A0427 — Als1-emergency
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALS1-EMERGENCY (HCPCS A0427) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A0427?code_type=HCPCS
MLA (9th ed.)
“ALS1-EMERGENCY (HCPCS A0427) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A0427?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ALS1-EMERGENCY (HCPCS A0427) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A0427?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $507–$1,455 (25th–75th percentile) across 1,080 hospitals · 2,466 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A0427 — 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 this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$507
$842 typical
$1,455
The middle 50% of negotiated facility rates for this procedure, measured across 1,080 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $842 |
| Likely subtotal | $842 |
Facility charge (no separate professional fee)
$842
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 $507–$1,455.
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $2,725.35 | $1,362.68 | 2024-12-15 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $1,498.00 | — | 2025-05-02 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $2,725.35 | $1,362.68 | 2024-12-15 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $1,498.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $1,498.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $1,498.00 | — | 2025-05-02 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | — | — | 2026-07-01 | 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 TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIGROUP | Managed Medicaid | $1.00 | $4,462.00 | — | 2026-03-18 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $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 EXCHANGE | $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 | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | 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 BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | United Healthcare_775 | Managed Medicare | $1.00 | $4,152.00 | $415.20 | 2026-02-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Branch-Cancer Inst-University | $1.86 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.15 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.15 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.15 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.15 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.15 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.19 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.19 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.19 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.19 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.19 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.35 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Both | Wellmark Insurance | Hmo | $3.00 | $6.00 | — | 2026-07-15 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Both | Wellmark Insurance | Ppo | $3.00 | $6.00 | — | 2026-07-15 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Inpatient | Wellmark Insurance | Hmo | $3.36 | $7.00 | $7.00 | 2026-07-15 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Inpatient | Wellmark Insurance | Ppo | $3.36 | $7.00 | $7.00 | 2026-07-15 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Inpatient | Medica Insurance | Ind | $4.20 | $7.00 | $7.00 | 2026-07-15 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Inpatient | Medica Insurance | Com | $4.20 | $7.00 | $7.00 | 2026-07-15 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Both | Bcbsmn Min Insurance | — | $4.50 | $6.00 | — | 2026-07-15 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Both | Medica Com Insurance | — | $4.59 | $6.00 | — | 2026-07-15 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Both | Unitedhealthcare Com Insurance | — | $4.71 | $6.00 | — | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.89 | $2,717.00 | — | 2024-12-31 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Inpatient | Unitedhealthcare Insurance | Com | $5.11 | $7.00 | $7.00 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.49 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $5.49 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.49 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.64 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Both | Avera Health Com Insurance | — | $5.70 | $6.00 | — | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.79 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Both | Healthpartners Insurance | — | $5.82 | $6.00 | — | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $5.94 | $1,485.00 | $1,410.75 | 2026-02-20 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.23 | $3,462.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.34 | $3,520.00 | — | 2024-12-31 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Inpatient | Healthpartners Insurance | Com | $6.65 | $7.00 | $7.00 | 2026-07-15 | MRF ↗ |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY Inpatient | Avera Health Insurance | Com | $6.65 | $7.00 | $7.00 | 2026-07-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.47 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.47 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $7.62 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $7.76 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.92 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UNITED HEALTHCARE [100060] | HB UHC Le Bonheur | $8.01 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $8.23 | $1,524.00 | $1,447.80 | 2026-02-20 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA IFP - LeBonheur | $8.44 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.81 | $1,571.58 | $942.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.81 | $1,571.58 | $942.95 | 2025-08-11 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA LocalPlus - LeBonheur | $9.37 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA HMO - LeBonheur | $9.37 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB CIGNA OAP – LeBonheur | $9.69 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $11.01 | $1,571.58 | $942.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $11.01 | $1,571.58 | $942.95 | 2025-08-11 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | BCBS Commercial [200011] | HB XR BCBS Network S LeBonheur Childrens | $11.54 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | BCBS TN [200003] | HB XR BCBS Network S LeBonheur Childrens | $11.54 | $10.00 | $2.20 | 2026-03-19 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.76 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.76 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.76 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $13.48 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $13.48 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $13.48 | — | — | 2026-03-18 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $14.41 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Law Enforcement Franklin Co. | Medicaid | $14.41 | — | — | 2025-01-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $14.67 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $14.67 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $14.67 | — | — | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $14.67 | $1,571.58 | $942.95 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $14.67 | $1,571.58 | $942.95 | 2025-08-11 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $14.99 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | UHC | Medicaid | $14.99 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $15.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $15.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $15.13 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Anthem | Medicaid | $15.13 | — | — | 2025-01-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $15.15 | $1,456.40 | $1,456.40 | 2026-04-24 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $15.27 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Humana | Medicaid | $15.27 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye (Centene) | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Buckeye Community Health | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Caresource | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $15.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | PARAMOUNT | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $16.57 | $2,616.00 | $967.92 | 2026-03-31 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | BCBS OF NEBRASKA SELECT | ALL PRODUCTS | $16.73 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | BCBS OF NEBRASKA SELECT | ALL PRODUCTS | $16.73 | — | — | 2025-12-27 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | HPN | $18.49 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | PPO/HMO | $20.28 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs | $20.66 | $737.00 | $265.32 | 2026-07-15 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON Outpatient | Bcbs | Bcbs | $20.66 | $737.00 | $221.10 | 2026-07-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs Select | $20.66 | $737.00 | $265.32 | 2026-07-15 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON Outpatient | Bcbs | Bcbs Select | $20.66 | $737.00 | $221.10 | 2026-07-15 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs Select | $20.66 | $737.00 | $265.32 | 2026-07-31 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs | $20.66 | $737.00 | $265.32 | 2026-07-31 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | PPO/HMO | $21.75 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $24.84 | — | — | 2026-03-18 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $25.94 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $25.94 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $25.94 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $30.06 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $30.06 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $30.06 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $30.06 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $30.06 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $30.06 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $30.36 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $30.36 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $30.36 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $30.36 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $30.36 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $30.36 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Outpatient | Aetna | MCR | $32.91 | $477.00 | $477.00 | 2026-03-01 | 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 ↗ |
| UNION HOSPITAL OutpatientFacility | OSCAR | ALL PRODUCTS | $33.65 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | OSCAR | ALL PRODUCTS | $33.65 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OSCAR | ALL PRODUCTS | $33.65 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $34.01 | $79.10 | $41.13 | 2026-03-03 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Outpatient | BCBS | MCRHMO | $34.34 | $477.00 | $477.00 | 2026-03-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $35.70 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $35.70 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $35.70 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | PHP | ALL PRODUCTS | $38.08 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | PHPHI | ALL PRODUCTS | $38.08 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | PHP | ALL PRODUCTS | $38.08 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | PHPHI | ALL PRODUCTS | $38.08 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | PHP | ALL PRODUCTS | $38.08 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | The Health Plan | MEDICARE ADVANTAGE | $39.27 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CC EHP | ALL PRODUCTS | $40.22 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CC EHP | ALL PRODUCTS | $40.22 | $119.00 | $77.35 | 2026-06-15 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Outpatient | Freedom Health | MGMCR | $40.64 | $437.00 | $437.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Outpatient | Optimum | MGMCR | $40.64 | $437.00 | $437.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Outpatient | Optimum | MGMCR | $41.02 | $477.00 | $477.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Outpatient | Freedom Health | MGMCR | $41.02 | $477.00 | $477.00 | 2026-03-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | COVERAGE DISCOVERY [100306] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | FIRST HEALTH [100278] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | EYEMED [100290] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | COMPSYCH [100027] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CARECENTRIX ALTERNATE [100257] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | D'YOUVILLE SENIOR CARE [950003] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CORESOURCE [100285] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SUNNY ACRES NURSING HOME [950006] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SPECTERA [100291] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $41.30 | $118.00 | $82.60 | 2026-04-01 | 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.