93597 — R&l Hrt Cath Chd Abnl Nt Cnj
Cite this view
HANK Price Transparency. (n.d.). R&L HRT CATH CHD ABNL NT CNJ (CPT 93597) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93597?code_type=CPT
“R&L HRT CATH CHD ABNL NT CNJ (CPT 93597) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93597?code_type=CPT. Accessed .
“R&L HRT CATH CHD ABNL NT CNJ (CPT 93597) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93597?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,204–$8,966 (25th–75th percentile) across 1,527 hospitals · 3,768 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93597 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 | — | — | $20,154.86 | $10,077.43 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $20,154.86 | $10,077.43 | 2024-12-15 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | $7,934.00 | $4,522.38 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | $7,934.00 | $4,522.38 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA HMO POS | 1127_HUMANA 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA HMO POS | 1127_HUMANA 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA HMO POS | 1127_HUMANA 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | AETNA | AETNA HMO/PPO/POS | $0.50 | — | — | 2026-04-14 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $36,962.10 | $24,025.37 | 2025-11-26 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $9,819.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $9,819.00 | $3,248.15 | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $9,819.00 | $3,248.15 | 2024-12-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $36,962.10 | $24,025.37 | 2025-11-26 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $9,819.00 | $3,549.38 | 2024-12-31 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | VETERANS [99909] | UVA HB VETERANS CHOICE | $11.37 | $45,540.83 | $27,324.50 | 2026-03-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $13.46 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $14.10 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State Oncology | Medicaid HMO | $14.55 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Medicaid HMO | $14.55 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare Oncology | Healthy Kids | $14.55 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Healthy Kids | $14.97 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina Oncology | Medicaid HMO | $14.97 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan Oncology | Medicaid HMO | $15.24 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oncology | Medicaid HMO | $15.24 | — | — | 2025-08-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $17.67 | $9,819.00 | $3,248.15 | 2024-12-31 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care Oncology | Medicaid HMO | $18.29 | — | — | 2025-08-01 | 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 | 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 ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $49.81 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $49.81 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $49.81 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $49.81 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $49.81 | — | — | 2026-03-28 | 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 ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | None | — | — | $66.91 | $65.57 | 2025-11-05 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $66.93 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $66.93 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $66.93 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $76.70 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $76.70 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $76.70 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $83.51 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $83.51 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $83.51 | — | — | 2026-03-18 | MRF ↗ |
| ST LUKE'S HOSPITAL Outpatient | BCBS RHODE ISLAND [1010501] | BCBS RHODE ISLAND HMO [101050101] | $86.36 | $10,335.00 | $5,167.50 | 2025-12-15 | MRF ↗ |
| Charlton Memorial Hospital Outpatient | BCBS RHODE ISLAND [1010501] | BCBS RHODE ISLAND HMO [101050101] | $86.36 | $10,335.00 | $5,167.50 | 2025-12-15 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|HMO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|HMO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|PPO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|PPO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|HMO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | Cigna | Commercial|PPO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | Cigna | Commercial|HMO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | Cigna | Commercial|Surefit | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | Cigna | Commercial|PPO | $100.00 | $13,281.00 | $4,648.35 | 2026-02-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $36,962.10 | $24,025.37 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $36,962.10 | $24,025.37 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $36,962.10 | $24,025.37 | 2025-11-26 | MRF ↗ |
| 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 ↗ |
| UM Capital Region Medical Center Both | None | — | — | $140.22 | $137.42 | 2025-11-05 | 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 ↗ |
| Driscoll Children's Hospital Transplant Center Both | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $22,055.00 | $4,411.00 | 2026-03-31 | MRF ↗ |
| DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY Outpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $25,362.70 | $5,072.54 | 2025-10-06 | MRF ↗ |
| DRISCOLL CHILDRENS HOSPITAL Outpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $22,055.00 | $4,411.00 | 2025-10-06 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $14,885.00 | $9,675.25 | 2026-03-30 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $181.58 | — | — | 2026-03-18 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | — | $9,819.00 | $3,202.36 | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $207.47 | $9,819.00 | $3,202.36 | 2024-12-31 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Independence Blue Cross | HMO_PPO | $211.00 | $9,773.00 | $5,541.29 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Independence Blue Cross | Traditional | $211.00 | $9,773.00 | $6,381.77 | 2025-01-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTH CARE AH | $270.88 | $1,385.00 | $1,246.50 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $270.88 | $1,385.00 | $1,246.50 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $270.88 | $1,385.00 | $1,246.50 | 2024-07-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Aetna Better Health Ky | Managed Care Medicaid Plan | $271.10 | $14,251.00 | $7,268.01 | 2026-05-09 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $272.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $272.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $272.20 | — | — | 2026-03-18 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $272.67 | $757.43 | $477.18 | 2026-01-27 | 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 ↗ |
| CAREWELL HEALTH MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health | Managed Medicaid | $276.97 | — | — | 2025-06-17 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Passport Ky | Managed Care Medicaid Plan | $281.94 | $14,251.00 | $7,268.01 | 2026-05-09 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $284.32 | $3,540.00 | $2,315.16 | 2026-04-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Ky | Managed Care Medicaid Plan | $284.65 | $14,251.00 | $7,268.01 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Wellcare Ky | Managed Care Medicaid Plan | $284.65 | $14,251.00 | $7,268.01 | 2026-05-09 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH BLIND_DISABLED | $285.02 | $1,385.00 | $1,246.50 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $285.02 | $1,385.00 | $1,246.50 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH | $285.02 | $1,385.00 | $1,246.50 | 2024-07-01 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $285.24 | $14,807.60 | $2,893.00 | 2026-03-17 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | TRADITIONAL MEDICAID | ALABAMA MEDICAID | $285.24 | — | — | 2026-03-26 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $285.24 | $14,807.60 | $3,569.00 | 2024-12-19 | MRF ↗ |
| FAYETTE MEDICAL CENTER OutpatientFacility | TRADITIONAL MEDICAID | ALABAMA MEDICAID | $285.24 | — | — | 2026-03-26 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid | $285.24 | $14,807.60 | $3,569.00 | 2024-12-19 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid | $285.24 | $14,807.60 | $3,569.00 | 2024-12-19 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $285.24 | $14,807.60 | $3,569.00 | 2024-12-19 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Ky | Managed Care Medicaid Plan | $286.00 | $14,251.00 | $7,268.01 | 2026-05-09 | MRF ↗ |
| WAMEGO HEALTH CENTER Outpatient | KANCARE UHC | 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701 | $289.67 | — | — | 2026-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Medicare | $291.40 | $1,440.00 | $417.60 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | $291.40 | $1,440.00 | $417.60 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Humana | Humana Military East | $291.40 | $1,440.00 | $417.60 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Humana | Humana Military East | $291.40 | $1,440.00 | $417.60 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Humana | Humana Military East | $291.40 | $1,440.00 | $417.60 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | $291.40 | $1,440.00 | $417.60 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Medicare | $291.40 | $1,440.00 | $777.60 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Humana | Humana Military East | $291.40 | $1,440.00 | $777.60 | 2025-10-01 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Health Net | Health Net | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Tricare | Tricare | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Interplan | Interplan | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Humana | Humana | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Humana | Humana | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Health Net | Health Net | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Interplan | Interplan | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Medicare Advantage | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Employee Health Plan | Employee Health Plan | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Commercial | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Medicare | Medicare Managed 100% | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Commercial | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Employee Health Plan | Employee Health Plan | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Uhc All Payer | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Uhc All Payer | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Hmo | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Medicare | Medicare Managed 100% | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield | Medicare Managed 100% | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Medicare Managed 100% | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Aetna | Aetna | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Aetna | Aetna | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Medicare Advantage | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Tricare | Tricare | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Medicare Managed 100% | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Uhc Select Core | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Uhc All Payer | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Uhc Select Core | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Medicare Managed 100% | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Uhc Select Core | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Hmo | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield | Medicare Managed 100% | — | $839.86 | $839.86 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Interplan | Interplan | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Humana | Humana | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Employee Health Plan | Employee Health Plan | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Tricare | Tricare | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Interplan | Interplan | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Employee Health Plan | Employee Health Plan | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Aetna | Aetna | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Health Net | Health Net | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Humana | Humana | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Tricare | Tricare | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Health Net | Health Net | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Medicare Advantage | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | First Health | First Health | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Commercial | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Commercial | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Medicare Advantage | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Uhc All Payer | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Uhc | Medicare Managed 100% | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Aetna | Aetna | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Hmo | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield | Medicare Managed 100% | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Wellcare | Medicare Managed 100% | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Wellcare | Medicare Managed 100% | — | $839.86 | $839.86 | 2026-05-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Medicare | Medicare Managed 100% | — | $839.86 | $839.86 | 2026-05-18 | 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.