92930 — Hc Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS (CPT 92930) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/92930?code_type=CPT
MLA (9th ed.)
“HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS (CPT 92930) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/92930?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS (CPT 92930) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/92930?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $17,687–$39,119 (25th–75th percentile) across 887 hospitals · 2,731 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 92930 — 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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$17,687
$27,513 typical
$39,119
The middle 50% of negotiated facility rates for this procedure, measured across 887 hospitals. The physician 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. | $27,513 |
| Physician fee Estimate national typical Medicare $505 × 1.22 commercial. | $617 |
| Likely subtotal | $28,130 |
Complete-episode estimate (typical)
~$28,130
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 $17,687–$39,119.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician fee (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
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 |
|---|---|---|---|---|---|---|---|
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $36,125.00 | — | 2026-07-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $125,800.00 | $88,060.00 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $125,800.00 | $88,060.00 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $125,800.00 | $88,060.00 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $125,800.00 | $88,060.00 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $125,800.00 | $88,060.00 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $125,800.00 | $88,060.00 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $125,800.00 | $88,060.00 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $125,800.00 | $88,060.00 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $125,800.00 | $88,060.00 | 2026-09-01 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA ELEVATE | MEDICA ELEVATE | $73.60 | $1,211.00 | $787.15 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA COMM - ALL OTHER PLANS | MEDICA COMM - ALL OTHER PLANS | $80.00 | $1,211.00 | $787.15 | 2026-08-10 | MRF ↗ |
| SHERIDAN MEMORIAL HOSPITAL Outpatient | BLUE CROSS WYOMING-ALL PLANS | BLUE CROSS WYOMING-ALL PLANS | $80.00 | $2,385.00 | $1,908.00 | 2026-10-02 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $80.04 | $1,352.00 | $202.80 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $80.04 | $1,352.00 | $202.80 | 2026-07-30 | MRF ↗ |
| O'connor Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $125,800.00 | $88,060.00 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $125,800.00 | $88,060.00 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $125,800.00 | $88,060.00 | 2026-09-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $61,128.00 | $11,003.04 | 2026-05-23 | MRF ↗ |
| VIERA HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $111.49 | $46,821.72 | $11,705.43 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $201.28 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $201.28 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicare | $220.15 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | Curative | All Contracted Plans | $245.31 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Medicare | $252.80 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Cigna | Medicare | $252.80 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Veteran'S Administration | Triwest | $252.80 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Wellpoint | Medicare | $265.44 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Wellcare | Medicare | $265.44 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $270.47 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | Community Health Choice | Marketplace Plans | $283.05 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Community Health Choice | Marketplace Plans | $290.72 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $293.80 | $4,520.00 | $2,938.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $293.80 | $4,520.00 | $2,938.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $293.80 | $4,520.00 | $2,938.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC PHCS PRIMARY | — | $4,520.00 | $2,938.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SAMC PHCS PRIMARY | — | $4,520.00 | $2,938.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $293.80 | $4,520.00 | $2,938.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SAMC PHCS PRIMARY | — | $4,520.00 | $2,938.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC PHCS PRIMARY | — | $4,520.00 | $2,938.00 | 2026-06-10 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Curative | All Contracted Plans | $299.82 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Cigna | Hmo Ppo Pos | $314.50 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Oscar | All Contracted Plans | $316.00 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | AARP [100007] | AARP [10000701] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | HUMANA [100052] | HUMANA PPO [10005202] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | BAKER/CONFECTIONARY UNION [100158] | BAKER/CONFECTIONARY UNION [10015801] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | ROOFERS LOCAL 74 [100155] | ROOFERS LOCAL 74 [10015501] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | AFFINITY HEALTH PLAN [100129] | AFFINITY ESSENTIAL EXCHANGE [10012901] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | HEALTHSOURCE [10017204] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | ROOFERS LOCAL 74 [100155] | ROOFERS LOCAL 74 [10015501] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | POMCO [10017213] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | SUNSHINE STATE HEALTH PLN [10017207] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | METRAHEALTH [10017208] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | OPTUM BEHAVIORAL HEALTH [10017210] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | ROYAL SUNALLIANCE [10017209] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | GUARDIAN [10017203] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | MUTUAL OF OMAHA [10017211] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | AFFINITY HEALTH PLAN [100129] | AFFINITY ESSENTIAL EXCHANGE [10012901] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | TUFTS HEALTH PLAN [10017214] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | POMCO [10017213] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | BOILERMAKERS NATL. HEALTH [100159] | BOILERMAKERS NATL. HEALTH [10015901] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | HUMANA [100052] | HUMANA ONE [10005203] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | NALC HEALTH BENEFIT PLAN [10006701] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | AARP [100007] | AARP [10000701] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | BAKER/CONFECTIONARY UNION [100158] | BAKER/CONFECTIONARY UNION [10015801] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | HEALTHY LIVING PARTNERSHI [10017212] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | METRAHEALTH [10017208] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | UPSTATE ADMINISTRATIVE [10017206] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | WAUSAU INSURANCE [10017205] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | GUARDIAN [10017203] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | TUFTS HEALTH PLAN [10017214] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | MUTUAL OF OMAHA [10017211] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | BOILERMAKERS NATL. HEALTH [100159] | BOILERMAKERS NATL. HEALTH [10015901] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | ROYAL SUNALLIANCE [10017209] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | CORE SOURCE [100161] | CORE SOURCE [10016101] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | HUMANA [100052] | HUMANA HMO/POS [10005201] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | FIREMAN'S FUND [100162] | FIREMAN'S FUND [10016201] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | BOARD OF PENSIONS [10017201] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | WAUSAU INSURANCE [10017205] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | OPTUM BEHAVIORAL HEALTH [10017210] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | GERBER LIFE INS [10017202] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | UPSTATE ADMINISTRATIVE [10017206] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | HUMANA [100052] | HUMANA PPO [10005202] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | BOARD OF PENSIONS [10017201] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | COMMERCIAL OTHER [10017215] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | HUMANA [100052] | HUMANA HMO/POS [10005201] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | HEALTHY LIVING PARTNERSHI [10017212] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | COMMERCIAL - OTHER [100172] | HEALTHSOURCE [10017204] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | GERBER LIFE INS [10017202] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | HUMANA [100052] | HUMANA ONE [10005203] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | COMMERCIAL OTHER [10017215] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | NALC HEALTH BENEFIT PLAN [10006701] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | COMMERCIAL - OTHER [100172] | SUNSHINE STATE HEALTH PLN [10017207] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | CORE SOURCE [100161] | CORE SOURCE [10016101] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | FIREMAN'S FUND [100162] | FIREMAN'S FUND [10016201] | $338.58 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $345.95 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $345.95 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $351.50 | $1,406.00 | $210.90 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $351.50 | $1,406.00 | $210.90 | 2026-07-15 | MRF ↗ |
| KENMORE MERCY HOSPITAL BothFacility | UPMC HEALTH PLAN [100181] | UPMC HEALTH PLAN [10018101] | $356.40 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL OF BUFFALO BothFacility | UPMC HEALTH PLAN [100181] | UPMC HEALTH PLAN [10018101] | $356.40 | $594.00 | $594.00 | 2026-04-01 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $377.40 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE SOUTHERN CA [3050602] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE NORTHWEST [3050608] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE GEORGIA [3050605] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER SOUTHERN CA [4000602] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE NORTHERN CA [3050601] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE WASHINGTON [3050609] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADV MID-ATLANTIC STATES [3050607] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE COLORADO [3050604] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDI-CAL- AFTER 10/01/21 [30505] | KAISER MEDI-CAL HMO [3050501] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER MID ATLANTIC STATES [4000608] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER COLORADO [4000605] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER EPO [4000604] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER HAWAII [4000607] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER NORTHWEST [4000609] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER WASHINGTON [4000610] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE HAWAII [3050606] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER GEORGIA [4000611] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER OUT OF AREA MEDICARE ADVANTAGE [3050603] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER OUT OF AREA [4000603] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER NORTHERN CA [4000601] | $386.73 | $1,546.89 | — | 2026-04-02 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $389.00 | $1,556.00 | $264.52 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $389.00 | $1,556.00 | $264.52 | 2026-05-23 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products Non MD | $394.42 | $73,523.37 | $14,704.67 | 2026-03-27 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Aetna 6/1/ | Aetna 6/1/ | $417.21 | — | — | 2026-08-30 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products Non MD | $419.08 | $73,523.37 | $14,704.67 | 2026-03-27 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Tufts Health Plan | Tufts Health Plan | $426.53 | — | — | 2026-07-15 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Tufts Medicare Preferred | Tufts Medicare Preferred | $426.53 | — | — | 2026-07-15 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $27,462.00 | $12,357.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $440.70 | $6,780.00 | $4,407.00 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $440.70 | $6,780.00 | $4,407.00 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $440.70 | $6,780.00 | $4,407.00 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $440.70 | $6,780.00 | $4,407.00 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,780.00 | $4,407.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,780.00 | $4,407.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,780.00 | $4,407.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $440.70 | $6,780.00 | $4,407.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $440.70 | $6,780.00 | $4,407.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $440.70 | $6,780.00 | $4,407.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $440.70 | $6,780.00 | $4,407.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,780.00 | $4,407.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,780.00 | $4,407.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,780.00 | $4,407.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $440.70 | $6,780.00 | $4,407.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,780.00 | $4,407.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $440.70 | $6,780.00 | $4,407.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $440.70 | $6,780.00 | $4,407.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,780.00 | $4,407.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $440.70 | $6,780.00 | $4,407.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $440.70 | $6,780.00 | $4,407.00 | 2026-06-10 | MRF ↗ |
| ALLIANCEHEALTH DURANT Outpatient | Aetna Betterhealth Medicaid Ok | Aetna Betterhealth Medicaid Ok | $445.86 | $54,546.00 | $6,545.52 | 2026-07-15 | MRF ↗ |
| Willow Creek Women's Hospital Outpatient | Ok Medicaid | Ok Medicaid | $445.86 | $65,042.82 | $21,464.13 | 2026-07-15 | MRF ↗ |
| OKLAHOMA HEART HOSPITAL, LLC Both | AETNA BETTER HEALTH OF OK | AETNA MEDICAID | $445.86 | $52,892.43 | $18,512.35 | 2026-03-27 | MRF ↗ |
| OKLAHOMA HEART HOSPITAL SOUTH, LLC Both | AETNA BETTER HEALTH OF OK | AETNA MEDICAID | $445.86 | $52,892.43 | $18,512.35 | 2026-03-27 | MRF ↗ |
| OKLAHOMA HEART HOSPITAL SOUTH, LLC Both | HUMANA HEALTHY HORIZONS IN OK | HUMANA MEDICAID | $445.86 | $52,892.43 | $18,512.35 | 2026-03-27 | MRF ↗ |
| ALLIANCEHEALTH DURANT Outpatient | Humana Healthy Horizons Medicaid Ok | Humana Healthy Horizons Medicaid Ok | $445.86 | $54,546.00 | $6,545.52 | 2026-07-15 | MRF ↗ |
| ALLIANCEHEALTH DURANT Outpatient | Ok Medicaid Non Par | Ok Medicaid Non Par | $445.86 | $54,546.00 | $6,545.52 | 2026-07-15 | MRF ↗ |
| ALLIANCEHEALTH DURANT Outpatient | Ok Medicaid | Ok Medicaid Soonercare | $445.86 | $54,546.00 | $6,545.52 | 2026-07-15 | MRF ↗ |
| ALLIANCEHEALTH DURANT Outpatient | Centene Ok Complete Health Medicaid Ok | Centene Ok Complete Health Medicaid Ok | $445.86 | $54,546.00 | $6,545.52 | 2026-07-15 | MRF ↗ |
| OKLAHOMA HEART HOSPITAL, LLC Both | HUMANA HEALTHY HORIZONS IN OK | HUMANA MEDICAID | $445.86 | $52,892.43 | $18,512.35 | 2026-03-27 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $56,187.00 | $5,618.70 | 2026-07-18 | MRF ↗ |
| VIERA HOSPITAL Outpatient | Health First Health Plan | Health First Health Plan Medicare | $458.66 | $46,821.72 | $11,705.43 | 2026-07-15 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products MD | $468.38 | $73,523.37 | $14,704.67 | 2026-03-27 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | Veteran'S Administration | Triwest | $471.75 | $1,258.00 | $921.15 | 2026-07-15 | MRF ↗ |
| Powers Health Rehabilitation Center Both | FRANCISCAN ACO [236] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE [220] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID [200] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID HIP [230] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | CARETAKER HIP [232] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| Powers Health Rehabilitation Center Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $475.51 | $38,775.00 | $23,265.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $477.00 | $7,787.00 | $5,061.55 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $477.00 | $7,787.00 | $5,061.55 | 2026-06-09 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON Outpatient | Wellmark Medicare Advantage | Wellmark Medicare Advantage | $478.68 | $56,833.00 | $17,049.90 | 2026-07-15 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $481.65 | $1,211.00 | $787.15 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $481.65 | $1,211.00 | $787.15 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $481.65 | $1,211.00 | $787.15 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $481.65 | $1,211.00 | $787.15 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $481.65 | $1,211.00 | $787.15 | 2026-08-10 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Outpatient | Paramount Healthcare Inc | Paramount Elite | $482.06 | $12,704.00 | $8,257.60 | 2026-07-15 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM CHIPPEWA VALLEY BothFacility | ACUTE REHABILITATION [1140122] | CHIPPEWA MEDICARE CAH ACUTE REHAB [1337] | $482.29 | $37,959.00 | $34,163.10 | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM OAKRIDGE BothFacility | ACUTE REHABILITATION [1140122] | MEDICARE CAH ACUTE REHAB [1339] | $482.29 | $37,959.00 | $34,163.10 | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-NORTHLAND BothFacility | ACUTE REHABILITATION [1140122] | MEDICARE CAH ACUTE REHAB [1336] | $482.29 | $37,959.00 | $34,163.10 | 2026-03-31 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL OutpatientFacility | Cigna | HMO/Network/Open Access Plus | $485.16 | $40,387.00 | $28,270.90 | 2026-02-05 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL OutpatientFacility | Cigna | IFP/LocalPlus | $485.16 | $40,387.00 | $28,270.90 | 2026-02-05 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | IFP/LocalPlus | $485.16 | $40,387.00 | $28,270.90 | 2026-02-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | HMO/Network/Open Access Plus | $485.16 | $40,387.00 | $28,270.90 | 2026-02-06 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Paramount Health Care | Paramount Elite | $486.52 | $19,307.00 | $12,549.55 | 2026-07-17 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB JOPL MEDICARE | $487.17 | $7,787.00 | $5,061.55 | 2026-06-09 | 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.