97761 — Prosthetic Traing 1st Enc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PROSTHETIC TRAING 1ST ENC (HCPCS 97761) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97761?code_type=HCPCS
MLA (9th ed.)
“PROSTHETIC TRAING 1ST ENC (HCPCS 97761) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97761?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PROSTHETIC TRAING 1ST ENC (HCPCS 97761) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97761?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $44–$126 (25th–75th percentile) across 3,340 hospitals · 9,565 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 97761 — 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
$44
$82 typical
$126
The middle 50% of negotiated facility rates for this procedure, measured across 3,340 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. | $82 |
| Physician fee Estimate national typical Medicare $40 × 1.22 commercial. | $49 |
| Likely subtotal | $131 |
Complete-episode estimate (typical)
~$131
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 $44–$126.
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 |
|---|---|---|---|---|---|---|---|
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.21 | $122.00 | $91.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.21 | $122.00 | $91.50 | 2026-03-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Managed Medicaid | $0.23 | $125.00 | $125.00 | 2026-09-08 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Wellcare | All Products | $0.27 | $1.16 | $1.04 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Carolina Complete Health | Tailored Plan | $0.27 | $1.16 | $1.04 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Healthy Blue | All Products | $0.27 | $1.16 | $1.04 | 2026-07-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Amerihealth Caritas | All Products | $0.27 | $1.16 | $1.04 | 2026-07-18 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.35 | $193.00 | $52.81 | 2024-12-31 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.47 | $128.00 | $121.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.47 | $128.00 | $121.60 | 2026-02-20 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.47 | $121.00 | $121.00 | 2026-07-15 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Essential Plans | $0.47 | $125.00 | $125.00 | 2026-09-08 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.47 | $128.00 | $121.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.47 | $128.00 | $121.60 | 2026-02-20 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.47 | $113.00 | $113.00 | 2026-11-06 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.47 | $128.00 | $121.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.47 | $128.00 | $121.60 | 2026-02-20 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.47 | $121.00 | $121.00 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.49 | $128.00 | $121.60 | 2026-02-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.49 | $128.00 | $121.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.50 | $128.00 | $121.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.50 | $128.00 | $121.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.51 | $128.00 | $121.60 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.51 | $128.00 | $121.60 | 2026-02-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $170.00 | — | 2026-07-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.64 | $130.00 | $123.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.64 | $130.00 | $123.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.64 | $130.00 | $123.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.64 | $130.00 | $123.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.70 | $130.00 | $123.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.70 | $130.00 | $123.50 | 2026-02-20 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.74 | $76.00 | $57.00 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.74 | $76.00 | $57.00 | 2025-03-07 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Cigna | All Commercial Products | $0.77 | $1.16 | $1.04 | 2026-07-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.86 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.86 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $0.99 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $0.99 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $0.99 | — | — | 2026-03-18 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $757.50 | $492.38 | 2025-11-26 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | UHC Medicaid Replacement | HMO | $1.00 | $119.00 | — | 2026-03-18 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $319.00 | $261.58 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $319.00 | $261.58 | 2025-11-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | 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 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $214.00 | $160.50 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE - MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $319.00 | $261.58 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $319.00 | $261.58 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $319.00 | $261.58 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $319.00 | $261.58 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $319.00 | $261.58 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $319.00 | $261.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $757.50 | $492.38 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $319.00 | $261.58 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $319.00 | $261.58 | 2025-11-26 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | $1.03 | $107.00 | $74.90 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | $1.03 | $107.00 | $74.90 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | $1.03 | $107.00 | $74.90 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | $1.03 | $107.00 | $74.90 | 2025-01-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.04 | $145.83 | $87.50 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.04 | $145.83 | $87.50 | 2025-08-11 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.08 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.08 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.08 | — | — | 2026-03-18 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Outpatient | Johns Hopkins Healthcare | All Products | $1.10 | $1.16 | $1.04 | 2026-07-18 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.10 | $145.83 | $87.50 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.10 | $145.83 | $87.50 | 2025-08-11 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $1.20 | $4.80 | $4.80 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $1.20 | $4.80 | $4.80 | 2026-03-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $1.22 | — | — | 2026-07-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | United Healthcare | HMO Other | $1.25 | $146.16 | $87.70 | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | United Healthcare | PPO | $1.25 | $146.16 | $87.70 | 2026-03-15 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Cigna | Cigna - PPO | $1.29 | $176.00 | $132.00 | 2026-04-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $1.31 | $131.23 | $98.42 | 2026-11-03 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $1.36 | $136.44 | $102.33 | 2026-11-03 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $1.57 | $131.23 | $98.42 | 2026-11-02 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $1.64 | $136.98 | $102.74 | 2026-11-02 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $1.71 | $131.23 | $98.42 | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $1.77 | $136.44 | $102.33 | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $1.84 | $131.23 | $98.42 | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $1.91 | $136.44 | $102.33 | 2026-08-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.05 | $111.00 | — | 2025-06-28 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $2.16 | $4.80 | $4.80 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $2.16 | $4.80 | $4.80 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $2.16 | $4.80 | $4.80 | 2026-03-27 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $2.29 | $109.13 | $81.85 | 2026-08-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $2.30 | $4.80 | $4.80 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $2.30 | $4.80 | $4.80 | 2026-03-27 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.34 | — | — | 2026-03-18 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $2.35 | $117.50 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $2.35 | $117.50 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $2.35 | $117.50 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $2.35 | $117.50 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $2.35 | $117.50 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $2.35 | $117.50 | — | 2026-07-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $2.35 | $117.50 | — | 2026-07-23 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $2.40 | $4.80 | $4.80 | 2026-03-27 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $98.00 | $49.00 | 2026-07-01 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $2.66 | $98.53 | $73.90 | 2026-11-02 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $2.76 | $131.23 | $98.42 | 2026-08-01 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Op | — | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Ip Plans | — | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Op Plans | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Op | — | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Ip | — | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $2.84 | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Anthem | Healthkeepers Medicaid Plans | $2.84 | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Op Plans | — | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Op | — | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Ip | — | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Ip Plans | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $2.84 | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Ip Plans | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Op Plans | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Op Plans | — | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Ip | — | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna | Better Health Medicaid Plans | $2.84 | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Ip | — | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Ip Plans | — | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Op | — | — | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare | Medicaid | $2.90 | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare | Medicaid | $2.90 | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Molina | Medicaid | $2.93 | $399.00 | $131.67 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $2.93 | $399.00 | $131.67 | 2026-09-21 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $2.95 | $109.13 | $81.85 | 2026-11-02 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $3.12 | $4.80 | $4.80 | 2026-03-27 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $3.15 | $131.23 | $98.42 | 2026-11-02 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $3.27 | $136.44 | $102.33 | 2026-11-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $583.72 | $379.42 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $583.72 | $379.42 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $583.72 | $379.42 | 2025-11-26 | MRF ↗ |
| HUMBOLDT PARK HEALTH Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $3.81 | $11.55 | $3.23 | 2026-09-29 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Donor Connect | Other | $3.81 | $131.23 | $98.42 | 2026-11-02 | MRF ↗ |
| HUMBOLDT PARK HEALTH Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $3.81 | $11.55 | $3.23 | 2026-09-29 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Donor Connect | Other | $3.96 | $136.44 | $102.33 | 2026-11-02 | MRF ↗ |
| BROWARD HEALTH IMPERIAL POINT OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $4.15 | $60.96 | $60.96 | 2026-04-17 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $319.00 | $261.58 | 2025-11-26 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $4.46 | $96.00 | $57.60 | 2026-01-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $4.46 | $33.00 | $24.75 | 2026-01-16 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $4.46 | $126.00 | $75.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $4.46 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $4.46 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $4.46 | $126.00 | $75.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $4.46 | $118.00 | $70.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $4.46 | $126.00 | $75.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $4.46 | $173.00 | $103.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $4.46 | $146.00 | $87.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $4.46 | $126.00 | $75.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $4.46 | $155.00 | $93.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $4.46 | $173.00 | $103.80 | 2026-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $757.50 | $492.38 | 2025-11-26 | MRF ↗ |
| KNAPP MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $4.60 | $84.00 | $52.00 | 2024-12-19 | 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.