Price Transparency Hospital negotiated rates

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

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93457 — R Hrt Art/grft Angio

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

Typical negotiated price $6,336

Usually $3,312–$11,533 (25th–75th percentile) across 2,015 hospitals · 6,684 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93457 — 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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$3,312 $6,336 typical $11,533

The middle 50% of negotiated facility rates for this procedure, measured across 2,015 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. $6,336
Physician fee Estimate national typical Medicare $1,193 × 1.22 commercial. $1,456
Likely subtotal $7,792
Complete-episode estimate (typical) ~$7,792
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
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient None $22,935.13 $11,467.56 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient None $22,935.13 $11,467.56 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 Humana Health Plan, Inc. Medicare Advantage $25,415.00 $20,840.30 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO $25,415.00 $20,840.30 2025-11-26 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 ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $25,415.00 $20,840.30 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN 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 ↗
CEDARS-SINAI MEDICAL CENTER Outpatient 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 ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $11.37 $13,269.86 $7,961.92 2026-03-24 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Multiplan Commercial $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Liberty Advantage Medicare Advantage $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient New Hanover Medicare Advantage $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Compass $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Onenet Ppo $18.56 $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Managed Medicaid $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Managed Medicaid $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Medicare Advantage $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Commercial $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Medicare Advantage $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Troy Medicare Advantage $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Tricare $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Medcost Commercial $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Medicare Advantage $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Healthy Blue Managed Medicaid $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Cross Blue Shield Of Nc Commercial $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Cigna Commercial $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient First Carolina Care Medicare Advantage $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Commercial $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Longevity Medicare Advantage $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Commercial $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Medicare Partner Health Plan Medicare $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Carolina Complete Health Managed Medicaid $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Nc State Health Plan Commercial $6,833.00 $4,099.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Medicare Advantage $6,833.00 $4,099.80 2026-05-23 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $14,416.00 $9,370.40 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $14,416.00 $9,370.40 2025-01-01 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Healthplan Medicaid Wv Medicaid $21.49 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Wellpoint Wv Medicaid $22.56 2026-05-06 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $28.70 $15,945.00 $3,248.15 2024-12-31 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 $33,410.00 $25,057.50 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 $33,410.00 $25,057.50 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 ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $36.05 $10,990.00 $4,066.30 2026-03-31 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Blue Cross Blue Shield Medicare Advantage $48.52 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Humana Medicare Advantage $48.52 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility VA Health All $48.52 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility UHC Medicare Advantage $48.52 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Tricare All $48.52 2026-03-28 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 $33,410.00 $25,057.50 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 $23,113.00 $17,334.75 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient BC COMM CARE MCAID BC COMM CARE MCAID $62.24 $1,584.00 $1,584.00 2026-02-13 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient AETNA BETTER HLTH AETNA BETTER HLTH $62.24 $1,584.00 $1,584.00 2026-02-13 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE MCAID HLTH ALLIANCE MCAID $62.24 $1,584.00 $1,584.00 2026-02-13 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient MOLINA MCAID MOLINA MCAID $62.24 $1,584.00 $1,584.00 2026-02-13 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 Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $69.17 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $69.17 2026-03-18 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $72.80 $1,584.00 $1,584.00 2026-02-13 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 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 $47,541.00 $8,557.38 2026-01-30 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $85.77 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $86.31 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $86.31 2026-03-18 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility MVP Individual Plan $89.00 $8,330.00 $7,080.50 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 $16,474.00 $12,355.50 2025-01-31 MRF ↗
Harper University Hospital Outpatient Hap HAPHMO $93.00 $18,665.00 $13,998.75 2025-01-31 MRF ↗
CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient Cigna Commercial|All Plans $100.00 $54,905.00 $8,235.75 2026-02-28 MRF ↗
CHI ST LUKES HEALTH MEMORIAL LUFKIN Outpatient Cigna Commercial|All Plans $100.00 $54,905.00 $8,235.75 2026-02-28 MRF ↗
CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient Cigna Commercial|All Plans $100.00 $54,905.00 $8,235.75 2026-02-28 MRF ↗
CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE Outpatient Cigna Commercial|All Plans $100.00 $54,905.00 $8,235.75 2026-02-28 MRF ↗
Rehabilitation Institute Of Michigan Outpatient Hap HAPHMO $104.79 2025-01-31 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility Empire Medicare Advantage $107.00 $8,330.00 $7,080.50 2025-01-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, City of LA, Vivity $36,962.10 $24,025.37 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, Non-City of LA, Vivity $36,962.10 $24,025.37 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO $36,962.10 $24,025.37 2025-11-26 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL-ALLEG $112.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL $112.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL-BH $112.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL $112.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL-ALLEG $112.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL-PPO $112.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL-BH $112.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA COMMERCIAL-PPO $112.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
ADVENTHEALTH NORTH PINELLAS Outpatient Blue_Cross_&_Blue_Shield_of_Florida Health_Options $116.00 $14,363.99 $5,745.60 2024-12-15 MRF ↗
HELEN KELLER HOSPITAL Both BLUE CROSS OF AL BLUE CROSS AL COMMERCIALPPO $116.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both BLUE CROSS OF AL BLUE CROSS AL COMMERCIAL $116.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both BLUE CROSS OF AL BLUE CROSS AL COMMERCIAL $116.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both BLUE CROSS TN BLUE CROSS TN COMMERCIAL-S $116.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both BLUE CROSS TN BLUE CROSS TN COMMERCIAL-S $116.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both BLUE CROSS TN BLUE CROSS TN COMMERCIAL-P $116.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both BLUE CROSS OF AL BLUE CROSS AL COMMERCIALPPO $116.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both BLUE CROSS TN BLUE CROSS TN COMMERCIAL-P $116.14 $4,141.40 $4,141.40 2026-03-27 MRF ↗
GROSSMONT HOSPITAL Outpatient Blue Shield Blue Shield - PPO $119.86 $25,994.00 $19,495.50 2026-04-01 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN [10104] $127.42 $599.29 $599.29 2024-12-30 MRF ↗
UM Capital Region Medical Center Both None $140.22 $137.42 2025-11-05 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - Meridian Medicaid - Meridian $146.00 $1,446.00 $723.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - United Medicaid - United $148.00 $1,446.00 $723.00 2025-02-03 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility BSNENY Medicare Advantage $157.00 $8,330.00 $7,080.50 2025-01-01 MRF ↗
ARKANSAS HEART HOSPITAL, LLC OutpatientFacility United Healthcare All Commercial Products $159.00 $4,082.00 $3,265.60 2025-11-21 MRF ↗
ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility United Healthcare All Commercial Products $159.00 $4,082.00 $3,265.60 2025-11-21 MRF ↗
ARKANSAS HEART HOSPITAL, LLC OutpatientFacility United Healthcare All Commercial Products $159.00 $4,082.00 $3,265.60 2025-11-21 MRF ↗
ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient UHC NEXUS UHC NEXUS $160.00 $8,177.00 $4,088.50 2026-01-17 MRF ↗
ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient UHC EXCHANGE UHC EXCHANGE $162.00 $8,177.00 $4,088.50 2026-01-17 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $163.00 $1,446.00 $723.00 2025-02-03 MRF ↗
Driscoll Children's Hospital Transplant Center Both TEXAS REHABILITATION COMM [50038] TEXAS REHABILITATION COMM [5003801] $165.82 $17,760.60 $3,552.12 2026-03-31 MRF ↗
DRISCOLL CHILDRENS HOSPITAL Outpatient TEXAS REHABILITATION COMM [50038] TEXAS REHABILITATION COMM [5003801] $165.82 $17,760.60 $3,552.12 2025-10-06 MRF ↗
DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY Outpatient TEXAS REHABILITATION COMM [50038] TEXAS REHABILITATION COMM [5003801] $165.82 $20,424.80 $4,084.96 2025-10-06 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $166.05 $1,230.00 $922.50 2026-01-16 MRF ↗
CHI Memorial Hospital - Hixson Outpatient BCBS - TN Commercial|Network S $167.00 $23,900.00 $7,074.40 2026-02-28 MRF ↗
BAPTIST HOSPITAL Both VISTA COVENTRY MEDICAID $173.17 $33,411.00 $21,717.15 2026-03-30 MRF ↗
BAPTIST HOSPITAL Both VISTA COVENTRY MEDICAID $173.17 $33,411.00 $21,717.15 2026-03-30 MRF ↗
LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility Blue Shield of California Commercial/IFP $174.74 2026-03-18 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $175.00 $1,446.00 $723.00 2025-02-03 MRF ↗
ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient UHC - ALL OTHER PLANS UHC - ALL OTHER PLANS $178.00 $8,177.00 $4,088.50 2026-01-17 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $184.00 $1,446.00 $723.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $184.00 $1,446.00 $723.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - United Medicaid - United $194.00 $1,446.00 $723.00 2025-02-03 MRF ↗
MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility MEDICAID [20240] HB OKLC ARK MEDICAID $194.88 $19,354.00 $12,580.10 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $194.88 $23,835.00 $15,492.75 2026-03-12 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB FTSM ARK MEDICAID $194.88 $15,774.00 $10,253.10 2026-03-13 MRF ↗
CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility Arkansas Total Care KM $194.88 2026-01-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $194.88 $15,774.00 $10,253.10 2026-03-13 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Both AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $194.88 $56,173.00 $12,358.06 2026-03-19 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Both AR - MEDICAID [300005] HB MEDICAID-AR CONTRACT $194.88 $56,173.00 $12,358.06 2026-03-19 MRF ↗
Five Rivers Medical Center OutpatientFacility Arkansas Total Care Managed Care $194.88 2025-06-11 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB ROGR ARKANSAS MEDICAID $194.88 $12,054.00 $7,835.10 2026-03-13 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Both AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $194.88 $56,173.00 $12,358.06 2026-03-19 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB ROGR ARKANSAS MEDICAID $194.88 $12,054.00 $7,835.10 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MEDICAID [20240] HB FTSM ARK MEDICAID $194.88 $15,774.00 $10,253.10 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB FTSM ARK MEDICAID $194.88 $15,774.00 $10,253.10 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MEDICAID [20240] HB ROGR ARKANSAS MEDICAID $194.88 $12,054.00 $7,835.10 2026-03-13 MRF ↗
ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility Empower MANAGED MEDICAID $194.88 2025-07-01 MRF ↗
OUACHITA COUNTY MEDICAL CENTER Both ARKANSAS TOTALCARE ARKANSAS TOTALCARE $194.88 $10,000.00 2026-03-29 MRF ↗
BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility Summit Community Care Medicaid $194.88 $19,898.00 $3,780.62 2026-02-27 MRF ↗
LAWRENCE MEMORIAL HOSPITAL OutpatientFacility Arkansas Total Care Managed Medicaid $194.88 2024-11-12 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB ROGR SUMMIT $194.88 $12,054.00 $7,835.10 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB FTSM ARK MEDICAID $194.88 $15,774.00 $10,253.10 2026-03-13 MRF ↗
METHODIST SOUTHLAKE MEDICAL CENTER Both AR - MEDICAID [300005] HB MEDICAID-AR CONTRACT $194.88 $56,173.00 $12,358.06 2026-03-19 MRF ↗
METHODIST SOUTHLAKE MEDICAL CENTER Both AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $194.88 $56,173.00 $12,358.06 2026-03-19 MRF ↗
METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both AR - MEDICAID [300005] HB MEDICAID-AR CONTRACT $194.88 $56,173.00 $12,358.06 2026-03-19 MRF ↗
OUACHITA COUNTY MEDICAL CENTER Both MEDICAID MEDICAID $194.88 $10,000.00 2026-03-29 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $194.88 $23,835.00 $15,492.75 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $194.88 $15,774.00 $10,253.10 2026-03-13 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility Summit Community Care Medicaid $194.88 2026-04-08 MRF ↗
BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility Summit Community Care Medicaid $194.88 $20,694.00 $3,104.10 2026-02-27 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB FTSM ARK MEDICAID $194.88 $15,774.00 $10,253.10 2026-03-13 MRF ↗
Five Rivers Medical Center OutpatientFacility Arkansas Total Care Managed Care $194.88 2025-06-11 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Both AR - MEDICAID [300005] HB MEDICAID-AR CONTRACT $194.88 $56,173.00 $12,358.06 2026-03-19 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $194.88 $10,730.00 $6,974.50 2026-03-13 MRF ↗
METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $194.88 $56,173.00 $12,358.06 2026-03-19 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Both AR MEDICAID REPLACEMENT [350010] HB XR AR PASSE CAID/CARESOURCE/EMPOWER/SUMMIT $194.88 $56,173.00 $12,358.06 2026-03-19 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MEDICAID [20240] HB FTSM ARK MEDICAID $194.88 $15,774.00 $10,253.10 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB FTSM CARESOURCE MEDICAID $198.78 $15,774.00 $10,253.10 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility CARESOURCE MEDICAID [20460] HB FTSM CARESOURCE MEDICAID $198.78 $15,774.00 $10,253.10 2026-03-13 MRF ↗
CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility Empower Healthcare Solutions KM $198.78 2026-01-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility CARESOURCE MEDICAID [20460] HB ROGR CARESOURCE MEDICAID $198.78 $12,054.00 $7,835.10 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB ROGR CARESOURCE MEDICAID $198.78 $12,054.00 $7,835.10 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility CARESOURCE MEDICAID [20460] HB FTSM CARESOURCE MEDICAID $198.78 $15,774.00 $10,253.10 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB FTSM CARESOURCE MEDICAID $198.78 $15,774.00 $10,253.10 2026-03-13 MRF ↗
BRADLEY COUNTY MEDICAL CENTER OutpatientFacility Empower Healthcare Services Medicaid $198.78 2026-04-08 MRF ↗
CENTINELA HOSPITAL MEDICAL CENTER Outpatient IN CUSTODY In Custody $200.00 $15,281.80 $5,292.00 2024-12-19 MRF ↗
BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility CareSource Medicaid $200.73 $19,898.00 $3,780.62 2026-02-27 MRF ↗
BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility CareSource Medicaid $200.73 $20,694.00 $3,104.10 2026-02-27 MRF ↗
BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility Access Health Services Medicaid $204.62 $19,898.00 $3,780.62 2026-02-27 MRF ↗
LAWRENCE MEMORIAL HOSPITAL OutpatientFacility Empower Healthcare Solutions Managed Medicaid $204.62 2024-11-12 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $206.00 $1,446.00 $723.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $207.00 $1,446.00 $723.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Meridian Medicaid - Meridian $207.00 $1,446.00 $723.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $210.00 $1,446.00 $723.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - United Medicaid - United $211.00 $1,446.00 $723.00 2025-02-03 MRF ↗
CHI Memorial Hospital - Hixson Outpatient BCBS - TN Commercial|Network P $217.00 $23,900.00 $7,074.40 2026-02-28 MRF ↗
Children's Hospital & Medical Center Transplant Inpatient Anthem In Managed Care Medicaid Plan $217.33 $5,295.00 $2,700.45 2026-05-09 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN CARO REGION Outpatient Traditional Medicaid HMO/PPO Traditional Medicaid HMO/PPO $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN OAKLAND Outpatient Traditional Medicaid HMO/PPO Traditional Medicaid HMO/PPO $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO/PPO Traditional Medicaid HMO/PPO $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN THUMB REGION Outpatient Medicaid - United Medicaid - United $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN FLINT Outpatient Traditional Medicaid HMO/PPO Traditional Medicaid HMO/PPO $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN CARO REGION Outpatient Medicaid - United Medicaid - United $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN PORT HURON Outpatient Traditional Medicaid HMO/PPO Traditional Medicaid HMO/PPO $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN FLINT Outpatient Traditional Medicaid HMO/PPO Traditional Medicaid HMO/PPO $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO/PPO Traditional Medicaid HMO/PPO $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - United Medicaid - United $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN LAPEER REGION Outpatient Medicaid - United Medicaid - United $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN CARO REGION Outpatient Traditional Medicaid HMO/PPO Traditional Medicaid HMO/PPO $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN FLINT Outpatient Medicaid - United Medicaid - United $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $217.47 $1,564.20 $782.10 2025-12-31 MRF ↗

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