93652 — Pr Ablate Dysrhythm Focus Rx Vtack
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR ABLATE DYSRHYTHM FOCUS RX VTACK (HCPCS 93652) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93652?code_type=HCPCS
MLA (9th ed.)
“PR ABLATE DYSRHYTHM FOCUS RX VTACK (HCPCS 93652) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93652?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PR ABLATE DYSRHYTHM FOCUS RX VTACK (HCPCS 93652) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93652?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,967–$11,315 (25th–75th percentile) across 228 hospitals · 103 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93652 — 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 |
|---|---|---|---|---|---|---|---|
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| CENTINELA HOSPITAL MEDICAL CENTER Outpatient | IN CUSTODY | In Custody | $200.00 | $18,848.30 | — | 2024-12-19 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $250.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | UPMC Health Plan | Managed Medicare | $430.71 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Health Plan of Upper Ohio Valley | Commercial | — | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $461.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $461.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $461.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $461.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $506.72 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Medicare | $506.72 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $506.72 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna | Advantra Washington Prime | $506.72 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | EPN | $523.33 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | COMM | $523.33 | — | — | 2024-10-01 | MRF ↗ |
| UPMC GREENE InpatientFacility | United Healthcare | Commercial | $532.06 | $1,266.80 | $506.72 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $537.12 | $1,342.80 | $939.96 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $537.12 | $1,342.80 | $939.96 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $544.72 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $544.72 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | United Healthcare | Commercial | $570.06 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $577.40 | $1,342.80 | $939.96 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | United Healthcare | Commercial | $604.26 | $1,342.80 | $939.96 | 2026-03-06 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $623.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $633.40 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| ALEXIAN BROTHERS MEDICAL CENTER 1 Both | CIGNA C5 | 1298_CIGNA C5 (AB,SA) 20230201 | $652.74 | — | — | 2026-01-01 | MRF ↗ |
| ALEXIAN BROTHERS MEDICAL CENTER 1 Both | CIGNA LOCAL PLUS | 1714_CIGNA LOCAL PLUS (AB,SA) 20240101 | $652.74 | — | — | 2026-01-01 | MRF ↗ |
| ALEXIAN BROTHERS MEDICAL CENTER 1 Both | CIGNA | 1614_CIGNA (AB,SA) 20231001 | $652.74 | — | — | 2026-01-01 | MRF ↗ |
| ALEXIAN BROTHERS BEHAVIORAL HLTH HOSP Both | CIGNA C5 | 1298_CIGNA C5 (AB,SA) 20230201 | $652.74 | — | — | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Both | CIGNA LOCAL PLUS | 1714_CIGNA LOCAL PLUS (AB,SA) 20240101 | $652.74 | — | — | 2026-01-01 | MRF ↗ |
| ALEXIAN BROTHERS BEHAVIORAL HLTH HOSP Both | CIGNA LOCAL PLUS | 1714_CIGNA LOCAL PLUS (AB,SA) 20240101 | $652.74 | — | — | 2026-01-01 | MRF ↗ |
| ALEXIAN BROTHERS BEHAVIORAL HLTH HOSP Both | CIGNA | 1614_CIGNA (AB,SA) 20231001 | $652.74 | — | — | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Both | CIGNA C5 | 1298_CIGNA C5 (AB,SA) 20230201 | $652.74 | — | — | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Both | CIGNA | 1614_CIGNA (AB,SA) 20231001 | $652.74 | — | — | 2026-01-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $669.13 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $669.13 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $669.13 | — | — | 2026-04-01 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $675.84 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $675.84 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $696.74 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Commercial | $696.74 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Commercial | $696.74 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $696.74 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $713.25 | — | — | 2026-04-01 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $716.38 | $1,342.80 | $939.96 | 2026-03-06 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $716.92 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $724.28 | — | — | 2026-04-01 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Commercial | $738.54 | $1,342.80 | $939.96 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $738.54 | $1,342.80 | $939.96 | 2026-03-06 | MRF ↗ |
| MOUNTAINS COMMUNITY HOSPITAL OutpatientFacility | BLUE SHIELD | COVERED CALIFORNIA | $746.48 | — | — | 2026-01-14 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Senior Life | All | $760.08 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Cigna | Commercial | $760.08 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $789.75 | — | — | 2026-04-01 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $791.54 | — | — | 2026-01-25 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $801.49 | — | — | 2026-04-01 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Senior Life | All | $805.68 | $1,342.80 | $939.96 | 2026-03-06 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Ppo/Epo | $808.84 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Hmo | $808.84 | — | — | 2026-04-01 | MRF ↗ |
| MOUNTAINS COMMUNITY HOSPITAL OutpatientFacility | BLUE SHIELD | HMO/POS/PPO | $828.34 | — | — | 2026-01-14 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $838.25 | — | — | 2026-04-01 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Coventry/First Health | Commercial | $912.10 | $1,266.80 | $380.04 | 2025-08-06 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $950.75 | — | — | 2026-02-12 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | IN MEDICAID MGD CARE 20140101 (ST. MARY) | 1753_IN MEDICAID MGD CARE 20140101 (ST. MARY) | $988.08 | — | — | 2026-01-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $992.67 | — | — | 2026-04-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $1,005.60 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $1,005.60 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $1,005.60 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $1,005.60 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $1,005.60 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $1,005.60 | — | — | 2026-03-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL OutpatientFacility | Blue Shield | Hmo/Ppo | $1,036.78 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Cigna | All Products | $1,046.55 | — | — | 2025-12-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2026-09-05 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Bi | $1,053.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $1,053.00 | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $1,053.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | $1,053.00 | — | — | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $1,053.00 | — | — | 2025-08-06 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $1,053.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $1,053.00 | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $1,053.00 | — | — | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $1,053.00 | — | — | 2026-04-01 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $1,053.00 | — | — | 2026-04-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,053.00 | — | — | 2025-09-05 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield IFP | EPN | $1,077.23 | — | — | 2025-06-11 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Blue Shield | EPN | $1,083.73 | — | — | 2024-10-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $1,091.93 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Hmo | $1,091.93 | — | — | 2026-04-01 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Empire Bc | Empire Bc | $1,099.15 | $2,198.30 | $1,099.15 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Self-Pay | Self-Pay | $1,099.15 | $2,198.30 | $1,099.15 | 2026-07-20 | MRF ↗ |
| Riverside Community Hospital Outpatient | Blue Shield | EPN | $1,139.37 | — | — | 2026-03-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $1,174.21 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $1,174.21 | — | — | 2026-05-06 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $1,212.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $1,212.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN BROKEN ARROW Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $1,212.43 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $1,212.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $1,212.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $1,212.43 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $1,212.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $1,212.43 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $1,212.43 | — | — | 2026-01-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $1,249.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $1,249.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Shield | HMO/PPO | $1,279.44 | — | — | 2025-06-11 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $1,294.14 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $1,294.14 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $1,294.14 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $1,294.14 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $1,294.14 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $1,294.14 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $1,294.14 | — | — | 2026-04-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Advantage | $1,307.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $1,319.88 | — | — | 2026-04-01 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,347.94 | $28,042.00 | $4,206.30 | 2025-01-17 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $1,349.29 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $1,349.29 | — | — | 2026-04-01 | MRF ↗ |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO OutpatientFacility | Humana | Commercial | $1,350.00 | — | — | 2025-12-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Essentials | $1,365.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | PPO | $1,407.06 | — | — | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | HMO | $1,407.06 | — | — | 2025-12-29 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Cigna | Medicare Advantage | $1,417.60 | — | — | 2025-10-24 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | UNITED_HEALTHCARE | UNITED HEALTHCARE | $1,418.00 | $99,999.00 | $0.01 | 2025-04-28 | MRF ↗ |
| THE HOSPITAL AT WESTLAKE MEDICAL CENTER Outpatient | UNITED_HEALTHCARE | UNITED HEALTHCARE | $1,418.00 | $99,999.00 | $0.01 | 2024-09-02 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,419.14 | — | — | 2026-04-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Commercial | $1,442.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | PPO | $1,442.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,463.26 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,463.26 | — | — | 2026-04-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Outpatient | PPOM | 934_PPOM 20191001 | $1,472.39 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $1,472.39 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | $1,472.39 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $1,472.39 | — | — | 2026-01-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $1,497.11 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $1,497.11 | — | — | 2026-05-06 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield | PPO_HMO_EPO | $1,507.70 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield | PPO_HMO_EPO | $1,507.70 | — | — | 2026-03-27 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,571.00 | $28,042.00 | $4,206.30 | 2025-01-17 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $1,573.56 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Hmo/Ppo/Epo | $1,573.56 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Ppo/Epo | $1,632.38 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Ppo/Epo | $1,632.38 | — | — | 2026-04-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Three Rivers Provider Network | Commercial | $1,634.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Cross - Asc | All Commercial Plans | $1,655.00 | — | — | 2026-04-01 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,678.00 | $28,042.00 | $4,206.30 | 2025-01-17 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Pomco | Pomco | $1,714.67 | $2,198.30 | $1,099.15 | 2026-07-20 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Health Advantage Network | Commercial | $1,730.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Commercial | $1,730.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Blue Shield | Comm | $1,741.82 | — | — | 2024-10-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Hmo | $1,750.03 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Ppo/Epo | $1,750.03 | — | — | 2026-04-01 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | United Healthcare | United Healthcare | $1,758.64 | $2,198.30 | $1,099.15 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Aetna | Aetna | $1,824.59 | $2,198.30 | $1,099.15 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Coventry | Coventry | $1,824.59 | $2,198.30 | $1,099.15 | 2026-07-20 | MRF ↗ |
| Riverside Community Hospital Outpatient | Blue Shield | COMM | $1,833.47 | — | — | 2026-03-01 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Aetna | Aetna | $1,868.56 | $2,198.30 | $1,099.15 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Rmsco | Rmsco | $1,868.56 | $2,198.30 | $1,099.15 | 2026-07-20 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | $1,910.00 | $1,922.00 | $1,922.00 | 2025-07-03 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Rmsco | Rmsco | $1,978.47 | $2,198.30 | $1,099.15 | 2026-07-20 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Non-Contracted | Non-Contracted | $1,978.47 | $2,198.30 | $1,099.15 | 2026-07-20 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Healthlink | All Commercial HMO/Open Access/PPO Plans | $2,132.00 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Healthlink | All Commercial HMO/Open Access/PPO Plans | $2,132.00 | — | — | 2026-04-28 | MRF ↗ |
| ELLIS HOSPITAL Outpatient | Tricare | Tricare | $2,198.30 | $2,198.30 | $1,099.15 | 2026-07-20 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Shield | Epn/Covered Ca Other Commercial Plan | $2,209.49 | — | — | 2026-04-01 | MRF ↗ |
| Usc Kenneth Norris Jr Cancer Hospital OutpatientFacility | Blue Shield | Epn Exchange | $2,227.98 | — | — | 2026-04-01 | MRF ↗ |
| Usc Kenneth Norris Jr Cancer Hospital OutpatientFacility | Blue Shield | Epn Exchange | $2,227.98 | — | — | 2026-04-01 | MRF ↗ |
| KECK HOSPITAL OF USC OutpatientFacility | Blue Shield | Epn Exchange | $2,227.98 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $2,262.73 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Healthlink | Employers Choice All Commercial Plans | $2,302.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Healthlink | Employers Choice All Commercial Plans | $2,302.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Healthlink | Employers Choice All Commercial Plans | $2,302.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | Healthlink | Employers Choice All Commercial Plans | $2,302.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $2,388.22 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Shield | Trio Other Commercial Plan | $2,388.22 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Shield | Tandem Ppo Other Commercial Plan | $2,464.28 | — | — | 2026-04-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS BCE | 2879_JCIL BLUE CROSS BLUE SHIELD BCE 20241001 | $2,499.75 | — | — | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS BCS | 2832_JCIL BLUE CROSS BLUE SHIELD BCS 20241001 | $2,499.75 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $2,503.45 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $2,503.45 | — | — | 2025-06-28 | 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.