95811 — Polysom 6/>yrs Cpap 4/> Parm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). POLYSOM 6/>YRS CPAP 4/> PARM (CPT 95811) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/95811?code_type=CPT
MLA (9th ed.)
“POLYSOM 6/>YRS CPAP 4/> PARM (CPT 95811) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/95811?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“POLYSOM 6/>YRS CPAP 4/> PARM (CPT 95811) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/95811?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,002–$3,777 (25th–75th percentile) across 2,566 hospitals · 8,550 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 95811 — 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
$1,002
$2,027 typical
$3,777
The middle 50% of negotiated facility rates for this procedure, measured across 2,566 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. | $2,027 |
| Physician fee Estimate national typical Medicare $708 × 1.22 commercial. | $863 |
| Likely subtotal | $2,890 |
Complete-episode estimate (typical)
~$2,890
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 |
|---|---|---|---|---|---|---|---|
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | United Healthcare | IEP | — | $3,244.00 | $2,108.60 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $7,944.52 | $3,972.26 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $7,944.52 | $3,972.26 | 2024-12-15 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | United Healthcare | IEP | — | $3,244.00 | $2,108.60 | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | United Healthcare | IEP | — | $3,244.00 | $2,108.60 | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER OutpatientFacility | United Healthcare | IEP | — | $3,244.00 | $2,108.60 | 2025-01-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | County Medical Services | County of San Diego | $0.49 | $7,969.00 | $5,976.75 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Medicare | Medicare | $0.96 | $7,969.00 | $5,976.75 | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $8,677.00 | $7,115.14 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $8,677.00 | $7,115.14 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $8,677.00 | $7,115.14 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $8,677.00 | $7,115.14 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $8,677.00 | $7,115.14 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $8,677.00 | $7,115.14 | 2025-11-26 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $2.75 | $4,053.00 | $2,837.10 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $2.75 | $4,053.00 | $2,837.10 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $2.75 | $4,053.00 | $2,837.10 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $2.75 | $4,053.00 | $2,837.10 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $2.75 | $4,053.00 | $2,837.10 | 2025-01-01 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $3.58 | $175.00 | $175.00 | 2026-03-09 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $3.71 | $4,191.00 | $3,143.25 | 2026-03-26 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Commercial | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Ppo | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Commercial | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Precision Hmo | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Choice | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Hmo Illinois | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Joliet | Hmo | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Local Plus | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Union Medical | Hmo | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Multiplan | Ppo | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | All Other Plans | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Hmo, Ppo, Pos | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Professional Benefits Administrator | Ppo | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | United Healthcare | Navigate, Core, Charter, Aco Tiered | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Public Exchange | — | $14.00 | $4.90 | 2026-05-08 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Onenet Ppo | $8.46 | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $4,102.00 | $2,461.20 | 2026-05-23 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $12.92 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $13.22 | $322.00 | $48.30 | 2026-01-25 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $13.93 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $14.63 | — | — | 2026-05-06 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $14.74 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC VA CCN | UHC VA CCN | $15.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $15.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | HUMANA MEDICARE-ALL PLANS | HUMANA MEDICARE-ALL PLANS | $15.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $15.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $15.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $15.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCAID/CHIP | MOLINA MCAID/CHIP | $15.96 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $15.96 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MEDICAID - ALL OTHER PLANS | AMERIGROUP MEDICAID - ALL OTHER PLANS | $16.28 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $17.61 | $9,782.00 | $1,025.87 | 2024-12-31 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | COVENTRY MEDICARE | COVENTRY MEDICARE | $18.62 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $18.62 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $19.81 | $5,358.00 | $1,982.46 | 2026-03-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.09 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.22 | — | — | 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 ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Medicaid Kentucky | Original | $20.37 | $5,474.78 | $3,247.78 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Medicaid Kentucky | Original | $20.40 | $4,810.49 | $2,849.20 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $5,084.00 | $3,304.60 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $5,084.00 | $3,304.60 | 2025-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $22.38 | $6,048.00 | $5,745.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $22.38 | $6,048.00 | $5,745.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $22.38 | $6,048.00 | $5,745.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $22.98 | $6,048.00 | $5,745.60 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $23.03 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $23.17 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $23.17 | — | — | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $23.59 | $6,048.00 | $5,745.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $24.19 | $6,048.00 | $5,745.60 | 2026-02-20 | MRF ↗ |
| BAPTIST MEDICAL CENTER SOUTH OutpatientFacility | Humana | Medicare Advantage | — | $2,006.60 | $1,203.96 | 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 | $4,764.84 | $2,858.90 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $25.30 | $4,764.84 | $2,858.90 | 2025-08-11 | 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 | $29.03 | $6,048.00 | $5,745.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $29.03 | $6,048.00 | $5,745.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $29.64 | $6,048.00 | $5,745.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $29.64 | $6,048.00 | $5,745.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $30.84 | $6,048.00 | $5,745.60 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | $31.12 | $7,969.00 | $5,976.75 | 2026-04-01 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MIDLANDS NEW PRODUCT | MIDLANDS NEW PRODUCT | $31.16 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $31.19 | $6,366.00 | $6,047.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $31.19 | $6,366.00 | $6,047.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $31.83 | $6,366.00 | $6,047.70 | 2026-02-20 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | COVENTRY COMMERCIAL PPO - ALL OTHER PLANS | COVENTRY COMMERCIAL PPO - ALL OTHER PLANS | $32.30 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $32.30 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | COVENTRY COMMERCIAL HMO | COVENTRY COMMERCIAL HMO | $32.30 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $33.10 | $6,366.00 | $6,047.70 | 2026-02-20 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $34.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $34.20 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $34.38 | $6,366.00 | $6,047.70 | 2026-02-20 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $4,206.00 | $3,154.50 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $4,206.00 | $3,154.50 | 2024-12-08 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Peachstate | Medicaid Cmo | — | $387.60 | $155.04 | 2026-05-06 | MRF ↗ |
| ASTERA HEALTH Inpatient | SANFORD HEALTH PLAN [10120] | SANFORD HEALTH PLAN [100578] | $36.31 | $300.29 | — | 2026-02-20 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $5,060.00 | $3,795.00 | 2026-02-25 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MARKETPLACE - ALL OTHER PLANS | MOLINA MARKETPLACE - ALL OTHER PLANS | $38.00 | $38.00 | $22.80 | 2025-11-18 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Blue Advantage | PPO | $40.00 | $5,277.90 | — | 2026-01-23 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | Medicaid | HMO | $44.00 | $5,277.90 | — | 2026-01-23 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional Gwinnett County Govt | Institutional Gwinnett County Govt | $46.23 | $366.00 | $274.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Amerigroup | Amerigroup Medicaid | $46.23 | $366.00 | $274.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Centene | Peach State Medicaid | $46.23 | $366.00 | $274.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $46.23 | $366.00 | $274.50 | 2026-02-14 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $46.32 | $207.65 | $207.65 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $46.32 | $207.65 | $207.65 | 2024-12-30 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | CareSource | CareSource | $47.62 | $366.00 | $274.50 | 2026-02-14 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $4,039.00 | $2,423.40 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $4,039.00 | $2,423.40 | 2026-05-21 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Outpatient | Aetna Teachers' Retirement System | HMO | $49.10 | $5,277.90 | — | 2026-01-23 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Traditional and PPO | PPO | $50.00 | $5,277.90 | — | 2026-01-23 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Blue Essentials HMO | PPO | $50.00 | $5,277.90 | — | 2026-01-23 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | HARMONY HP MCAID- ALL PLANS | HARMONY HP MCAID- ALL PLANS | $50.00 | $3,869.50 | $2,321.70 | 2026-01-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $4,206.00 | $3,154.50 | 2024-12-08 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $50.00 | $377.00 | $377.00 | 2026-02-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Ambetter | All Products | $50.84 | $203.35 | $142.35 | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Ambetter | All Products | $50.84 | $203.35 | $142.35 | 2025-06-28 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | CARE PARTNERS MCAID- ALL PLANS | CARE PARTNERS MCAID- ALL PLANS | $52.00 | $3,869.50 | $2,321.70 | 2026-01-24 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Absolute Total Care | HIX | $53.14 | $364.00 | $364.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Absolute Total Care | HIX | $53.14 | $364.00 | $364.00 | 2026-03-01 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional 115 Percent_Georgia Medicaid | Institutional 115 Percent_Georgia Medicaid | $53.16 | $366.00 | $274.50 | 2026-02-14 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Dean Health Plan | Dual Eligible | $53.44 | $436.00 | $318.28 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Dean Health Plan | Dual Eligible | $53.44 | $6,651.00 | $4,855.23 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Aetna | Default | $55.00 | $436.00 | $318.28 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Aetna | Default | $55.00 | $6,651.00 | $4,855.23 | 2026-05-09 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Amerigroup | Amerigroup Medicare Advantage | $55.06 | $366.00 | $274.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $55.59 | $366.00 | $274.50 | 2026-02-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $55.73 | — | — | 2026-03-18 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Outpatient | Cigna Marketplace | PPO | $56.44 | $5,277.90 | — | 2026-01-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $56.81 | $299.00 | $80.73 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $56.81 | $299.00 | $80.73 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $56.81 | $299.00 | $80.73 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $56.81 | $299.00 | $80.73 | 2026-01-31 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | PROVIDENCE PPO - ALL PLANS | PROVIDENCE PPO - ALL PLANS | $58.00 | $383.00 | $183.84 | 2026-05-13 | MRF ↗ |
| ASTERA HEALTH Inpatient | BLUE PLUS PMAP [40002] | BLUE PLUS PMAP [400054] | $58.47 | $300.29 | $208.37 | 2026-02-20 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Texas Medicaid | Medicaid | $60.00 | $2,988.54 | $1,494.27 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | BCBS Medicaid | Medicaid | $60.00 | $2,988.54 | $1,494.27 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Firstcare Medicaid | Medicaid | $60.00 | $2,988.54 | $1,494.27 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Aetna Medicaid | Medicaid | $60.00 | $2,988.54 | $1,494.27 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Superior Medicaid | Medicaid | $60.00 | $2,988.54 | $1,494.27 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $60.00 | $2,988.54 | $1,494.27 | 2026-01-12 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Cross | Blue Cross - HMO | $60.11 | $7,969.00 | $5,976.75 | 2026-04-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Cigna Individual | Commercial | $60.29 | $240.00 | $120.00 | 2025-12-23 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $60.42 | $4,589.00 | $1,835.60 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $60.42 | $5,048.00 | $2,019.20 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $60.42 | $4,589.00 | $1,835.60 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $60.42 | $5,048.00 | $2,019.20 | 2026-05-22 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $60.65 | $429.00 | $429.00 | 2026-02-13 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | CENTENE MCAID - ALL PLANS | CENTENE MCAID - ALL PLANS | $60.65 | $429.00 | $429.00 | 2026-02-13 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MERIDIAN HEALTH PLAN - ALL PLANS | MERIDIAN HEALTH PLAN - ALL PLANS | $60.65 | $321.00 | $256.80 | 2026-02-23 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | MERIDIAN-ALL PLANS | MERIDIAN-ALL PLANS | $60.65 | $1,366.00 | $1,366.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID | HEALTH ALLIANCE MEDICAID | $60.65 | $1,366.00 | $1,366.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | BLUE CROSS COMMUNITY CARE-ALL PLANS | BLUE CROSS COMMUNITY CARE-ALL PLANS | $60.65 | $1,366.00 | $1,366.00 | 2026-04-08 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $60.65 | $429.00 | $429.00 | 2026-02-13 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | MOLINA MEDICAID-ALL PLANS | MOLINA MEDICAID-ALL PLANS | $60.65 | $1,366.00 | $1,366.00 | 2026-04-08 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $60.65 | $1,366.00 | $1,366.00 | 2026-04-08 | MRF ↗ |
| PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient | BCBS MCAID | BCBS MCAID | $60.65 | $429.00 | $429.00 | 2026-02-13 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | ILLINICARE - ALL PLANS | ILLINICARE - ALL PLANS | $60.65 | $1,366.00 | $1,366.00 | 2026-04-08 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | UHC | All Products | $62.00 | $8,856.00 | $4,870.80 | 2025-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Amerigroup | Amerigroup Medicare Advantage | $62.92 | $366.00 | $274.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $63.53 | $366.00 | $274.50 | 2026-02-14 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Outpatient | Cigna Commercial | PPO | $63.70 | $5,277.90 | — | 2026-01-23 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | Blue Cross Open Access | Open Access | $65.00 | $5,060.00 | $3,795.00 | 2026-02-25 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | UNITED PROP CASUALTY-ALL PLANS | UNITED PROP CASUALTY-ALL PLANS | $65.00 | $8,243.00 | $5,770.10 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | UHC/NHP COMM | UHC/NHP COMM | $65.00 | $8,243.00 | $5,770.10 | 2025-12-10 | MRF ↗ |
| EMANUEL MEDICAL CENTER Outpatient | Blue Cross HMO/POS | POS | $65.00 | $5,060.00 | $3,795.00 | 2026-02-25 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $65.52 | $364.00 | $364.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $65.52 | $364.00 | $364.00 | 2026-03-01 | 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.