81560 — Trnsplj Pd Lvr&bwl Cd154+cll
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TRNSPLJ PD LVR&BWL CD154+CLL (HCPCS 81560) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81560?code_type=HCPCS
MLA (9th ed.)
“TRNSPLJ PD LVR&BWL CD154+CLL (HCPCS 81560) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81560?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TRNSPLJ PD LVR&BWL CD154+CLL (HCPCS 81560) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81560?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $641–$923 (25th–75th percentile) across 1,501 hospitals · 1,601 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81560 — 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 this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$641
$660 typical
$923
The middle 50% of negotiated facility rates for this procedure, measured across 1,501 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $660 |
| Likely subtotal | $660 |
Facility charge (no separate professional fee)
$660
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $641–$923.
- Laboratory tests are priced under the Clinical Laboratory Fee Schedule (CLFS), not the PFS, so a separate professional fee is not estimable here — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
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 |
|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.90 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.92 | — | — | 2026-09-02 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $4,421.00 | $2,873.65 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.95 | $4,421.00 | $2,873.65 | 2026-06-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $1,922.19 | $640.73 | 2026-09-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.04 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.11 | $4,421.00 | $2,873.65 | 2026-06-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD ACO RECIPROCITY | $2.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD ALLCARE CAPITATION | $2.00 | — | — | 2026-09-02 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | United Healthcare | All Payer | $3.27 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | United Healthcare | All Payer | $3.27 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - Alamo Heights OutpatientFacility | United Healthcare | All Payer | $3.27 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $3.27 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS Santa Rosa Hospital - New Braunfels OutpatientFacility | United Healthcare | All Payer | $3.27 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI OutpatientFacility | United Healthcare | All Payer | $3.27 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $3.27 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $3.27 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL ALICE OutpatientFacility | United Healthcare | All Payer | $3.27 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL BEEVILLE OutpatientFacility | United Healthcare | All Payer | $3.27 | — | — | 2026-01-13 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD IFP EPN | $5.90 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD HMO/PPO | $8.54 | — | — | 2026-09-02 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | United Healthcare Insurance Company | WI MEDICAID UHC COMMUNITY PLAN | $12.05 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $12.05 | — | — | 2026-03-24 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | BC Anthem | Managed Medicaid | $12.05 | — | — | 2025-06-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $12.05 | — | — | 2026-04-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MYCHOICE WI-CARE WI | $12.05 | — | — | 2026-03-23 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | BC Anthem | Managed Medicaid | $12.05 | — | — | 2025-06-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Care Wisconsin | Managed Medicaid | $12.05 | — | — | 2026-04-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | United Healthcare Insurance Company | WI MEDICAID UHC COMMUNITY PLAN | $12.05 | — | — | 2026-03-23 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield of Wisconsin | Managed Medicaid | $12.05 | — | — | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $12.05 | — | — | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Health Tradition | Managed Medicaid | $12.05 | — | — | 2026-04-24 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $12.11 | — | — | 2026-02-19 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $12.29 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Chorus Community Health Plan | WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) | $12.29 | — | — | 2026-03-23 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA IFP PPO VALUE NETWORK | $12.79 | — | — | 2026-09-02 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $13.13 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Managed Health Services | WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH | $13.13 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $13.13 | — | — | 2026-03-24 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN TMC | $13.13 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Molina Healthcare of Wisconsin | WI MEDICAID MOLINA HEALTHCARE | $13.50 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | My Choice Wisconsin | WI MEDICAID MY CHOICE | $13.50 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | My Choice Wisconsin | WI MEDICAID TRILOGY | $13.50 | — | — | 2026-03-24 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $13.86 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | Anthem Blue Cross Blue Shield | WI MEDICAID ANTHEM | $13.86 | — | — | 2026-03-24 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED TMC | $14.20 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.48 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.48 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.48 | — | — | 2026-03-18 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA HMO | $14.96 | — | — | 2026-09-02 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility | ICare | WI MEDICAID I CARE | $15.06 | — | — | 2026-03-23 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility | ICare | WI Medicaid I Care - CFV | $15.06 | — | — | 2026-03-24 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD OF CALIFORNIA PPO | $15.74 | — | — | 2026-09-02 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $16.59 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $16.59 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $16.59 | — | — | 2026-03-18 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of WA | Medicaid Advantage | $17.42 | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Amerigroup | HMO Medicaid | $17.42 | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Coordinated Care | HMO Medicaid | $17.42 | — | — | 2026-08-19 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | GEHA [100039] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | SENIOR WHOLE HEALTH MEDICAID REPLACEMENT [350023] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | FIRST HEALTH [100278] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | D'YOUVILLE SENIOR CARE [950003] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | MAGELLAN BEHAVIORAL HEALTH [100288] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | MUTUAL OF OMAHA [100074] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | BENEMAX [100276] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | CORESOURCE [100285] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | TALL TREE ADMINISTRATORS [100271] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | NOVA HEALTHCARE ADMINISTRATORS [100270] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | AVMED HEALTH PLAN [100247] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | EMPLOYEE BENEFIT MANAGEMENT [100033] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | GROUP AND PENSION ADMINISTRATORS [100043] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | CARE ONE [950007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | AMERIHEALTH CARITAS NH [350007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | PALM MANOR [950005] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | COVENTRY [100010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | ULTRA BENEFITS [100280] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | IBEW LOCAL 103 [100272] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | SPECTERA [100291] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | PLYMOUTH COUNTY [500019] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | NATIONAL ELEVATOR IND HLTH BENEFITS [100273] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | NORFOLK COUNTY [500013] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | NORTHWOOD REHABILITATION & HEALTH [950004] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | ALLIED NATIONAL GLOBAL CARE [100107] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | LOWELL COMM HEALTH CENTER [950009] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | AMERICAN POSTAL WORKERS [100089] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | CARECENTRIX ALTERNATE [100257] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | SUNNY ACRES NURSING HOME [950006] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | ASSURANT [100020] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | ALLIED BENEFIT SYSTEMS [100015] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | UMASS DISABILITY [500017] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | COMPSYCH [100027] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $17.50 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY NON-SILVER TMC | $17.82 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $18.07 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $18.07 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $18.07 | — | — | 2026-03-18 | MRF ↗ |
| ISLAND HOSPITAL OutpatientFacility | Wellpoint | Medicaid | $18.47 | — | — | 2026-05-04 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | ALLARACARE [100163] | HB XR ALLARACARE TMC | $18.85 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PPO OTHER PAYOR | $18.89 | — | — | 2026-09-02 | MRF ↗ |
| ISLAND HOSPITAL OutpatientFacility | Molina | Healthy Options | $19.16 | — | — | 2026-05-04 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $19.38 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $19.38 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $19.38 | — | — | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP NON SUBSIDIZED TMC | $19.80 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| ISLAND HOSPITAL OutpatientFacility | Coordinated Care | Medicaid | $20.04 | — | — | 2026-05-04 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | United Health Care | Commercial HMO | $20.52 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | United Health Care | All Commercial Products | $20.52 | — | — | 2026-04-01 | MRF ↗ |
| ISLAND HOSPITAL OutpatientFacility | Community Health Plan of Washington | Health Options | $20.91 | — | — | 2026-05-04 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $21.01 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $21.01 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $21.01 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $21.01 | — | — | 2025-07-22 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross Lanier | Commercial | $21.37 | — | — | 2026-07-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Commercial | $21.37 | — | — | 2026-07-15 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $21.43 | — | — | 2025-07-22 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $21.87 | — | — | 2025-06-27 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $22.90 | — | — | 2025-07-22 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC MAPFRE INSURANCE [700089] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC CIC/MCMC [700068] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC CITY OF BOSTON [700111] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC GENERIC WORKERS' COMP [709999] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC RISING MEDICAL SOLUTION [700101] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC METLIFE [700094] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC GOWRY GROUP [700086] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC GEICO [700057] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC GALLAGHER BASSETT WORK COMP [700013] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC HRD/WORKERS COMPENSATION UNIT [700087] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC NORFOLK & DEDHAM GROUP [700096] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC MASS NAHRO INSURANCE GROUP TRUST [700090] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC RETAIL BUSINESS SERVICES LLC [700100] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC SUTTER HOUSE [700102] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC MIIA [700095] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC FUTURE COMP [700116] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC PLYMOUTH ROCK [700099] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC MASS STATE POLICE [700091] | HB XR WC TMC | $24.25 | $50.00 | $35.00 | 2026-04-01 | 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.