93653 — Compre Ep Eval Tx Svt
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). COMPRE EP EVAL TX SVT (HCPCS 93653) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93653?code_type=HCPCS
MLA (9th ed.)
“COMPRE EP EVAL TX SVT (HCPCS 93653) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93653?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“COMPRE EP EVAL TX SVT (HCPCS 93653) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93653?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,737–$36,396 (25th–75th percentile) across 2,352 hospitals · 6,980 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93653 — 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
$15,737
$26,631 typical
$36,396
The middle 50% of negotiated facility rates for this procedure, measured across 2,352 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. | $26,631 |
| Surgeon (professional fee) Estimate national typical Medicare $711 × 1.22 commercial. | $868 |
| Likely subtotal | $27,499 |
Surgical episode (typical)
~$27,499
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 $15,737–$36,396.
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 | — | — | — | $91,171.31 | $45,585.66 | 2024-12-15 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | United Healthcare | All Plans | — | $39,067.82 | $35,161.04 | 2026-07-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $91,171.31 | $45,585.66 | 2024-12-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | $51,810.00 | $38,857.50 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | $74,419.00 | $55,814.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | $92,968.00 | $69,726.00 | 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 | $47,882.00 | $35,911.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $47,882.00 | $35,911.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $47,882.00 | $35,911.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $74,419.00 | $55,814.25 | 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 | $38,632.00 | — | 2026-07-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $111,969.00 | $83,976.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $51,810.00 | $38,857.50 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $168,429.00 | $109,478.85 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $51,810.00 | $38,857.50 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $111,969.00 | $83,976.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | $111,410.00 | $83,557.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE - MEDICAID | $1.00 | $71,306.00 | $53,479.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $51,810.00 | $38,857.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $92,968.00 | $69,726.00 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $111,410.00 | $83,557.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | $47,882.00 | $35,911.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $51,810.00 | $38,857.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $51,810.00 | $38,857.50 | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $71,306.00 | $53,479.50 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $111,410.00 | $83,557.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICAID | $1.00 | $71,306.00 | $53,479.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 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 ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | $109,718.00 | $82,288.50 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $74,419.00 | $55,814.25 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $51,810.00 | $38,857.50 | 2026-05-20 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $76,561.00 | $57,420.75 | 2026-06-05 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $92,968.00 | $69,726.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $51,810.00 | $38,857.50 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $111,410.00 | $83,557.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | $71,306.00 | $53,479.50 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $92,968.00 | $69,726.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $51,810.00 | $38,857.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $92,968.00 | $69,726.00 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $111,969.00 | $83,976.75 | 2026-09-01 | 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 | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $92,968.00 | $69,726.00 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $111,969.00 | $83,976.75 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $168,429.00 | $109,478.85 | 2025-11-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $111,410.00 | $83,557.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $47,882.00 | $35,911.50 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | $47,882.00 | $35,911.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $51,810.00 | $38,857.50 | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $92,968.00 | $69,726.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $51,810.00 | $38,857.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $92,968.00 | $69,726.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $92,968.00 | $69,726.00 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | $74,419.00 | $55,814.25 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | $71,306.00 | $53,479.50 | 2026-09-01 | 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 | $76,561.00 | $57,420.75 | 2026-06-05 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $92,968.00 | $69,726.00 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $51,810.00 | $38,857.50 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | $74,419.00 | $55,814.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $92,968.00 | $69,726.00 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $35,965.00 | $29,491.30 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | $71,306.00 | $53,479.50 | 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 ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | $74,419.00 | $55,814.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $92,968.00 | $69,726.00 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | $47,882.00 | $35,911.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | $74,419.00 | $55,814.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | $111,410.00 | $83,557.50 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $1.32 | $179,370.00 | $125,559.00 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $1.32 | $179,370.00 | $125,559.00 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $1.32 | $179,370.00 | $125,559.00 | 2026-09-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS PPO | 1145_SJPK BLUE CROSS BLUE SHIELD PPO 20220401 | $4.79 | $26,946.00 | $15,089.76 | 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 | $26,946.00 | $15,089.76 | 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 | $26,946.00 | $15,089.76 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS TRADITIONAL | 1147_SJPK BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $4.79 | $26,946.00 | $15,089.76 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CARE NETWORK | 1143_SJPK BLUE CROSS BLUE SHIELD BCN 20220401 | $4.79 | $26,946.00 | $15,089.76 | 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 | $26,946.00 | $15,089.76 | 2026-01-01 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $5.40 | $45,000.00 | $14,850.00 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $5.40 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $5.40 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $5.40 | $45,000.00 | $14,850.00 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Sentara Medicaid | — | $5.45 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Sentara Medicaid | — | $5.45 | $45,000.00 | $14,850.00 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $5.51 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare | Medicaid | $5.51 | $45,000.00 | $14,850.00 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $5.56 | $45,000.00 | $14,850.00 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $5.56 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Outpatient | MEDICAID [4000] | MHS HB TEXAS HEALTHY WOMEN MMMC | $6.32 | $59,892.00 | $17,967.60 | 2025-12-22 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Outpatient | MEDICAID [4000] | MHS HB TEXAS HEALTHY WOMEN MCMC | $7.11 | $59,065.10 | $29,532.55 | 2025-12-22 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net - PPO | $7.86 | $67,603.00 | $50,702.25 | 2026-04-01 | 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 ↗ |
| 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 ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Cross | Blue Cross - Prudent Buyer | $13.25 | $67,603.00 | $50,702.25 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Interplan | Interplan | $13.25 | $67,603.00 | $50,702.25 | 2026-04-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Outpatient | MEDICAID [4000] | MHS HB TEXAS HEALTHY WOMEN MDMC | $14.11 | $61,949.56 | $18,584.87 | 2025-12-22 | 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 | $26,946.00 | $15,089.76 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS PPO | 1137_SJPR BLUE CROSS BLUE SHIELD PPO 20220401 | $18.70 | $26,946.00 | $15,089.76 | 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 | $26,946.00 | $15,089.76 | 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 | $26,946.00 | $15,089.76 | 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 | $26,946.00 | $15,089.76 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CARE NETWORK | 1129_SJPR BLUE CROSS BLUE SHIELD BCN 20220401 | $18.70 | $26,946.00 | $15,089.76 | 2026-01-01 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Onenet Ppo | $19.17 | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $42,498.00 | $25,498.80 | 2026-07-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $28,337.00 | $18,419.05 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $28,337.00 | $18,419.05 | 2025-01-01 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $24.44 | — | — | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $25.88 | $45,000.00 | $14,850.00 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $25.88 | $45,000.00 | $14,850.00 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna | Better Health Medicaid Plans | $25.88 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Anthem | Healthkeepers Medicaid Plans | $25.88 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Sentara Medicaid | — | $26.14 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Sentara Medicaid | — | $26.14 | $45,000.00 | $14,850.00 | 2026-09-21 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Cigna | Cigna - PPO | $26.40 | $67,603.00 | $50,702.25 | 2026-04-01 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare | Medicaid | $26.40 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare | Medicaid | $26.40 | $45,000.00 | $14,850.00 | 2026-09-21 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Cross | Blue Cross - MCS | $26.50 | $67,603.00 | $50,702.25 | 2026-04-01 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $26.66 | $45,000.00 | $14,850.00 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Molina | Medicaid | $26.66 | $45,000.00 | $14,850.00 | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Inpatient | Geisinger | All Commercial Plans | $28.35 | $2,370.00 | $1,659.00 | 2026-07-15 | 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 | $1,949.00 | $623.68 | 2026-05-18 | 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 | $67,557.00 | $50,667.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $67,557.00 | $50,667.75 | 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 ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $67,557.00 | $50,667.75 | 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 ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | CIGNA HMO | 3185_STTN CIGNA HMO 20250601 | $50.30 | $56,642.50 | $16,992.75 | 2026-01-01 | MRF ↗ |
| Ascension Saint Thomas Hickman Both | CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $51.20 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Saint Thomas Hickman Both | CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $51.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Both | CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $51.20 | — | — | 2026-01-01 | MRF ↗ |
| DEKALB COMMUNITY HOSPITAL Both | CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $51.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $51.20 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $51.20 | $56,642.50 | $16,992.75 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RIVER PARK HOSPITAL Both | CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $51.20 | — | — | 2026-01-01 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $35,890.00 | $35,890.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $35,890.00 | $35,890.00 | 2026-07-15 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | PROVIDENCE PPO - ALL PLANS | PROVIDENCE PPO - ALL PLANS | $58.00 | $2,589.00 | $1,242.72 | 2026-05-13 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $62.58 | $45,003.98 | $11,251.00 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $72.44 | $40,242.00 | $25,780.58 | 2024-12-31 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $2,584.10 | $1,679.67 | 2026-08-10 | MRF ↗ |
| HOLMES REGIONAL MEDICAL CENTER Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $79.33 | $45,003.98 | $11,251.00 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $65,440.00 | $11,779.20 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $85.22 | $65,440.00 | $11,779.20 | 2026-01-30 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $71,050.00 | $60,392.50 | 2025-01-01 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | UHC (OBAMACARE) | UHC (OBAMACARE) | $90.00 | $27,503.00 | $19,252.10 | 2025-12-10 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | $46,920.00 | $35,190.00 | 2025-01-31 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $94.57 | — | — | 2026-07-15 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Medicaid | Arkansas Medicaid | — | $32,776.00 | $19,665.60 | 2026-05-08 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $100.00 | $52,723.00 | $7,908.45 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN Outpatient | Cigna | Commercial|All Plans | $100.00 | $52,723.00 | $7,908.45 | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Cigna | Commercial|All Plans | $100.00 | $52,723.00 | $7,908.45 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $100.00 | $52,723.00 | $7,908.45 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN Outpatient | Cigna | Commercial|All Plans | $100.00 | $52,723.00 | $7,908.45 | 2026-02-28 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | UNITED PROP CASUALTY-ALL PLANS | UNITED PROP CASUALTY-ALL PLANS | $102.00 | $27,503.00 | $19,252.10 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | UHC/NHP COMM | UHC/NHP COMM | $102.00 | $27,503.00 | $19,252.10 | 2025-12-10 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $103.52 | — | — | 2026-07-15 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | $40,242.00 | $24,532.30 | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $104.00 | $40,242.00 | $24,532.30 | 2025-12-31 | 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.