69990 — Microsurgery Add-on
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MICROSURGERY ADD-ON (HCPCS 69990) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/69990?code_type=HCPCS
MLA (9th ed.)
“MICROSURGERY ADD-ON (HCPCS 69990) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/69990?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“MICROSURGERY ADD-ON (HCPCS 69990) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/69990?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $359–$2,550 (25th–75th percentile) across 1,331 hospitals · 2,609 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 69990 — 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
$359
$1,360 typical
$2,550
The middle 50% of negotiated facility rates for this procedure, measured across 1,331 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. | $1,360 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $198 × 1.22 commercial. | $242 |
| Likely subtotal | $1,602 |
Surgical episode (typical)
~$1,602
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)
~$5,386
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 |
|---|---|---|---|---|---|---|---|
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Humana | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | AultCare | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | AultCare | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST Outpatient | Humana | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - Olive Branch | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS MSCAN MLH-MS CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - Olive Branch | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - Olive Branch | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - Olive Branch | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-TN-LEB CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA HC OF MS - MSCAN MLH-TN CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | UHC MEDICAID [350006] | HB UHC MS CAN MLH-MS-OB CONTRACT | $0.97 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $1.21 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $1.21 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $1.21 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $1.21 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-MS CONTRACT | $1.21 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Outpatient | MOLINA HEALTHCARE [350012] | HB MOLINA MSCHIPS - MLH-TN CONTRACT | $1.21 | $25,350.03 | $5,577.01 | 2026-03-19 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MYBLUE HEALTH | $3.50 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $3.50 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.51 | $1,951.00 | — | 2024-12-31 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $3.99 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $4.15 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BAV | $4.41 | $1,160.00 | $406.00 | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BAV | $4.41 | $1,322.00 | $793.20 | 2026-04-14 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $4.44 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | $4.62 | $1,354.00 | $473.90 | 2026-04-15 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD BothFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $6.93 | $1,160.00 | $406.00 | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $6.93 | $1,160.00 | $406.00 | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP BothFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $6.93 | $1,322.00 | $793.20 | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL INDEMNITY HOUSTON | $6.93 | $1,322.00 | $793.20 | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $6.93 | $1,322.00 | $793.20 | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL INDEMNITY HOUSTON | $6.93 | $1,160.00 | $406.00 | 2026-04-14 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $10.00 | — | — | 2026-05-06 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $10.00 | $111.00 | $21.09 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $10.00 | $111.00 | $21.09 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $10.00 | $111.00 | $21.09 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $10.00 | $111.00 | $21.09 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $10.00 | $111.00 | $21.09 | 2026-01-31 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $11.14 | $18,011.27 | $11,122.68 | 2025-12-19 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $13.00 | $974.00 | $974.00 | 2025-10-04 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $15.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $15.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $15.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $15.58 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $15.58 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $15.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $15.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $15.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $15.58 | — | — | 2026-04-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UNITED HEALTHCARE [16010] | UNITEDHEALTH INTEGRATED SERVICES [1601007] | $17.68 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UNITED HEALTHCARE [16010] | UHC ALL SAVERS [1601011] | $17.68 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UNITED HEALTHCARE [16010] | SUREST UNITED HEALTHCARE [1601008] | $17.68 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UNITED HEALTHCARE [16010] | UNITED HEALTHCARE INDEMNITY [1601006] | $17.68 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UNITED HEALTHCARE [16010] | UNITED HEALTHCARE [1601005] | $17.68 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UNITED HEALTHCARE [16010] | UMR LABOR CARE [1601010] | $17.68 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UNITED HEALTHCARE [16010] | UMR [1601009] | $17.68 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | MEDICA MEDICAID [16023] | MEDICA ACCESSABILITY [1602301] | $19.15 | — | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | MEDICA MEDICAID [16023] | MEDICA CHOICE CARE [1602302] | $19.15 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICAID [16020] | HEALTHPARTNERS CARE [1602002] | $21.06 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICAID [16020] | HEALTHPARTNERS CARE SNBC [1602003] | $21.06 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICAID [16020] | HEALTHPARTNERS MN CARE [1602001] | $21.06 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICAID [16041] | UCARE MA [1604102] | $21.81 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | UCARE MEDICAID [16041] | UCARE CONNECT [1604101] | $21.81 | — | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICAID [16041] | UCARE MN CARE [1604103] | $21.81 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MN CARE [1600702] | $22.13 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MA [1600701] | $22.13 | $750.00 | — | 2026-01-01 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $392.96 | $83.28 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $392.96 | $83.28 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $392.96 | $83.28 | 2025-01-19 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | MEDICA MEDICARE [16024] | MEDICA ADVANTAGE SOLUTION [1602401] | $24.66 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | MEDICA MEDICARE [16024] | MEDICA ACCESSABILITY SOLUTION ENHANCED [1602405] | $24.66 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | MEDICA MEDICARE [16024] | MEDICA PRIME SOLUTION [1602403] | $24.66 | — | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | MEDICA MEDICARE [16024] | MEDICA COMPLETE SOLUTION [1602404] | $24.66 | $750.00 | — | 2026-01-01 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1402 | NY MEDICAID EMERGENCY ROOM | $25.44 | $392.96 | $83.28 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1402 | FIDELIS EMERGENCY ROOM | $25.44 | $392.96 | $83.28 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1402 | UNITED COMMUNITY EMERGENCY ROOM | $26.71 | $392.96 | $83.28 | 2025-01-19 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $28.10 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $28.10 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $28.10 | — | — | 2025-08-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $28.90 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $28.90 | — | — | 2025-08-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS PLATINUM BLUE [1600803] | $29.01 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | PRIME WEST MEDICARE [16030] | PRIME WEST MSHO [1603001] | $29.01 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICARE [16042] | UCARE MEDICARE PLANS [1604203] | $29.01 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS MN MEDICARE ADVANTAGE [1600801] | $29.01 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICARE [16042] | UCARE MSHO [1604204] | $29.01 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS OUT OF STATE MEDICARE [1600802] | $29.01 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | UCARE MEDICARE [16042] | UCARE CONNECT PLUS MEDICARE [1604201] | $29.01 | — | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS BLUE PLUS SECURE BLUE [1600804] | $29.01 | $750.00 | — | 2026-01-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $29.43 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $29.43 | — | — | 2025-08-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $29.84 | $221.00 | $165.75 | 2026-01-16 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE [16044] | UNITED HEALTHCARE MEDICARE ADVANTAGE [1604401] | $29.88 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | AARP MEDICARE [16001] | AARP MEDICARE COMPLETE [1600101] | $29.88 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE [16044] | UNITED HEALTHCARE MEDICARE SOLUTIONS [1604402] | $29.88 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | AETNA MEDICARE [16004] | ALLINA HEALTH AETNA MEDICARE ADV [1600402] | $29.88 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICARE [16019] | HEALTHPARTNERS FREEDOM [1601901] | $30.46 | $750.00 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICARE [16019] | HEALTHPARTNERS MEDICARE ADVANTAGE [1601902] | $30.46 | $750.00 | — | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $32.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $32.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $32.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $32.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $32.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $32.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $32.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $32.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $32.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $32.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $32.66 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 2026-01-01 | 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 ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Medicare | $33.52 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Medicare | $33.52 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $33.52 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peia | Other Governmental | $33.52 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Aetna | Medicare | $33.52 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | United Healthcare | Medicare | $33.52 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Humana | Medicare | $33.52 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $33.84 | — | — | 2026-05-06 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Shepherd Center Outpatient | Medicare | Commercial | $35.29 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Medicare | Commercial | $35.29 | — | — | 2026-05-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $35.32 | — | — | 2025-08-01 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Blue Cross Blue Shield | Freedom Network Select | $35.94 | — | — | 2026-05-26 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Blue Cross Blue Shield | Freedom Network | $35.94 | — | — | 2026-05-26 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Medicare Advantage | $36.18 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Commercial | $36.38 | — | — | 2025-08-01 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $36.86 | $974.00 | $974.00 | 2025-10-04 | 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.