97608 — Neg Prs Wnd Ther Ndme>50sqcm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEG PRS WND THER NDME>50SQCM (CPT 97608) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97608?code_type=CPT
MLA (9th ed.)
“NEG PRS WND THER NDME>50SQCM (CPT 97608) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97608?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“NEG PRS WND THER NDME>50SQCM (CPT 97608) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97608?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $339–$756 (25th–75th percentile) across 2,783 hospitals · 7,583 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 97608 — 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
$339
$464 typical
$756
The middle 50% of negotiated facility rates for this procedure, measured across 2,783 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. | $464 |
| Physician fee Estimate national typical Medicare $22 × 1.22 commercial. | $26 |
| Likely subtotal | $490 |
Complete-episode estimate (typical)
~$490
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $339–$756.
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 | — | — | — | $2,473.88 | $1,236.94 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $2,473.88 | $1,236.94 | 2024-12-15 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Cigna | Cigna/Fuji | $0.10 | $1,040.00 | $624.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Cigna | Cigna Hmo Ppo Oa Netwk Pos Epo Indem | $0.10 | $1,040.00 | $624.00 | 2026-07-18 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $1,754.00 | $1,315.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $1,754.00 | $1,315.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $1,754.00 | $1,315.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $1,048.00 | — | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.73 | $58.00 | $11.02 | 2026-08-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,754.00 | $1,315.50 | 2026-09-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.06 | $287.00 | $272.65 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.06 | $287.00 | $272.65 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.06 | $287.00 | $272.65 | 2026-02-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.09 | $287.00 | $272.65 | 2026-02-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.12 | $287.00 | $272.65 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.15 | $287.00 | $272.65 | 2026-02-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.24 | $336.00 | $319.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.24 | $336.00 | $319.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.24 | $336.00 | $319.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.28 | $336.00 | $319.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.31 | $336.00 | $319.20 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.34 | $336.00 | $319.20 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.41 | $287.00 | $272.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.41 | $287.00 | $272.65 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.44 | $287.00 | $272.65 | 2026-02-20 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $1.46 | $1,232.00 | $1,232.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $1.46 | $1,232.00 | $1,232.00 | 2026-02-13 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.49 | $287.00 | $272.65 | 2026-02-20 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.50 | $831.00 | $409.60 | 2024-12-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.55 | $287.00 | $272.65 | 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 | Security Health Plan (SHP) | Medicare Advantage | $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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $1,284.00 | $642.00 | 2026-07-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.54 | $470.00 | $446.50 | 2026-02-20 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $2.74 | $20.00 | $16.00 | 2026-04-24 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $3.03 | $570.00 | $570.00 | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $3.29 | $296.00 | $222.00 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $3.29 | $296.00 | $222.00 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $3.29 | $296.00 | $222.00 | 2026-10-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $3.62 | $724.00 | $724.00 | 2026-06-05 | 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 ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $3.76 | $385.00 | $154.00 | 2026-07-18 | 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 ↗ |
| RANDOLPH HOSPITAL Both | Mcd | — | $4.30 | $50.00 | $10.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Amerihealth Caritas | — | $4.30 | $50.00 | $10.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Healthy Blue | — | $4.30 | $50.00 | $10.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Wellcare- Centene | — | $4.30 | $50.00 | $10.00 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Cchn-Centene | — | $4.39 | $50.00 | $10.00 | 2026-07-15 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $4.50 | $6.00 | $3.00 | 2026-07-18 | 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 ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $4.71 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $4.80 | $6.00 | $3.00 | 2026-07-18 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Medicare | Part B | $5.00 | $49.00 | $25.00 | 2025-06-12 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $5.07 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $5.10 | $6.00 | $3.00 | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $5.10 | $6.00 | $3.00 | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $5.10 | $6.00 | $3.00 | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $5.10 | $6.00 | $3.00 | 2026-07-18 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $5.14 | $966.00 | $966.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $5.14 | $966.00 | $966.00 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $5.54 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $5.58 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $5.58 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Tricare | Commercial | $6.00 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $6.05 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $6.15 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $6.21 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $6.21 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | $6.33 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Bcbs | — | $6.89 | $50.00 | $10.00 | 2026-07-15 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Security Health | Medicare Advantage | $7.00 | $20.00 | $16.00 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield of Wisconsin | Medicare Advantage | $7.00 | $20.00 | $16.00 | 2026-04-24 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $7.03 | $350.00 | $210.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $7.03 | $350.00 | $210.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $7.03 | $393.00 | $235.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $7.03 | $382.00 | $229.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $7.03 | $336.00 | $201.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $7.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $7.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $7.03 | $336.00 | $201.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $7.03 | $957.00 | $574.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $7.03 | $336.00 | $201.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $7.03 | $336.00 | $201.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $7.03 | — | — | 2026-01-01 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Uhc | — | $7.05 | $50.00 | $10.00 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $7.07 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $7.07 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $7.07 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $7.10 | $724.00 | $724.00 | 2026-06-05 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $7.16 | $716.05 | $537.04 | 2026-07-31 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | City Of Charleston | Commercial | $7.50 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Group Health Coop of Eau Claire | Commercial | $7.56 | $20.00 | $16.00 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $7.85 | $755.25 | $755.25 | 2026-04-24 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Highmark Blue Cross Blue Shield West Virginia | Ppo Aca | $8.05 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $8.10 | $81.00 | $81.00 | 2026-07-15 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Connection Midlevels | $8.11 | $825.00 | $539.55 | 2026-04-01 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $8.40 | $20.00 | $16.00 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Health Tradition | Medicare Select Program | $8.40 | $20.00 | $16.00 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | Medicare Select Program | $8.40 | $20.00 | $16.00 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Group Health Coop of Eau Claire | Medicare Advantage | $8.40 | $20.00 | $16.00 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Care Wisconsin | Medicare Advantage | $8.40 | $20.00 | $16.00 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $8.40 | $20.00 | $16.00 | 2026-04-24 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Quartz | Medicare Advantage | $8.40 | $20.00 | $16.00 | 2026-04-24 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Blue Access Midlevels | $8.56 | $825.00 | $539.55 | 2026-04-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $8.59 | $716.05 | $537.04 | 2026-07-17 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Nc Dept Of Public Safety | — | $8.60 | $50.00 | $10.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Integrated Medical Solutions | Commercial | $9.00 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Commercial Midlevels | $9.02 | $825.00 | $539.55 | 2026-04-01 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Highmark Blue Cross Blue Shield West Virginia | Traditional | $9.12 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Highmark Blue Cross Blue Shield West Virginia | Ppo/Pos | $9.12 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Cigna Health And Life Insurance Company | Commercial | $9.30 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $9.31 | $716.05 | $537.04 | 2026-08-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Connection | $9.54 | $825.00 | $539.55 | 2026-04-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $9.69 | $969.35 | $727.01 | 2026-07-31 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Triwest Va | Medicare Advantage | $9.70 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Three Rivers Providers Network | Commercial | $9.70 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Three Rivers Providers Network | Workers Compensation | $9.70 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | The Health Plan Of West Virginia Inc. | Commercial | $9.70 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Aetna Health Inc. | Commercial | $9.80 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Choicecare Network | Commercial | $9.80 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | United Healthcare | Commercial | $9.80 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Healthsmart | Commercial | $9.80 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Multiplan | Commercial | $9.80 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $9.81 | — | — | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | The Health Plan Of West Virginia Inc. | Managed Medicaid | $10.00 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Highmark Blue Cross Blue Shield West Virginia | Medicare Advantage | $10.00 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Optimum Choice Inc. | Va Community Care Network | $10.00 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Aetna Health Inc. | Medicare Advantage | $10.00 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Aetna Better Health Of West Virginia | Chip | $10.00 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Choicecare Network | Medicare Advantage Ppo+ | $10.00 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Naphcare | Commercial | $10.00 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | Ultra | $10.00 | $50.00 | $10.00 | 2026-07-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Unicare Health Plan Of West Virginia Inc. | Managed Medicaid | $10.00 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Caresource | Commercial | $10.00 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $10.02 | $716.05 | $537.04 | 2026-08-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Blue Access | $10.08 | $825.00 | $539.55 | 2026-04-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $10.16 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $10.16 | — | — | 2026-03-01 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $10.30 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $10.37 | $1,036.52 | $777.39 | 2026-07-31 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | The Health Plan Of West Virginia Inc. | Medicare Advantage | $10.50 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | West Virginia Senior Advantage Inc. | Medicare Advantage | $10.50 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Outpatient | Choicecare Network | Medicare Advantage | $10.50 | $10.00 | $10.00 | 2026-10-22 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | BCBS | Commercial | $10.61 | $825.00 | $539.55 | 2026-04-01 | MRF ↗ |
| SGMC HEALTH | Humana | — | $10.82 | $67.00 | $50.25 | 2026-07-30 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Inpatient | Verity Commercial | All Plans | $10.85 | $31.00 | $6.51 | 2026-07-15 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | WASHINGTON STATE DSHS - Medicaid | WASHINGTON STATE DSHS - Medicaid | $11.32 | $74.00 | $59.20 | 2026-01-05 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $11.50 | $46.00 | $32.20 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | $11.50 | $46.00 | $32.20 | 2025-09-16 | 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.