93580 — Transcath Closure Of Asd
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TRANSCATH CLOSURE OF ASD (HCPCS 93580) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93580?code_type=HCPCS
MLA (9th ed.)
“TRANSCATH CLOSURE OF ASD (HCPCS 93580) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93580?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TRANSCATH CLOSURE OF ASD (HCPCS 93580) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93580?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,950–$26,103 (25th–75th percentile) across 1,842 hospitals · 5,703 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93580 — 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$10,950
$18,266 typical
$26,103
The middle 50% of negotiated facility rates for this procedure, measured across 1,842 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. | $18,266 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $844 × 1.22 commercial. | $1,030 |
| Likely subtotal | $19,295 |
Surgical episode (typical)
~$19,295
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.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$23,080
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 | None | — | — | $44,481.39 | $22,240.70 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $44,481.39 | $22,240.70 | 2024-12-15 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | AETNA | AETNA HMO/PPO/POS | $0.50 | — | — | 2026-04-14 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net Individual - HMO | $0.96 | $46,436.00 | $34,827.00 | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $135,556.00 | $111,155.92 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $135,556.00 | $111,155.92 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $114,605.00 | $74,493.25 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $114,605.00 | $74,493.25 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $135,556.00 | $111,155.92 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $135,556.00 | $111,155.92 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $135,556.00 | $111,155.92 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $135,556.00 | $111,155.92 | 2025-11-26 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $1.94 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $1.94 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $1.94 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $1.94 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $1.94 | — | — | 2026-03-28 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | VETERANS [99909] | UVA HB VETERANS CHOICE | $5.55 | $90,315.70 | $54,189.42 | 2026-03-24 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $11.70 | $2,437.00 | $365.55 | 2026-01-25 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $17.27 | $56,356.00 | — | 2026-02-19 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $25.85 | $39,756.00 | $14,709.72 | 2026-03-31 | 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 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BCBSTX_MEDICAID | BCBS OF TEXAS MEDICAID STAR | $43.70 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | MEDICAID_TEXAS | MEDICAID TEXAS | $43.70 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | MEDICAID_TEXAS | MEDICAID TEXAS | $43.70 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BCBSTX_MEDICAID | BCBS OF TEXAS MEDICAID STAR | $43.70 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | 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 | — | — | 2024-12-08 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $61.34 | $34,076.00 | $18,859.63 | 2024-12-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $50,168.00 | $9,030.24 | 2026-01-30 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $43,143.00 | $36,671.55 | 2025-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | $54,100.00 | $40,575.00 | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | $70,994.00 | $53,245.50 | 2025-01-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN Outpatient | Cigna | Commercial|All Plans | $100.00 | $38,656.00 | $5,798.40 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $100.00 | $38,656.00 | $5,798.40 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $100.00 | $38,656.00 | $5,798.40 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE Outpatient | Cigna | Commercial|All Plans | $100.00 | $38,656.00 | $5,798.40 | 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 | $43,143.00 | $36,671.55 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $2,701.00 | $1,485.55 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $2,701.00 | $1,485.55 | 2025-01-01 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | SUPERIOR_MCD | SUPERIOR MEDICAID OF TX | $124.14 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | SUPERIOR_MCD | SUPERIOR MEDICAID OF TX | $124.14 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $129.72 | $1,450.00 | $1,450.00 | 2026-05-22 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $133.65 | $990.00 | $742.50 | 2026-01-16 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $134.00 | $106,275.18 | $42,510.07 | 2024-12-15 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Complete Care | Magellan Complete Care | $138.80 | $1,450.00 | $1,450.00 | 2026-05-22 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | HUMANA | HUMANA HMO | $145.38 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | SCOTT_AND_WHITE | SCOTT AND WHITE | $151.72 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | SCOTT_AND_WHITE | SCOTT AND WHITE | $151.72 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | BSNENY | Medicare Advantage | $157.00 | $43,143.00 | $36,671.55 | 2025-01-01 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $20,032.98 | $16,026.38 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $20,032.98 | $16,026.38 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $20,032.98 | $16,026.38 | 2025-11-21 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC NEXUS | UHC NEXUS | $160.00 | $29,101.00 | $14,550.50 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC EXCHANGE | UHC EXCHANGE | $162.00 | $29,101.00 | $14,550.50 | 2026-01-17 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Epic Americas | AXA Assistance | $163.78 | $46,436.00 | $34,827.00 | 2026-04-01 | MRF ↗ |
| DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY Outpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $21,774.50 | $4,354.90 | 2025-10-06 | MRF ↗ |
| DRISCOLL CHILDRENS HOSPITAL Outpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $18,934.30 | $3,786.86 | 2025-10-06 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $18,934.30 | $3,786.86 | 2026-03-31 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network S | $167.00 | $10,822.00 | $3,203.32 | 2026-02-28 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $44,270.00 | $28,775.50 | 2026-03-30 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $178.00 | $29,101.00 | $14,550.50 | 2026-01-17 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Onenet Ppo | $178.46 | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $40,775.00 | $24,465.00 | 2026-05-23 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | MULTIPLAN | MULTIPLAN | $179.31 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | HUMANA | HUMANA HMO | $179.31 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | MULTIPLAN | MULTIPLAN | $179.31 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BEECH_STREET | BEECH STREET COMMERCIAL | $193.10 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BEECH_STREET | BEECH STREET COMMERCIAL | $193.10 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | IN CUSTODY | In Custody | $200.00 | $48,061.20 | $28,481.00 | 2024-12-19 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $203.59 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $203.59 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $203.59 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $203.59 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $203.59 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $203.59 | $60,675.00 | $36,405.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $203.59 | $60,675.00 | $36,405.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $203.59 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $203.59 | $60,675.00 | $36,405.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $203.59 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $203.59 | — | — | 2026-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $205.43 | $990.00 | $742.50 | 2026-01-16 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Commercial|Network P | $217.00 | $10,822.00 | $3,203.32 | 2026-02-28 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $226.00 | $2,230.00 | $1,115.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $229.00 | $2,230.00 | $1,115.00 | 2025-02-03 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BCBS_TEXAS | BLUE CROSS BLUE SHIELD TX PPO | $248.27 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BCBSTX_PPO_OCT24 | BCBS OF TX PPO MODEL OCT '24 PROPOSAL | $248.27 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BCBS_TEXAS | BLUE CROSS BLUE SHIELD TX PPO | $248.27 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $250.00 | $1,897.00 | $1,897.00 | 2025-07-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $252.00 | $2,230.00 | $1,115.00 | 2025-02-03 | MRF ↗ |
| ST MARY'S HOSPITAL OutpatientFacility | Cigna | All products | $258.00 | $43,975.00 | $28,583.75 | 2025-01-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $270.00 | $2,230.00 | $1,115.00 | 2025-02-03 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO Outpatient | BLUE SHIELD EPN CORE | BLUE SHIELD EPN CORE | $271.00 | $39,505.92 | $22,815.80 | 2025-11-07 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $275.50 | $1,450.00 | $1,450.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $275.50 | $1,450.00 | $1,450.00 | 2026-05-22 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BCBS_TEXAS_HMO | BLUE ESSENTIALS HMO | $275.86 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | CIGNA | CIGNA | $275.86 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | SENDERO | SENDERO HEALTH PLANS | $275.86 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | AETNA | AETNA | $275.86 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | UNITED_HEALTHCARE | UNITED HEALTHCARE | $275.86 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | SENDERO | SENDERO HEALTH PLANS | $275.86 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BCBS_TEXAS_HMO | BLUE CROSS BLUE SHIELD TX HMO | $275.86 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | CIGNA | CIGNA | $275.86 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | AETNA | AETNA | $275.86 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $26,268.90 | $17,074.78 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $26,268.90 | $17,074.78 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $26,268.90 | $17,074.78 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO Outpatient | BLUE SHIELD COMM - ALL OTHER PLANS | BLUE SHIELD COMM - ALL OTHER PLANS | $281.00 | $39,505.92 | $22,815.80 | 2025-11-07 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $284.00 | $2,230.00 | $1,115.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $284.00 | $2,230.00 | $1,115.00 | 2025-02-03 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | $60,675.00 | $36,405.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | $60,675.00 | $36,405.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | $60,675.00 | $36,405.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | $60,675.00 | $36,405.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | $51,375.00 | $30,825.00 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | $51,375.00 | $30,825.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $287.47 | — | — | 2026-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | Premier | $300.00 | $55,134.12 | $55,134.12 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Athletic Network | Premier | $300.00 | $44,915.51 | $44,915.51 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $28,028.29 | $28,028.29 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Athletic Network | Premier | $300.00 | $73,749.89 | $73,749.89 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Athletic Network | Premier | $300.00 | $73,749.89 | $73,749.89 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Texas Athletic Network | Premier | $300.00 | $180,473.08 | $180,473.08 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | Premier | $300.00 | $31,795.09 | $31,795.09 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $28,028.29 | $28,028.29 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Texas Athletic Network | Premier | $300.00 | $48,483.14 | $48,483.14 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | Premier | $300.00 | $55,134.12 | $55,134.12 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Texas Athletic Network | Premier | $300.00 | $86,490.00 | $86,490.00 | 2026-03-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $300.00 | $2,230.00 | $1,115.00 | 2025-02-03 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $28,028.29 | $28,028.29 | 2026-03-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $304.06 | $1,841.00 | $1,841.00 | 2026-03-23 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $304.37 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $306.28 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $306.28 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $318.00 | $2,230.00 | $1,115.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $320.00 | $2,230.00 | $1,115.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $320.00 | $2,230.00 | $1,115.00 | 2025-02-03 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $46,219.00 | $30,042.35 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $46,219.00 | $30,042.35 | 2025-01-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $324.00 | $2,230.00 | $1,115.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $325.00 | $2,230.00 | $1,115.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $334.47 | $1,841.00 | $1,841.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $334.47 | $1,841.00 | $1,841.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $334.47 | $1,841.00 | $1,841.00 | 2026-03-23 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $135,556.00 | $111,155.92 | 2025-11-26 | 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.