92945 — Hc Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD&RTRGR (CPT 92945) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/92945?code_type=CPT
MLA (9th ed.)
“HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD&RTRGR (CPT 92945) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/92945?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD&RTRGR (CPT 92945) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/92945?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,055–$25,439 (25th–75th percentile) across 693 hospitals · 2,085 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.
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
$12,055
$21,514 typical
$25,439
The middle 50% of negotiated facility rates for this procedure, measured across 693 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. | $21,514 |
| Physician fee Estimate national typical Medicare $632 × 1.22 commercial. | $771 |
| Likely subtotal | $22,285 |
Complete-episode estimate (typical)
~$22,285
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 $12,055–$25,439.
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 | $29,535.00 | — | 2026-07-01 | MRF ↗ |
| 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 ↗ |
| St. Louise Regional Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA ELEVATE | MEDICA ELEVATE | $73.60 | $1,514.00 | $984.10 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA COMM - ALL OTHER PLANS | MEDICA COMM - ALL OTHER PLANS | $80.00 | $1,514.00 | $984.10 | 2026-08-10 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $79,222.00 | $55,455.40 | 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 | $79,222.00 | $55,455.40 | 2026-09-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $35,383.00 | $6,368.94 | 2026-05-23 | MRF ↗ |
| VIERA HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $111.49 | $29,485.57 | $7,371.39 | 2026-07-15 | 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 ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross-Snf | BEC_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | United Healthcare | CBK_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Mcu | B1_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross-Hospice | BD_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica | DPM | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Mcu-Physician | BP1_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Sanford Recurring | CR4_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Sanford Health Profee | CP4_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica | DNP | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica Ip | DM_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Kd Watertown | BBK_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Avera Healthplans Nonpt | CNO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Federal | BBF_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Preferred One Community | DBO | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Recurring | BBR_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Preferred One | DO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Avera Health Recurring | CRO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Sanford Health | CB4_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Phys Mpsc | BP4_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Avera Health Plan | CPO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Mpsc | BB4_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica Advantage Solution | MP8_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Dakota Care Non Patient | CN3 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica Advantage Ortonville Kd | MSO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Avera Kd Watertown | CR2_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Ma/Ppo/Hmo | BB5_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Sanford Health | C4S_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Preferred One | DBO | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica Advantage Sisseton Kd | MSS_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica Advantage Solution Re | MNR_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica | DBM_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Avera Health Plan | CO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Preferred One Recurring Op | DRO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Mn Plus | BB5_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Dakota Care P | DPJ | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica Advantage Solution Ou | MNT_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross | BB_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Sanford Cc Recurring | SR1_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Kd Ortonville | BBT_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica | DBR_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica | DBM | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica Advantage Solution In | M2_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Mn Plus | B5_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross-Non Patient | BNP_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Preferred One Profee | DPO | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Mcu | BB1_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Plus Recurring | BR5_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Avera Cc Recurring | CR1_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | United Healthcare | CPK_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Dakota Care | CB3 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Preferred One Profee | DPO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Avera Health Plan-Swingbed | COS_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Preferred One | DO | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Out Of State | BBO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | United Healthcare | CK_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Physician | BP_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Kd Sisseton | BBS_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica Advantage Watertown Kd | MSW_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Sanford Health Plan | CP4_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross | BP_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Preferred One Communtiy | DPO | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross Out Of State | BO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Sanford Health Non Patient | CN4_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | United Healthcare Recurring | CRK_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Preferred One Recurring Op | DRO | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica | DPM_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Avera Health Plans Profee | CPO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Dakota Care | C3 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Sanford Health Plan | CB4_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Preferred One Community | DBO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica | DNP_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica | DBR | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross-Swingbed | BS_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica Advantage Non Patient | MN2_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Sanford Health | C4_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Dakota Care | C3R | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Preferred One Communtiy | DPO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Dakota Care | CP3 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Preferred One | DBO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Blue Cross | B_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Medica Ip | DM | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | United Healthcare Profee | CPK_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| PRAIRIE LAKES HEALTHCARE SYSTEM, INC Both | Avera Health Plan | CBO_1 | — | $758.00 | — | 2026-07-17 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $35,382.00 | $3,538.20 | 2026-07-18 | 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 COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER 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 | MEDICAID [200] | 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 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 STC BHS [222] | 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 | MEDICAID MDWISE [220] | Indiana Medicaid | $475.51 | $54,000.00 | $32,400.00 | 2026-04-01 | 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 HOOSIER BHS [223] | 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 ↗ |
| 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 | CARESOURCE HOOSIER HEALTHWISE [233] | 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 MDWISE CARE SELECT [221] | 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 PATHWAYS [270] | 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 ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $475.51 | $54,000.00 | $32,400.00 | 2026-04-01 | 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 ↗ |
| 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 | UHC MCAID | UHC MCAID | $500.00 | $500.00 | $315.00 | 2026-03-25 | 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 ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Aetna 6/1/ | Aetna 6/1/ | $521.69 | — | — | 2026-08-30 | 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 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SAMC PHCS PRIMARY | — | $8,135.00 | $5,287.75 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC PHCS PRIMARY | — | $8,135.00 | $5,287.75 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SAMC PHCS PRIMARY | — | $8,135.00 | $5,287.75 | 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 | $528.78 | $8,135.00 | $5,287.75 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC PHCS PRIMARY | — | $8,135.00 | $5,287.75 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $528.78 | $8,135.00 | $5,287.75 | 2026-06-10 | 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 | 2026-06-10 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Tufts Medicare Preferred | Tufts Medicare Preferred | $533.35 | — | — | 2026-07-15 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Tufts Health Plan | Tufts Health Plan | $533.35 | — | — | 2026-07-15 | 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 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, 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 ↗ |
| VIERA HOSPITAL Outpatient | Health First Health Plan | Health First Health Plan Medicare | $573.62 | $29,485.57 | $7,371.39 | 2026-07-15 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON Outpatient | Wellmark Medicare Advantage | Wellmark Medicare Advantage | $598.49 | $35,790.00 | $10,737.00 | 2026-07-15 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $602.20 | $1,514.00 | $984.10 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $602.20 | $1,514.00 | $984.10 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $602.20 | $1,514.00 | $984.10 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $602.20 | $1,514.00 | $984.10 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $602.20 | $1,514.00 | $984.10 | 2026-08-10 | 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 OAKRIDGE BothFacility | ACUTE REHABILITATION [1140122] | MEDICARE CAH ACUTE REHAB [1339] | $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 ↗ |
| 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 ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | IFP/LocalPlus | $606.61 | $29,486.00 | $20,640.20 | 2026-02-06 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Paramount Health Care | Paramount Elite | $608.38 | $35,383.00 | $22,998.95 | 2026-07-17 | 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 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 ↗ |
| 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 ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid CHIP | $612.22 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid MCO | $612.22 | — | — | 2026-09-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Commercial | $613.18 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicare Advantage | $613.18 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicare Advantage | $613.18 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicare Advantage | $613.18 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $613.18 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bcbs | Medicare Advantage | $613.18 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | $613.18 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Fidelis | Medicare Advantage | $613.18 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $613.18 | — | — | 2026-10-12 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Aetna Health | Aetna Medicare | $614.00 | $35,383.00 | $22,998.95 | 2026-07-17 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Devoted Health | Devoted Health Medicare Advantage | $614.00 | $35,383.00 | $22,998.95 | 2026-07-17 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Anthem Blue Cross And Blue Shield | Anthem Medicare | $614.00 | $35,383.00 | $22,998.95 | 2026-07-17 | 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 ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $620.27 | $1,514.00 | $984.10 | 2026-08-10 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicare | Medicare-Trad | $621.23 | $3,150.00 | $945.00 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicare | Medicare Managed | $621.23 | $3,150.00 | $945.00 | 2026-07-15 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Priority Health | Priority Health Medicaid | $623.98 | $35,383.00 | $22,998.95 | 2026-07-17 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Veterans Affairs | Veterans Affairs | $623.98 | $35,383.00 | $22,998.95 | 2026-07-17 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Outpatient | Health Alliance Plan | Hap Senior Plus | $623.98 | $35,383.00 | $22,998.95 | 2026-07-17 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Us Family Health Plan | Us Family Health Plan | $627.47 | — | — | 2026-07-15 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Commonwealth Care Alliance | Commonwealth Care Alliance | $627.47 | — | — | 2026-07-15 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Harvard Pilgrim Medicare Managed Care | Harvard Pilgrim Medicare Managed Care | $627.47 | — | — | 2026-07-15 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bcbs Medicare | Bcbs Medicare | $627.47 | — | — | 2026-07-15 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $627.47 | — | — | 2026-07-15 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Humana Medicare | Humana Medicare | $627.47 | — | — | 2026-07-15 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Senior Whole Health | Senior Whole Health | $627.47 | — | — | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | KFH MCR ADV | KFH MCR ADV | $629.75 | $1,574.00 | $503.68 | 2026-05-18 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | CHOICECARE MEDICARE - ALL PLANS | CHOICECARE MEDICARE - ALL PLANS | $629.75 | $1,574.00 | $503.68 | 2026-05-18 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | ALOHACARE QUEST MCAID - ALL OTHER PLANS | ALOHACARE QUEST MCAID - ALL OTHER PLANS | $629.75 | $1,574.00 | $503.68 | 2026-05-18 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Anthem | Anthem Pathways | $631.33 | $3,150.00 | $945.00 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Va Ccn | Va Ccn | $631.33 | $3,150.00 | $945.00 | 2026-07-15 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | VIVA Health | Medicare Advantage | $631.95 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | VACCN | $631.95 | — | — | 2026-04-30 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.