Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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93886 — Intracranial Complete Study

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $443

Usually $249–$878 (25th–75th percentile) across 2,325 hospitals · 6,630 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93886 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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 radiologist-read fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$249 $443 typical $878

The middle 50% of negotiated facility rates for this procedure, measured across 2,325 hospitals. The radiologist-read fees are modeled estimates added on top.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $443
Radiologist read Estimate national typical Medicare $45 × 1.8 commercial. $82
Likely subtotal $525
Complete-episode estimate (typical) ~$525

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 $249–$878.

How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Radiologist read (estimate)
rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban Institute — commercial-to-Medicare physician price ratios by specialty (Berenson/Ginsburg et al.); radiology ~1.8x. National, approximate; within-specialty/metro variation is a known limitation.

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 — — — $840.21 $420.10 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient — — — $840.21 $420.10 2024-12-15 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 $2,769.00 $2,076.75 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 $2,769.00 $2,076.75 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 $2,769.00 $2,076.75 2026-09-01 MRF ↗
GOOD SAMARITAN 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 $2,375.00 $1,781.25 2026-09-01 MRF ↗
James Cancer Hospital & Solove Research Institute Outpatient Cigna Cigna - Transplant $0.62 $1,283.00 — 2026-07-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility HUMANA HUMANA MEDICARE- MIDTOWN IMAGING $0.72 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility HUMANA HUMANA- MIDTOWN IMAGING $0.82 — — 2026-09-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Medicaid Medicaid $1.00 $835.00 $417.50 2026-07-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 — — 2026-05-20 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. HMO — $1,647.00 $1,350.54 2025-11-26 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $1,659.00 $1,244.25 2026-09-02 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare HMO — $1,647.00 $1,350.54 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare POS — $1,647.00 $1,350.54 2025-11-26 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 — — 2026-05-20 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage — $1,647.00 $1,350.54 2025-11-26 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $1,264.00 $948.00 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage — $1,647.00 $1,350.54 2025-11-26 MRF ↗
Harper University Hospital BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $1,659.00 $1,244.25 2026-09-02 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage — $1,647.00 $1,350.54 2025-11-26 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $1,659.00 $1,244.25 2026-09-02 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $1,659.00 $1,244.25 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-05-20 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $1,264.00 $948.00 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $1,659.00 $1,244.25 2026-09-02 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage — $4,663.64 $3,031.37 2025-11-26 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-05-20 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage — $1,647.00 $1,350.54 2025-11-26 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $2,769.00 $2,076.75 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $1,436.00 $1,077.00 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $1,436.00 $1,077.00 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-05-20 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage — $1,647.00 $1,350.54 2025-11-26 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $1,659.00 $1,244.25 2026-09-02 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California HMO — $1,647.00 $1,350.54 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California Covered — $1,647.00 $1,350.54 2025-11-26 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-05-20 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage — $6,062.74 $3,940.78 2025-11-26 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Geisinger Family Plan Geisinger Family Plan - Managed Medicaid $1.07 $835.00 $417.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient AmeriHealth AmeriHealth Cartias - Managed Medicaid $1.10 $835.00 $417.50 2026-07-01 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.12 $304.00 $288.80 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.12 $304.00 $288.80 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.12 $304.00 $288.80 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.16 $304.00 $288.80 2026-02-20 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient UPMC For You UPMC For You - Managed Medicaid $1.18 $835.00 $417.50 2026-07-01 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.19 $304.00 $288.80 2026-02-20 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Jefferson Health Plan Jefferson Health Plan - Managed Medicaid $1.20 $835.00 $417.50 2026-07-01 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.22 $304.00 $288.80 2026-02-20 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - Managed Medicaid $1.47 $835.00 $417.50 2026-07-01 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility Aetna High Performance $1.71 $2,460.00 — 2025-08-06 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.71 $349.00 $331.55 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.71 $349.00 $331.55 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.75 $349.00 $331.55 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.81 $349.00 $331.55 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.88 $349.00 $331.55 2026-02-20 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility Aetna All Products $1.90 $2,460.00 — 2025-08-06 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $2.39 $1,328.00 $256.39 2024-12-31 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - CHIP - Managed Medicare $2.50 $835.00 $417.50 2026-07-01 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $3.85 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $3.87 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $3.87 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $4.41 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $4.44 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $4.44 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $4.80 — — 2026-03-18 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Both CIGNA [100009] HB Cigna PPO - LeBonheur $4.82 $1,446.00 $318.12 2026-03-19 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $4.83 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $4.83 — — 2026-03-18 MRF ↗
SAINT AGNES MEDICAL CENTER OutpatientFacility Meritain Commercial $4.99 $1,048.00 $733.60 2025-01-01 MRF ↗
SAINT AGNES MEDICAL CENTER OutpatientFacility Trustmark Commercial $4.99 $1,048.00 $733.60 2025-01-01 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Healthplan Medicaid Wv Medicaid $5.48 — — 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Wellpoint Wv Medicaid $5.75 — — 2026-05-06 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $6.71 $435.00 $326.25 2025-03-07 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $6.71 $435.00 $326.25 2026-07-01 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient First Choice Commercial $8.14 — — 2026-07-15 MRF ↗
SAN ANTONIO REGIONAL HOSPITAL Outpatient ANTHEM BLUE CROSS EXCHG ANTHEM BLUE CROSS EXCHG $8.20 $3,751.00 $312.00 2026-04-02 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Multiplan Commercial — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Longevity Medicare Advantage — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Onenet Ppo $10.13 $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Nc State Health Plan Commercial — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient First Carolina Care Medicare Advantage — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Healthy Blue Managed Medicaid — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient New Hanover Medicare Advantage — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Commercial — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Cigna Commercial — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Compass — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Medicare Advantage — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Managed Medicaid — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Tricare — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Medicare Advantage — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Troy Medicare Advantage — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Medicare Partner Health Plan Medicare — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Medicare Advantage — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Managed Medicaid — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Carolina Complete Health Managed Medicaid — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Medicare Advantage — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Commercial — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Medcost Commercial — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Liberty Advantage Medicare Advantage — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Cross Blue Shield Of Nc Commercial — $550.00 $330.00 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Commercial — $550.00 $330.00 2026-07-31 MRF ↗
BRONXCARE HOSPITAL CENTER Both Healthfirst Child Health Plus T52 Com $10.18 $611.64 $611.64 2026-07-17 MRF ↗
BRONXCARE HOSPITAL CENTER Both Healthfirst Essential Planlvls 3And4 Vdh Mcd $10.18 $611.64 $611.64 2026-07-17 MRF ↗
BRONXCARE HOSPITAL CENTER Both Healthfirst Medicaid V08 Mcd $10.18 $611.64 $611.64 2026-07-17 MRF ↗
BRONXCARE HOSPITAL CENTER Both Healthfirst Blhc Child Health Plus T53 Com $10.18 $611.64 $611.64 2026-07-17 MRF ↗
BRONXCARE HOSPITAL CENTER Both Healthfirst Blhc Medicaid V46 Mcd $10.18 $611.64 $611.64 2026-07-17 MRF ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility UnitedHealthcare Community & State $10.46 $434.00 — 2026-08-17 MRF ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility Wellpoint Medicaid Managed Care $11.50 $434.00 — 2026-08-17 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $12.00 $101.00 $50.00 2025-02-03 MRF ↗
BRONXCARE HOSPITAL CENTER Both Metroplus Health Child Health Plus T44 Com $12.21 $611.64 $611.64 2026-07-17 MRF ↗
BRONXCARE HOSPITAL CENTER Both Metroplus Harp Ve4 Mcd $12.21 $611.64 $611.64 2026-07-17 MRF ↗
BRONXCARE HOSPITAL CENTER Both Metroplus Commercial Ci1 Com $12.21 $611.64 $611.64 2026-07-17 MRF ↗
BRONXCARE HOSPITAL CENTER Both Metroplus Health Medicaid V24 Mcd $12.21 $611.64 $611.64 2026-07-17 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - United Medicaid - United $13.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Meridian Medicaid - Meridian $14.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $14.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $14.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - United Medicaid - United $14.00 $101.00 $50.00 2025-02-03 MRF ↗
MCKAY-DEE HOSPITAL Inpatient Donor Connect Other $14.43 $1,442.69 $1,082.02 2026-07-31 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Beacon Health Strategies/Carelon Wellsense - Nh Managed Medicaid Beh Health - Dhp $14.51 — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid - Dhp $14.95 — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Amerihealth Caritas Nh Amerihealth Caritas - Nh Managed Medicaid - Dhp $14.95 — — 2026-07-18 MRF ↗
MCLAREN OAKLAND Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $15.00 $101.00 $50.00 2025-02-03 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp $15.24 — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid $15.38 — — 2026-07-18 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $16.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $17.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - United Medicaid - United $17.00 $101.00 $50.00 2025-02-03 MRF ↗
INTERMOUNTAIN MEDICAL CENTER Inpatient Donor Connect Other $17.31 $1,442.69 $1,082.02 2026-07-17 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN [10104] $17.37 $85.22 $85.22 2024-12-30 MRF ↗
BRONXCARE HOSPITAL CENTER Both Emblemhealthhip Commercial T75 Com $17.64 $611.64 $611.64 2026-07-17 MRF ↗
BRONXCARE HOSPITAL CENTER Both Emblemhealthghi Chi Com $17.64 $611.64 $611.64 2026-07-17 MRF ↗
BRONXCARE HOSPITAL CENTER Both Emblemhealth Commercial Cg2 Com $17.64 $611.64 $611.64 2026-07-17 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid Nhhf $17.64 $192.00 $57.60 2026-07-15 MRF ↗
BRONXCARE HOSPITAL CENTER Both Emblemhealthghi Ppo C53 Com $17.64 $611.64 $611.64 2026-07-17 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Molina Medicaid - Molina $18.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Tricare Tricare $18.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Molina Medicaid - Molina $18.00 $101.00 $50.00 2025-02-03 MRF ↗
HCA HOUSTON HEALTHCARE CONROE Outpatient Superior Health Plan STAR $18.27 $304.55 $304.55 2026-03-01 MRF ↗
HCA HOUSTON HEALTHCARE CONROE Outpatient Superior Health Plan STARPLUS $18.27 $304.55 $304.55 2026-03-01 MRF ↗
HCA HOUSTON HEALTHCARE CONROE Outpatient Superior Health Plan CHPFC $18.27 $304.55 $304.55 2026-03-01 MRF ↗
HCA HOUSTON HEALTHCARE CONROE Outpatient Superior Health Plan STARKids $18.27 $304.55 $304.55 2026-03-01 MRF ↗
HCA HOUSTON HEALTHCARE CONROE Outpatient Superior Health Plan CHIP $18.27 $304.55 $304.55 2026-03-01 MRF ↗
LDS HOSPITAL Inpatient Donor Connect Other $18.75 $1,442.69 $1,082.02 2026-08-01 MRF ↗
MCLAREN MACOMB Outpatient WC - Workers Compensation WC - Workers Compensation $19.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - Molina Medicaid - Molina $19.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicare - United Medicare - United $19.00 $101.00 $50.00 2025-02-03 MRF ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility UnitedHealthcare Community & State $19.01 $789.00 — 2026-08-17 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid-Trad $19.20 $192.00 $57.60 2026-07-15 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid-Amerihealth Medicaid-Amerihealth $19.39 $192.00 $57.60 2026-07-15 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicare - Humana Medicare - Humana $20.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient HAP - HMO HAP - HMO $20.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Meridian Medicaid - Meridian $20.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Tricare Tricare $20.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Medicare - Molina Medicare - Molina $20.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Traditional Medicare HMO PPO Traditional Medicare HMO PPO $20.00 $101.00 $50.00 2025-02-03 MRF ↗
INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient Donor Connect Other $20.20 $1,442.69 $1,082.02 2026-08-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Blue Cross of California d/b/a Anthem Blue Cross POS — $1,647.00 $1,350.54 2025-11-26 MRF ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility Wellpoint Medicaid Managed Care $20.91 $789.00 — 2026-08-17 MRF ↗
MCLAREN MACOMB Outpatient Medicare - Priority Health Medicare - Priority Health $21.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Medicare - United Medicare - United $21.00 $101.00 $50.00 2025-02-03 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility Medicaid Kentucky Original $21.25 $830.68 $461.32 2025-01-01 MRF ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility UnitedHealthcare Community & State $21.38 $887.05 — 2026-08-17 MRF ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility UnitedHealthcare Community & State $21.83 $905.70 — 2026-08-17 MRF ↗
METHODIST HOSPITAL STONE OAK Outpatient Superior Health STAR $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL ATASCOSA Outpatient Superior Health STARPLUS $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL ATASCOSA Outpatient Superior Health STARKids $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL Outpatient Superior Health STARKids $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL ATASCOSA Outpatient Superior Health CHIP $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL Outpatient Superior Health CHIP $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL STONE OAK Outpatient Superior Health CHPFC $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL STONE OAK Outpatient Superior Health STARPLUS $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL STONE OAK Outpatient Superior Health STARKids $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL Outpatient Superior Health STARKids $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL Outpatient Superior Health CHPFC $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL Outpatient Superior Health STARPLUS $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL Outpatient Superior Health STAR $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL Outpatient Superior Health STAR $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL STONE OAK Outpatient Superior Health CHIP $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL ATASCOSA Outpatient Superior Health STAR $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL Outpatient Superior Health CHPFC $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL ATASCOSA Outpatient Superior Health CHPFC $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL Outpatient Superior Health CHIP $21.85 $364.17 $364.17 2025-01-01 MRF ↗
METHODIST HOSPITAL Outpatient Superior Health STARPLUS $21.85 $364.17 $364.17 2025-01-01 MRF ↗
MCLAREN BAY REGION Outpatient United Healthcare United Healthcare $22.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Tricare Tricare $23.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicare - United Medicare - United $23.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Tricare Tricare $23.00 $101.00 $50.00 2025-02-03 MRF ↗
HUNTINGTON HOSPITAL Outpatient Blue Cross of California d/b/a Anthem Blue Cross HMO, Non-City of LA, Vivity — $2,726.63 $1,772.31 2025-11-26 MRF ↗
HUNTINGTON HOSPITAL Outpatient Blue Cross of California d/b/a Anthem Blue Cross HMO — $2,726.63 $1,772.31 2025-11-26 MRF ↗
HUNTINGTON HOSPITAL Outpatient Blue Cross of California d/b/a Anthem Blue Cross HMO, City of LA, Vivity — $2,726.63 $1,772.31 2025-11-26 MRF ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility Wellpoint Medicaid Managed Care $23.51 $887.05 — 2026-08-17 MRF ↗
CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility Wellpoint Medicaid Managed Care $24.00 $905.70 — 2026-08-17 MRF ↗
MCLAREN MACOMB Outpatient Medicare - Humana Medicare - Humana $24.00 $101.00 $50.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Aetna Aetna $24.00 $101.00 $50.00 2025-02-03 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.