96523 — Irrigation Of Implanted Venous Access Drug Delivery Device
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Irrigation of implanted venous access drug delivery device (CPT 96523) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/96523?code_type=CPT
MLA (9th ed.)
“Irrigation of implanted venous access drug delivery device (CPT 96523) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/96523?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Irrigation of implanted venous access drug delivery device (CPT 96523) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/96523?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $63–$171 (25th–75th percentile) across 2,934 hospitals · 10,178 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 96523 — 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
$63
$105 typical
$171
The middle 50% of negotiated facility rates for this procedure, measured across 2,934 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. | $105 |
| Physician fee Estimate national typical Medicare $26 × 1.22 commercial. | $32 |
| Likely subtotal | $137 |
Complete-episode estimate (typical)
~$137
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 |
|---|---|---|---|---|---|---|---|
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $162.00 | $113.40 | 2025-01-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.05 | $85.00 | $63.75 | 2026-03-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.48 | $129.00 | $122.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.48 | $129.00 | $122.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.49 | $129.00 | $122.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.52 | $129.00 | $122.55 | 2026-02-20 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.67 | $120.00 | $90.00 | 2025-03-07 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.69 | $141.00 | $133.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.69 | $141.00 | $133.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.70 | $141.00 | $133.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.73 | $141.00 | $133.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.73 | $152.00 | $144.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.73 | $152.00 | $144.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.74 | $152.00 | $144.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.76 | $141.00 | $133.95 | 2026-02-20 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.76 | $93.00 | $34.41 | 2026-03-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $383.00 | $314.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $383.00 | $314.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $383.00 | $314.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $383.00 | $314.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $383.00 | $314.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $383.00 | $314.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $383.00 | $314.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $383.00 | $314.06 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1,037.19 | $674.17 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $383.00 | $314.06 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,037.19 | $674.17 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $383.00 | $314.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | $383.00 | $314.06 | 2025-11-26 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Blue Cross Blue Shield of LA | Default | $1.04 | $140.00 | $70.00 | 2024-10-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $1.06 | $101.45 | $101.45 | 2026-04-24 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $1.08 | — | — | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Plan: HMO) | Blue Cross Blue Shield of LA (Plan: HMO) | $1.11 | $229.79 | $137.87 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Plan: PPO) | Blue Cross Blue Shield of LA (Plan: PPO) | $1.11 | $229.79 | $137.87 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Federal) | Blue Cross Blue Shield of LA (Federal) | $1.11 | $229.79 | $137.87 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Plan: HMO) | Blue Cross Blue Shield of LA (Plan: HMO) | $1.11 | $229.79 | $137.87 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Federal) | Blue Cross Blue Shield of LA (Federal) | $1.11 | $229.79 | $137.87 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Plan: PPO) | Blue Cross Blue Shield of LA (Plan: PPO) | $1.11 | $229.79 | $137.87 | 2025-08-11 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Bcbs | Hmo | $1.18 | — | — | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $1.24 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.24 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.24 | — | — | 2026-03-18 | MRF ↗ |
| RICHLAND PARISH HOSPITAL-DELHI Both | BCBS TRAD/PPO/HMO-ALL OTHER PLANS | BCBS TRAD/PPO/HMO-ALL OTHER PLANS | $1.29 | $137.00 | $89.05 | 2026-01-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.35 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.35 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.35 | — | — | 2026-03-18 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| UNION GENERAL HOSPITAL Outpatient | BCBS PREF | BCBS PREF | $1.54 | $92.00 | $69.00 | 2026-05-05 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.54 | $229.79 | $137.87 | 2025-08-11 | MRF ↗ |
| UNION GENERAL HOSPITAL Outpatient | BCBS TRAD - ALL OTHER PLANS | BCBS TRAD - ALL OTHER PLANS | $1.54 | $92.00 | $69.00 | 2026-05-05 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.54 | $229.79 | $137.87 | 2025-08-11 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $1.56 | $68.00 | $68.00 | 2026-02-13 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER BothFacility | Blue Cross Blue Shield Of Louisiana | Commercial | $1.59 | $253.00 | $101.20 | 2026-03-18 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $1.77 | $88.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $1.77 | $88.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $1.77 | $88.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $1.77 | $88.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $1.77 | $88.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $1.77 | $88.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $1.77 | $88.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $1.79 | $89.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $1.79 | $89.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $1.79 | $89.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $1.79 | $89.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $1.79 | $89.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $1.79 | $89.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $1.79 | $89.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $1.83 | $91.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $1.83 | $91.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $1.83 | $91.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $1.83 | $91.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $1.83 | $91.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $1.83 | $91.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $1.83 | $91.50 | — | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $1.84 | $180.00 | $117.00 | 2026-03-14 | MRF ↗ |
| CLAIBORNE MEMORIAL MEDICAL CENTER Both | BLUE CROSS LOUISIANA | BLUE CROSS LOUISIANA | $2.08 | $165.03 | $165.03 | 2025-08-12 | MRF ↗ |
| CLAIBORNE MEMORIAL MEDICAL CENTER Both | BLUE CROSS FEDERAL IP | BLUE CROSS FEDERAL | $2.08 | $165.03 | $165.03 | 2025-08-12 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL BothFacility | Pacific Source | All | $2.20 | $119.00 | $119.00 | 2026-05-22 | MRF ↗ |
| BITTERROOT HEALTH - DALY HOSPITAL BothFacility | Mountain CoOp | All | $2.20 | $119.00 | $119.00 | 2026-05-22 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $504.00 | $302.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $504.00 | $302.40 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $188.00 | $112.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $421.00 | $252.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $593.00 | $355.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $504.00 | $302.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $484.00 | $290.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $421.00 | $252.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $188.00 | $112.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $504.00 | $302.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $275.00 | $165.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $484.00 | $290.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $179.00 | $107.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $484.00 | $290.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $593.00 | $355.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $169.00 | $101.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $421.00 | $252.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $484.00 | $290.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $421.00 | $252.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $275.00 | $165.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $504.00 | $302.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $275.00 | $165.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $504.00 | $302.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $286.00 | $171.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $3.32 | $169.00 | $101.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $275.00 | $165.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $504.00 | $302.40 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $286.00 | $171.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $504.00 | $302.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $3.32 | $179.00 | $107.40 | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $383.00 | $314.06 | 2025-11-26 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA IP | $3.46 | $63.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $3.46 | $63.50 | — | 2026-01-15 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $3.53 | $504.00 | $302.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.53 | $484.00 | $290.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $3.53 | $188.00 | $112.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $3.53 | $179.00 | $107.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $3.53 | $593.00 | $355.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $3.53 | $504.00 | $302.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $3.53 | $504.00 | $302.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $3.53 | $169.00 | $101.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.53 | $484.00 | $290.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $3.53 | $275.00 | $165.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $3.53 | $275.00 | $165.00 | 2026-01-01 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA IP | $3.56 | $63.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA OP | $3.56 | $63.50 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA SWING | $3.56 | $63.50 | — | 2026-01-15 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $5.03 | $143.00 | $57.20 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $5.03 | $143.00 | $57.20 | 2026-05-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA BETTER HLTH | AETNA BETTER HLTH | $5.40 | $68.00 | $68.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE MCAID | HLTH ALLIANCE MCAID | $5.40 | $68.00 | $68.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $5.40 | $68.00 | $68.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BC COMM CARE MCAID | BC COMM CARE MCAID | $5.40 | $68.00 | $68.00 | 2026-02-13 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $5.50 | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | ICARE | MEDICARE ADVANTAGE | $5.51 | $19.00 | $10.45 | 2026-04-01 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $5.52 | $15.34 | $9.66 | 2026-01-27 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | SELF PAY | SELF PAY IVITA | $5.68 | $22.75 | $5.68 | 2026-04-08 | MRF ↗ |
| NORTHWEST MISSISSISSIPPI REGIONAL MEDICAL CENTER Both | SELF PAY | SELF PAY | $5.68 | $22.75 | $5.68 | 2026-04-08 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $5.83 | $163.00 | $105.95 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $5.83 | $163.00 | $105.95 | 2025-01-01 | MRF ↗ |
| HOLTON COMMUNITY HOSPITAL Outpatient | UHC MEDICAID | UHC MEDICAID | $6.06 | $76.00 | $57.00 | 2026-04-23 | MRF ↗ |
| HOLTON COMMUNITY HOSPITAL Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $6.06 | $76.00 | $57.00 | 2026-04-23 | MRF ↗ |
| HOLTON COMMUNITY HOSPITAL Outpatient | SUNFLOWER MEDICAID-ALL PLANS | SUNFLOWER MEDICAID-ALL PLANS | $6.06 | $76.00 | $57.00 | 2026-04-23 | MRF ↗ |
| HOLTON COMMUNITY HOSPITAL Outpatient | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $6.06 | $76.00 | $57.00 | 2026-04-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | AETNA | MEDICARE | $6.10 | $54.00 | $8.10 | 2025-12-23 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Medicare | — | $109.00 | $76.30 | 2026-05-22 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | VA Health | All | $6.47 | $166.00 | $166.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Tricare | All | $6.47 | $166.00 | $166.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Blue Cross Blue Shield | Medicare Advantage | $6.47 | $166.00 | $166.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Humana | Medicare Advantage | $6.47 | $166.00 | $166.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | UHC | Medicare Advantage | $6.47 | $166.00 | $166.00 | 2026-03-28 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $6.77 | $8.00 | $8.00 | 2025-12-03 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | United Healthcare | Medicare Advantage | $6.91 | $226.00 | $158.20 | 2026-05-09 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Kaiser | Medicare Advantage | $6.91 | $226.00 | $158.20 | 2026-05-09 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Humana | Medicare Advantage | $6.91 | $226.00 | $158.20 | 2026-05-09 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $7.20 | $8.00 | $8.00 | 2025-12-03 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $7.48 | $22.00 | $13.20 | 2025-11-18 | MRF ↗ |
| HOSPITAL DISTRICT #1 OF RICE COUNTY OutpatientFacility | United Healthcare | Medicaid MCO | $7.50 | $30.00 | $22.50 | 2026-03-24 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | BLUE SHIELD NON-EPN - ALL OTHER PLANS | BLUE SHIELD NON-EPN - ALL OTHER PLANS | $7.52 | $8.00 | $8.00 | 2025-12-03 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | $7.81 | $162.00 | $113.40 | 2025-01-01 | MRF ↗ |
| SWEETWATER HOSPITAL ASSOCIATION Both | None | — | — | $89.25 | $30.35 | 2026-04-22 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $8.10 | $54.00 | $8.10 | 2025-12-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $8.10 | $54.00 | $8.10 | 2025-12-23 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | WellCare Healthy Kids | HMO | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Simply Healthy Kids | Managed Medicaid | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Avmed | HMO | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Simply Healthcare/Clear Health Alliance | Managed Medicaid | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | HealthSun Health Plan | Medicare Advantage | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Florida Pace Center | Medicare Advantage | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Florida Pace Center | Managed Medicaid | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Doctor's Healthcare | Medicare Advantage | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Clear Springs Healthcare | HMO | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Cigna Healthcare/SureFit | HMO/PPO/POS | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Children's Medical Services/Sunshine Health | Managed Medicaid | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | CarePlus Health Plan | Medicare Advantage | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | United Healthcare Community Plan/Healthy Kids | HMO | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Freedom Health | Medicare Advantage | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | United/WellMed | Medicare Advantage | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Humana Gold | HMO | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | WellCare/Stay Well | Managed Medicaid | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Aetna Healthcare of Florida/Vista Health Plan/Aetna Better Health | HMO | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Aetna Health | HMO/PPO/Exchange | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Avmed | JHS Select/Select HMO | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Avmed | Exchange | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Community Care Plan | Managed Medicaid | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Amerihealth Caritas | Managed Medicaid | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Simply Healthcare | Medicare Advantage | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Medica Healthcare | Medicare Advantage | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Preferred Care Partners | Medicare Advantage | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Neighborhood Health Partnership | HMO | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Humana | Managed Medicaid | — | $80.85 | $80.85 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Sunshine State Health Plan Healthy Kids | HMO | — | $80.85 | $80.85 | 2026-04-17 | 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.