87154 — Cul Typ Id Bld Pthgn 6+ Trgt
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CUL TYP ID BLD PTHGN 6+ TRGT (CPT 87154) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87154?code_type=CPT
MLA (9th ed.)
“CUL TYP ID BLD PTHGN 6+ TRGT (CPT 87154) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87154?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CUL TYP ID BLD PTHGN 6+ TRGT (CPT 87154) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87154?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $218–$488 (25th–75th percentile) across 2,078 hospitals · 5,729 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 87154 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | EmblemHealth | CBP | — | $1,091.00 | $927.35 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | EmblemHealth | CBP | — | $1,091.00 | $927.35 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,091.00 | $927.35 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,091.00 | $927.35 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,682.01 | $841.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,682.01 | $841.00 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $5,473.54 | $3,557.80 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $5,473.54 | $3,557.80 | 2025-11-26 | MRF ↗ |
| THEDACARE MEDICAL CENTER-WAUPACA BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $1.06 | $671.00 | $375.76 | 2026-03-02 | MRF ↗ |
| THEDACARE REGIONAL MED CTR - NEENAH BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $1.06 | $671.00 | $375.76 | 2026-03-02 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $1.70 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $1.78 | — | — | 2025-10-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $1.84 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $1.84 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.87 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.87 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $1.88 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| CHRISTUS SANTA ROSA MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $2.00 | $942.00 | $310.86 | 2026-01-13 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $2.01 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $2.03 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.26 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.26 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.34 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.34 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.54 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $5,473.54 | $3,557.80 | 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 | — | $5,473.54 | $3,557.80 | 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 | — | $5,473.54 | $3,557.80 | 2025-11-26 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $3.53 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $3.53 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $3.53 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $3.53 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $3.53 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Cigna | Local Plus | $4.06 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $4.19 | — | $239.87 | 2026-03-04 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $4.59 | $441.00 | $441.00 | 2026-04-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Omnia | $4.65 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Omnia | $4.65 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Omnia | $4.69 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.93 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.93 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.93 | — | — | 2026-03-18 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Florida Health Care Plan | All Products | $5.00 | $888.00 | $488.40 | 2026-03-31 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $5.16 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $5.16 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Indemnity | $5.16 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | PPO | $5.16 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | PPO | $5.16 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Indemnity | $5.16 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Managed Care | $5.21 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | PPO | $5.62 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Indemnity | $5.62 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $5.65 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $5.65 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $5.65 | — | — | 2026-03-18 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL Outpatient | Anthem | Medicaid | $6.14 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.15 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.15 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.15 | — | — | 2026-03-18 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $6.47 | — | $1,357.00 | 2026-03-31 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $6.51 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicare | $6.51 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $6.51 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $6.51 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicare | $6.51 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $6.51 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $6.51 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $6.51 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $6.51 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $6.51 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Anthem | Medicaid | $6.58 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Anthem | Medicaid | $6.58 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC ALIGNMENT [917] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC ALIGNMENT [917] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC BLUE CROSS [901] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC BLUE SHIELD PROMISE HEALTH PLAN [914] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC BLUE SHIELD PROMISE HEALTH PLAN [914] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC BLUE CROSS [901] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC BLUE SHIELD [902] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC UNITED [906] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC UNITED [906] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC HEALTH NET [904] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC CIGNA [903] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC CIGNA [903] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC HEALTH NET [904] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC BLUE SHIELD [902] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC SCAN [905] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC SCAN [905] | SHPS SHCV SHME | $6.62 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Anthem | Medicaid | $6.88 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.01 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.01 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $7.01 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC HEALTH NET [904] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC BLUE SHIELD PROMISE HEALTH PLAN [914] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC UNITED [906] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Both | MC ALIGNMENT [917] | SHPS SHEN | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA Both | MC UNITED [906] | SHPS SHLJ | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC CIGNA [903] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC BLUE SHIELD [902] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC HEALTH NET [904] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Both | MC UNITED [906] | SHPS SHEN | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | MC ALIGNMENT [917] | SHPS SHGH | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | MC CIGNA [903] | SHPS SHGH | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA Both | MC BLUE SHIELD PROMISE HEALTH PLAN [914] | SHPS SHLJ | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA Both | MC HEALTH NET [904] | SHPS SHLJ | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA Both | MC CIGNA [903] | SHPS SHLJ | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Both | MC BLUE SHIELD PROMISE HEALTH PLAN [914] | SHPS SHEN | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC ALIGNMENT [917] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | MC UNITED [906] | SHPS SHGH | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Both | MC SCAN [905] | SHPS SHEN | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC BLUE SHIELD PROMISE HEALTH PLAN [914] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Both | MC BLUE CROSS [901] | SHPS SHEN | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | MC HEALTH NET [904] | SHPS SHGH | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | MC BLUE SHIELD [902] | SHPS SHGH | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Both | MC CIGNA [903] | SHPS SHEN | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC SCAN [905] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC BLUE CROSS [901] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | MC BLUE SHIELD PROMISE HEALTH PLAN [914] | SHPS SHGH | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC UNITED [906] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Both | MC BLUE SHIELD [902] | SHPS SHEN | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Both | MC HEALTH NET [904] | SHPS SHEN | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC SCAN [905] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA Both | MC BLUE SHIELD [902] | SHPS SHLJ | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA Both | MC SCAN [905] | SHPS SHLJ | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA Both | MC BLUE CROSS [901] | SHPS SHLJ | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC CIGNA [903] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | MC BLUE CROSS [901] | SHPS SHGH | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | MC SCAN [905] | SHPS SHGH | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC BLUE SHIELD [902] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA Both | MC ALIGNMENT [917] | SHPS SHLJ | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | MC BLUE CROSS [901] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | MC ALIGNMENT [917] | SHPS SHCV SHME | $7.06 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $7.20 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicare | $7.31 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $7.31 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $7.31 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $7.31 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $7.31 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Humana | Medicare | $7.38 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $7.38 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $7.38 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Anthem | Medicare Advantage | $7.38 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $7.38 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.39 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $7.58 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL Outpatient | Anthem | Medicaid | $7.89 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $5,473.54 | $3,557.80 | 2025-11-26 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital OutpatientFacility | United Healthcare | Commercial | $8.00 | $112.46 | $67.48 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $8.16 | $102.00 | $61.20 | 2026-02-21 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare | Medicare | $8.17 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare | Medicare | $8.17 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $5,473.54 | $3,557.80 | 2025-11-26 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Humana | Medicare | $8.60 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | WellCare of Kentucky | Medicare | $8.60 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $8.60 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $8.60 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Anthem | Medicare Advantage | $8.60 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | The Health Plan | Medicare | $8.60 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | The Health Plan | Medicaid | $8.69 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $8.69 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $8.69 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Humana | Medicare | $8.69 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $8.69 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $8.69 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL OutpatientFacility | WellCare | Medicaid | $8.69 | $41.00 | $24.60 | 2025-01-22 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | United Healthcare | Commercial | $9.00 | $112.46 | $67.48 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | United Healthcare | Commercial | $9.00 | $112.46 | $67.48 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | United Healthcare | Commercial | $9.00 | $112.46 | $67.48 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI OutpatientFacility | United Healthcare | Commercial | $9.00 | $112.46 | $67.48 | 2026-02-20 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna | Medicare | $9.03 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna | Medicare | $9.03 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | — | $1,172.60 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | — | $1,762.00 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | — | $1,762.00 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $9.10 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $9.10 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $9.12 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $9.12 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $9.12 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $9.12 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Humana | Medicare | $9.12 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER OutpatientFacility | MOLINA MEDICAID | MOLINA IM PLUS MEDICAID | $9.19 | — | $515.45 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $9.29 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $9.29 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $9.29 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $9.29 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA Both | BLUE CROSS [220] | BLUE CROSS HMO SELECT | $9.31 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | BLUE CROSS [220] | BLUE CROSS HMO SELECT | $9.31 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | BLUE CROSS [220] | BLUE CROSS HMO SELECT | $9.31 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Both | BLUE CROSS [220] | BLUE CROSS HMO SELECT | $9.31 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | BLUE CROSS [220] | BLUE CROSS HMO SELECT | $9.31 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Aetna | Medicare | $9.46 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Aetna | Medicare | $9.46 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $9.47 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER Outpatient | Anthem | Medicaid | $9.65 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | $9.65 | $43.00 | $25.80 | 2026-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $9.66 | $1,895.00 | $1,800.25 | 2026-02-20 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | BLUE CROSS [220] | BLUE CROSS HMO | $9.75 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | IMPERIAL COUNTY PHYS MED GROUP [855] | BLUE CROSS HMO | $9.75 | $44.10 | $11.02 | 2026-03-30 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | PERLMAN MED GROUP [899] | BLUE CROSS HMO | $9.75 | $44.10 | $11.02 | 2026-03-30 | 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.