99253 — Ip/obs Cnsltj New/est Low 45
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ip/obs cnsltj new/est low 45 (OTHER 99253) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99253?code_type=OTHER
MLA (9th ed.)
“Ip/obs cnsltj new/est low 45 (OTHER 99253) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99253?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Ip/obs cnsltj new/est low 45 (OTHER 99253) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99253?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $94–$213 (25th–75th percentile) across 29 hospitals · 95 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99253 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $5.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $11.20 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $11.20 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $30.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $30.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $30.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $30.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $30.00 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $42.57 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $42.57 | — | — | 2026-05-13 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1028 Advantage Aetna | — | $43.24 | $185.00 | — | 2026-08-01 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $46.57 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $46.57 | — | — | 2026-05-13 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 750 Tricare | — | $47.42 | $185.00 | — | 2026-08-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1022 Advantage Humana | — | $54.98 | $185.00 | — | 2026-08-01 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $58.21 | — | — | 2026-05-08 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 1023 Advantage United Healthcare | — | $60.92 | $185.00 | — | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $61.32 | $219.00 | $54.75 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicare Op | — | $61.32 | $219.00 | $54.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Medicare Advantage Op | — | $61.32 | $219.00 | $54.75 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $61.32 | $219.00 | $54.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $61.32 | $219.00 | $54.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $61.32 | $219.00 | $54.75 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $61.32 | $219.00 | $54.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcn Medicare Advantage Op | — | $61.32 | $219.00 | $54.75 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Php Medicare Advantage Op | — | $61.32 | $219.00 | $54.75 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $61.32 | $219.00 | $54.75 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Humana Medicare Advantage Op | — | $61.32 | $219.00 | $54.75 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $61.32 | $219.00 | $54.75 | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $63.05 | $195.00 | $97.50 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $63.05 | $195.00 | $97.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $63.26 | $198.00 | $99.00 | 2026-05-09 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $66.69 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $66.69 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $66.69 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $66.69 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $68.16 | $284.00 | $170.40 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $68.16 | $284.00 | $170.40 | 2026-05-24 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $68.40 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $68.40 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $68.40 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $68.40 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $68.40 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $71.82 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $73.53 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Americhoice | — | $74.00 | $273.00 | — | 2026-07-15 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $74.03 | $208.00 | $145.60 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $74.03 | $208.00 | $145.60 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $74.03 | $208.00 | $145.60 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $74.03 | $208.00 | $145.60 | 2026-05-14 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $74.77 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $78.42 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $78.42 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $78.42 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $78.42 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $78.42 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $78.42 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $78.42 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $78.42 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $78.42 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $78.42 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $78.42 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $78.42 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $79.63 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $79.63 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $80.40 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Medicare Advantage Op | — | $83.22 | $219.00 | $54.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Humana Medicare Advantage Op | — | $83.22 | $219.00 | $54.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcn Medicare Advantage Op | — | $83.22 | $219.00 | $54.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Blue Cross Medicare Plus Blue Op | — | $83.22 | $219.00 | $54.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Medicare Op | — | $83.22 | $219.00 | $54.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Php Medicare Advantage Op | — | $83.22 | $219.00 | $54.75 | 2026-07-31 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Blue Cross And Blue Shield Of Alabama | All Payor | $83.95 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $84.98 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $84.98 | — | — | 2026-05-24 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $86.25 | $403.00 | $261.95 | 2026-07-31 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $86.26 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $86.26 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $87.05 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $87.05 | — | — | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | United Healthcare - Medicare Advantage | All Payor | $90.72 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Optum Va Ccn | All Payor | $90.72 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Medicare Advantage | All Payor | $90.72 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Cigna Healthcare � Cigna Healthspring � Medicare Advantage Product(S) | All Payor | $90.72 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $90.72 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Primewell Health Services � Medicare Advantage | All Payor | $90.72 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Magnolia Health Plan � Wellcare By All Well Of Mississippi | All Payor | $90.72 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Molina Healthcare Of Mississippi � Medicare Advantage Product(S) | All Payor | $91.63 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Simpra Medicare Advantage | All Payor | $91.63 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL | 300 Blue Cross | — | $91.97 | $185.00 | — | 2026-08-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $92.09 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $92.09 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $92.11 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Tenncare | $92.11 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Medicare Advantage | $92.27 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Medicare Advantage | $92.27 | — | — | 2026-05-24 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Patrius Health Medicare Advantage � Ahs | All Payor | $92.53 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $93.80 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $93.80 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $93.80 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $93.80 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Medicare Advantage | $93.80 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellcare | Medicare Advantage | $93.80 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $93.80 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $93.80 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Ma Hmo Ppo Pffs | $93.80 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nhc | Medicare Advantage | $93.80 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Ma Ppo | $93.80 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | American Health | Medadv Hmo Isnp | $93.80 | — | — | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Shared Health Mississippi | All Payor | $95.26 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $95.33 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Cigna | Medicare Advantage | $95.33 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | Medicare Advantage | $95.68 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | Medicare Advantage | $95.68 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Signature | Medicare Advantage | $96.62 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellpoint | Medicare Advantage | $96.62 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Signature | Medicare Advantage | $96.62 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellpoint | Medicare Advantage | $96.62 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Devoted Health | Medicare Advantage | $98.49 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Upmc Health Plan | Commercial | $98.49 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Devoted Health | Medicare Advantage | $98.49 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Upmc Health Plan | Commercial | $98.49 | — | — | 2026-05-24 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Clover Health Medicare Advantage | — | $99.82 | $217.00 | $65.10 | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Blue Cross Blue Shield Outpatient Only | — | $100.00 | $125.00 | — | 2026-07-30 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Bcbs Select Blue Choice | — | $103.29 | $217.00 | $65.10 | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Aetna Inpatient And Outpatient | — | $104.25 | $125.00 | — | 2026-07-30 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Prime Health Services Ppo | All Payor | $104.33 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Prime Health Services Ppo - Medicare Advantage | All Payor | $104.33 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| PATHWAYS OF TENNESSEE, INC | Ubh/Uhc | — | $105.00 | $273.00 | — | 2026-07-15 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Healthnet Inpatient And Outpatient | — | $106.25 | $125.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For United Healthcare Inpatient Only | — | $106.25 | $125.00 | — | 2026-07-30 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $107.91 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $107.91 | — | — | 2026-05-24 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Aetna - Nhn Narrow Network | — | $108.50 | $217.00 | $65.10 | 2026-07-30 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Oscar Health | — | $108.50 | $217.00 | $65.10 | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Cigna Hmo Inpatient And Outpatient | — | $108.75 | $125.00 | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $109.44 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| LARNED STATE HOSPITAL Inpatient | Insurance | Insurance | $109.53 | $109.53 | $109.53 | 2026-07-31 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Commercial | $110.61 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Choicecare | Commercial | $110.61 | — | — | 2026-05-24 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcbs Op | — | $110.86 | $219.00 | $54.75 | 2026-08-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Dsnp | $110.97 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Dsnp | $110.97 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellpoint | Tenncare | $111.62 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Wellpoint | Tenncare | $111.62 | — | — | 2026-05-24 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For United Healthcare Outpatient Only | — | $112.50 | $125.00 | — | 2026-07-30 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For Cigna Ppo Inpatient And Outpatinet | — | $112.50 | $125.00 | — | 2026-07-30 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $112.91 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $112.91 | — | — | 2026-05-23 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $112.91 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $114.36 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $114.36 | — | — | 2026-05-23 | MRF ↗ |
| Mt. Graham Regional Medical Center | Standard Charge For First Health Group Inpatient And Outpatinent | — | $115.00 | $125.00 | — | 2026-07-30 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $116.93 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $116.93 | — | — | 2026-05-13 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | All Commercial Plans | — | $355.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Arkansas Medicaid | — | — | $355.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Aetna | All Commercial Plans | $118.76 | $355.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | All Commercial Plans | — | $355.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Oklahoma Medicaid | — | — | $355.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Missouri Medicaid | — | — | $355.00 | — | 2026-07-15 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcbs Op | — | $120.78 | $219.00 | $54.75 | 2026-07-30 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Bcbs Network Blue | — | $121.52 | $217.00 | $65.10 | 2026-07-30 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Aetna Health Inc. Ppo/Pos | All Payor | $122.75 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $122.84 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Commercial Exchange | $123.52 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Commercial Exchange | $123.52 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Choice Pos | $123.93 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Choice Pos | $123.93 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Multiplan | Commercial | $124.40 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Coventry Health | Hmo/Pos/Ppo | $124.40 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Coventry Health | Hmo/Pos/Ppo | $124.40 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Multiplan | Commercial | $124.40 | — | — | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $125.31 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $126.14 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $126.14 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $127.47 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $127.47 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Comm Hmo Ppo Pos | $128.70 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Humana | Comm Hmo Ppo Pos | $128.70 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Bcbs Network L | $128.82 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Bcbs Network L | $128.82 | — | — | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | $129.03 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Cigna Healthcare � Commercial | All Payor | $129.04 | $213.00 | $161.88 | 2026-05-27 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $129.45 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Aetna | — | $130.16 | $217.00 | $65.10 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $134.24 | $171.00 | $119.70 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Health Op | — | $134.40 | $219.00 | $54.75 | 2026-07-30 | 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.