99255 — Ip/obs Consltj New/est Hi 80
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). IP/OBS CONSLTJ NEW/EST HI 80 (HCPCS 99255) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99255?code_type=HCPCS
MLA (9th ed.)
“IP/OBS CONSLTJ NEW/EST HI 80 (HCPCS 99255) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99255?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“IP/OBS CONSLTJ NEW/EST HI 80 (HCPCS 99255) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99255?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $188–$543 (25th–75th percentile) across 1,276 hospitals · 2,976 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99255 — 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 |
|---|---|---|---|---|---|---|---|
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | 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 | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 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 | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| SABINE MEDICAL CENTER Both | BLUE CROSS OF LOUISIANA | BLUE CROSS OP | $0.03 | $677.00 | $203.10 | 2025-12-16 | MRF ↗ |
| SABINE MEDICAL CENTER Both | BLUE CROSS OF LOUISIANA | BLUE CROSS IP | $0.03 | $677.00 | $203.10 | 2025-12-16 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | 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 HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 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 ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER 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 TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI 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 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | 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 ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | 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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | 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 | — | — | 2026-09-02 | 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 | BCBS BLUE CARE NETWORK | $2.60 | — | — | 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 | BLUECROSSBLUESHIELD MI | $3.01 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $3.15 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $3.15 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $3.15 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $3.20 | — | — | 2026-09-02 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Traditional | Commercial | $4.86 | $273.00 | $191.10 | 2026-07-15 | MRF ↗ |
| PROSSER MEMORIAL HOSPITAL Inpatient | Cigna | All Commercial Plans | $5.00 | $654.00 | $359.70 | 2026-07-15 | MRF ↗ |
| MORRIS HOSPITAL & HEALTHCARE CENTERS Outpatient | CIGNA PPO - ALL OTHER PLANS | CIGNA PPO - ALL OTHER PLANS | $5.00 | $322.00 | $77.47 | 2026-05-07 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $536.00 | — | 2026-02-25 | MRF ↗ |
| MARSHALL BROWNING HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $535.00 | $374.50 | 2026-01-22 | MRF ↗ |
| FAYETTE COUNTY HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $570.50 | $570.50 | 2026-04-08 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | CIGNA COMM - ALL OTHER PLANS | CIGNA COMM - ALL OTHER PLANS | $5.00 | $369.83 | $184.92 | 2026-05-05 | MRF ↗ |
| MORRIS HOSPITAL & HEALTHCARE CENTERS Outpatient | CIGNA IFP | CIGNA IFP | $5.00 | $322.00 | $77.47 | 2026-05-07 | MRF ↗ |
| VALOR HEALTH Outpatient | CIGNA PPO - ALL OTHER PLANS | CIGNA PPO - ALL OTHER PLANS | $5.00 | $518.30 | $492.39 | 2026-06-12 | MRF ↗ |
| VALOR HEALTH Outpatient | CIGNA OAP | CIGNA OAP | $5.00 | $518.30 | $492.39 | 2026-06-12 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $615.50 | $369.30 | 2026-01-24 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $5.00 | $615.50 | $369.30 | 2026-10-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $5.76 | $460.00 | $87.40 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $5.76 | $553.00 | $105.07 | 2026-01-25 | MRF ↗ |
| YORK HOSPITAL Both | Tufts | Commercial | $5.83 | $8.00 | $4.80 | 2026-07-15 | MRF ↗ |
| YORK HOSPITAL Both | United Healthcare | Commercial | $6.31 | $8.00 | $4.80 | 2026-07-15 | MRF ↗ |
| YORK HOSPITAL Both | Community Health Options | Commercial | $6.42 | $8.00 | $4.80 | 2026-07-15 | MRF ↗ |
| YORK HOSPITAL Both | Aetna | Commercial | $6.80 | $8.00 | $4.80 | 2026-07-15 | MRF ↗ |
| YORK HOSPITAL Both | Multiplan Mpi | Commercial | $7.04 | $8.00 | $4.80 | 2026-07-15 | MRF ↗ |
| YORK HOSPITAL Both | Multiplan Mpi/Phcs-Beech | Commercial | $7.76 | $8.00 | $4.80 | 2026-07-15 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Oxford Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Amerihealth | Regional Preferred | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Qualcare Inc | WC | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Nexus | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $7.78 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Fidelis Care | NJ Family Care | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Amerihealth | Local Value | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | PIP | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Qualcare Inc | HMO/POS | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Qualcare Inc | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Oxford Metro | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | First Health | Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $7.86 | $393.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $7.86 | $393.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $7.86 | $393.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $7.86 | $393.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $7.86 | $393.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $7.86 | $393.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $7.86 | $393.00 | — | 2026-03-31 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $8.52 | $660.00 | $660.00 | 2026-07-16 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $11.52 | $808.00 | $808.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $11.52 | $808.00 | $808.00 | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $12.60 | $519.00 | $389.25 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $12.60 | $519.00 | $389.25 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $12.60 | $519.00 | $389.25 | 2026-10-01 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Blue Cross Blue Shield Of Va Anthem | Default | $14.00 | $372.00 | $130.20 | 2026-05-09 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Medicare A Va Jm | Default | — | $372.00 | $130.20 | 2026-05-09 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | United Healthcare | Medicare Advantage | — | $372.00 | $130.20 | 2026-05-09 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Humana | Medicare Advantage | — | $372.00 | $130.20 | 2026-05-09 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Humana | Medicare Advantage | — | $372.00 | $130.20 | 2026-09-21 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | United Healthcare | Medicare Advantage | — | $372.00 | $130.20 | 2026-09-21 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Aetna Medicare Advantage | All Plans | — | $372.00 | $130.20 | 2026-09-21 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Medicare A Va Jm | All Plans | — | $372.00 | $130.20 | 2026-09-21 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Aetna Better Health Va | Default | — | $372.00 | $130.20 | 2026-05-09 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Aetna Medicare Advantage | Default | — | $372.00 | $130.20 | 2026-05-09 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Blue Cross Blue Shield Of Va Anthem | All Commercial Plans | $14.00 | $372.00 | $130.20 | 2026-09-21 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Aetna | Medicare Advantage | $15.00 | $300.00 | $300.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Medicare A MS JH | Default | $15.00 | $300.00 | $300.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Molina Healthcare of Mississippi | Default | $15.00 | $300.00 | $300.00 | 2025-07-29 | MRF ↗ |
| TIPPAH COUNTY HOSPITAL Both | Humana | Medicare Advantage | $15.00 | $300.00 | $300.00 | 2025-07-29 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $17.93 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $17.93 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $17.93 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $17.93 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $17.93 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $17.93 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $17.93 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $17.93 | — | — | 2026-04-01 | MRF ↗ |
| SCK HEALTH Outpatient | UHC MCR ADV OP ONLY | UHC MCR ADV OP ONLY | $19.43 | $406.00 | $406.00 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | AMBETTER COMM OP ONLY - ALL OTHER PLANS | AMBETTER COMM OP ONLY - ALL OTHER PLANS | $19.43 | $406.00 | $406.00 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | AMBETTER MCR OP ONLY | AMBETTER MCR OP ONLY | $19.43 | $406.00 | $406.00 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | AETNA MCR ADV OP ONLY | AETNA MCR ADV OP ONLY | $19.43 | $406.00 | $406.00 | 2026-05-04 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $531.00 | $371.70 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $531.00 | $371.70 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $531.00 | $371.70 | 2026-07-14 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | AETNA MEDICARE [810] | AETNA MEDICARE [810001] | $19.60 | $98.00 | $68.60 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | AETNA MEDICARE [810] | AETNA MEDICARE [810001] | $19.60 | $98.00 | $68.60 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | AETNA MEDICARE [810] | AETNA MEDICARE [810001] | $19.60 | $98.00 | $68.60 | 2026-09-01 | MRF ↗ |
| CENTRO CARDIOVASCULAR DE PUERTO RICO Y EL CARIBE Outpatient | Prossam | Prossam | $20.00 | $20.00 | — | 2026-04-01 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient | Aetna | Aetna | $20.52 | $354.00 | $300.90 | 2026-07-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Aetna | JAB001_JAB002 Savings Plus | $21.76 | — | — | 2026-09-15 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $22.40 | $112.00 | $84.00 | 2026-04-27 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Aetna | JAB001_JAB002 PEBTF | $23.22 | — | — | 2026-09-15 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Self Pay Non-Traditional | Self Pay Non-Traditional | $23.54 | $294.20 | $294.20 | 2026-07-17 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Aetna | JAB001_JAB002 Commercial | $24.16 | — | — | 2026-09-15 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $27.00 | — | — | 2024-10-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $29.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $29.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | QHP | $29.00 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $29.27 | $118.00 | $37.76 | 2026-05-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $509.00 | $381.75 | 2026-03-18 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | NarrowNetwork | $30.00 | — | — | 2024-10-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $30.66 | $1,272.00 | — | 2026-08-17 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | NarrowNetwork | $32.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | NarrowNetwork | $32.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | NarrowNetwork | $32.00 | — | — | 2026-03-01 | MRF ↗ |
| O'connor Hospital BothFacility | VHP COMMERCIAL [385] | VHP ACTIVE EMPLOYEES [385001] | $32.34 | $98.00 | $68.60 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | VHP COMMERCIAL [385] | VHP ACTIVE EMPLOYEES [385001] | $32.34 | $98.00 | $68.60 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | VHP COMMERCIAL [385] | VHP ACTIVE EMPLOYEES [385001] | $32.34 | $98.00 | $68.60 | 2026-09-01 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | Aetna Healthcare | HMO/POS/PPO | $32.63 | — | — | 2026-04-30 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| ISLAND HOSPITAL BothFacility | Kaiser | Commercial | $33.12 | $414.00 | $414.00 | 2026-05-04 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BCN LOCAL NETWORK SOUTHEAST | 1149_SJPK BLUE CROSS BLUE SHIELD BCN LOCAL NETWORK SE 20220401 | $33.36 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS PPO | 1145_SJPK BLUE CROSS BLUE SHIELD PPO 20220401 | $33.36 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BC METRO DETROIT HMO | 1141_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT HMO 20220401 | $33.36 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BC METRO DETROIT EPO | 1139_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT EPO 20220401 | $33.36 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS TRADITIONAL | 1147_SJPK BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $33.36 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CARE NETWORK | 1143_SJPK BLUE CROSS BLUE SHIELD BCN 20220401 | $33.36 | — | — | 2026-01-01 | MRF ↗ |
| ISLAND HOSPITAL BothFacility | Kaiser | Commercial | $33.44 | $418.00 | $418.00 | 2026-05-04 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $33.71 | $1,272.00 | — | 2026-08-17 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | Meritain | $34.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Aetna | CommercialBaseNetwork | $34.00 | — | — | 2024-10-01 | MRF ↗ |
| YORK HOSPITAL Both | Harvard Pilgrim Maine'S Choice | Commercial | $34.40 | $8.00 | $4.80 | 2026-07-15 | MRF ↗ |
| YORK HOSPITAL Both | Harvard Pilgrim | Commercial | $34.40 | $8.00 | $4.80 | 2026-07-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Nevada | Anthem PPO | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | QHP GateKeeper | $35.77 | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | National Security Technologies | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | PPO | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Advantra Freedom | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Teamsters Local 14 | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Alignment Health | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Plumbers & Pipefitters Loc 525 | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Generic | — | — | — | 2026-07-01 | 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.