93922 — Upr/l Xtremity Art 2 Levels
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). UPR/L XTREMITY ART 2 LEVELS (CPT 93922) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/93922?code_type=CPT
MLA (9th ed.)
“UPR/L XTREMITY ART 2 LEVELS (CPT 93922) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/93922?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“UPR/L XTREMITY ART 2 LEVELS (CPT 93922) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/93922?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $133–$503 (25th–75th percentile) across 3,722 hospitals · 10,079 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 93922 — 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 radiologist-read fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$133
$253 typical
$503
The middle 50% of negotiated facility rates for this procedure, measured across 3,722 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. | $253 |
| Radiologist read Estimate national typical Medicare $12 × 1.8 commercial. | $21 |
| Likely subtotal | $274 |
Complete-episode estimate (typical)
~$274
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 $133–$503.
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 | — | — | — | $1,316.30 | $658.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $1,316.30 | $658.15 | 2024-12-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $1,948.00 | $1,461.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $1,201.00 | $900.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $1,201.00 | $900.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $1,948.00 | $1,461.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $1,201.00 | $900.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $1,948.00 | $1,461.00 | 2026-09-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.34 | $25.00 | $18.75 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.34 | $450.00 | $337.50 | 2026-03-26 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.36 | $29.00 | $5.51 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.36 | $45.00 | $8.55 | 2026-05-20 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Medicare Advantage | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Medicare Advantage | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Health Select | PPO | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | HMO | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Health Select | PPO | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | HMO | $0.43 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | 90 Degree Benefits | Commercial | $0.48 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | 90 Degree Benefits | Commercial | $0.48 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $1,240.00 | $930.00 | 2026-09-01 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Cigna | Commercial | $0.49 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Cigna | Commercial | $0.49 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $0.54 | $301.00 | $301.00 | 2026-07-16 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $659.00 | — | 2026-07-01 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $0.68 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $0.68 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $0.69 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $0.69 | $1.00 | $0.28 | 2025-02-14 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.70 | $5.45 | — | 2026-07-31 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $1,948.00 | $1,461.00 | 2026-09-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.75 | $152.50 | $144.88 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.75 | $152.50 | $144.88 | 2026-02-20 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.75 | $5.45 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.78 | $5.45 | — | 2026-07-31 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | $1,948.00 | $1,461.00 | 2026-09-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.82 | $152.50 | $144.88 | 2026-02-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,494.00 | $1,120.50 | 2026-09-02 | MRF ↗ |
| Vibra Hospital Of Amarillo | Tricare West 441 | — | $1.00 | $2.00 | — | 2026-07-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,116.00 | $837.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,116.00 | $837.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,116.00 | $837.00 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,668.00 | $1,251.00 | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $827.00 | $413.50 | 2026-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $775.00 | $635.50 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $2,197.00 | $1,647.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,494.00 | $1,120.50 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $775.00 | $635.50 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,494.00 | $1,120.50 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $775.00 | $635.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $1,546.00 | $1,267.72 | 2025-11-26 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid North Dakota 183 | — | $1.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $775.00 | $635.50 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1,074.29 | $698.29 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $775.00 | $635.50 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,668.00 | $1,251.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $775.00 | $635.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $775.00 | $635.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $775.00 | $635.50 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,494.00 | $1,120.50 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $775.00 | $635.50 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,396.56 | $907.76 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,116.00 | $837.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,116.00 | $837.00 | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,201.00 | $900.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $2,197.00 | $1,647.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,494.00 | $1,120.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,494.00 | $1,120.50 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,948.00 | $1,461.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,116.00 | $837.00 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $827.00 | $413.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $827.00 | $413.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $827.00 | $413.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $827.00 | $413.50 | 2026-07-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.27 | $704.00 | $127.48 | 2024-12-31 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $1.32 | $1,066.00 | — | 2025-06-28 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $827.00 | $413.50 | 2026-07-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.65 | $690.72 | $690.72 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.66 | $771.31 | $771.31 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.66 | $1,377.99 | $1,377.99 | 2026-03-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Humana | Medicare | — | $657.77 | $394.66 | 2026-08-03 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | High Performance | $1.71 | $1,286.00 | — | 2025-08-06 | MRF ↗ |
| Vibra Hospital Of Fargo | Sanford Medicaid Expansion (862) | — | $1.80 | $5.45 | — | 2026-07-31 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $1.82 | — | — | 2026-05-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | All Products | $1.90 | $1,286.00 | — | 2025-08-06 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.91 | $771.31 | $771.31 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.91 | $1,377.99 | $1,377.99 | 2026-03-18 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $1.91 | — | — | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $2.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $2.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $2.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $2.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Senior Care Dual Solutions (Msho) Medicare Advantage Snp Plans 971 | — | $2.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $2.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid South Dakota 190 | — | $2.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $2.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $2.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $2.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $2.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $2.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Select Solutions (Medicare Supplement) Medica Prime Solution | — | $2.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.06 | $1,859.20 | $1,859.20 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.08 | $1,377.99 | $1,377.99 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.08 | $771.31 | $771.31 | 2026-03-18 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $2.10 | $21.00 | $21.00 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid South Dakota 190 | — | $2.13 | $5.45 | — | 2026-07-31 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $2.15 | $158.00 | $118.50 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $2.15 | $30.00 | $22.50 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $2.15 | $396.00 | $297.00 | 2025-03-07 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $2.36 | $1,066.00 | $234.52 | 2026-03-19 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $2.49 | $916.00 | $338.92 | 2026-03-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $827.00 | $413.50 | 2026-07-01 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $2.50 | — | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Fargo | Medica Select Solutions (Medicare Supplement) Medica Prime Solution | — | $2.57 | $5.45 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Medica Senior Care Dual Solutions (Msho) Medicare Advantage Special Needs Medica Complete Solution 971 | — | $2.57 | $5.45 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) Medicare Advantage | — | $2.73 | $5.45 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) Spp Medicaid Replacement | — | $2.73 | $5.45 | — | 2026-07-31 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $2.96 | $591.00 | $591.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $2.96 | $591.00 | $591.00 | 2026-06-05 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $2.98 | $222.00 | $166.50 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $2.98 | $222.00 | $166.50 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $2.98 | $222.00 | $166.50 | 2026-10-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Health Partners Inc (Hpi) Medicare Advantage | — | $3.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Choice/Medica Premier/Medicare Care Syst Prod (Medica Elect/Medica Essentials/Medica Uplan Elect/Medica Accountable Care Syst /Mic Choice/Mic Care Syst Medica Self Insured Products 721 | — | $3.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Senior Care Dual Solutions (Msho) Medicare Advantage Snp Plans 971 | — | $3.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Health Partners Inc (Hpi) Spp Medicaid Replacement | — | $3.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $3.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.08 | $592.44 | $355.46 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.08 | $592.44 | $355.46 | 2025-08-11 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $3.20 | $32.00 | $32.00 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.45 | $932.00 | $885.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.45 | $932.00 | $885.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.45 | $932.00 | $885.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.45 | $932.00 | $885.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.45 | $932.00 | $885.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.45 | $932.00 | $885.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.54 | $932.00 | $885.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.54 | $932.00 | $885.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.63 | $932.00 | $885.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.63 | $932.00 | $885.40 | 2026-02-20 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.71 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.71 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.71 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.73 | $932.00 | $885.40 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.73 | $932.00 | $885.40 | 2026-02-20 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Ambetter | All Products | $3.75 | $15.00 | $10.50 | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Ambetter | All Products | $3.75 | $15.00 | $10.50 | 2025-06-28 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $3.81 | $1,744.00 | $312.00 | 2026-04-02 | MRF ↗ |
| Vibra Hospital Of Fargo | Preferred One Hmo 745 (Includes Aetna) | — | $3.82 | $5.45 | — | 2026-07-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | WC - Workers Compensation | WC - Workers Compensation | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Preferredone Adm Svc (Pas) Ppo (Includes Aetna) 772 | — | $4.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Priority Health | Priority Health | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Preferredonecommunity Health Plan (Pchp)Hmo (Includes Aetna) 745 Preferred One Insurance Co (Pic) (Includes Aetna) 480 | — | $4.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Choice/Medica Premier/Medicare Care Syst Prod (Medica Elect/Medica Essentials/Medica Uplan Elect/Medica Accountable Care Syst /Mic Choice/Mic Care Syst Medica Self Insured Products 721 | — | $4.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Priority Health | Priority Health | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Priority Health | Medicare - Priority Health | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Multiplan Complimentary 737 Multiplan, Value Point | — | $4.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Tricare West (Healthnet) 232 | — | $4.00 | $5.00 | — | 2026-08-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| BUENA VISTA REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | — | $369.00 | $295.20 | 2026-05-09 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | United Healthcare | United Healthcare | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $4.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $4.00 | $19.00 | $9.00 | 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.