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 $3,277–$10,500 (25th–75th percentile) across 2,084 hospitals · 7,017 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 surgeon and anesthesia figures are estimates 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 2,084 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. | $5,661 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $979 × 1.22 commercial. | $1,195 |
| Likely subtotal | $6,856 |
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.
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 | None | — | — | $17,716.51 | $8,858.25 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $17,716.51 | $8,858.25 | 2024-12-15 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | AETNA | AETNA HMO/PPO/POS | $0.50 | — | — | 2026-04-14 | 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 ↗ |
| 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $25,415.00 | $20,840.30 | 2025-11-26 | 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 | Health Net of California, Inc. | Medicare Advantage | — | $25,415.00 | $20,840.30 | 2025-11-26 | 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 | Humana Health Plan, Inc. | Medicare Advantage | — | $25,415.00 | $20,840.30 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $25,415.00 | $20,840.30 | 2025-11-26 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $5.18 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $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 | UHC | Medicare Advantage | $5.18 | — | — | 2026-03-28 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $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-BH | $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 ↗ |
| 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-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-BH | $5.41 | $21.65 | $21.65 | 2026-03-27 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Onenet Ppo | $5.91 | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $14,594.00 | $8,756.40 | 2026-05-23 | 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 ↗ |
| 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 | UNITED HEALTHCARE | UNITED COMMERCIAL | $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 ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $16.24 | $21.65 | $21.65 | 2026-03-27 | 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 ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $16.89 | $21.65 | $21.65 | 2026-03-27 | 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 | HUMANA | HUMANA 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 | 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 | DEVOTED | DEVOTED MEDICARE | $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 ↗ |
| MONMOUTH 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 ↗ |
| 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 ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $20,773.00 | $15,579.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $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 ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | Navigate, Core, Charter, Aco Tiered | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Commercial | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | All Other Plans | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Professional Benefits Administrator | Ppo | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Precision Hmo | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Hmo, Ppo, Pos | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Joliet | Hmo | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Commercial | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Public Exchange | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Union Medical | Hmo | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Multiplan | Ppo | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Hmo Illinois | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Local Plus | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Ppo | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Choice | — | $119.50 | $41.83 | 2026-05-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $23,113.00 | $17,334.75 | 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 ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | None | — | — | $66.91 | $65.57 | 2025-11-05 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $68.74 | — | — | 2026-03-18 | 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 ↗ |
| UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER Both | None | — | — | $80.30 | $78.69 | 2025-11-05 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $78.78 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $79.27 | $30,818.98 | $30,818.98 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $79.27 | — | — | 2026-03-18 | MRF ↗ |
| UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both | None | — | — | $83.78 | $82.10 | 2025-11-05 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $38,033.00 | $6,845.94 | 2026-01-30 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $85.77 | — | — | 2026-03-18 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS PPO OUT OF STATE [3010107] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS ADVANTEK [3010108] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS PPO [3010101] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS/BLUE SHIELD FEP [3010103] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS EMC EMPLOYEE [3010104] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | LASALLE MED GROUP - BX [3010111] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS PPO [3010101] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | PINNACLE BX HB USE ONLY" [3010110]" | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS ADVANTEK [3010108] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS HMO OUT OF STATE [3010106] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS COVERED CALIFORNIA HMO [3010109] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS HMO OCDC - FKA EPMG [3010105] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | ANTHEM COV CA OCN-DC (EPMG) [3010113] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS EMC EMPLOYEE [3010104] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS/BLUE SHIELD FEP [3010103] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS HMO OUT OF STATE [3010106] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KEENAN & ASSOCIATES [70003] | KEENAN & ASSOCIATES [7000301] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS HMO OCDC - FKA EPMG [3010105] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KEENAN & ASSOCIATES [70003] | KEENAN & ASSOCIATES [7000301] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS COVERED CALIFORNIA PPO [3010102] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | ALPHA CARE MED GROUP - BX [3010112] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS COVERED CALIFORNIA PPO [3010102] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS PPO OUT OF STATE [3010107] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS POS DOHC [3000102] | $86.06 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | ANTHEM COV CA OCN-DC (EPMG) [3010113] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | LASALLE MED GROUP - BX [3010111] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | PINNACLE BX HB USE ONLY" [3010110]" | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS COVERED CALIFORNIA HMO [3010109] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | BLUE CROSS POS DOHC [3000102] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | BLUE CROSS [30101] | ALPHA CARE MED GROUP - BX [3010112] | $86.06 | $727.00 | $472.55 | 2026-04-02 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $86.31 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $86.31 | $30,818.98 | $30,818.98 | 2026-03-18 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $7,535.00 | $6,404.75 | 2025-01-01 | MRF ↗ |
| UMD UPPER CHESAPEAKE MEDICAL CENTER Both | None | — | — | $94.41 | $92.52 | 2025-11-05 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | $13,854.00 | $10,390.50 | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | $13,243.00 | $9,932.25 | 2025-01-31 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Hmo/Ppo | $98.72 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Hmo/Ppo | $98.72 | — | — | 2026-04-01 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE Outpatient | Cigna | Commercial|All Plans | $100.00 | $29,333.00 | $4,399.95 | 2026-02-28 | MRF ↗ |
| BEAUREGARD MEMORIAL HOSPITAL Outpatient | BCBS Commercial | PPO | $100.00 | $7,619.00 | — | 2026-02-18 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $100.00 | $29,333.00 | $4,399.95 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN Outpatient | Cigna | Commercial|All Plans | $100.00 | $29,333.00 | $4,399.95 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $100.00 | $29,333.00 | $4,399.95 | 2026-02-28 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $101.47 | $481.55 | $481.55 | 2024-12-30 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | Empire | Medicare Advantage | $107.00 | $7,535.00 | $6,404.75 | 2025-01-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $112.82 | $12,603.00 | $7,561.80 | 2024-07-01 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $116.00 | $10,667.35 | $4,266.94 | 2024-12-15 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $117.00 | $1,161.00 | $580.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $119.00 | $1,161.00 | $580.00 | 2025-02-03 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Humana | Choice Care Network | $119.86 | $21,609.00 | $16,206.75 | 2026-04-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $11,059.00 | $6,082.45 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $11,059.00 | $6,082.45 | 2025-01-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $131.00 | $1,161.00 | $580.00 | 2025-02-03 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | CORIZON | INMATE SERVICES | $134.15 | $12,603.00 | $7,561.80 | 2024-07-01 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP [20502] | IEHP LASALLE MEDICAL ASSOCIATES [2050204] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP [20502] | INLAND EMPIRE HEALTH PLAN [2050201] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE NORTHWEST [3050608] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE HAWAII [3050606] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE SOUTHERN CA [3050602] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE WASHINGTON [3050609] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MOLINA MCAL HMO [20503] | MOLINA MCAL HMO [2050301] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | CHAMPVA [80001] | VHA OFFICE OF COMMUNITY CARE [8000101] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MEDICARE [10001] | MEDICARE PART B [1000103] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADV MID-ATLANTIC STATES [3050607] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MEDICARE [10001] | MEDICARE PART A & B [1000102] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MEDICARE [10001] | MEDICARE PART A [1000101] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | GENERIC FIRST AID [30063] | FIRST AID WORK COMP [3006301] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE NORTHERN CA [3050601] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | MEDICARE [10001] | RAILROAD MEDICARE [1000104] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE GEORGIA [3050605] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP CAL MEDI-CONNECT MEDICARE ADVANTAGE [10512] | IEHP LASALLE MED ASSOC MEDICARE ADV [1051204] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP CAL MEDI-CONNECT MEDICARE ADVANTAGE [10512] | IEHP INLAND VALLEY IPA MEDICARE ADV [1051203] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDI-CAL- AFTER 10/01/21 [30505] | KAISER MEDI-CAL HMO [3050501] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER OUT OF AREA MEDICARE ADVANTAGE [3050603] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE COLORADO [3050604] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | VETERANS ADMINISTRATION [80002] | VETERANS ADMINISTRATION [8000201] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | ASCEND HOSPICE [32000] | ASCEND HOSPICE [3200001] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | IEHP [20502] | IEHP INLAND VALLEY IPA [2050203] | $134.96 | $727.00 | — | 2026-04-02 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $136.76 | $1,013.00 | $759.75 | 2026-01-16 | MRF ↗ |
| UM Capital Region Medical Center Both | None | — | — | $140.22 | $137.42 | 2025-11-05 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $140.00 | $1,161.00 | $580.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $148.00 | $1,161.00 | $580.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $148.00 | $1,161.00 | $580.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $156.00 | $1,161.00 | $580.00 | 2025-02-03 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $156.71 | $14,704.00 | $9,557.60 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $156.71 | $14,704.00 | $9,557.60 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $156.71 | $13,720.00 | $8,918.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $156.71 | $14,704.00 | $9,557.60 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $156.71 | $14,704.00 | $9,557.60 | 2026-03-13 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | MEDICAID | MEDICAID | $156.71 | $6,600.70 | — | 2026-03-29 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $156.71 | $35,583.00 | $7,828.26 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | AR MEDICAID REPLACEMENT [350010] | HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT | $156.71 | $35,583.00 | $7,828.26 | 2026-03-19 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Summit Community Care | Medicaid | $156.71 | — | — | 2026-04-08 | 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.