99235 — Hosp Ip/obs Same Date Mod 70
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HOSP IP/OBS SAME DATE MOD 70 (HCPCS 99235) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99235?code_type=HCPCS
MLA (9th ed.)
“HOSP IP/OBS SAME DATE MOD 70 (HCPCS 99235) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99235?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“HOSP IP/OBS SAME DATE MOD 70 (HCPCS 99235) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99235?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $156–$514 (25th–75th percentile) across 1,694 hospitals · 3,683 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99235 — 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
$156
$263 typical
$514
The middle 50% of negotiated facility rates for this procedure, measured across 1,694 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. | $263 |
| Physician fee Estimate national typical Medicare $143 × 1.22 commercial. | $174 |
| Likely subtotal | $437 |
Complete-episode estimate (typical)
~$437
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 $156–$514.
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 |
|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $607.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $607.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $607.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $607.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| HARDTNER MEDICAL CENTER Both | United Healthcare | Default | — | $422.00 | $84.40 | 2025-01-02 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| SABINE MEDICAL CENTER Both | BLUE CROSS OF LOUISIANA | BLUE CROSS IP | $0.03 | $567.00 | $170.10 | 2025-12-16 | MRF ↗ |
| SABINE MEDICAL CENTER Both | BLUE CROSS OF LOUISIANA | BLUE CROSS OP | $0.03 | $567.00 | $170.10 | 2025-12-16 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | LA-DHH-MEDICAID | LA-DHH-MEDICAID | $0.14 | $173.00 | — | 2026-03-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | 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 | 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.24 | $398.00 | $298.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.24 | $398.00 | $298.50 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $2.13 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $2.58 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $2.60 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $2.60 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $2.60 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $3.01 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $3.15 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $3.15 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $3.15 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $3.20 | — | — | 2026-05-20 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $4.44 | $533.00 | $346.45 | 2026-05-07 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $4.77 | $239.00 | $45.41 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $4.77 | $386.00 | $73.34 | 2026-05-20 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $4.77 | $488.00 | $488.00 | 2026-07-09 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $4.79 | — | — | 2026-07-15 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE IDEMNITY | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED SELECT NETWORK | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA COMMERCIAL | CIGNA COMMERCIAL | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORKAL | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NTWRK | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NETWORK | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED SELECT NETWORK | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE IDEMNITY | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORK | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORKAL | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NTWRK | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA COMMERCIAL | CIGNA COMMERCIAL | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORK | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NETWORK | $6.50 | $26.00 | — | 2024-06-28 | MRF ↗ |
| PELLA REGIONAL HEALTH CENTER Outpatient | Wellmark Inc Dba Wellmark Blue Cross And Blue Shield Of Iowa | Ppo | $7.00 | $370.00 | $370.00 | 2026-07-15 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $7.16 | $624.00 | $624.00 | 2026-07-16 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $7.80 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $7.80 | $26.00 | — | 2024-06-28 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $9.46 | $473.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $9.46 | $473.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $9.46 | $473.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $9.46 | $473.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $9.46 | $473.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $9.46 | $473.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $9.46 | $473.00 | — | 2026-03-31 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $9.54 | $661.00 | $661.00 | 2026-02-13 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Humana | Medicare | $9.79 | $51.00 | $40.80 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $9.83 | $491.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $9.83 | $491.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $9.83 | $491.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $9.83 | $491.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $9.83 | $491.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $9.83 | $491.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $9.83 | $491.50 | — | 2026-03-31 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | FEP | FEP | $12.79 | $173.00 | — | 2026-03-26 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST HEALTH COMMERICAL | FIRST HEALTH | $13.00 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST HEALTH COMMERICAL | FIRST HEALTH | $13.00 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $13.78 | $26.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $13.78 | $26.00 | — | 2024-06-28 | MRF ↗ |
| STOUGHTON HOSPITAL Outpatient | WPS - ALL PLANS | WPS - ALL PLANS | $16.62 | $870.38 | $478.71 | 2026-01-19 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | HUMANA MCR | HUMANA MCR | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | AETNA COVENTRY COMMERCIAL - ALL OTHER PLANS | AETNA COVENTRY COMMERCIAL - ALL OTHER PLANS | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | AETNA BETTER HEALTH KANCARE HMO | AETNA BETTER HEALTH KANCARE HMO | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MCR | UNITED HEALTHCARE MCR | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | BCBSKS MCR ADVANTAGE | BCBSKS MCR ADVANTAGE | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Outpatient | BCBSKS VALUE BLUE | BCBSKS VALUE BLUE | $18.05 | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE OPTIONS PPO - ALL OTHER PLANS | UNITED HEALTHCARE OPTIONS PPO - ALL OTHER PLANS | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | TRICARE WEST - ALL PLANS | TRICARE WEST - ALL PLANS | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | CORIZON KSDOC INMATES | CORIZON KSDOC INMATES | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE NON-OPTIONS | UNITED HEALTHCARE NON-OPTIONS | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | SUNFLOWER/CENTENE KANCARE CHIP - ALL PLANS | SUNFLOWER/CENTENE KANCARE CHIP - ALL PLANS | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | PROVIDRS WPPA - ALL PLANS | PROVIDRS WPPA - ALL PLANS | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | AETNA MCR/ADVANTRA | AETNA MCR/ADVANTRA | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| SUSAN B ALLEN MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID | UNITED HEALTHCARE MEDICAID | — | $341.00 | $204.60 | 2024-04-10 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $18.50 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $18.50 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $18.50 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $18.50 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $18.50 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $18.50 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $18.50 | — | — | 2026-04-01 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $622.00 | $435.40 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $622.00 | $435.40 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $622.00 | $435.40 | 2026-07-14 | MRF ↗ |
| GRITMAN MEDICAL CENTER BothFacility | Blue Cross of Idaho | All Other Plans | $20.90 | $328.00 | $328.00 | 2026-04-30 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | MODA HEALTH PLAN - ALL OTHER PLANS | MODA HEALTH PLAN - ALL OTHER PLANS | $21.24 | $580.31 | $580.31 | 2025-05-29 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $21.24 | $580.31 | $580.31 | 2025-05-29 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | EBMS (RMHN NETWORK) - ALL PLANS | EBMS (RMHN NETWORK) - ALL PLANS | $21.24 | $751.00 | $751.00 | 2026-05-05 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $21.42 | $580.31 | $580.31 | 2025-05-29 | MRF ↗ |
| DINI-TOWNSEND HOSPITAL AT NNMH Outpatient | — | — | — | $435.00 | $21.75 | 2026-03-30 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Oscar Health | Default | — | $590.00 | $384.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Cigna | Default | — | $590.00 | $384.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Medicare B Ia J5 | Default | $22.74 | $590.00 | $384.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | United Healthcare | Default | — | $590.00 | $384.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Aetna | Default | — | $590.00 | $384.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ia Wellmark | Default | — | $590.00 | $384.00 | 2026-07-15 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PROVIDENCE PREFERRED - ALL PLANS | PROVIDENCE PREFERRED - ALL PLANS | $23.76 | $580.31 | $580.31 | 2025-05-29 | MRF ↗ |
| BATH COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $36.50 | $27.38 | 2025-07-08 | MRF ↗ |
| BATH COMMUNITY HOSPITAL Outpatient | Medicare A VA JM | Default | $23.97 | $36.50 | $27.38 | 2025-07-08 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | LOUISIANA HEALTHCARE CONNECTIONS | LOUISIANA HEALTHCARE CONNECTIONS | $24.35 | $173.00 | — | 2026-03-26 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | HEALTHY BLUE | HEALTHY BLUE | $24.35 | $173.00 | — | 2026-03-26 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | Cigna | Cigna Pos | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | Cigna | Cigna Ppo | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | Cigna | Cignahmo | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | Health Smart | Health Smart | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | Cigna | Apwu | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | Cigna | Cigna | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | Cigna | Samba | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Inpatient | Health Smart | Health Smart | $24.50 | $35.00 | $10,805.78 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | Cigna | Amq Cigna | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | Cigna | Nalc | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Inpatient | American National Insurance | American National Insurance | $24.50 | $35.00 | $10,805.78 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | American National Insurance | American National Insurance | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | American National Insurance | American National Ins Co | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | Cigna | Great West Healthcare | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Outpatient | Cigna | Cigna Medsolutions | $24.50 | $35.00 | $24.50 | 2026-07-31 | MRF ↗ |
| MEMORIAL HERMANN HOUSTON PHYSICIANS HOSPITAL Inpatient | American National Insurance | American National Ins Co | $24.50 | $35.00 | $10,805.78 | 2026-07-31 | MRF ↗ |
| ISLAND HOSPITAL BothFacility | Kaiser | Commercial | $24.88 | $311.00 | $311.00 | 2026-05-04 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Outpatient | Medica | Managed Medicaid | $24.96 | $48.00 | $33.60 | 2026-07-15 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $24.96 | $48.00 | $33.60 | 2026-07-15 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Outpatient | Medica | Medicare Advantage | $24.96 | $48.00 | $33.60 | 2026-07-15 | MRF ↗ |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL Outpatient | Aetna Medicare Advantage | — | $25.44 | $48.00 | $33.60 | 2026-07-15 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | United Healthcare | Commercial | $25.50 | $51.00 | $40.80 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $26.14 | $590.00 | $384.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Aetna Medicare Advantage | Default | $26.14 | $590.00 | $384.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Medicare A Ia J5 | Default | $26.14 | $590.00 | $384.00 | 2026-07-15 | MRF ↗ |
| DALLAS COUNTY HOSPITAL Outpatient | Uhc Group Medicare Advantage | Medicare Advantage | $26.67 | $590.00 | $384.00 | 2026-07-15 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $27.00 | — | — | 2024-10-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $27.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $27.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $27.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $27.41 | $146.00 | $87.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $27.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $27.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $27.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $27.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $27.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $27.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $27.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $27.41 | — | — | 2026-01-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.