93650 — Icar Cath Abltj Av Node Func
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ICAR CATH ABLTJ AV NODE FUNC (CPT 93650) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93650?code_type=CPT
MLA (9th ed.)
“ICAR CATH ABLTJ AV NODE FUNC (CPT 93650) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93650?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ICAR CATH ABLTJ AV NODE FUNC (CPT 93650) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93650?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,855–$14,022 (25th–75th percentile) across 2,320 hospitals · 6,986 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93650 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$6,855
$9,641 typical
$14,022
The middle 50% of negotiated facility rates for this procedure, measured across 2,320 hospitals. The the surgeon's fee 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. | $9,641 |
| Surgeon (professional fee) Estimate national typical Medicare $497 × 1.22 commercial. | $606 |
| Likely subtotal | $10,248 |
Surgical episode (typical)
~$10,248
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $6,855–$14,022.
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 | — | — | — | $19,526.05 | $9,763.02 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $19,526.05 | $9,763.02 | 2024-12-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | $31,582.00 | $23,686.50 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | $29,967.00 | $22,475.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | $41,325.00 | $30,993.75 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $35,956.00 | $26,967.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $35,956.00 | $26,967.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $35,956.00 | $26,967.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $29,967.00 | $22,475.25 | 2026-09-01 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | AETNA | AETNA HMO/PPO/POS | $0.50 | — | — | 2026-04-14 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $12,611.00 | — | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $31,582.00 | $23,686.50 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $37,999.50 | $24,699.67 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $9,242.00 | $6,931.50 | 2026-06-05 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $31,582.00 | $23,686.50 | 2026-05-20 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $9,242.00 | $6,931.50 | 2026-06-05 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $41,325.00 | $30,993.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $41,325.00 | $30,993.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $41,325.00 | $30,993.75 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $55,064.00 | $41,298.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $54,790.00 | $41,092.50 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | $20,073.00 | $15,054.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $41,325.00 | $30,993.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $31,582.00 | $23,686.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $41,325.00 | $30,993.75 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $54,790.00 | $41,092.50 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $31,582.00 | $23,686.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $41,325.00 | $30,993.75 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICAID | $1.00 | $20,073.00 | $15,054.75 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | $39,969.00 | $29,976.75 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE - MEDICAID | $1.00 | $20,073.00 | $15,054.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | $35,956.00 | $26,967.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $31,582.00 | $23,686.50 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $54,790.00 | $41,092.50 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $54,790.00 | $41,092.50 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $41,325.00 | $30,993.75 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | $29,967.00 | $22,475.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | $35,956.00 | $26,967.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | $29,967.00 | $22,475.25 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | $20,073.00 | $15,054.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $41,325.00 | $30,993.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $31,582.00 | $23,686.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $31,582.00 | $23,686.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $41,325.00 | $30,993.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $31,582.00 | $23,686.50 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $35,956.00 | $26,967.00 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $37,999.50 | $24,699.67 | 2025-11-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $55,064.00 | $41,298.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | $35,956.00 | $26,967.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $31,582.00 | $23,686.50 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | $54,790.00 | $41,092.50 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | $29,967.00 | $22,475.25 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $31,582.00 | $23,686.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $31,582.00 | $23,686.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $41,325.00 | $30,993.75 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $20,073.00 | $15,054.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $55,064.00 | $41,298.00 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | $20,073.00 | $15,054.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $55,064.00 | $41,298.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $41,325.00 | $30,993.75 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $29,967.00 | $22,475.25 | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Cigna | Commercial | $1.22 | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | United Healthcare | Commercial | $1.22 | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Aetna | Commercial | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Dual Medicare-Medicaid | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Medicare Select | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Medicare Advantage | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Behavioral Health | Commercial | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $1.29 | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Healthy Indiana Plan (HIP) | Managed Medicaid | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $1.29 | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Commercial | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Cigna | Commercial | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CommuniCare Advantage | Medicare Advantage | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) | Medicare Advantage | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | VACCN | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) | Commercial Exchange | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | MDwise Health Indiana Plan (HIP) | Managed Medicaid | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Medicare Advantage | — | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | $54,790.00 | $41,092.50 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | $29,967.00 | $22,475.25 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $1.32 | $36,802.00 | $25,761.40 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $1.32 | $36,802.00 | $25,761.40 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $1.32 | $36,802.00 | $25,761.40 | 2026-09-01 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $1.34 | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $1.34 | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Medicare Select | $1.38 | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | PPOM | Commercial | $2.63 | $3.00 | $0.42 | 2025-04-24 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS TRADITIONAL | 1147_SJPK BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $4.79 | $10,092.00 | $5,651.52 | 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 | $4.79 | $10,092.00 | $5,651.52 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CARE NETWORK | 1143_SJPK BLUE CROSS BLUE SHIELD BCN 20220401 | $4.79 | $10,092.00 | $5,651.52 | 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 | $4.79 | $10,092.00 | $5,651.52 | 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 | $4.79 | $10,092.00 | $5,651.52 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS PPO | 1145_SJPK BLUE CROSS BLUE SHIELD PPO 20220401 | $4.79 | $10,092.00 | $5,651.52 | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | PPO | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $12.23 | $15,990.00 | $5,276.70 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $12.23 | $15,990.00 | $5,276.70 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $12.23 | $15,990.00 | $5,276.70 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $12.23 | $15,990.00 | $5,276.70 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Sentara Medicaid | — | $12.35 | $15,990.00 | $5,276.70 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Sentara Medicaid | — | $12.35 | $15,990.00 | $5,276.70 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $12.47 | $15,990.00 | $5,276.70 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare | Medicaid | $12.47 | $15,990.00 | $5,276.70 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $12.60 | $15,990.00 | $5,276.70 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $12.60 | $15,990.00 | $5,276.70 | 2026-09-21 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $15.49 | $7,991.00 | $2,956.67 | 2026-03-31 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA MEDICARE | $16.49 | $479.00 | $479.00 | 2026-03-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $17.28 | — | — | 2026-07-15 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS PPO | 1137_SJPR BLUE CROSS BLUE SHIELD PPO 20220401 | $18.70 | $10,092.00 | $5,651.52 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BC METRO DETROIT HMO | 1133_SJPR BLUE CROSS BLUE SHIELD METRO DETROIT HMO 20220401 | $18.70 | $10,092.00 | $5,651.52 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CARE NETWORK | 1129_SJPR BLUE CROSS BLUE SHIELD BCN 20220401 | $18.70 | $10,092.00 | $5,651.52 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BCN LOCAL NETWORK SOUTHEAST | 1131_SJPR BLUE CROSS BLUE SHIELD BCN LOCAL NETWORK SE 20220401 | $18.70 | $10,092.00 | $5,651.52 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS TRADITIONAL | 1135_SJPR BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $18.70 | $10,092.00 | $5,651.52 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BC METRO DETROIT EPO | 1127_SJPR BLUE CROSS BLUE SHIELD METRO DETROIT EPO 20220401 | $18.70 | $10,092.00 | $5,651.52 | 2026-01-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $19.75 | $79.00 | $79.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $19.75 | $79.00 | $79.00 | 2026-03-27 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $7,510.00 | $4,881.50 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $7,510.00 | $4,881.50 | 2025-01-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA MEDICARE | $21.99 | $479.00 | $479.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE ADVANTAGE TN | $21.99 | $479.00 | $479.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA MEDICARE | $21.99 | $479.00 | $479.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | MEDICARE | MEDICARE ADVANTAGE | $21.99 | $479.00 | $479.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $21.99 | $479.00 | $479.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA MEDICARE | $22.43 | $479.00 | $479.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $22.54 | $479.00 | $479.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $22.65 | $479.00 | $479.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | WELLCARE | WELLCARE MEDICARE | $24.19 | $479.00 | $479.00 | 2026-03-27 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $25.92 | $14,401.00 | $7,392.02 | 2024-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $29.27 | $1,362.00 | $435.84 | 2026-05-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| READING HOSPITAL Inpatient | Geisinger | All Commercial Plans | $31.04 | $1,695.00 | $1,186.50 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $31.95 | $14,497.00 | $14,497.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $31.95 | $15,244.00 | $15,244.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $31.95 | $15,244.00 | $15,244.00 | 2026-07-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $23,228.00 | $17,421.00 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $23,228.00 | $17,421.00 | 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 ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $35.55 | $79.00 | $79.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $35.55 | $79.00 | $79.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $37.92 | $79.00 | $79.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $37.92 | $79.00 | $79.00 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $39.50 | $79.00 | $79.00 | 2026-03-27 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $41.23 | $15,990.00 | $5,276.70 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $41.23 | $15,990.00 | $5,276.70 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Anthem | Healthkeepers Medicaid Plans | $41.23 | $15,990.00 | $5,276.70 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna | Better Health Medicaid Plans | $41.23 | $15,990.00 | $5,276.70 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Sentara Medicaid | — | $41.64 | $15,990.00 | $5,276.70 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Sentara Medicaid | — | $41.64 | $15,990.00 | $5,276.70 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare | Medicaid | $42.05 | $15,990.00 | $5,276.70 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare | Medicaid | $42.05 | $15,990.00 | $5,276.70 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Molina | Medicaid | $42.47 | $15,990.00 | $5,276.70 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $42.47 | $15,990.00 | $5,276.70 | 2026-09-21 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | POS | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $23,228.00 | $17,421.00 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $51.35 | $79.00 | $79.00 | 2026-03-27 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $8,872.00 | $8,872.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $8,872.00 | $8,872.00 | 2026-07-19 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Prime Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $57.58 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $57.58 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $57.58 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | First Health Network | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $57.58 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Pacific Source | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Interwest Health | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Coventry | All | — | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $57.58 | — | — | 2026-03-28 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $62.58 | $24,972.28 | $6,243.07 | 2026-07-15 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | AETNA HMO/PPO - ALL PLANS | AETNA HMO/PPO - ALL PLANS | $63.50 | $1,445.00 | $867.00 | 2026-01-09 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | HUMANA/CHOICECARE COMM-ALL OTHER PLANS | HUMANA/CHOICECARE COMM-ALL OTHER PLANS | $70.00 | $1,445.00 | $867.00 | 2026-01-09 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $1,755.60 | $1,141.14 | 2026-08-10 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $79.00 | $79.00 | $79.00 | 2026-03-27 | 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.