97607 — Neg Prs Wnd Thr Ndme<=50sqcm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEG PRS WND THR NDME<=50SQCM (CPT 97607) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97607?code_type=CPT
MLA (9th ed.)
“NEG PRS WND THR NDME<=50SQCM (CPT 97607) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97607?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“NEG PRS WND THR NDME<=50SQCM (CPT 97607) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97607?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $324–$697 (25th–75th percentile) across 2,486 hospitals · 8,341 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 97607 — 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
$324
$440 typical
$697
The middle 50% of negotiated facility rates for this procedure, measured across 2,486 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. | $440 |
| Physician fee Estimate national typical Medicare $19 × 1.22 commercial. | $23 |
| Likely subtotal | $463 |
Complete-episode estimate (typical)
~$463
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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $2,082.30 | $1,041.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $2,082.30 | $1,041.15 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $2,682.44 | $1,743.59 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,063.43 | $1,341.23 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $2,063.43 | $1,341.23 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.06 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.06 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.06 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.14 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $1.30 | $1,406.00 | $1,406.00 | 2026-02-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.37 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.37 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.40 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.40 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.40 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.40 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.43 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.46 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.49 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.54 | $286.00 | $271.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.95 | $527.00 | $500.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.95 | $527.00 | $500.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.95 | $527.00 | $500.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.00 | $527.00 | $500.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.06 | $527.00 | $500.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.11 | $527.00 | $500.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.15 | $447.00 | $424.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.15 | $447.00 | $424.65 | 2026-02-20 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $2.19 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.19 | $447.00 | $424.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $2.19 | $447.00 | $424.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.28 | $447.00 | $424.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.30 | $470.00 | $446.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.30 | $470.00 | $446.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.35 | $470.00 | $446.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.44 | $470.00 | $446.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.54 | $470.00 | $446.50 | 2026-02-20 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $3.17 | $377.00 | $150.80 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $3.17 | $377.00 | $150.80 | 2026-05-22 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.70 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.72 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $3.72 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $4.23 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $4.26 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $4.26 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.61 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.64 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $4.64 | — | — | 2026-03-18 | MRF ↗ |
| MONTROSE REGIONAL HEALTH Outpatient | SLOANS LAKE MANAGED CARE-ALL PLANS | SLOANS LAKE MANAGED CARE-ALL PLANS | $5.17 | $56.00 | $42.00 | 2026-04-21 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Security Health | Medicare Advantage | $5.60 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield of Wisconsin | Medicare Advantage | $5.60 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Group Health Coop of Eau Claire | Commercial | $6.05 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $6.18 | $460.00 | $276.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $6.18 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $6.18 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $6.18 | $460.00 | $276.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $6.18 | $333.00 | $199.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $6.18 | $957.00 | $574.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $6.18 | $293.00 | $175.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $6.18 | $438.00 | $262.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $6.18 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $6.18 | $293.00 | $175.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $6.18 | $293.00 | $175.80 | 2026-01-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Connection Midlevels | $6.51 | $630.00 | $412.02 | 2026-04-01 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Quartz | Medicare Advantage | $6.72 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $6.72 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Health Tradition | Medicare Select Program | $6.72 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | Medicare Select Program | $6.72 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $6.72 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Group Health Coop of Eau Claire | Medicare Advantage | $6.72 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Care Wisconsin | Medicare Advantage | $6.72 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Blue Access Midlevels | $6.87 | $630.00 | $412.02 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Commercial Midlevels | $7.24 | $630.00 | $412.02 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Connection | $7.66 | $630.00 | $412.02 | 2026-04-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $7.85 | $755.25 | $755.25 | 2026-04-24 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Blue Access | $8.09 | $630.00 | $412.02 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Commercial | $8.52 | $630.00 | $412.02 | 2026-04-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $8.96 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $8.96 | — | — | 2026-03-01 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Martins Point | Default | $9.00 | $25.00 | $18.75 | 2026-05-18 | MRF ↗ |
| The Burdett Care Center BothFacility | MVP MEDICAID ADVANTAGE | MVP MEDICAID ESSENTIAL 1 2 3 4 | $9.00 | $30.00 | $19.50 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center BothFacility | MVP MEDICAID ADVANTAGE | MVP MEDICAID | $9.00 | $30.00 | $19.50 | 2026-03-31 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Default | $9.27 | $25.00 | $18.75 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Ppo | $9.27 | $25.00 | $18.75 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Federal | $9.27 | $25.00 | $18.75 | 2026-05-18 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Peak Health | Commercial | $9.32 | $54.00 | $37.80 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Peak Health | Commercial | $9.32 | $54.00 | $37.80 | 2025-08-07 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $10.00 | $40.00 | $28.00 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | $10.00 | $40.00 | $28.00 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $10.00 | $40.00 | $28.00 | 2025-09-16 | MRF ↗ |
| RICHLAND HOSPITAL InpatientFacility | Cigna | Commercial | $10.51 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Employer Health Care Alliance | Commercial | $10.56 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Cigna | Commercial | $10.56 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | PrimeWest Health | Minnesota Senior Health Options (MSHO) | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Medica | Medica Advantage Solution | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UnitedHealthcare | Minnesota Medicaid and CHIP Benefit Plans | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Medica | Minnesota Senior Health Options (MSHO) Medica DUAL Solution | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Humana Insurance Company | Medicare PPO | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | PrimeWest Health | Minnesota Senior Health Options (MSHO) | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | PrimeWest Health | MinnesotaCare | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Health Partners, Inc. | Medicare Advantage | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UCare Health, Inc. | Medicare Advantage | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UCare Health, Inc. | Medical Assistance | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Medica | Medical Assistance | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Medica | Minnesota Senior Health Options (MSHO) Medica DUAL Solution | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Medica | Medica Advantage Solution | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Preferred One Administrative Services, INC. | PHCP/PIC/PAS | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | BlueCross BlueShield Minnesota | Medicare Advantage | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UnitedHealthcare | Minnesota Medicaid and CHIP Benefit Plans | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UCare Health, Inc. | Medicare Advantage | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Health Partners, Inc. | Medicare Advantage | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Humana Insurance Company | Medicare PPO | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UnitedHealthcare | Medicare Advantage | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UCare Health, Inc. | Minnesota Senior Health Options (MSHO) | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UCare Health, Inc. | Individual & Family Plan | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Medica | Medical Assistance | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | BlueCross BlueShield Minnesota | Minnesota Health Care Programs | $10.60 | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UCare Health, Inc. | Medical Assistance | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL BothFacility | BlueCross BlueShield Minnesota | Minnesota Health Care Programs | $10.60 | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UnitedHealthcare | Medicare Advantage | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | BlueCross BlueShield Minnesota | SecureBlue (Minnesota Senior Health Options) | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | BlueCross BlueShield Minnesota | SecureBlue (Minnesota Senior Health Options) | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | BlueCross BlueShield Minnesota | Medicare Advantage | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | Preferred One Administrative Services, INC. | PHCP/PIC/PAS | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UCare Health, Inc. | Minnesota Senior Health Options (MSHO) | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | UCare Health, Inc. | Individual & Family Plan | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| MADISON HOSPITAL InpatientFacility | PrimeWest Health | MinnesotaCare | — | $37.00 | $31.45 | 2024-09-26 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $10.63 | $1,632.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $10.63 | $1,632.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $10.63 | $1,632.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $10.63 | $1,632.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $10.63 | $1,632.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $11.16 | $1,632.00 | — | 2025-06-28 | MRF ↗ |
| RICHLAND HOSPITAL InpatientFacility | Employer Health Care Alliance | Commercial | $11.20 | $16.00 | $12.80 | 2026-04-24 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL (W/ MEDICAID 171602, UNITED HEALTHCARE ESSENTIAL (NO MEDICAID 515812, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $11.23 | — | — | 2026-01-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH SAGINAW COUNTY [901002] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID [300001] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MIDWEST HEALTH CAID [300607] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL GREAT LAKES [300602] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MCLAREN HEALTH PLAN [9006] | MCLAREN HEALTH PLAN [900601] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA [1071] | MOLINA MICHILD [107101] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL PRIORITY HEALTH CAID [300611] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL HEALTH PLUS CAID [300604] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | OUT OF COUNTY CMH [901001] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH CLINTON EATON & INGHAM COUNTY [901006] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH LAPEER COUNTY [901004] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MCLAREN CAID [300601] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PACE MEDICAID HMO [9020] | GENESYS PACE [902001] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH OAKLAND COUNTY [901005] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL OMNICARE CAID [300608] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA HEALTH CARE [9008] | MOLINA HEALTH CARE [900801] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MOLINA CAID [300603] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MICHIGAN COMPLETE HEALTH MEDICAID [9019] | MICHIGAN COMPLETE HEALTH MEDICAID [901901] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENESEE COUNTY CMH [9003] | GENESEE COUNTY CMH [900301] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH SHIAWASSEE COUNTY [901003] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL TOTAL HEALTHCARE [300606] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $11.41 | $370.00 | $370.00 | 2026-03-23 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $11.52 | $825.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $11.52 | $825.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $11.52 | $825.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $11.52 | $825.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $11.52 | $825.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $11.52 | $825.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $11.52 | $825.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $11.52 | $825.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $11.52 | $825.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $11.52 | $825.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $11.52 | — | — | 2025-06-28 | 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.