93583 — Perq Transcath Septal Reduxn
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PERQ TRANSCATH SEPTAL REDUXN (HCPCS 93583) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93583?code_type=HCPCS
MLA (9th ed.)
“PERQ TRANSCATH SEPTAL REDUXN (HCPCS 93583) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93583?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PERQ TRANSCATH SEPTAL REDUXN (HCPCS 93583) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93583?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,963–$14,482 (25th–75th percentile) across 1,399 hospitals · 2,353 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93583 — 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
$1,963
$7,081 typical
$14,482
The middle 50% of negotiated facility rates for this procedure, measured across 1,399 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. | $7,081 |
| Physician fee Estimate national typical Medicare $641 × 1.22 commercial. | $782 |
| Likely subtotal | $7,863 |
Complete-episode estimate (typical)
~$7,863
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 | — | — | $26,858.83 | $13,429.42 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $26,858.83 | $13,429.42 | 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 | Epic Americas | AXA Assistance | $0.52 | $17,823.00 | $13,367.25 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $134,163.35 | $87,206.18 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $134,163.35 | $87,206.18 | 2025-11-26 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Indian Health Council | Indian Health Council | $9.58 | $17,823.00 | $13,367.25 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Community Health Group | Community Health Group - Medi-Cal | $9.58 | $17,823.00 | $13,367.25 | 2026-04-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $16.97 | $9,430.00 | — | 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 | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $39.77 | $3,608.00 | $769.58 | 2026-03-04 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | DHR | Medicaid|> 21 | $48.25 | $193.00 | $93.61 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | DHR | Medicaid|< 21 | $48.25 | $193.00 | $93.61 | 2026-02-28 | MRF ↗ |
| HILTON HEAD REGIONAL 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $63.08 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $63.08 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $63.08 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $63.08 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $63.08 | — | — | 2026-03-28 | MRF ↗ |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS Inpatient | United | Commercial|DH Employees | $68.10 | $227.00 | $46.54 | 2026-02-28 | MRF ↗ |
| Centra Specialty Hospital BothFacility | None | — | — | $11,401.00 | $3,762.33 | 2026-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $9,926.00 | $8,437.10 | 2025-01-01 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | $16,474.00 | $12,355.50 | 2025-01-31 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | BCBS Pathway/HMO | HMO | $100.00 | $2,038.30 | — | 2026-03-24 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | BCBS Pathway/HMO | HMO | $100.00 | $2,038.30 | — | 2026-05-14 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $102.87 | $762.00 | $571.50 | 2026-01-16 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $103.30 | — | — | 2026-04-14 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Local Individual | $106.40 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | Empire | Medicare Advantage | $107.00 | $9,926.00 | $8,437.10 | 2025-01-01 | MRF ↗ |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS Inpatient | Coventry | Commercial|All Plans | $113.50 | $227.00 | $46.54 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | Healthcare Partners | Medicare|All Plans | $115.80 | $193.00 | $93.61 | 2026-02-28 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Aetna | CHIP/Medicaid | $117.00 | $650.00 | $390.00 | 2026-03-06 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | HPN | Commercial|All Plans | $119.66 | $193.00 | $93.61 | 2026-02-28 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | $119.86 | $17,823.00 | $13,367.25 | 2026-04-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | MedCost | Employee Managed Care | $125.93 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | Healthcare Partners | Commercial|All Plans | $129.31 | $193.00 | $93.61 | 2026-02-28 | 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 ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $129.86 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $129.86 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $129.86 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $129.86 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $129.86 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $129.86 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $129.86 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $129.86 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $129.86 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $129.86 | — | — | 2026-04-14 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Inpatient | First Health | Commercial|All Plans | $133.17 | $193.00 | $93.61 | 2026-02-28 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Inpatient | Kaiser | Commercial|All Plans | $135.10 | $193.00 | $93.61 | 2026-02-28 | 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 ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Geisinger | Geisinger Medicaid HC | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Geisinger | Geisinger CHIP | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Geisinger | Geisinger Medicaid HC | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | United Healthcare | United Healthcare Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | United Healthcare | United Healthcare Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Geisinger | Geisinger CHIP | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | United Healthcare | United Healthcare Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | United Healthcare | United Healthcare Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | United Healthcare | United Healthcare Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | United Healthcare | United Healthcare Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | United Healthcare | United Healthcare Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas HC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | United Healthcare | United Healthcare Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Geisinger | Geisinger CHIP | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas CHC Medicaid | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Geisinger | Geisinger Medicaid HC | $142.65 | — | — | 2026-04-14 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Partners | Medicaid Tailored Plan | $143.74 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Amerihealth | Medicaid Managed Care | $143.74 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Health Blue | Medicaid Managed Care | $143.74 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Carolina Complete | Medicaid Managed Care | $143.74 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | Blue Shield CA | Medicare|Promise | $144.75 | $193.00 | $93.61 | 2026-02-28 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Vaya | Medicaid Tailored Plan | $145.20 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | HPN | $145.52 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Wellcare | Medicaid Managed Care | $145.58 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | United Healthcare | Medicaid Managed Care | $145.58 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Alliance | Medicaid Tailored Plan | $146.60 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Trillium | Medicaid Tailored Plan | $148.06 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Inpatient | Healthsmart | Commercial|All Plans | $148.61 | $193.00 | $93.61 | 2026-02-28 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Aetna | IVL Exchange | $150.73 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Inpatient | MultiPlan | Commercial|All Plans | $152.47 | $193.00 | $93.61 | 2026-02-28 | MRF ↗ |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS Inpatient | MultiPlan | Commercial|All Plans | $156.63 | $227.00 | $46.54 | 2026-02-28 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | BSNENY | Medicare Advantage | $157.00 | $9,926.00 | $8,437.10 | 2025-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $157.24 | $28,264.00 | $16,958.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $157.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $157.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $157.24 | $28,264.00 | $16,958.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $157.24 | $28,264.00 | $16,958.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $157.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $157.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $157.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $157.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $157.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $157.24 | — | — | 2026-01-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $157.41 | $2,034.00 | $488.16 | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $157.41 | $2,034.00 | $488.16 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare Medicaid | $157.41 | $2,034.00 | $447.48 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare CHIP | $157.41 | $2,034.00 | $447.48 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare CHIP | $157.41 | $2,034.00 | $447.48 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare Medicaid | $157.41 | $2,034.00 | $447.48 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $157.41 | $2,034.00 | $447.48 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | United Healthcare | United Healthcare CHIP | $157.41 | $2,034.00 | $467.82 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $157.41 | $2,034.00 | $447.48 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $157.41 | $2,034.00 | $549.18 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $157.41 | $2,034.00 | $528.84 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | United Healthcare | United Healthcare Medicaid | $157.41 | $2,034.00 | $467.82 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $157.41 | $2,034.00 | $528.84 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $157.41 | $2,034.00 | $467.82 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $157.41 | $2,034.00 | $366.12 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $157.41 | $2,034.00 | $467.82 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $157.41 | $2,034.00 | $366.12 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $157.41 | $2,034.00 | $549.18 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | United Healthcare | United Healthcare Medicaid | $157.41 | $2,034.00 | $386.46 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | United Healthcare | United Healthcare CHIP | $157.41 | $2,034.00 | $386.46 | 2026-04-14 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $158.12 | $762.00 | $571.50 | 2026-01-16 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $10,473.00 | $8,378.40 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $10,473.00 | $8,378.40 | 2025-11-21 | MRF ↗ |
| ARKANSAS HEART HOSPITAL-ENCORE OutpatientFacility | United Healthcare | All Commercial Products | $159.00 | $10,473.00 | $8,378.40 | 2025-11-21 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC NEXUS | UHC NEXUS | $160.00 | $9,401.00 | $4,700.50 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | UHC EXCHANGE | UHC EXCHANGE | $162.00 | $9,401.00 | $4,700.50 | 2026-01-17 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Aetna | Medicare | $162.50 | $650.00 | $390.00 | 2026-03-06 | MRF ↗ |
| SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS Inpatient | United | Commercial|Options | $163.44 | $227.00 | $46.54 | 2026-02-28 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Value | $164.09 | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $165.00 | $1,634.00 | $817.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $168.00 | $1,634.00 | $817.00 | 2025-02-03 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare | Managed Care | — | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare | IEX Individual Managed Care | — | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare | Medicaid Managed Care | — | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna | Managed Care (Adult) | — | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | HealthTeam | Medicare Advantage | — | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Alignment Medicare | Medicare Advantage | — | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Vaya | Medicaid Tailored Plan | — | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | United Healthcare/Optum Behavioral Health | Behavioral Health | — | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Cigna LifeSource | Transplant Services | — | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Humana | Transplant Services | — | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Amerihealth | Medicaid Managed Care | — | $636.00 | $318.00 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $636.00 | $318.00 | 2025-10-08 | 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.