95810 — Polysom 6/> Yrs 4/> Param
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). POLYSOM 6/> YRS 4/> PARAM (CPT 95810) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/95810?code_type=CPT
MLA (9th ed.)
“POLYSOM 6/> YRS 4/> PARAM (CPT 95810) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/95810?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“POLYSOM 6/> YRS 4/> PARAM (CPT 95810) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/95810?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $996–$3,551 (25th–75th percentile) across 2,563 hospitals · 8,535 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 95810 — 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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$996
$1,871 typical
$3,551
The middle 50% of negotiated facility rates for this procedure, measured across 2,563 hospitals. The physician 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. | $1,871 |
| Physician fee Estimate national typical Medicare $674 × 1.22 commercial. | $822 |
| Likely subtotal | $2,693 |
Complete-episode estimate (typical)
~$2,693
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician 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 HOSPITAL MANSFIELD Inpatient | None | — | — | $5,958.78 | $2,979.39 | 2024-12-15 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | United Healthcare | IEP | — | $2,595.00 | $1,686.75 | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | United Healthcare | IEP | — | $2,595.00 | $1,686.75 | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | United Healthcare | IEP | — | $2,595.00 | $1,686.75 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $5,958.78 | $2,979.39 | 2024-12-15 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | United Healthcare | IEP | — | $2,595.00 | $1,686.75 | 2025-01-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Cigna | Cigna - HMO | $0.51 | $7,380.00 | $5,535.00 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Molina | Molina Medi-Cal | $0.66 | $7,380.00 | $5,535.00 | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $7,038.00 | $5,771.16 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $7,038.00 | $5,771.16 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $7,038.00 | $5,771.16 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $7,038.00 | $5,771.16 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $7,038.00 | $5,771.16 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $7,038.00 | $5,771.16 | 2025-11-26 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $1.38 | $1,707.50 | $1,195.25 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $1.38 | $1,707.50 | $1,195.25 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $1.38 | $1,707.50 | $1,195.25 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $1.38 | $1,707.50 | $1,195.25 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $1.38 | $1,707.50 | $1,195.25 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $2.75 | $3,415.00 | $2,390.50 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $2.75 | $3,415.00 | $2,390.50 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $2.75 | $3,415.00 | $2,390.50 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $2.75 | $3,415.00 | $2,390.50 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $2.75 | $3,415.00 | $2,390.50 | 2025-01-01 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $3.45 | $170.00 | $170.00 | 2026-03-09 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $3.71 | $3,765.00 | $2,823.75 | 2026-03-26 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Onenet Ppo | $8.41 | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $3,958.00 | $2,374.80 | 2026-05-23 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $10.50 | $83.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage Select 65 | $10.50 | $83.00 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $11.62 | $83.00 | — | 2026-04-13 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $11.62 | $83.00 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $11.62 | $83.00 | — | 2026-04-13 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $11.62 | $83.00 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $11.62 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $11.62 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $11.62 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $11.62 | $83.00 | — | 2026-04-13 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $11.62 | $83.00 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $12.45 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $12.82 | $83.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $12.82 | $83.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $12.82 | $83.00 | — | 2026-04-08 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $13.22 | $309.00 | $46.35 | 2026-01-25 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | UnitedHealthcare | VACCN | $13.28 | $83.00 | — | 2026-04-08 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $13.30 | — | — | 2026-05-06 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Cigna | Commercial | $13.70 | $83.00 | — | 2026-04-08 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $13.97 | — | — | 2026-05-06 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $14.82 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage Select 65 | $14.82 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Workers' Comp | $15.21 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus InpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Workers' Comp | $15.52 | $83.00 | — | 2026-04-13 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $16.22 | $9,011.00 | $1,025.87 | 2024-12-31 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Commercial | $17.18 | $83.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | First Health | $17.18 | $83.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | HMO | $17.43 | $83.00 | — | 2026-04-08 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Medicaid Kentucky | Original | $17.52 | $4,157.03 | $2,457.13 | 2025-01-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | UnitedHealthcare | Commercial | $17.76 | $83.00 | — | 2026-04-13 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Medicaid Kentucky | Original | $18.41 | $4,157.03 | $2,457.13 | 2025-01-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $18.95 | $4,824.00 | $1,784.88 | 2026-03-31 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Temple Member | $19.03 | $83.00 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | PPO | $19.03 | $83.00 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | UnitedHealthcare | Commercial | $19.17 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | UnitedHealthcare | Commercial | $19.17 | $83.00 | — | 2026-04-13 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.09 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.22 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.22 | — | — | 2026-03-18 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,574.00 | $2,973.10 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,574.00 | $2,973.10 | 2025-01-01 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $20.74 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Indemnity | $20.91 | $83.00 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Workers' Comp | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Aetna | First Health | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | First Health | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Commercial | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | First Health | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Aetna | Commercial | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Aetna | Commercial | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Workers' Comp | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Commercial | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Aetna | Workers' Comp | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Commercial | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | First Health | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Workers' Comp | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Aetna | Workers' Comp | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Workers' Comp | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Commercial | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | First Health | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | First Health | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Aetna | First Health | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Workers' Comp | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Commercial | $22.33 | $83.00 | — | 2026-04-13 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $22.41 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $22.41 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $22.41 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Geisinger | Commercial | $22.68 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Geisinger | Commercial | $22.68 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Geisinger | Commercial | $22.68 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Geisinger | Commercial | $22.68 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PIP | $22.74 | $83.00 | — | 2026-04-13 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $23.02 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $23.03 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $23.17 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $23.17 | — | — | 2026-03-18 | MRF ↗ |
| Temple University Hospital - Northeastern Campus InpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PIP | $23.20 | $83.00 | — | 2026-04-13 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $23.63 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $23.67 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $24.23 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC VA CCN | UHC VA CCN | $24.40 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $24.40 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $24.40 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $24.40 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $24.40 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | HUMANA MEDICARE-ALL PLANS | HUMANA MEDICARE-ALL PLANS | $24.40 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | HMO | $24.58 | $83.00 | — | 2026-04-13 | MRF ↗ |
| BAPTIST MEDICAL CENTER SOUTH OutpatientFacility | Humana | Medicare Advantage | — | $1,657.50 | $994.50 | 2025-12-30 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.07 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.23 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.23 | — | — | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $25.30 | $4,546.98 | $2,728.19 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $25.30 | $4,546.98 | $2,728.19 | 2025-08-11 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCAID/CHIP | MOLINA MCAID/CHIP | $25.62 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $25.62 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Keystone First | Community HealthChoices | $25.67 | $83.00 | — | 2026-04-08 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MEDICAID - ALL OTHER PLANS | AMERIGROUP MEDICAID - ALL OTHER PLANS | $26.13 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Temple Member | $26.85 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | PPO | $26.85 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus InpatientFacility | UnitedHealthcare | Options PPO | $28.22 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital InpatientFacility | UnitedHealthcare | Options PPO | $28.22 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus InpatientFacility | UnitedHealthcare | Options PPO | $28.22 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus InpatientFacility | UnitedHealthcare | Options PPO | $28.22 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus InpatientFacility | UnitedHealthcare | Options PPO | $28.22 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus InpatientFacility | UnitedHealthcare | Options PPO | $28.22 | $83.00 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center InpatientFacility | UnitedHealthcare | Options PPO | $28.22 | $83.00 | — | 2026-04-13 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $29.08 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $29.08 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Indemnity | $29.50 | $83.00 | — | 2026-04-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $29.68 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $29.68 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $29.68 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $29.68 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | COVENTRY MEDICARE | COVENTRY MEDICARE | $29.89 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $29.89 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $30.29 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $30.90 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | United Healthcare Community Plan of KY | Medicaid Replacement | $31.13 | $4,157.03 | $2,457.13 | 2025-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $31.50 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $32.71 | $6,058.00 | $5,755.10 | 2026-02-20 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $5,086.00 | $3,814.50 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $5,086.00 | $3,814.50 | 2024-12-08 | MRF ↗ |
| Mena Regional Health System Both | Ambetter | Default | $35.00 | $525.00 | $315.00 | 2026-04-03 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $3,605.00 | $2,703.75 | 2026-02-25 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Blue Advantage | PPO | $40.00 | $4,437.65 | — | 2026-01-23 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Dean Health Plan | Dual Eligible | $41.62 | $6,554.00 | $4,784.42 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Dean Health Plan | Dual Eligible | $41.62 | $335.00 | $244.55 | 2026-05-09 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $43.43 | $13,929.00 | — | 2026-02-19 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | Medicaid | HMO | $44.00 | $4,437.65 | — | 2026-01-23 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $44.54 | $199.63 | $199.63 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $44.54 | $199.63 | $199.63 | 2024-12-30 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional Gwinnett County Govt | Institutional Gwinnett County Govt | $44.59 | $353.00 | $264.75 | 2026-02-14 | 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.