93581 — Transcath Closure Of Vsd
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TRANSCATH CLOSURE OF VSD (CPT 93581) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93581?code_type=CPT
MLA (9th ed.)
“TRANSCATH CLOSURE OF VSD (CPT 93581) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93581?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TRANSCATH CLOSURE OF VSD (CPT 93581) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93581?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,435–$24,642 (25th–75th percentile) across 1,593 hospitals · 4,072 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93581 — 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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$9,435
$17,688 typical
$24,642
The middle 50% of negotiated facility rates for this procedure, measured across 1,593 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. | $17,688 |
| Physician fee Estimate national typical Medicare $1,146 × 1.22 commercial. | $1,398 |
| Likely subtotal | $19,086 |
Complete-episode estimate (typical)
~$19,086
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 HOSPITAL MANSFIELD Inpatient | None | — | — | $57,803.08 | $28,901.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $57,803.08 | $28,901.54 | 2024-12-15 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | AETNA | AETNA HMO/PPO/POS | $0.50 | — | — | 2026-04-14 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $114,605.00 | $74,493.25 | 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 ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | VETERANS [99909] | UVA HB VETERANS CHOICE | $25.21 | $88,319.34 | $52,991.60 | 2026-03-24 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Upmc Health Plan - Medicare Advantage | Upmc Health Plan - Medicare Advantage | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Medicare Supplement Plan J | Medicare Supplement Plan J | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Humana Gold Choice | Humana Gold Choice | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aetna Senior Supplemental | Aetna Senior Supplemental | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Spartan Plan Pa Medicare Advantage | Spartan Plan Pa Medicare Advantage | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Ibc Medicare Advantage | Pcsh Ibc Medicare Advantage | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Csi Medicare Supplement | Csi Medicare Supplement | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Health Partners - Medicare | Health Partners - Medicare | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Tricare For Life | Tricare For Life | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Medicare Supplemental/ Plan F | Medicare Supplemental/ Plan F | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Aarp | Pcsh Aarp | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aarp Medicare Complete | Aarp Medicare Complete | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Erie Insurance Medicare Supplement | Erie Insurance Medicare Supplement | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Capital Blue Cross- Senior Medicare Supplement | Capital Blue Cross- Senior Medicare Supplement | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Medicare Supplement Plan F- Mutual Of Omaha | Medicare Supplement Plan F- Mutual Of Omaha | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Cigna-Healthspring | Cigna-Healthspring | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Geisinger Medicare Advantage | Geisinger Medicare Advantage | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Medicare | Medicare | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Cigna Healthspring | Cigna Healthspring | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc Medicare | Ibc Medicare | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Vibra Health Plan | Vibra Health Plan | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Unified Health Services | Unified Health Services | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aarp | Aarp | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Personal Choice 65 | Personal Choice 65 | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Humana Pffs | Humana Pffs | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Devon Health Services | Devon Health Services | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Humana Medicare | Humana Medicare | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc Security 65 | Ibc Security 65 | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | United Healthcare Medicare Advantage | United Healthcare Medicare Advantage | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Shenandoah Life | Shenandoah Life | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Provider Partners Health Plan Medicare Advantage | Provider Partners Health Plan Medicare Advantage | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Keystone 65 Hmo | Keystone 65 Hmo | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Medicare Novitas Solutions | Medicare Novitas Solutions | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Cigna Supplemental | Cigna Supplemental | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Gpm Health And Life Insurance Mc Supplement | Gpm Health And Life Insurance Mc Supplement | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Medicare Novitas Solutions | Pcsh Medicare Novitas Solutions | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh United Healthcare Medicare Advantage | Pcsh United Healthcare Medicare Advantage | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc Medicare Advantage | Ibc Medicare Advantage | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Railroad Medicare | Railroad Medicare | $25.39 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Regence Blue Shield | Regence Blue Shield | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Carefirst Administrators | Carefirst Administrators | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Bcbs Federal | Bcbs Federal | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Anthem Ppo | Anthem Ppo | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Bcbs | Bcbs | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Amerihealth New Jersey Hmo | Amerihealth New Jersey Hmo | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Personal Choice | Personal Choice | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Horizon Of New Jersey | Horizon Of New Jersey | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Horizon Blue Cross | Horizon Blue Cross | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc Local | Ibc Local | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc 2021 | Ibc 2021 | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Independence Federal | Independence Federal | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Keystone Direct Pos | Keystone Direct Pos | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Keystone Healthplan East | Keystone Healthplan East | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Independence Bc | Independence Bc | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Empire Plan | Empire Plan | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Amerihealth Administrators | Amerihealth Administrators | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Ibc | Pcsh Ibc | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Capital Blue Cross | Capital Blue Cross | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Keystone Hmo | Keystone Hmo | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Independence Administrators | Independence Administrators | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc - Local | Ibc - Local | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc | Ibc | $27.42 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Aetna Medicare Advantage | Pcsh Aetna Medicare Advantage | $28.44 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aetna Medicare (Adv Silver Ppo) | Aetna Medicare (Adv Silver Ppo) | $28.44 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $28.44 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aetna Medicare Ppo | Aetna Medicare Ppo | $28.44 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $28.44 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Aetna Medicare Supplement | Pcsh Aetna Medicare Supplement | $28.44 | $42,218.69 | $20.31 | 2026-05-08 | 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 ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | 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 | BCBSTX_MEDICAID | BCBS OF TEXAS MEDICAID STAR | $43.70 | $275.86 | $16,126.33 | 2025-04-28 | 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 | MEDICAID_TEXAS | MEDICAID TEXAS | $43.70 | $275.86 | $16,126.33 | 2024-09-02 | 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 ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | United Healthcare Shared Services | United Healthcare Shared Services | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Golden Rule Op | Golden Rule Op | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Pcsh Uhc | Pcsh Uhc | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Uhc Student Resources | Uhc Student Resources | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Uhc Golden Rule | Uhc Golden Rule | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Oxford Health Plan | Oxford Health Plan | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | United Healthcare Choice Plus | United Healthcare Choice Plus | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Surest | Surest | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Uhc | Uhc | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | United Healthcare | United Healthcare | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Allsavers | Allsavers | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Oxford Life Insurance Company | Oxford Life Insurance Company | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Umr | Umr | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Umr Uhc | Umr Uhc | $53.87 | $42,218.69 | $20.31 | 2026-05-08 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $58.86 | $32,701.00 | $18,859.63 | 2024-12-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $42,586.00 | $7,665.48 | 2026-01-30 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $42,505.00 | $36,129.25 | 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 | $27,006.00 | $20,254.50 | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | Empire | Medicare Advantage | $107.00 | $42,505.00 | $36,129.25 | 2025-01-01 | 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 ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | SUPERIOR_MCD | SUPERIOR MEDICAID OF TX | $124.14 | $275.86 | $16,126.33 | 2024-09-02 | 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 ↗ |
| 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 ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $147.50 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Coventry | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Health Network | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $147.50 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $147.50 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Interwest Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $147.50 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Prime Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $147.50 | — | — | 2026-03-28 | 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 | $42,505.00 | $36,129.25 | 2025-01-01 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $19,850.00 | $15,880.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $19,850.00 | $15,880.00 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $19,850.00 | $15,880.00 | 2025-11-21 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC NEXUS | UHC NEXUS | $160.00 | $28,981.00 | $14,490.50 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC EXCHANGE | UHC EXCHANGE | $162.00 | $28,981.00 | $14,490.50 | 2026-01-17 | MRF ↗ |
| DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY Outpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $21,140.90 | $4,228.18 | 2025-10-06 | MRF ↗ |
| DRISCOLL CHILDRENS HOSPITAL Outpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $18,383.20 | $3,676.64 | 2025-10-06 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $18,383.20 | $3,676.64 | 2026-03-31 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS TRADITIONAL | 1147_SJPK BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $169.39 | $60,369.00 | $33,806.64 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BC METRO DETROIT EPO | 1139_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT EPO 20220401 | $169.39 | $60,369.00 | $33,806.64 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS PPO | 1145_SJPK BLUE CROSS BLUE SHIELD PPO 20220401 | $169.39 | $60,369.00 | $33,806.64 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BC METRO DETROIT HMO | 1141_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT HMO 20220401 | $169.39 | $60,369.00 | $33,806.64 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CARE NETWORK | 1143_SJPK BLUE CROSS BLUE SHIELD BCN 20220401 | $169.39 | $60,369.00 | $33,806.64 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BCN LOCAL NETWORK SOUTHEAST | 1149_SJPK BLUE CROSS BLUE SHIELD BCN LOCAL NETWORK SE 20220401 | $169.39 | $60,369.00 | $33,806.64 | 2026-01-01 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $43,855.00 | $28,505.75 | 2026-03-30 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $178.00 | $28,981.00 | $14,490.50 | 2026-01-17 | 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 | MULTIPLAN | MULTIPLAN | $179.31 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | HUMANA | HUMANA HMO | $179.31 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $182.12 | $1,349.00 | $1,011.75 | 2026-01-16 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BEECH_STREET | BEECH STREET COMMERCIAL | $193.10 | $275.86 | $16,126.33 | 2024-09-02 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | BEECH_STREET | BEECH STREET COMMERCIAL | $193.10 | $275.86 | $16,126.33 | 2025-04-28 | MRF ↗ |
| SAINT JOSEPH MEDICAL CENTER Outpatient | Imagine Health Network, Inc. | Imagine Health Network Commercial | $232.00 | $28,391.00 | $19,548.00 | 2026-03-17 | 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 ↗ |
| 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 ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $250.00 | $2,577.00 | $2,577.00 | 2025-07-03 | 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 CROSS BLUE SHIELD TX HMO | $275.86 | $275.86 | $16,126.33 | 2024-09-02 | 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 | 2025-04-28 | 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 | SENDERO | SENDERO HEALTH PLANS | $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 ↗ |
| 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 | CIGNA | CIGNA | $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 ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $276.79 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $276.79 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $276.79 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $276.79 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $276.79 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $276.79 | $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 | $276.79 | $60,675.00 | $36,405.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $276.79 | $60,675.00 | $36,405.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $276.79 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $276.79 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $276.79 | — | — | 2026-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $279.92 | $1,349.00 | $1,011.75 | 2026-01-16 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | Premier | $300.00 | $112,256.62 | $112,256.62 | 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 ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Athletic Network | Premier | $300.00 | $73,749.89 | $73,749.89 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Athletic Network | Premier | $300.00 | $54,399.58 | $54,399.58 | 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 ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $304.37 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $305.00 | $3,007.00 | $1,503.00 | 2025-02-03 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $306.28 | — | — | 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 ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $309.00 | $3,007.00 | $1,503.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $340.00 | $3,007.00 | $1,503.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $348.81 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $351.00 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $351.00 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $364.00 | $3,007.00 | $1,503.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $379.79 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $381.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $381.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $381.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $381.02 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $381.02 | $60,675.00 | $36,405.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $381.02 | — | — | 2026-01-01 | 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.