | $94.37 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $94.42 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $94.42 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $94.49 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $94.49 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $94.72 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $94.72 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas Medicare | Amerihealth Caritas Medicare | $96.26 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas Medicare | Amerihealth Caritas Medicare | $96.26 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Security Blue | $99.92 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Security Blue | $99.92 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $101.50 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $101.50 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $112.47 | — | — | 2026-04-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Chip / Social Mission | $114.06 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Chip / Social Mission | $114.06 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $117.59 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $117.59 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $122.67 | — | — | 2025-12-31 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $129.72 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $131.70 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $131.70 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $131.70 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $131.70 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $134.33 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $134.33 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $138.68 | — | — | 2026-04-14 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Complete Care | Magellan Complete Care | $138.80 | $73.50 | $73.50 | 2026-05-22 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $140.93 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $140.93 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $140.93 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $140.93 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $140.93 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $140.93 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $140.93 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $140.93 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $140.93 | — | — | 2026-04-14 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $141.40 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $141.40 | — | — | 2026-04-01 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Carelon/Beacon Beahvioral Health | Carelon/Beacon Behavioral Health | $145.00 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Carelon/Beacon Beahvioral Health | Carelon/Beacon Behavioral Health | $145.00 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $149.30 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $149.30 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $149.30 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $153.57 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $153.57 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $156.41 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $156.41 | — | — | 2025-08-01 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Cigna | Cigna | $156.60 | $290.00 | $87.00 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Cigna | Cigna | $156.60 | $290.00 | $87.00 | 2026-05-14 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | — | — | 2026-02-28 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $167.40 | $1,240.00 | $930.00 | 2026-01-16 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United | $168.20 | $290.00 | $87.00 | 2026-05-14 | 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.