70545 — Pr MRA Head W Cntrst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR MRA HEAD W CNTRST (HCPCS 70545) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70545?code_type=HCPCS
MLA (9th ed.)
“PR MRA HEAD W CNTRST (HCPCS 70545) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70545?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PR MRA HEAD W CNTRST (HCPCS 70545) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70545?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $377–$2,173 (25th–75th percentile) across 2,634 hospitals · 9,396 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 70545 — 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
$377
$903 typical
$2,173
The middle 50% of negotiated facility rates for this procedure, measured across 2,634 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. | $903 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $226 × 1.22 commercial. | $276 |
| Likely subtotal | $1,179 |
Surgical episode (typical)
~$1,179
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)
~$4,964
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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $4,377.34 | $2,188.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $4,377.34 | $2,188.67 | 2024-12-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARKids | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | CHIP | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARHealth | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | IFP | $0.63 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | QHP | $0.66 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.93 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $10,813.00 | $8,866.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $10,813.00 | $8,866.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $10,813.00 | $8,866.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $10,813.00 | $8,866.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $10,813.00 | $8,866.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $10,813.00 | $8,866.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $10,813.00 | $8,866.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $10,813.00 | $8,866.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $10,813.00 | $8,866.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $10,813.00 | $8,866.66 | 2025-11-26 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $1.13 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.59 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.70 | $228.00 | $43.32 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.79 | $185.26 | $120.42 | 2026-05-07 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | Traditional | $2.08 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Fidelis SecureCare | MGMCR | $2.11 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | City of McKinney | COMM | $2.11 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $3,547.00 | — | 2025-06-28 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National ChoiceCare | WCOMP | $2.34 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | ASA | $2.47 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Rockport Health Group | WORKERSCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Physicians Coop of TX | MGMCR | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | WCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | PC Texas Partners | WCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Averde Health, Inc | PPO | $2.72 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USC Health Services | COMM | $2.81 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Mega Life | MGMCRPPO | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Jostens | WCOMP | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Coastal Comp Health Networks | WCOMP | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna Coventry First Health | COMM | $3.41 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3.52 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | HealthSmart Preferred Care | PPO | $3.52 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USA Managed Care | COMM | $3.75 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Galaxy Health Network | PPO | $3.99 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $4.54 | — | — | 2026-05-06 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | MCD | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National Healthcare Solutions | COMM | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $4.77 | — | — | 2026-05-06 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.83 | $3,795.00 | $404.51 | 2024-12-31 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $7.73 | $7,404.00 | $1,628.88 | 2026-03-19 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $8.51 | $175.00 | $87.50 | 2026-04-15 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $8.67 | $200.00 | $30.00 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $8.67 | $222.00 | $59.94 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $8.67 | $200.00 | $30.00 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $8.67 | $313.00 | $93.90 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $8.67 | $313.00 | $93.90 | 2026-01-25 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.02 | $4,305.50 | $4,305.50 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.09 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.09 | $6,102.53 | $6,102.53 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $12.63 | $4,305.50 | $4,305.50 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $12.71 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $12.71 | $6,102.53 | $6,102.53 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $13.75 | $4,305.50 | $4,305.50 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $13.84 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $13.84 | $6,102.53 | $6,102.53 | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $14.21 | $3,841.00 | $3,648.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $14.21 | $3,841.00 | $3,648.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $14.21 | $3,841.00 | $3,648.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $14.60 | $3,841.00 | $3,648.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $14.98 | $3,841.00 | $3,648.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $15.36 | $3,841.00 | $3,648.95 | 2026-02-20 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $17.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $17.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $17.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $18.72 | $3,820.00 | $3,629.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $18.72 | $3,820.00 | $3,629.00 | 2026-02-20 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $19.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $19.10 | $3,820.00 | $3,629.00 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Medicare Advantage | — | — | — | 2025-10-24 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $19.86 | $3,820.00 | $3,629.00 | 2026-02-20 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $20.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $20.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,542.00 | $1,652.30 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,542.00 | $1,652.30 | 2025-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $20.53 | $4,278.00 | $4,064.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $20.53 | $4,278.00 | $4,064.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $20.63 | $3,820.00 | $3,629.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $20.96 | $4,278.00 | $4,064.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $20.96 | $4,278.00 | $4,064.10 | 2026-02-20 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $21.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $21.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $21.51 | $126.08 | $126.08 | 2024-12-30 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | BCBS MCAID | BCBS MCAID | $21.73 | $530.00 | $530.00 | 2026-02-13 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | BCBS MEDICAID | BCBS MEDICAID | $21.73 | $571.00 | $513.90 | 2026-05-07 | MRF ↗ |
| SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $21.73 | $571.00 | $513.90 | 2026-05-07 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | CENTENE MCAID - ALL PLANS | CENTENE MCAID - ALL PLANS | $21.73 | $530.00 | $530.00 | 2026-02-13 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $21.73 | $530.00 | $530.00 | 2026-02-13 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $21.73 | $530.00 | $530.00 | 2026-02-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $21.82 | $4,278.00 | $4,064.10 | 2026-02-20 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $22.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $22.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $23.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $23.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $23.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $23.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $24.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $24.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $24.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $24.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $24.63 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $24.63 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $24.63 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $24.63 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $25.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $25.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| NORTH VALLEY HEALTH CENTER Outpatient | BCBS MHCP | BCBS MHCP | $25.63 | $154.00 | $154.00 | 2025-09-15 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $26.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | EXCELLUS ESSENTIAL 1&2 [10413] | $26.73 | $126.08 | $126.08 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION [10402] | $26.73 | $126.08 | $126.08 | 2024-12-30 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $27.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $27.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $27.60 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $27.60 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $27.60 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $27.60 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $27.60 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $27.60 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $28.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $28.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $28.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $28.52 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $28.52 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $28.97 | $3,248.00 | $1,948.80 | 2024-07-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $29.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $29.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $29.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $29.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $29.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $29.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $29.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $30.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $30.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Priority Health | Medicare - Priority Health | $30.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | United Healthcare | United Healthcare | $30.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $30.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $30.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Priority Health | Priority Health | $30.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $30.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $30.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $30.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $30.36 | $2,859.00 | $1,715.40 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $30.36 | $2,859.00 | $1,715.40 | 2025-08-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Humana | Medicare - Humana | $31.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Priority Health | Priority Health | $31.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $31.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | WC - Workers Compensation | WC - Workers Compensation | $31.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $31.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP | HAP | $31.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $31.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | WC - Workers Compensation | WC - Workers Compensation | $31.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $31.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $31.02 | $495.00 | $1,757.78 | 2026-04-01 | MRF ↗ |
| Bridgepoint -national Harbor Inpatient | Kaiser Foundation - Mid-Atlantic States | MD Medicaid | $31.16 | $82.00 | — | 2026-03-16 | MRF ↗ |
| Bridgepoint -national Harbor Inpatient | Kaiser Foundation - Mid-Atlantic States | MD Medicaid | $31.16 | $82.00 | — | 2026-03-16 | MRF ↗ |
| Bridgepoint Hospital Capitol Hill Inpatient | Kaiser Foundation - Mid-Atlantic States | MD Medicaid | $31.16 | $82.00 | — | 2026-03-16 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $31.30 | $222.00 | $42.18 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $31.30 | $200.00 | $30.00 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $31.30 | $200.00 | $30.00 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $31.34 | $313.00 | $93.90 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $31.34 | $228.00 | $43.32 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $31.34 | $228.00 | $43.32 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $31.34 | $222.00 | $59.94 | 2026-01-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Aetna | Aetna | $32.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $32.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| STE GENEVIEVE COUNTY MEMORIAL HOSPITAL Outpatient | None | — | — | $129.00 | $64.50 | 2026-05-19 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $33.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP | HAP | $33.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Humana | Medicare - Humana | $33.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $4,345.00 | $3,258.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $4,345.00 | $3,258.75 | 2024-12-08 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $33.21 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $33.21 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $33.21 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $33.21 | $92.00 | $64.40 | 2026-04-02 | MRF ↗ |
| ADVENTIST HEALTH AND RIDEOUT Outpatient | BC MCAL | BC MCAL | $33.69 | $8,938.00 | $1,966.36 | 2026-01-25 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Priority Health | Priority Health | $34.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Molina | Medicare - Molina | $34.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP | HAP | $34.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | United Healthcare | United Healthcare | $34.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $10,813.00 | $8,866.66 | 2025-11-26 | MRF ↗ |
| Bridgepoint -national Harbor Inpatient | United Healthcare Managed Medicaid | MD Medicaid | $34.44 | $82.00 | — | 2026-03-16 | MRF ↗ |
| Bridgepoint Hospital Capitol Hill Inpatient | United Healthcare Managed Medicaid | MD Medicaid | $34.44 | $82.00 | — | 2026-03-16 | MRF ↗ |
| Bridgepoint -national Harbor Inpatient | United Healthcare Managed Medicaid | MD Medicaid | $34.44 | $82.00 | — | 2026-03-16 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | CORIZON | INMATE SERVICES | $34.45 | $3,248.00 | $1,948.80 | 2024-07-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $3,639.00 | $2,729.25 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $3,639.00 | $2,729.25 | 2024-12-08 | 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.