Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV

92945 — Pr Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $22,470

Usually $12,417–$25,439 (25th–75th percentile) across 541 hospitals · 1,729 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 92945 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$12,417 $22,470 typical $25,439

The middle 50% of negotiated facility rates for this procedure, measured across 541 hospitals. Surgeon & anesthesia 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. $22,470
Surgeon (professional fee) Estimate national typical Medicare PFS $632 × 1.22 commercial. $771
Likely subtotal $23,241
Surgical episode (typical) ~$23,241

Your recovery plan — adjust to what your surgeon told you

After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$27,026
How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Surgeon (professional 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
ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER Both All Payers All Plans $9.89 $9.89 $9.69 2025-12-31 MRF ↗
SAN ANTONIO REGIONAL HOSPITAL Outpatient ANTHEM BLUE CROSS EXCHG ANTHEM BLUE CROSS EXCHG $11.56 $5,286.00 $2,643.00 2026-04-02 MRF ↗
ARKANSAS HEART HOSPITAL, LLC Outpatient WPPA - ALL PLANS WPPA - ALL PLANS $200.00 $500.00 $315.00 2026-03-25 MRF ↗
BOSTON MEDICAL CENTER Both TUFTS CONNCARE/QHP [8020] BMC HB TUFTS SUBSIDIZED PLANS $431.24 $17,294.00 $7,782.30 2026-03-13 MRF ↗
SAN ANTONIO REGIONAL HOSPITAL Outpatient BLUE SHIELD EPN BLUE SHIELD EPN $438.74 $5,286.00 $2,643.00 2026-04-02 MRF ↗
O U MEDICAL CENTER Outpatient Aetna Health Open Choice Ppo $448.00 $35,382.00 $3,538.20 2026-05-06 MRF ↗
O U MEDICAL CENTER Outpatient Aetna Health Open Choice Ppo $448.00 $35,382.00 $3,538.20 2026-05-22 MRF ↗
O U MEDICAL CENTER Outpatient Aetna Health Open Choice Ppo $448.00 $35,382.00 $3,538.20 2026-05-14 MRF ↗
ARKANSAS HEART HOSPITAL, LLC Outpatient AETNA COMM - ALL OTHER PLANS AETNA COMM - ALL OTHER PLANS $450.00 $500.00 $315.00 2026-03-25 MRF ↗
ARKANSAS HEART HOSPITAL, LLC Outpatient MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $450.00 $500.00 $315.00 2026-03-25 MRF ↗
ARKANSAS HEART HOSPITAL, LLC Outpatient AETNA MCR ADV AETNA MCR ADV $475.00 $500.00 $315.00 2026-03-25 MRF ↗
Powers Health Rehabilitation Center Both FRANCISCAN ACO [236] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID MDWISE ST MARG BHS [224] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID MDWISE HOOSIER BHS [223] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID ANTHEM MAGELLAN HLT [212] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both CARETAKER HIP [232] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID [200] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID CENPATICO BHS [211] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID MD WISE HIP STC BHS [231] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both CARESOURCE HOOSIER HEALTHWISE [233] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID MDWISE [220] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID PRESUMPTIVE [250] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID HIP [230] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID MDWISE CARE SELECT [221] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID MDWISE STC BHS [222] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID PATHWAYS [270] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID ADVANTAGED HEALTH [201] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
Powers Health Rehabilitation Center Both MEDICAID MANAGED HEALTH [210] Indiana Medicaid $475.51 $54,000.00 $32,400.00 2026-04-01 MRF ↗
ARKANSAS HEART HOSPITAL, LLC Outpatient CELTIC MCAID - ALL OTHER PLANS CELTIC MCAID - ALL OTHER PLANS $500.00 $500.00 $315.00 2026-03-25 MRF ↗
ARKANSAS HEART HOSPITAL, LLC Outpatient SOONERSELECT MCAID - ALL PLANS SOONERSELECT MCAID - ALL PLANS $500.00 $500.00 $315.00 2026-03-25 MRF ↗
ARKANSAS HEART HOSPITAL, LLC Outpatient UHC MCAID UHC MCAID $500.00 $500.00 $315.00 2026-03-25 MRF ↗
ARKANSAS HEART HOSPITAL, LLC Outpatient BCBS HEALTHY BLUE MCAID BCBS HEALTHY BLUE MCAID $500.00 $500.00 $315.00 2026-03-25 MRF ↗
ARKANSAS HEART HOSPITAL, LLC Outpatient SUNFLOWER MCAID - ALL OTHER PLANS SUNFLOWER MCAID - ALL OTHER PLANS $500.00 $500.00 $315.00 2026-03-25 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $528.78 $8,135.00 $5,287.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility FIRST HEALTH CONTRACTED [320128] HB SAMC PHCS PRIMARY $8,135.00 $5,287.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] HB SAMC PHCS PRIMARY $8,135.00 $5,287.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB SAMC PHCS PRIMARY $8,135.00 $5,287.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $528.78 $8,135.00 $5,287.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MULTIPLAN CONTRACTED [320270] HB SAMC PHCS PRIMARY $8,135.00 $5,287.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $528.78 $8,135.00 $5,287.75 2026-03-12 MRF ↗
OKLAHOMA HEART HOSPITAL SOUTH, LLC Both HUMANA HEALTHY HORIZONS IN OK HUMANA MEDICAID $557.52 $33,308.55 $11,657.99 2026-03-27 MRF ↗
OKLAHOMA HEART HOSPITAL SOUTH, LLC Both AETNA BETTER HEALTH OF OK AETNA MEDICAID $557.52 $33,308.55 $11,657.99 2026-03-27 MRF ↗
OKLAHOMA HEART HOSPITAL, LLC Both HUMANA HEALTHY HORIZONS IN OK HUMANA MEDICAID $557.52 $33,308.55 $11,657.99 2026-03-27 MRF ↗
OKLAHOMA HEART HOSPITAL, LLC Both AETNA BETTER HEALTH OF OK AETNA MEDICAID $557.52 $33,308.55 $11,657.99 2026-03-27 MRF ↗
MAYO CLINIC HEALTH SYSTEM CHIPPEWA VALLEY BothFacility ACUTE REHABILITATION [1140122] CHIPPEWA MEDICARE CAH ACUTE REHAB [1337] $603.00 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM-NORTHLAND BothFacility ACUTE REHABILITATION [1140122] MEDICARE CAH ACUTE REHAB [1336] $603.00 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM OAKRIDGE BothFacility ACUTE REHABILITATION [1140122] MEDICARE CAH ACUTE REHAB [1339] $603.00 $23,904.00 $21,513.60 2026-03-31 MRF ↗
DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility Cigna IFP/LocalPlus $606.61 $29,486.00 $20,640.20 2026-02-06 MRF ↗
VOLUNTEER COMMUNITY HOSPITAL OutpatientFacility Cigna HMO/Network/Open Access Plus $606.61 $29,486.00 $20,640.20 2026-02-05 MRF ↗
VOLUNTEER COMMUNITY HOSPITAL OutpatientFacility Cigna IFP/LocalPlus $606.61 $29,486.00 $20,640.20 2026-02-05 MRF ↗
DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility Cigna HMO/Network/Open Access Plus $606.61 $29,486.00 $20,640.20 2026-02-06 MRF ↗
MAYO CLINIC HEALTH SYSTEM - LAKE CITY BothFacility ACUTE REHABILITATION [1140122] MEDICARE CAH ACUTE REHAB [1332] $609.30 $26,778.00 $23,564.64 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM - WASECA BothFacility ACUTE REHABILITATION [1140122] MEDICARE CAH ACUTE REHAB [1335] $609.30 $26,778.00 $23,564.64 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM ST. JAMES BothFacility ACUTE REHABILITATION [1140122] MEDICARE CRITICAL ACCESS HOSPITAL ACUTE REHAB [1334] $609.30 $26,778.00 $23,564.64 2026-03-31 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Blue Cross Blue Shield of Alabama Medicare Advantage $619.31 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Blue Cross Blue Shield of Alabama Medicare Advantage $619.31 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Humana Medicare Advantage/PPO $631.95 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility WellCare Medicare Advantage $631.95 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Devoted Health Medicare Advantage $631.95 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Humana Medicare Advantage/PPO $631.95 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Aetna Medicare Advantage $631.95 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility WellCare Medicare Advantage $631.95 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility United Healthcare VACCN $631.95 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $631.95 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Humana Medicare Advantage/HMO $631.95 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Devoted Health Medicare Advantage $631.95 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility United Healthcare VACCN $631.95 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Cigna Healthspring Medicare Advantage $631.95 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Humana Medicare Advantage/HMO $631.95 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility VIVA Health Medicare Advantage $631.95 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Aetna Medicare Advantage $631.95 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $631.95 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility VIVA Health Medicare Advantage $631.95 2026-04-30 MRF ↗
MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC BothFacility MEDICA [91180027] LACROSSE MEDICA MEDICARE ADVANTAGE PLAN MINNESOTA SENIOR HEALTH OPTIONS MSC+ [672] $633.15 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC BothFacility MEDICA [91200026] LACROSSE MEDICA MEDICARE ADVANTAGE PLAN MINNESOTA SENIOR HEALTH OPTIONS MSC+ [672] $633.15 $23,904.00 $21,513.60 2026-03-31 MRF ↗
UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility Dignity/Chw Ucd Hb Dignity Health Hmo $651.94 2026-04-01 MRF ↗
MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC BothFacility MEDICA [1110027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM-NORTHLAND BothFacility MEDICA [91180027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC BothFacility MEDICA [1110027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HLTH SYSTM FRANCISCAN HLTHCARE SPARTA BothFacility MEDICA [91180027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC BothFacility MEDICA [91180027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM CHIPPEWA VALLEY BothFacility MEDICA [91180027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM OAKRIDGE BothFacility MEDICA [91180027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM CHIPPEWA VALLEY BothFacility MEDICA [1110027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM OAKRIDGE BothFacility MEDICA [1110027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL BothFacility MEDICA [91180027] MEDICA PRIME SOLUTIONS PART B MAP [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL BothFacility MEDICA [1110027] MEDICA PRIME SOLUTIONS PART B MAP [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM-NORTHLAND BothFacility MEDICA [1110027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HLTH SYSTM FRANCISCAN HLTHCARE SPARTA BothFacility MEDICA [1110027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC BothFacility MEDICA [91180027] MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] $693.45 $23,904.00 $21,513.60 2026-03-31 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Molina Marketplace Medicare Advantage $695.14 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Molina Marketplace Medicare Advantage $695.14 2026-04-30 MRF ↗
MOUNT CARMEL DUBLIN BothFacility BLUE CROSS - OH (ANTHEM) ANTHEM BCBS PATHWAY GRP HMO $705.10 $14,252.00 $9,263.80 2026-03-31 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB STLO WASH JEFN PHCS PRIMARY $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility FIRST HEALTH CONTRACTED [320128] HB STLO WASH JEFN PHCS PRIMARY $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MULTIPLAN CONTRACTED [320270] HB STLO WASH JEFN PHCS PRIMARY $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] HB STLO WASH JEFN PHCS PRIMARY $11,495.00 $7,471.75 2026-03-12 MRF ↗
AVOYELLES HOSPITAL Both AETNA AETNA OP $743.43 $70,764.00 $21,229.20 2026-04-29 MRF ↗
AVOYELLES HOSPITAL Both FIRST CHOICE HEALTH FIRST HEALTH IP $743.43 $70,764.00 $21,229.20 2026-04-29 MRF ↗
AVOYELLES HOSPITAL Both AMER CONTL INS AMERICAN CONTINENTAL $743.43 $70,764.00 $21,229.20 2026-04-29 MRF ↗
AVOYELLES HOSPITAL Both MERITAN HEALTH MERITAIN OP $743.43 $70,764.00 $21,229.20 2026-04-29 MRF ↗
AVOYELLES HOSPITAL Both FIRST CHOICE HEALTH FIRST HEALTH PSYCH $743.43 $70,764.00 $21,229.20 2026-04-29 MRF ↗
AVOYELLES HOSPITAL Both AETNA AETNA IP $743.43 $70,764.00 $21,229.20 2026-04-29 MRF ↗
AVOYELLES HOSPITAL Both COVENTRY COVENTRY OP $743.43 $70,764.00 $21,229.20 2026-04-29 MRF ↗
AVOYELLES HOSPITAL Both COVENTRY COVENTRY IP $743.43 $70,764.00 $21,229.20 2026-04-29 MRF ↗
AVOYELLES HOSPITAL Both COVENTRY COVENTRY PSYCH $743.43 $70,764.00 $21,229.20 2026-04-29 MRF ↗
AVOYELLES HOSPITAL Both FIRST CHOICE HEALTH FIRST HEALTH OP $743.43 $70,764.00 $21,229.20 2026-04-29 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $747.18 $11,495.00 $7,471.75 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $747.18 $11,495.00 $7,471.75 2026-03-18 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $747.18 $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $747.18 $11,495.00 $7,471.75 2026-03-18 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $747.18 $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $747.18 $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $747.18 $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility FIRST HEALTH CONTRACTED [320128] HB STLO WASH JEFN PHCS PRIMARY $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MULTIPLAN CONTRACTED [320270] HB STLO WASH JEFN PHCS PRIMARY $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $747.18 $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $747.18 $11,495.00 $7,471.75 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $747.18 $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB STLO WASH JEFN PHCS PRIMARY $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] HB STLO WASH JEFN PHCS PRIMARY $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $747.18 $11,495.00 $7,471.75 2026-03-12 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Ambetter Commercial/Exchange $758.33 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Ambetter Commercial/Exchange $758.33 2026-04-30 MRF ↗
CORPUS CHRISTI MEDICAL CENTER,THE Outpatient Amerigroup CHIP $800.00 2026-03-01 MRF ↗
CORPUS CHRISTI MEDICAL CENTER,THE Outpatient Amerigroup MCD $800.00 2026-03-01 MRF ↗
CORPUS CHRISTI MEDICAL CENTER,THE Outpatient Amerigroup CHIP $800.00 2026-03-01 MRF ↗
CORPUS CHRISTI MEDICAL CENTER,THE Outpatient Amerigroup MCD $800.00 2026-03-01 MRF ↗
CORPUS CHRISTI MEDICAL CENTER,THE Outpatient Amerigroup MCD $800.00 2026-03-01 MRF ↗
CORPUS CHRISTI MEDICAL CENTER,THE Outpatient Amerigroup CHIP $800.00 2026-03-01 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient AETNA COVENTRY - ALL OTHER PLANS AETNA COVENTRY - ALL OTHER PLANS $846.08 $1,519.00 $1,215.20 2026-02-23 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Mississippi Physicians Care Network (MPCN) Commercial $853.13 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Mississippi Physicians Care Network (MPCN) Commercial $853.13 2026-04-30 MRF ↗
FLAGLER HOSPITAL OutpatientFacility Aetna Medicare Advantage $872.42 $42,194.00 $23,206.70 2026-03-31 MRF ↗
FLAGLER HOSPITAL OutpatientFacility WellCare of Florida Medicare Advantage $872.42 $42,194.00 $23,206.70 2026-03-31 MRF ↗
PIEDMONT AUGUSTA HOSPITAL Both ABSOLUTE TOTAL CARE [20109] Absolute Total Care $881.19 $29,518.12 $8,855.44 2026-04-01 MRF ↗
PIEDMONT AUGUSTA HOSPITAL Both ABSOLUTE TOTAL CARE [20109] Absolute Total Care $881.19 $29,518.12 $8,855.44 2026-04-01 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient THE ALLIANCE - ALL PLANS THE ALLIANCE - ALL PLANS $910.64 $1,519.00 $1,215.20 2026-02-23 MRF ↗
MAYO CLINIC HEALTH SYSTEM NEW PRAGUE BothFacility HEALTHPARTNERS [91180021] HEALTHPARTNERS MEDICARE ADVANTAGE PLAN PART B [610] $913.95 $26,778.00 $20,083.50 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM - WASECA BothFacility HEALTHPARTNERS [91180021] HEALTHPARTNERS MEDICARE ADVANTAGE PLAN PART B [610] $913.95 $26,778.00 $23,564.64 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM ST. JAMES BothFacility HEALTHPARTNERS [91180021] HEALTHPARTNERS MEDICARE ADVANTAGE PLAN PART B [610] $913.95 $26,778.00 $23,564.64 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM - FAIRMONT BothFacility HEALTHPARTNERS [91180021] HEALTHPARTNERS MEDICARE ADVANTAGE PLAN PART B [610] $913.95 $26,778.00 $23,564.64 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM - CANNON FALLS BothFacility HEALTHPARTNERS [91180021] HEALTHPARTNERS MEDICARE ADVANTAGE PLAN PART B [610] $913.95 $26,778.00 $23,564.64 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM - LAKE CITY BothFacility HEALTHPARTNERS [91180021] HEALTHPARTNERS MEDICARE ADVANTAGE PLAN PART B [610] $913.95 $26,778.00 $23,564.64 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN BothFacility HEALTHPARTNERS [91180021] HEALTHPARTNERS MEDICARE ADVANTAGE PLAN PART B [610] $913.95 $26,778.00 $23,564.64 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM - MANKATO BothFacility HEALTHPARTNERS [91180021] HEALTHPARTNERS MEDICARE ADVANTAGE PLAN PART B [610] $913.95 $26,778.00 $23,564.64 2026-03-31 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient ECOH NIHP ECOH NIHP $956.97 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient NIHP EMPLOY - ALL PLANS NIHP EMPLOY - ALL PLANS $956.97 $1,519.00 $1,215.20 2026-02-23 MRF ↗
SAN ANTONIO REGIONAL HOSPITAL Outpatient HEALTHNET AMBETTER PPO HEALTHNET AMBETTER PPO $962.05 $5,286.00 $2,643.00 2026-04-02 MRF ↗
ROCKVILLE GENERAL HOSPITAL OutpatientFacility Aetna Whole Health Commercial $986.51 2026-04-01 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient QUARTZ - ALL OTHER PLANS QUARTZ - ALL OTHER PLANS $987.35 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient BCBS - ALL PLANS BCBS - ALL PLANS $1,025.33 $1,519.00 $1,215.20 2026-02-23 MRF ↗
ROCKVILLE GENERAL HOSPITAL OutpatientFacility Aetna Commercial $1,027.63 2026-04-01 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient ECOH - ALL OTHER PLANS ECOH - ALL OTHER PLANS $1,032.92 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient NORTHERN IL HP - ALL PLANS NORTHERN IL HP - ALL PLANS $1,048.11 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $1,067.86 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FLAGLER HOSPITAL OutpatientFacility Aetna All Products $1,151.59 $42,194.00 $23,206.70 2026-03-31 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient UHC - ALL OTHER PLANS UHC - ALL OTHER PLANS $1,184.82 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient HUMANA CHOICECARE - ALL OTHER PLANS HUMANA CHOICECARE - ALL OTHER PLANS $1,201.53 $1,519.00 $1,215.20 2026-02-23 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $1,220.25 $8,135.00 $5,287.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $1,220.25 $8,135.00 $5,287.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $1,220.25 $8,135.00 $5,287.75 2026-03-12 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient HFN - ALL PLANS HFN - ALL PLANS $1,245.58 $1,519.00 $1,215.20 2026-02-23 MRF ↗
UPLAND HILLS HEALTH OutpatientFacility UHC ALL PRODUCTS $1,259.28 2026-03-20 MRF ↗
UPLAND HILLS HEALTH OutpatientFacility UHC ALL PRODUCTS $1,259.28 2026-03-20 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient FIRST CHOICE IL - ALL PLANS FIRST CHOICE IL - ALL PLANS $1,291.15 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient MULTIPLAN PHCS - ALL PLANS MULTIPLAN PHCS - ALL PLANS $1,291.15 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient WPS - ALL PLANS WPS - ALL PLANS $1,327.61 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient INTERPLAN HEALTH - ALL PLANS INTERPLAN HEALTH - ALL PLANS $1,367.10 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient HEALTH ALLIANCE - ALL OTHER PLANS HEALTH ALLIANCE - ALL OTHER PLANS $1,367.10 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient PREFERRED PLAN PPO - ALL PLANS PREFERRED PLAN PPO - ALL PLANS $1,367.10 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient GALAXY - ALL PLANS GALAXY - ALL PLANS $1,367.10 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient TRUSTMARK - ALL PLANS TRUSTMARK - ALL PLANS $1,397.48 $1,519.00 $1,215.20 2026-02-23 MRF ↗
SAN ANTONIO REGIONAL HOSPITAL Outpatient ANTHEM BLUE CROSS - ALL OTHER PLANS ANTHEM BLUE CROSS - ALL OTHER PLANS $1,435.15 $5,286.00 $2,643.00 2026-04-02 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient MIDLAND CHOICE - ALL PLANS MIDLAND CHOICE - ALL PLANS $1,443.05 $1,519.00 $1,215.20 2026-02-23 MRF ↗
FHN MEMORIAL HOSPITAL Outpatient OSF HEALTHPLANS - ALL PLANS OSF HEALTHPLANS - ALL PLANS $1,519.00 $1,519.00 $1,215.20 2026-02-23 MRF ↗
SAN ANTONIO REGIONAL HOSPITAL Outpatient PRIMECARE OPTUM SENIOR PRIMECARE OPTUM SENIOR $1,575.00 $5,286.00 $2,643.00 2026-04-02 MRF ↗
SAN ANTONIO REGIONAL HOSPITAL Outpatient EPIC HEALTH PLAN - ALL OTHER PLANS EPIC HEALTH PLAN - ALL OTHER PLANS $1,585.80 $5,286.00 $2,643.00 2026-04-02 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $1,724.25 $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $1,724.25 $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $1,724.25 $11,495.00 $7,471.75 2026-03-18 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $1,724.25 $11,495.00 $7,471.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $1,724.25 $11,495.00 $7,471.75 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $1,724.25 $11,495.00 $7,471.75 2026-03-12 MRF ↗
OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility Aetna All Commercial Plans $1,725.03 2026-03-31 MRF ↗
OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility Aetna All Commercial Plans $1,725.03 2026-03-31 MRF ↗
WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility Aetna AWH/Vanderbilt Health Affiliated Network (VHAN)/VHAN - Employee Networks $29,486.00 $20,640.20 2026-02-05 MRF ↗
WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility Aetna VHAN - Employee Networks $29,486.00 $20,640.20 2026-02-06 MRF ↗
WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility Aetna AWH/Vanderbilt Health Affiliated Network (VHAN) $29,486.00 $20,640.20 2026-02-06 MRF ↗
WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility Aetna Commercial $29,486.00 $20,640.20 2026-02-06 MRF ↗
WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility United Healthcare All Payer $1,764.00 $29,486.00 $20,640.20 2026-02-06 MRF ↗
WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility Aetna AWH/Vanderbilt Health Affiliated Network (VHAN) $29,486.00 $20,640.20 2026-02-06 MRF ↗
WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility Aetna VHAN - Employee Networks $29,486.00 $20,640.20 2026-02-06 MRF ↗
WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility Aetna Commercial $29,486.00 $20,640.20 2026-02-06 MRF ↗
WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility United Healthcare All Payer $1,764.00 $29,486.00 $20,640.20 2026-02-06 MRF ↗
JACKSON-MADISON COUNTY GENERAL HOSPITAL OutpatientFacility Aetna Whole Health $29,486.00 $20,640.20 2026-02-06 MRF ↗
WEST TENNESSEE HEALTHCARE MILAN HOSPITAL OutpatientFacility Aetna AWH/Vanderbilt Health Affiliated Network (VHAN) $29,486.00 $20,640.20 2026-02-05 MRF ↗
WEST TENNESSEE HEALTHCARE MILAN HOSPITAL OutpatientFacility Aetna VHAN - Employee Networks $29,486.00 $20,640.20 2026-02-05 MRF ↗
WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility Aetna Commercial $29,486.00 $20,640.20 2026-02-05 MRF ↗
JACKSON-MADISON COUNTY GENERAL HOSPITAL OutpatientFacility Aetna West TN Employee Network $29,486.00 $20,640.20 2026-02-06 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.