90889 — Preparation Of Report
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PREPARATION OF REPORT (CPT 90889) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90889?code_type=CPT
MLA (9th ed.)
“PREPARATION OF REPORT (CPT 90889) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90889?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PREPARATION OF REPORT (CPT 90889) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90889?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $75–$199 (25th–75th percentile) across 641 hospitals · 1,169 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90889 — 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 |
|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| 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 ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | Medciare Advantage (MMG) | $0.31 | — | — | 2025-10-24 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S 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 ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $0.60 | $2.00 | $1.40 | 2026-04-02 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Par Professional Mlp | $0.67 | $211.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Hmo Professional Mlp | $0.67 | $211.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Ppo Professional Mlp | $0.67 | $211.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Bluedistinctionsct Professional Mlp | $0.67 | $211.00 | — | 2026-10-07 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Medicaid | Medicaid | $0.72 | $2.00 | $1.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Healthy Kids Medicaid | Medicaid | $0.72 | $2.00 | $1.40 | 2026-04-02 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Ppo Professional Md Do | $0.79 | $211.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Par Professional Md Do | $0.79 | $211.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Hmo Professional Md Do | $0.79 | $211.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Bluecrossblueshield | Bluedistinctionsct Professional Md Do | $0.79 | $211.00 | — | 2026-10-07 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Unitedhealthcare | Hmo Ppo Professional Mlp | $0.90 | $211.00 | — | 2026-10-07 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA WORKERS COMP | $0.95 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AETNA | AETNA WORKERS COMP | $0.95 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $1.27 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | HealthOptions (MMG) | $1.45 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | NetworkBlue (MMG) | $1.47 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $1.55 | — | — | 2025-10-24 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | All | $1.58 | — | — | 2026-03-28 | MRF ↗ |
| MADISON VALLEY MEDICAL CENTER OutpatientFacility | Humana | ChoiceCare PPO | — | — | — | 2026-07-20 | MRF ↗ |
| MADISON VALLEY MEDICAL CENTER OutpatientFacility | United Tricare | All Plans | — | — | — | 2026-07-20 | MRF ↗ |
| MADISON VALLEY MEDICAL CENTER OutpatientFacility | Pacific Source | All Plans | — | — | — | 2026-07-20 | MRF ↗ |
| MADISON VALLEY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of MT | All Plans | $1.62 | — | — | 2026-07-20 | MRF ↗ |
| MADISON VALLEY MEDICAL CENTER OutpatientFacility | Humana | ChoiceCare Medicare | — | — | — | 2026-07-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $1.62 | — | — | 2025-10-24 | MRF ↗ |
| Northern Montana Hospital Outpatient | BCBS Commercial | PPO | $1.70 | $2.00 | $1.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | BCBS Commercial | PPO | $1.80 | $2.00 | $1.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Montana Health Cooperative | PPO | $1.90 | $2.00 | $1.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | Pacific Source PPO Commercial | PPO | $1.92 | $2.00 | $1.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | EBMS SelectCare Network | PPO | $1.94 | $2.00 | $1.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | GEHA Commercial | PPO | $1.94 | $2.00 | $1.40 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Inpatient | United HealthCare Commercial | PPO | $1.96 | $2.00 | $1.40 | 2026-04-02 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $2.07 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Pos | $2.29 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Pos Exchange | $2.29 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Closed Plan | $3.08 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt - Federal | $3.08 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | St Of Mt Employees | $3.08 | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt- Yellowstone County | $3.08 | — | — | 2026-07-14 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Consumer Life | Commercial | — | $26.70 | $22.43 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Encore | Ppo | — | $26.70 | $22.43 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Coventry | Commercial | — | $26.70 | $22.43 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Aetna | Medicare Advantage | — | $26.70 | $22.43 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Care Improvement Plus | Medicare Advantage | — | $26.70 | $22.43 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Anthem | Ppo Hmo Exchange | — | $26.70 | $22.43 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Humana Healthnet | Tricare | — | $26.70 | $22.43 | 2026-05-09 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $8.36 | $50.00 | $24.75 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $8.36 | $50.00 | $24.75 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $8.36 | $50.00 | $24.75 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $8.36 | $50.00 | $24.75 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $8.37 | $50.00 | $24.75 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Humana | Humana | $8.75 | $25.00 | $15.00 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Humana | Humana | $8.75 | $25.00 | $15.00 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Employee Health Plan | Employee Health Plan | $9.32 | $25.00 | $15.00 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Employee Health Plan | Employee Health Plan | $9.32 | $25.00 | $15.00 | 2026-07-15 | MRF ↗ |
| ASTRIA TOPPENISH HOSPITAL Outpatient | Coordinated Care Medicaid | Medicaid | $10.56 | $69.00 | $44.85 | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $10.86 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $10.86 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $10.86 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $10.86 | — | — | 2026-07-18 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $11.00 | $50.00 | $24.75 | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $11.19 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $11.53 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $11.53 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $11.53 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $11.53 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $11.74 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $11.86 | — | — | 2026-07-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Inpatient | Employee Health Plan | Employee Health Plan | $11.93 | $25.00 | $25.00 | 2026-07-20 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Uhc Select Core | $12.50 | $25.00 | $25.00 | 2026-08-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | FIRST HEALTH [100278] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | PLYMOUTH COUNTY [500019] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | GEHA [100039] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | IBEW LOCAL 103 [100272] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | EMPLOYEE BENEFIT MANAGEMENT [100033] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | COVENTRY [100010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | AVMED HEALTH PLAN [100247] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | ALLIED NATIONAL GLOBAL CARE [100107] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | CORESOURCE [100285] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | COMPSYCH [100027] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | CARECENTRIX ALTERNATE [100257] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | LOWELL COMM HEALTH CENTER [950009] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | ASSURANT [100020] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | ULTRA BENEFITS [100280] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | EMPLOYEE BENEFIT MANAGEMENT [100033] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | CARE ONE [950007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | TALL TREE ADMINISTRATORS [100271] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | PALM MANOR [950005] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | SPECTERA [100291] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | D'YOUVILLE SENIOR CARE [950003] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | BENEMAX [100276] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | ALLIED BENEFIT SYSTEMS [100015] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | PALM MANOR [950005] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | BENEMAX [100276] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | ULTRA BENEFITS [100280] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | COVERAGE DISCOVERY [100306] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | NOVA HEALTHCARE ADMINISTRATORS [100270] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | EYEMED [100290] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | NATIONAL ELEVATOR IND HLTH BENEFITS [100273] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | NORTHWOOD REHABILITATION & HEALTH [950004] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | SENIOR WHOLE HEALTH MEDICARE REPLACEMENT [450111] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | NOVA HEALTHCARE ADMINISTRATORS [100270] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | SENIOR WHOLE HEALTH MEDICAID REPLACEMENT [350023] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | GROUP AND PENSION ADMINISTRATORS [100043] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | AMERICAN POSTAL WORKERS [100089] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | UMASS DISABILITY [500017] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | SENIOR WHOLE HEALTH MEDICAID REPLACEMENT [350023] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | ALLIED BENEFIT SYSTEMS [100015] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | MUTUAL OF OMAHA [100074] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | ALLIED NATIONAL GLOBAL CARE [100107] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | AMERIHEALTH CARITAS NH [350007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | NORTHWOOD REHABILITATION & HEALTH [950004] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | COVENTRY [100010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | COMPSYCH [100027] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | CORESOURCE [100285] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | CARECENTRIX ALTERNATE [100257] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | SPECTERA [100291] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | AMERIHEALTH CARITAS NH [350007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | CARE ONE [950007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | EYEMED [100290] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | FIRST HEALTH [100278] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | D'YOUVILLE SENIOR CARE [950003] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | NORFOLK COUNTY [500013] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | AMERICAN POSTAL WORKERS [100089] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | COVERAGE DISCOVERY [100306] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | AVMED HEALTH PLAN [100247] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | IBEW LOCAL 103 [100272] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | GROUP AND PENSION ADMINISTRATORS [100043] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | TALL TREE ADMINISTRATORS [100271] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | UMASS DISABILITY [500017] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | LOWELL COMM HEALTH CENTER [950009] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | NORFOLK COUNTY [500013] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | NATIONAL ELEVATOR IND HLTH BENEFITS [100273] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | SENIOR WHOLE HEALTH MEDICARE REPLACEMENT [450111] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | PLYMOUTH COUNTY [500019] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | MUTUAL OF OMAHA [100074] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | GEHA [100039] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | ASSURANT [100020] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES MWF | $12.60 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| ALLEGHANY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of North Carolina | Blue Value | $12.90 | — | — | 2025-08-12 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Both | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED MWF | $13.43 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Both | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED MWF | $13.43 | $36.00 | $25.20 | 2026-04-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $13.46 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $13.46 | — | — | 2025-06-27 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $14.67 | $312.06 | $312.06 | 2026-03-01 | 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.