76811 — OB US Detailed Sngl Fetus
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OB US DETAILED SNGL FETUS (CPT 76811) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/76811?code_type=CPT
MLA (9th ed.)
“OB US DETAILED SNGL FETUS (CPT 76811) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/76811?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“OB US DETAILED SNGL FETUS (CPT 76811) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/76811?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $231–$641 (25th–75th percentile) across 2,381 hospitals · 8,177 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 76811 — 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
$231
$326 typical
$641
The middle 50% of negotiated facility rates for this procedure, measured across 2,381 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. | $326 |
| Radiologist read Estimate national typical Medicare $91 × 1.8 commercial. | $163 |
| Likely subtotal | $489 |
Complete-episode estimate (typical)
~$489
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 HOSPITAL MANSFIELD Inpatient | None | — | — | $1,175.66 | $587.83 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,175.66 | $587.83 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,090.00 | $3,958.50 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $6,090.00 | $3,958.50 | 2025-11-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.19 | $1,219.00 | $256.39 | 2024-12-31 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $854.00 | — | 2025-06-28 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $2.30 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $2.42 | — | — | 2026-05-06 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.68 | $366.00 | $69.54 | 2026-01-25 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.69 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.69 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.69 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.79 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.85 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.87 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.87 | — | — | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.89 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.99 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $4.41 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $4.44 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $4.44 | — | — | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.79 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.79 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.80 | — | — | 2026-03-18 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $4.82 | $2,067.00 | $454.74 | 2026-03-19 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.83 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.83 | — | — | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.89 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.89 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.89 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $4.89 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.99 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.08 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.18 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $5.38 | $997.00 | $947.15 | 2026-02-20 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $6.34 | $1,215.13 | $729.08 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $6.34 | $1,215.13 | $729.08 | 2025-08-11 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $8.54 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $8.54 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $8.54 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $8.54 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $8.54 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $8.54 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $8.54 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $8.54 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $9.03 | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $9.03 | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $9.03 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $9.03 | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $9.03 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $9.03 | — | — | 2024-12-10 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $12.46 | $794.00 | $397.00 | 2025-12-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $14.15 | $321.00 | $48.15 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $14.15 | $321.00 | $48.15 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $14.15 | $503.00 | $150.90 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $14.15 | $355.00 | $95.85 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $14.15 | $366.00 | $62.22 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $14.15 | $503.00 | $150.90 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $14.15 | $366.00 | $62.22 | 2026-01-24 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIALPPO | $14.67 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-S | $14.67 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-P | $14.67 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-P | $14.67 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIAL | $14.67 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIAL | $14.67 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIALPPO | $14.67 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-S | $14.67 | $346.00 | $346.00 | 2026-03-27 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | VA Health | All | $18.76 | $761.00 | $761.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | UHC | Medicare Advantage | $18.76 | $761.00 | $761.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Tricare | All | $18.76 | $761.00 | $761.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Blue Cross Blue Shield | Medicare Advantage | $18.76 | $761.00 | $761.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Humana | Medicare Advantage | $18.76 | $761.00 | $761.00 | 2026-03-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $4,684.60 | $3,044.99 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $4,684.60 | $3,044.99 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $4,684.60 | $3,044.99 | 2025-11-26 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,095.00 | $711.75 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,095.00 | $711.75 | 2025-01-01 | MRF ↗ |
| BAYAMON MEDICAL CENTER Both | None | — | — | $1.00 | $1.00 | 2026-03-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $21.00 | $187.00 | $93.00 | 2025-02-03 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Epic Americas | AXA Assistance | $21.50 | $1,549.00 | $1,161.75 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net - HMO/POS/EPO | $21.50 | $1,549.00 | $1,161.75 | 2026-04-01 | MRF ↗ |
| IRON COUNTY MEDICAL CENTER Outpatient | Veteran's Affair | Federal | $21.70 | $70.00 | $63.00 | 2026-03-03 | MRF ↗ |
| IRON COUNTY MEDICAL CENTER Outpatient | Aetna - Medicare Advantage | Medicare Advantage | $21.70 | $70.00 | $63.00 | 2026-03-03 | MRF ↗ |
| IRON COUNTY MEDICAL CENTER Outpatient | Blue Cross - Medicare Advantage | Medicare Advantage | $21.70 | $70.00 | $63.00 | 2026-03-03 | MRF ↗ |
| IRON COUNTY MEDICAL CENTER Outpatient | Providers Partners HealthPlan | HMO/PPO/Traditional | $21.70 | $70.00 | $63.00 | 2026-03-03 | MRF ↗ |
| IRON COUNTY MEDICAL CENTER Outpatient | AmBetter-Home State Health | HMO/PPO/Traditional | $21.70 | $70.00 | $63.00 | 2026-03-03 | MRF ↗ |
| IRON COUNTY MEDICAL CENTER Outpatient | Tricare | Federal | $21.70 | $70.00 | $63.00 | 2026-03-03 | MRF ↗ |
| IRON COUNTY MEDICAL CENTER Outpatient | United Healthcare Medicare Advantage | Medicare Advantage | $21.70 | $70.00 | $63.00 | 2026-03-03 | MRF ↗ |
| IRON COUNTY MEDICAL CENTER Outpatient | Humana - Medicare Advantage | Medicare Advantage | $21.92 | $70.00 | $63.00 | 2026-03-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $22.00 | $187.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $22.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| IRON COUNTY MEDICAL CENTER Outpatient | Wellcare - Medicare Advantage | Medicare Advantage | $22.35 | $70.00 | $63.00 | 2026-03-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $23.00 | $187.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $23.00 | $187.00 | $93.00 | 2025-02-03 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $23.35 | $636.00 | $413.40 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $23.35 | $636.00 | $413.40 | 2025-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $24.25 | $485.00 | $485.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $24.25 | $485.00 | $485.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $24.25 | $485.00 | $485.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $24.25 | $485.00 | $485.00 | 2026-03-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $24.44 | $181.00 | $135.75 | 2026-01-16 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | All Products | $24.49 | $32.65 | $16.33 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $25.00 | $187.00 | $93.00 | 2025-02-03 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $25.06 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $25.06 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $25.06 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $25.06 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $25.06 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $25.06 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $25.06 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $25.06 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $25.06 | — | — | 2026-04-01 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $25.12 | $126.00 | $63.00 | 2026-04-15 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | — | $525.00 | $525.00 | 2026-02-02 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $26.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $26.00 | $187.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $26.00 | $187.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $26.00 | $187.00 | $93.00 | 2025-02-03 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Empire Plan NYSHIP | All Products | $26.12 | $32.65 | $16.33 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | All Products | $26.12 | $32.65 | $16.33 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $27.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $27.00 | $187.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $27.00 | $187.00 | $93.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $27.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $4,684.60 | $3,044.99 | 2025-11-26 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Multiplan | PPO | $27.75 | $32.65 | $16.33 | 2025-12-31 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | $27.87 | $944.00 | $660.80 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $1,772.00 | $1,329.00 | 2024-12-08 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $28.74 | $655.00 | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $28.74 | $655.00 | — | 2025-12-27 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $29.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $29.00 | $187.00 | $93.00 | 2025-02-03 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $29.00 | $580.00 | $580.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $29.00 | $580.00 | $580.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $29.00 | $580.00 | $580.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $29.00 | $580.00 | $580.00 | 2026-03-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $30.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $30.00 | $187.00 | $93.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | $1,772.00 | $1,329.00 | 2024-12-08 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $31.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $31.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Inpatient | ILLINICARE/MERIDIAN MEDICAID [6509] | YOUTHCARE IL [650908] | $31.00 | $1,520.00 | $405.00 | 2024-05-13 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Inpatient | ILLINICARE/MERIDIAN MEDICAID [6509] | ILLINICARE BH [650909] | $31.00 | $1,520.00 | $405.00 | 2024-05-13 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $31.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Mclaren Health Plan | McLarenMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Mclaren Health Plan | McLarenAdvantagePPO | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Mclaren Health Plan | McLarenCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Aetna | AetnaExistingBusiness | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Mclaren Health Plan | McLarenMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Longevity Health Plan | LongevityHealthPlan | — | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Naphcare Inc. | NaphCare | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Community Care | CommunityCareComm | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | AllyAlign Health | AllyAlignHealthMgdMCare | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | American Health Plan | AmericanHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Aetna | AetnaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Amerihealth | BlueCrossCompleteMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Amerihealth | AmerihealthCaritasMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Americas Choice Provider Network | AmericasChoiceProviderNetworkWC | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | BCBS-MI | BCBSMICommercial | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | BCBS-MI | BCBSMIMgdMCare | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | BCBS-MI | BCBSMIMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthSBDHMOPPO | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Contigo Health | ContigoHealthWCfkaThreeRiversWC | — | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | BCBS-MI | BCBSMIBCNMgdMCare | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | AllyAlign Health | AllyAlignHealthMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | MidwestMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthCigna | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $31.58 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | BCBS-MI | BCBSMIBCNMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | BCBS-MI | BCBSMICommercial | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Community Care | CommunityCareComm | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | United Healthcare | HealthSmartMgdWC | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Multiplan | MultiplanWC | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Wellcare | MeridianMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | United Healthcare | UnitedCommunityPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Humana | HumanaCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Naphcare Inc. | NaphCare | — | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Point Comfort Underwriters | PointComfortUnderwriters | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Centene | AmbetterHIX | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Zing Health | ZingHealthMedicareNonNarrow | — | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Prime Health Services | PrimeHealthServicesWC | — | $1,535.00 | $1,151.25 | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | $1,535.00 | $1,151.25 | 2025-01-31 | 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.