93455 — Coronary Art/grft Angio S&i
Cite this view
HANK Price Transparency. (n.d.). CORONARY ART/GRFT ANGIO S&I (CPT 93455) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93455?code_type=CPT
“CORONARY ART/GRFT ANGIO S&I (CPT 93455) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93455?code_type=CPT. Accessed .
“CORONARY ART/GRFT ANGIO S&I (CPT 93455) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93455?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,230–$10,534 (25th–75th percentile) across 2,558 hospitals · 7,419 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93455 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
The middle 50% of negotiated facility rates for this procedure, measured across 2,558 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. | $5,606 |
| Surgeon (professional fee) Estimate national typical Medicare $979 × 1.22 commercial. | $1,195 |
| Likely subtotal | $6,800 |
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 $3,230–$10,534.
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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $17,716.51 | $8,858.25 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $17,716.51 | $8,858.25 | 2024-12-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | $15,101.00 | $11,325.75 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | $29,516.00 | $22,137.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | $14,435.00 | $10,826.25 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $38,429.00 | $28,821.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $38,429.00 | $28,821.75 | 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 BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $38,429.00 | $28,821.75 | 2026-09-01 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Humana Inc. | Standard | — | $15,916.17 | $13,528.74 | 2026-07-15 | MRF ↗ |
| ST MARY'S 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 | $29,516.00 | $22,137.00 | 2026-09-01 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | AETNA | AETNA HMO/PPO/POS | $0.50 | — | — | 2026-04-14 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $14,455.00 | — | 2026-07-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $38,429.00 | $28,821.75 | 2026-09-01 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Managed Medicare | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Managed Medicare | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-09-21 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | $38,429.00 | $28,821.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $14,435.00 | $10,826.25 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | $38,429.00 | $28,821.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $14,435.00 | $10,826.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $14,435.00 | $10,826.25 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | $27,795.00 | $20,846.25 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | $27,795.00 | $20,846.25 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | $29,516.00 | $22,137.00 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $39,909.00 | $29,931.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $25,415.00 | $20,840.30 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $25,415.00 | $20,840.30 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $38,429.00 | $28,821.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $25,415.00 | $20,840.30 | 2025-11-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $15,101.00 | $11,325.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $14,435.00 | $10,826.25 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $39,909.00 | $29,931.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $25,415.00 | $20,840.30 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $15,101.00 | $11,325.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $14,435.00 | $10,826.25 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | $29,516.00 | $22,137.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $14,435.00 | $10,826.25 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | $27,795.00 | $20,846.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $14,435.00 | $10,826.25 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE - MEDICAID | $1.00 | $27,795.00 | $20,846.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $14,435.00 | $10,826.25 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $23,074.00 | $17,305.50 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $36,962.10 | $24,025.37 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $39,909.00 | $29,931.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $23,074.00 | $17,305.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | $38,429.00 | $28,821.75 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $13,194.00 | $9,895.50 | 2026-06-05 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $36,962.10 | $24,025.37 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $25,415.00 | $20,840.30 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $23,074.00 | $17,305.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | $38,429.00 | $28,821.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $39,909.00 | $29,931.75 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $13,194.00 | $9,895.50 | 2026-06-05 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $39,909.00 | $29,931.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICAID | $1.00 | $27,795.00 | $20,846.25 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $29,516.00 | $22,137.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $15,101.00 | $11,325.75 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | $29,516.00 | $22,137.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $15,101.00 | $11,325.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $15,101.00 | $11,325.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $14,435.00 | $10,826.25 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $15,101.00 | $11,325.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $15,101.00 | $11,325.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $15,101.00 | $11,325.75 | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $27,795.00 | $20,846.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $23,074.00 | $17,305.50 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $25,415.00 | $20,840.30 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $15,101.00 | $11,325.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $14,435.00 | $10,826.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $15,101.00 | $11,325.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $15,101.00 | $11,325.75 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | $23,074.00 | $17,305.50 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $23,074.00 | $17,305.50 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $14,435.00 | $10,826.25 | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | $29,516.00 | $22,137.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | $23,074.00 | $17,305.50 | 2026-09-01 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $5.18 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $5.18 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $5.18 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $5.18 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $5.18 | — | — | 2026-03-28 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $5.41 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $5.41 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $5.41 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $5.41 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Onenet Ppo | $5.91 | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $14,594.00 | $8,756.40 | 2026-07-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $8.07 | $642.00 | $121.98 | 2026-05-20 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $9.74 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $9.74 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $9.74 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $13.91 | $13,934.00 | $13,934.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $13.91 | $9,005.00 | $9,005.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $13.91 | $9,005.00 | $9,005.00 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $14.79 | $16,540.00 | $5,458.20 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $14.79 | $16,540.00 | $5,458.20 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $14.79 | $16,540.00 | $5,458.20 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $14.79 | $16,540.00 | $5,458.20 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Sentara Medicaid | — | $14.94 | $16,540.00 | $5,458.20 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Sentara Medicaid | — | $14.94 | $16,540.00 | $5,458.20 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $15.09 | $16,540.00 | $5,458.20 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare | Medicaid | $15.09 | $16,540.00 | $5,458.20 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $15.23 | $16,540.00 | $5,458.20 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $15.23 | $16,540.00 | $5,458.20 | 2026-09-21 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $16.24 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $16.89 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Cigna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $17.88 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $18.77 | — | — | 2026-05-06 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $10,500.00 | $6,825.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $10,500.00 | $6,825.00 | 2025-01-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $21.65 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $21.65 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA MEDICARE | $21.65 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $24.06 | $13,365.00 | $3,248.15 | 2024-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $29.27 | $650.00 | $208.00 | 2026-05-18 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $29.64 | $10,990.00 | $4,066.30 | 2026-03-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $31.66 | — | — | 2026-07-15 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Cigna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $20,773.00 | $15,579.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $20,773.00 | $15,579.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $23,113.00 | $17,334.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $23,113.00 | $17,334.75 | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $20,773.00 | $15,579.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $23,113.00 | $17,334.75 | 2024-12-08 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Interplan Health Group | — | $58.50 | $195.00 | $195.00 | 2026-07-15 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $62.58 | $10,671.59 | $2,667.90 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | — | — | — | $66.91 | $65.57 | 2025-11-05 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $642.00 | $128.40 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $642.00 | $128.40 | 2026-05-24 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $68.74 | — | — | 2026-03-18 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $69.10 | $16,540.00 | $5,458.20 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $69.10 | $16,540.00 | $5,458.20 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Anthem | Healthkeepers Medicaid Plans | $69.10 | $16,540.00 | $5,458.20 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna | Better Health Medicaid Plans | $69.10 | $16,540.00 | $5,458.20 | 2026-07-15 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $69.17 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $69.17 | $30,818.98 | $30,818.98 | 2026-03-18 | MRF ↗ |
| Centra Specialty Hospital Both | Sentara Medicaid | — | $69.79 | $16,540.00 | $5,458.20 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Sentara Medicaid | — | $69.79 | $16,540.00 | $5,458.20 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare | Medicaid | $70.48 | $16,540.00 | $5,458.20 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare | Medicaid | $70.48 | $16,540.00 | $5,458.20 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Molina | Medicaid | $71.17 | $16,540.00 | $5,458.20 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $71.17 | $16,540.00 | $5,458.20 | 2026-09-21 | 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.