A0429 — Bls-emergency
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BLS-EMERGENCY (HCPCS A0429) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A0429?code_type=HCPCS
MLA (9th ed.)
“BLS-EMERGENCY (HCPCS A0429) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A0429?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“BLS-EMERGENCY (HCPCS A0429) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A0429?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $395–$964 (25th–75th percentile) across 851 hospitals · 2,587 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A0429 — 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
$395
$624 typical
$964
The middle 50% of negotiated facility rates for this procedure, measured across 851 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $624 |
| Likely subtotal | $624 |
Facility charge (no separate professional fee)
$624
- 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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,726.32 | $863.16 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,726.32 | $863.16 | 2024-12-15 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.84 | $226.00 | $214.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.84 | $226.00 | $214.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.84 | $226.00 | $214.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.86 | $226.00 | $214.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.88 | $226.00 | $214.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.90 | $226.00 | $214.70 | 2026-02-20 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | United Healthcare_775 | Managed Medicare | $1.00 | $3,645.00 | $364.50 | 2026-02-02 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIGROUP | Managed Medicaid | $1.00 | $1,384.00 | — | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.08 | $226.00 | $214.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.08 | $226.00 | $214.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.11 | $226.00 | $214.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.11 | $226.00 | $214.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.14 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.14 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.15 | $226.00 | $214.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.16 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.21 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.25 | $232.00 | $220.40 | 2026-02-20 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.13 | $1,739.00 | — | 2024-12-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.75 | $1,014.00 | $963.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.75 | $1,014.00 | $963.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.75 | $1,014.00 | $963.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.85 | $1,014.00 | $963.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.95 | $1,014.00 | $963.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $4.06 | $1,014.00 | $963.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.87 | $1,014.00 | $963.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.87 | $1,014.00 | $963.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $4.97 | $1,014.00 | $963.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.97 | $1,014.00 | $963.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.10 | $1,040.00 | $988.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.10 | $1,040.00 | $988.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.17 | $1,014.00 | $963.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.20 | $1,040.00 | $988.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.41 | $1,040.00 | $988.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $5.62 | $1,040.00 | $988.00 | 2026-02-20 | MRF ↗ |
| ST PETERS HEALTH Outpatient | ZZCHOICECARE HUMANA MRP | Medicare Replacement | $5.74 | $5.74 | $4.88 | 2026-03-16 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $7.42 | $1,282.27 | $769.36 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $7.42 | $1,282.27 | $769.36 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $9.27 | $1,282.27 | $769.36 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $9.27 | $1,282.27 | $769.36 | 2025-08-11 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $9.75 | $937.15 | $937.15 | 2026-04-24 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $9.90 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $9.90 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $9.90 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $11.35 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $11.35 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $11.35 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $12.36 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $12.36 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $12.36 | — | — | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $12.36 | $1,282.27 | $769.36 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $12.36 | $1,282.27 | $769.36 | 2025-08-11 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $13.11 | $129.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Americhoice | MEDICAID | $13.11 | $129.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $13.11 | $129.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Americhoice | MEDICAID | $13.11 | $129.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Amerigroup | ALL PRODUCTS | $13.66 | $129.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $13.66 | $129.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon NJ Health | ALL PRODUCTS | $13.66 | $129.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Amerigroup | ALL PRODUCTS | $13.66 | $129.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $13.66 | $129.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon NJ Health | ALL PRODUCTS | $13.66 | $129.00 | — | 2025-01-31 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $13.95 | $2,297.00 | $849.89 | 2026-03-31 | 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 ↗ |
| 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 | 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 ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Molina | Medicaid | $15.13 | — | — | 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 | 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 | AmeriHealth Caritas | 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 | Caresource | 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 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 | Safe Program | Medicaid | $15.71 | — | — | 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 | PARAMOUNT | Medicaid | $15.71 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility | Safe Program | Medicaid | $15.71 | — | — | 2025-01-01 | 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 ↗ |
| CULBERSON HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | $20.25 | $780.00 | $585.00 | 2026-02-10 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $20.92 | — | — | 2026-03-18 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Three Rivers Provider Network | Three Rivers Provider Network | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Humana | Bh Commercial | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Aetna | Aca | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Aetna | Rental Network Products | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Humana | Commercial | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Medcost | Mbs | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Aetna | Non-Par Products Of Apcn+ Non Multitier | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Amps | Amps | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Aetna | Aetna Whole Health Non-Multitier | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | United Healthcare | Onenet Workers' Compensation | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Amerihealth Caritas | Managedcaremcd | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Aetna | Commercial Products | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Medcost | Non Mbs | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Wellcare | Managedcaremcd | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | United Healthcare | All Payor | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Atlantic Corporation | Atlantic Packaging | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | United Healthcare | Managedcaremcd | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | United Healthcare | Behavioral Health | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | United Healthcare | Property And Casualty | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Phcs | Private Hcs | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Cigna | Team Member | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Bcbsnc | Blue Value | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Bcbsnc | Ppo Hmo | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Cigna | Nc Ifp | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Bcbsnc | Healthy Blue | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Cigna | Hmo/Ppo | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Bcbsnc | Blue Home | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Carolina Complete | Managedcaremcd | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER Outpatient | Eastpointe | Lme Mco | — | $126.00 | $63.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | NC Department of Public Safety | Medicaid eligible Offenders | $22.82 | $131.00 | $65.50 | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | Carolina Complete | Medicaid | $22.82 | $131.00 | $65.50 | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | $23.27 | $131.00 | $65.50 | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | $23.27 | $131.00 | $65.50 | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | Blue Cross NC | Healthy Blue Medicaid | $23.27 | $131.00 | $65.50 | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | AmeriHealth | Medicaid | $23.27 | $131.00 | $65.50 | 2026-03-31 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | COMPSYCH [100027] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | COVERAGE DISCOVERY [100306] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | FIRST HEALTH [100278] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CARE ONE [950007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | IBEW LOCAL 103 [100272] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GEHA [100039] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | EYEMED [100290] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | PALM MANOR [950005] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AVMED HEALTH PLAN [100247] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | LOWELL COMM HEALTH CENTER [950009] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GROUP AND PENSION ADMINISTRATORS [100043] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CARECENTRIX ALTERNATE [100257] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NORFOLK COUNTY [500013] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NATIONAL ELEVATOR IND HLTH BENEFITS [100273] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SENIOR WHOLE HEALTH MEDICARE REPLACEMENT [450111] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | CORESOURCE [100285] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ULTRA BENEFITS [100280] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | MUTUAL OF OMAHA [100074] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ASSURANT [100020] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SENIOR WHOLE HEALTH MEDICAID REPLACEMENT [350023] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SUNNY ACRES NURSING HOME [950006] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | D'YOUVILLE SENIOR CARE [950003] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | SPECTERA [100291] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | EMPLOYEE BENEFIT MANAGEMENT [100033] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ALLIED BENEFIT SYSTEMS [100015] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | TALL TREE ADMINISTRATORS [100271] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | PLYMOUTH COUNTY [500019] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NOVA HEALTHCARE ADMINISTRATORS [100270] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | NORTHWOOD REHABILITATION & HEALTH [950004] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AMERIHEALTH CARITAS NH [350007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | AMERICAN POSTAL WORKERS [100089] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | ALLIED NATIONAL GLOBAL CARE [100107] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | $25.55 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Medicare | Medicare | $27.09 | $129.00 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Medicare | Medicare | $27.09 | $129.00 | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | 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 ↗ |
| Lowell General Hospital - Saints Campus Both | ALLARACARE [100163] | HB XR ALLARACARE LGH | $33.58 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC GENERIC WORKERS' COMP [709999] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MASS STATE POLICE [700091] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC FUTURE COMP [700116] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF LYNN [700072] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CBCS [700110] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC SELECTIVE INSURANCE CO [700118] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CAREWORKS [700109] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF MEDFORD [700073] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ACADIA INSURANCE COMPANY [700108] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF SOMERVILLE [700077] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC AIM MUTUAL INSURANCE [700054] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF MELROSE [700113] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CONSIGLY CONSTRUCTION [700079] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC GEICO [700057] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC AIG [700029] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC MIIA [700095] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC NORGUARD INS CO [700097] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CNA [700048] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CONTINENTAL INDEMNITY CO [700078] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CORVEL [700115] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC US DEPARTMENT OF LABOR [700023] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC HARTFORD INSURANCE [700058] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC PMA WORK COMP [700031] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF MELROSE POLICE [700112] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC SEDGWICK [700027] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF EVERETT [700071] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF LOWELL [700062] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF CHELSEA [700070] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC ARROW MUTUAL LIABILITY [700063] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC CITY OF CAMBRIDGE [700069] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Both | WC PLYMOUTH ROCK [700099] | HB XR WC LGH | $34.22 | $73.00 | $51.10 | 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.