73521 — Pr Xr Hip W Pelvis Bilat 2v
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR XR HIP W PELVIS BILAT 2V (CPT 73521) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/73521?code_type=CPT
MLA (9th ed.)
“PR XR HIP W PELVIS BILAT 2V (CPT 73521) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/73521?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR XR HIP W PELVIS BILAT 2V (CPT 73521) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/73521?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $102–$359 (25th–75th percentile) across 3,113 hospitals · 10,433 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 73521 — 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 radiologist-read fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$102
$173 typical
$359
The middle 50% of negotiated facility rates for this procedure, measured across 3,113 hospitals. The radiologist-read 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. | $173 |
| Radiologist read Estimate national typical Medicare $11 × 1.8 commercial. | $19 |
| Likely subtotal | $192 |
Complete-episode estimate (typical)
~$192
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Radiologist read (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban Institute — commercial-to-Medicare physician price ratios by specialty (Berenson/Ginsburg et al.); radiology ~1.8x. National, approximate; within-specialty/metro variation is a known limitation.
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 | — | — | $554.49 | $277.24 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $554.49 | $277.24 | 2024-12-15 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Aetna | Aetna - HMO/POS | $0.03 | $788.00 | $591.00 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.32 | $40.00 | $7.60 | 2026-01-25 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $0.79 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $0.83 | — | — | 2026-05-06 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $7,632.57 | $4,961.17 | 2025-11-26 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.00 | $191.00 | $143.25 | 2025-03-07 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $5,871.21 | $3,816.29 | 2025-11-26 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $1.24 | $327.00 | $120.99 | 2026-03-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.39 | $376.00 | $357.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.39 | $376.00 | $357.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.39 | $376.00 | $357.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.43 | $376.00 | $357.20 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.47 | $376.00 | $357.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.48 | $309.00 | $293.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.48 | $309.00 | $293.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.50 | $376.00 | $357.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.51 | $309.00 | $293.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.51 | $309.00 | $293.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.58 | $309.00 | $293.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.59 | $325.00 | $308.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.59 | $325.00 | $308.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.62 | $325.00 | $308.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.69 | $325.00 | $308.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.75 | $325.00 | $308.75 | 2026-02-20 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $1.83 | $645.00 | $322.50 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $1.83 | $645.00 | $322.50 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $1.83 | $645.00 | $322.50 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $1.83 | $645.00 | $322.50 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $1.83 | $645.00 | $322.50 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $1.83 | $645.00 | $322.50 | 2024-12-10 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $1.93 | $361.00 | $144.40 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $1.93 | $397.00 | $158.80 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $1.93 | $397.00 | $158.80 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $1.93 | $361.00 | $144.40 | 2026-05-22 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $262.00 | — | 2025-06-28 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $2.24 | $66.00 | $66.00 | 2026-02-13 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $2.25 | $1,450.00 | — | 2026-02-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Keenan | Keenan | $2.35 | $562.55 | $178.00 | 2024-12-19 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.55 | $818.51 | $818.51 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.56 | $1,199.86 | $1,199.86 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.56 | $1,199.86 | $1,199.86 | 2026-03-18 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $2.62 | $47.00 | $7.05 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $2.67 | $878.00 | $316.08 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $2.67 | $60.00 | $18.00 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $2.67 | $44.00 | $7.48 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $2.67 | $878.00 | $316.08 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $2.67 | $42.00 | $11.34 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $2.67 | $42.00 | $11.34 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $2.67 | $60.00 | $18.00 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $2.67 | $38.00 | $5.70 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $2.67 | $44.00 | $7.48 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $2.67 | $38.00 | $5.70 | 2026-01-27 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $2.92 | $818.51 | $818.51 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $2.94 | $1,199.86 | $1,199.86 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $2.94 | $1,199.86 | $1,199.86 | 2026-03-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $3.04 | $972.00 | $486.00 | 2025-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.18 | $818.51 | $818.51 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.20 | $1,199.86 | $1,199.86 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.20 | $1,199.86 | $1,199.86 | 2026-03-18 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HIX | $3.84 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | Pathway | $3.84 | — | — | 2024-10-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $4.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $4.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Health Net Of CA | Health Net Of CA Commercial | $4.00 | $562.55 | $178.00 | 2024-12-19 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $4.10 | $18.98 | $18.98 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $4.10 | $18.98 | $18.98 | 2024-12-30 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Magnacare | — | — | $14.00 | $14.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $14.00 | $14.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Martinspoint | Tricare | — | $14.00 | $14.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Vaccn | — | — | $14.00 | $14.00 | 2026-05-09 | MRF ↗ |
| BELLA VISTA HOSPITAL Both | INTERNATIONAL MEDICAL CARD | COMERCIAL INSURANCES | $4.75 | $36.75 | $36.75 | 2026-03-10 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $4.91 | $878.00 | $316.08 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $4.91 | $42.00 | $11.34 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $4.91 | $878.00 | $316.08 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $4.91 | $60.00 | $18.00 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $4.91 | $54.00 | $35.64 | 2026-01-07 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $4.91 | $48.00 | $3.36 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $4.91 | $878.00 | $316.08 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $4.91 | $44.00 | $7.48 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $4.91 | $54.00 | $35.64 | 2026-01-07 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $4.91 | $42.00 | $11.34 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $4.91 | $54.00 | $35.64 | 2026-01-07 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE SHIELD EPN- ALL OTHER PLANS | BLUE SHIELD EPN- ALL OTHER PLANS | $4.91 | $42.00 | $11.34 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $4.91 | $42.00 | $11.34 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $4.91 | $48.00 | $3.36 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH CLEARLAKE Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $4.91 | $878.00 | $316.08 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE SHIELD EPO/PPO | BLUE SHIELD EPO/PPO | $4.91 | $38.00 | $5.70 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $4.91 | $44.00 | $7.48 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE SHIELD HMO/POS - ALL OTHER PLANS | BLUE SHIELD HMO/POS - ALL OTHER PLANS | $4.91 | $38.00 | $5.70 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $4.91 | $40.00 | $7.60 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BLUE SHIELD NON-EPN - ALL OTHER PLANS | BLUE SHIELD NON-EPN - ALL OTHER PLANS | $4.91 | $40.00 | $7.60 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH MENDOCINO COAST Outpatient | BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $4.91 | $54.00 | $35.64 | 2026-01-07 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE SHIELD NON EPN | BLUE SHIELD NON EPN | $4.91 | $47.00 | $7.05 | 2026-01-25 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $4.91 | $47.00 | $7.05 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $4.91 | $40.00 | $7.60 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $4.91 | $48.00 | $3.36 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $4.91 | $48.00 | $3.36 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $4.91 | $40.00 | $7.60 | 2026-01-25 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.95 | $354.75 | $212.85 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.95 | $354.75 | $212.85 | 2025-08-11 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $5.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $5.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $5.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $1,354.39 | $880.35 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $1,354.39 | $880.35 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $1,354.39 | $880.35 | 2025-11-26 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $5.21 | $511.00 | $332.15 | 2026-03-14 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $450.00 | $270.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $450.00 | $270.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $450.00 | $270.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $441.00 | $264.60 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $441.00 | $264.60 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $450.00 | $270.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $462.00 | $277.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $450.00 | $270.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $462.00 | $277.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $450.00 | $270.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $450.00 | $270.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $494.00 | $296.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $494.00 | $296.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $450.00 | $270.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $5.33 | $458.00 | $274.80 | 2026-01-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HPN | $5.55 | — | — | 2024-10-01 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Blue Sheild Of CA | Blue Shield Commercial HMO POS | $5.86 | $562.55 | $178.00 | 2024-12-19 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $5.92 | $568.90 | $568.90 | 2026-04-24 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $6.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $6.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $6.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $6.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $6.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $6.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $6.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $6.00 | $35.00 | $17.00 | 2025-02-03 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $6.11 | — | — | 2025-10-24 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Anthem Blue Cross | Anthem Blue Cross Ins Exchange - Non-Contracted | $6.28 | $562.55 | $178.00 | 2024-12-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Anthem Blue Cross | Anthem Blue Cross Commercial - Non-Contracted | $6.28 | $562.55 | $178.00 | 2024-12-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Non-Contracted Commercial | Non-Contracted Commercials - 80% of BC | $6.28 | $562.55 | $178.00 | 2024-12-19 | MRF ↗ |
| PARADISE VALLEY HOSPITAL Outpatient | Advanced Benefit Solutions: Tribal | Advanced Benefit Solutions | $6.28 | $562.55 | $178.00 | 2024-12-19 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $6.40 | — | — | 2025-10-24 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | HMO | $6.46 | — | — | 2024-10-01 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $6.55 | $38.00 | $5.70 | 2026-01-27 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Banner UC Health | Medicare | $6.61 | $41.33 | $33.06 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Humana of AZ | Medicare | $6.61 | $41.33 | $33.06 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Allwell | Medicare | $6.61 | $41.33 | $33.06 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Amerigroup | Medicare | $6.61 | $41.33 | $33.06 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | TriWest | Medicare | $6.61 | $41.33 | $33.06 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | AZCH Complete | Medicare | $6.61 | $41.33 | $33.06 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | AZCH Complete | Medicare | $6.61 | $41.33 | $33.06 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Banner UC Health | Medicare | $6.61 | $41.33 | $33.06 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Allwell | Medicare | $6.61 | $41.33 | $33.06 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | TriWest | Medicare | $6.61 | $41.33 | $33.06 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Humana of AZ | Medicare | $6.61 | $41.33 | $33.06 | 2026-02-04 | MRF ↗ |
| COPPER QUEEN COMMUNITY HOSPITAL OutpatientFacility | Amerigroup | Medicare | $6.61 | $41.33 | $33.06 | 2026-02-04 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $6.69 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $6.69 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $6.69 | — | — | 2025-08-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | BCBS | PPO | $6.75 | — | — | 2024-10-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $6.82 | $26.00 | $26.00 | 2026-03-23 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $6.82 | $38.40 | $19.20 | 2025-12-31 | 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.