93291 — Interrog Dev Eval Scrms Ip
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INTERROG DEV EVAL SCRMS IP (HCPCS 93291) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93291?code_type=HCPCS
MLA (9th ed.)
“INTERROG DEV EVAL SCRMS IP (HCPCS 93291) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93291?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INTERROG DEV EVAL SCRMS IP (HCPCS 93291) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93291?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $29–$110 (25th–75th percentile) across 2,086 hospitals · 5,854 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93291 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$29
$49 typical
$110
The middle 50% of negotiated facility rates for this procedure, measured across 2,086 hospitals. The the surgeon's fee 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. | $49 |
| Surgeon (professional fee) Estimate national typical Medicare $48 × 1.22 commercial. | $59 |
| Likely subtotal | $108 |
Surgical episode (typical)
~$108
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 $29–$110.
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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $194.49 | $97.24 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $194.49 | $97.24 | 2024-12-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.20 | $112.00 | $27.40 | 2024-12-31 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $277.00 | $207.75 | 2026-09-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.53 | $43.00 | $8.17 | 2026-08-02 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Managed Medicare | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Managed Medicare | — | — | — | 2026-09-21 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $107.00 | — | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.65 | $176.00 | $167.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.65 | $176.00 | $167.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.65 | $176.00 | $167.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.67 | $176.00 | $167.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.69 | $176.00 | $167.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.70 | $176.00 | $167.20 | 2026-02-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | — | — | 2026-09-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $0.79 | — | — | 2026-05-06 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | — | — | 2026-09-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $0.83 | — | — | 2026-05-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.86 | $176.00 | $167.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.86 | $176.00 | $167.20 | 2026-02-20 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.88 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.88 | — | — | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.95 | $176.00 | $167.20 | 2026-02-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,172.00 | $879.00 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $316.00 | $237.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,172.00 | $879.00 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $486.73 | $316.37 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $316.00 | $237.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,172.00 | $879.00 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $362.00 | $296.84 | 2025-11-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,172.00 | $879.00 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $316.00 | $237.00 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $362.00 | $296.84 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $362.00 | $296.84 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $362.00 | $296.84 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $316.00 | $237.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $316.00 | $237.00 | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $486.73 | $316.37 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $316.00 | $237.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,172.00 | $879.00 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $362.00 | $296.84 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,172.00 | $879.00 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $362.00 | $296.84 | 2025-11-26 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $148.00 | $74.00 | 2026-07-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.01 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.01 | — | — | 2026-03-18 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $148.00 | $74.00 | 2026-07-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.09 | — | — | 2026-03-18 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $148.00 | $74.00 | 2026-07-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $1.15 | $114.58 | $85.94 | 2026-07-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $148.00 | $74.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $148.00 | $74.00 | 2026-07-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $1.37 | $114.58 | $85.94 | 2026-07-17 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1.41 | — | — | 2026-03-18 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $1.41 | — | — | 2026-07-15 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $1.46 | $224.00 | $82.88 | 2026-03-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $148.00 | $74.00 | 2026-07-01 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $1.49 | $114.58 | $85.94 | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $1.60 | $114.58 | $85.94 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $1.93 | $91.67 | $68.75 | 2026-08-01 | MRF ↗ |
| Florida Medical Center Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $2.37 | $79.12 | $79.12 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $148.00 | $74.00 | 2026-07-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $2.84 | $80.00 | $52.00 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $2.84 | $80.00 | $52.00 | 2025-01-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Donor Connect | Other | $3.32 | $114.58 | $85.94 | 2026-08-01 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | AETNA | MEDICARE | $3.39 | $30.00 | $4.50 | 2025-12-23 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $3.66 | $152.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $4.03 | $152.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $4.32 | $152.00 | — | 2026-08-17 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $4.39 | $199.00 | — | 2026-03-31 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $4.50 | $30.00 | $4.50 | 2025-12-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $4.50 | $30.00 | $4.50 | 2025-12-23 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $4.53 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $4.70 | $114.58 | $85.94 | 2026-07-31 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $4.80 | $152.00 | — | 2026-08-17 | MRF ↗ |
| Florida Medical Center Outpatient | Oscar Health Plan Hix | Oscar Health Plan Hix | $4.85 | $79.12 | $79.12 | 2026-07-15 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $4.86 | $36.00 | $27.00 | 2026-01-16 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $5.41 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $5.41 | — | — | 2025-12-23 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $5.59 | $131.00 | $131.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $5.59 | $131.00 | $131.00 | 2026-04-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $84.37 | $84.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $84.37 | $84.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $35.16 | $35.16 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $84.37 | $84.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $84.37 | $84.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $35.16 | $35.16 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $5.68 | $35.16 | $35.16 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $35.16 | $35.16 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $84.37 | $84.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $35.16 | $35.16 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $84.37 | $84.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $84.37 | $84.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $35.16 | $35.16 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $84.37 | $84.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $35.16 | $35.16 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH [12001] | — | $35.16 | $35.16 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH [12001] | — | $84.37 | $84.37 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $35.16 | $35.16 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $35.16 | $35.16 | 2024-12-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $5.70 | $131.00 | $131.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $5.70 | $131.00 | $131.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $5.76 | $144.00 | $144.00 | 2026-06-24 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | WASHINGTON STATE DSHS - Medicaid | WASHINGTON STATE DSHS - Medicaid | $5.97 | $39.00 | $31.20 | 2026-01-05 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $6.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $6.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $6.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $6.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $6.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $6.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $6.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $6.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $6.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $6.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $6.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $6.04 | — | — | 2026-01-01 | MRF ↗ |
| Florida Medical Center Outpatient | Oscar Health Plan Hix | Oscar Health Plan Hix | $6.12 | $79.12 | — | 2026-09-21 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $6.15 | $144.00 | $144.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $6.22 | $144.00 | $144.00 | 2026-06-24 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $6.45 | $43.00 | $8.17 | 2026-08-02 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Martins Point | Default | $6.48 | $18.00 | $13.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Default | $6.67 | $18.00 | $13.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Ppo | $6.67 | $18.00 | $13.50 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Federal | $6.67 | $18.00 | $13.50 | 2026-05-18 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $6.68 | $35.16 | $35.16 | 2024-12-30 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $6.72 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $6.89 | $131.00 | $131.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $6.89 | $131.00 | $131.00 | 2026-04-30 | MRF ↗ |
| COOKEVILLE REGIONAL MEDICAL CENTER Both | Aetna Network Services, LLC | Medicaid Advantage | $7.04 | $22.00 | $15.40 | 2026-06-04 | MRF ↗ |
| AVOYELLES HOSPITAL Both | CIGNA | AMBETTER OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD HEALTHY BLUE | MCD HEALTHY BLUE OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | CIGNA | AMBETTER OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD HEALTHY BLUE | MCD HEALTHY BLUE IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD UHC | MCD UHC IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD UHC | MCD UHC OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD LA HC CONN | MCD LHC IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MEDICAID | MEDICAID IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | CIGNA | AMBETTER IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | CORRECT CR INT HLT | CORRECT CARE OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | CORRECT CR INT HLT | CORRECT CARE IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | CORRECT CR INT HLT | CORRECT CARE IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | CIGNA | AMBETTER IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| Coffeyville Regional Medical Center, Inc Outpatient | Sunflower Medicare Advantage | HMO | — | $22.10 | $15.47 | 2026-05-06 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD LA HC CONN | MCD LHC OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| Coffeyville Regional Medical Center, Inc Outpatient | BCBS Healthy Blue Medicare Advantage | HMO | — | $22.10 | $15.47 | 2026-05-06 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD AETNA BETTER HLTH | MCD AETNA OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MEDICAID | MEDICAID OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD UHC | MCD UHC IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD UHC | MCD UHC OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| Coffeyville Regional Medical Center, Inc Outpatient | Aetna Medicare Advantage | HMO | — | $22.10 | $15.47 | 2026-05-06 | MRF ↗ |
| Coffeyville Regional Medical Center, Inc Outpatient | Medicare | HMO | — | $22.10 | $15.47 | 2026-05-06 | MRF ↗ |
| Coffeyville Regional Medical Center, Inc Outpatient | VACCN | HMO | — | $22.10 | $15.47 | 2026-05-06 | MRF ↗ |
| AVOYELLES HOSPITAL Both | CORRECT CR INT HLT | CORRECT CARE OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MEDICAID | MEDICAID OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| Coffeyville Regional Medical Center, Inc Outpatient | Humana Medicare Advantage | HMO | — | $22.10 | $15.47 | 2026-05-06 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD AETNA BETTER HLTH | MCD AETNA IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD HEALTHY BLUE | MCD HEALTHY BLUE IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| Coffeyville Regional Medical Center, Inc Outpatient | United Healthcare Advantage | HMO | — | $22.10 | $15.47 | 2026-05-06 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MEDICAID | MEDICAID IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD HEALTHY BLUE | MCD HEALTHY BLUE OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD AETNA BETTER HLTH | MCD AETNA OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD AETNA BETTER HLTH | MCD AETNA IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD LA HC CONN | MCD LHC IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| Coffeyville Regional Medical Center, Inc Outpatient | Sunflower Commercial Exchange | PPO | — | $22.10 | $15.47 | 2026-05-06 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MCD LA HC CONN | MCD LHC OP | $7.07 | $34.00 | $10.20 | 2026-04-29 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $7.08 | $77.00 | $23.10 | 2026-07-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $7.13 | $131.00 | $131.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $7.13 | $131.00 | $131.00 | 2026-04-30 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | PPO | — | $362.00 | $296.84 | 2025-11-26 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Aetna Medicaid Kentucky | — | $7.26 | $66.00 | $39.60 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Humana Medicaid Kentucky | — | $7.26 | $66.00 | $39.60 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Anthem Medicaid Kentucky | — | $7.26 | $66.00 | $39.60 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Molina Medicaid Kentucky | — | $7.41 | $66.00 | $39.60 | 2026-08-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Msq | $7.42 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Brook | $7.42 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Msq | $7.42 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Brook | $7.42 | — | — | 2026-04-01 | MRF ↗ |
| FLUSHING HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Community Plan | $7.42 | $51.00 | $51.00 | 2026-07-15 | 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.