A4490 — Above Knee Surgical Stocking
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ABOVE KNEE SURGICAL STOCKING (HCPCS A4490) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A4490?code_type=HCPCS
MLA (9th ed.)
“ABOVE KNEE SURGICAL STOCKING (HCPCS A4490) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A4490?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ABOVE KNEE SURGICAL STOCKING (HCPCS A4490) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A4490?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7–$30 (25th–75th percentile) across 433 hospitals · 334 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A4490 — 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
$7
$12 typical
$30
The middle 50% of negotiated facility rates for this procedure, measured across 433 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $12 |
| Likely subtotal | $12 |
Facility charge (no separate professional fee)
$12
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 $7–$30.
- 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 |
|---|---|---|---|---|---|---|---|
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | 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 | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | 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 | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | AETNA | AETNA HMO | — | — | — | 2026-04-15 | 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 TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University 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 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | AETNA | AETNA PPO | — | — | — | 2026-04-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $1.43 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $1.43 | — | — | 2026-03-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $1.60 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity/Federal Employee Program | $1.60 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $1.60 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $1.60 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $1.60 | — | — | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-08-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $1.70 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-08-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $1.75 | $9.44 | $3.30 | 2026-07-31 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Tricare | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Humana | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Multiplan | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Meritain | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Cigna | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Anthem | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | UMR | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | CoFinity | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Rocky Mountain Health Plan | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | United Healthcare | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | VA | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Aetna | All | $1.94 | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | First Health | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | Blue Cross | All | — | — | — | 2026-03-29 | MRF ↗ |
| ST VINCENT GENERAL HOSPITAL DISTRICT OutpatientFacility | PHCS | All | — | — | — | 2026-03-29 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan - Dhp | $1.96 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo - Dhp | $1.96 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Tiered Freedom Plan | $1.96 | — | — | 2026-07-18 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $1.97 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $1.97 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $1.97 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $1.97 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $1.97 | — | — | 2026-04-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Unitedhealthcare] | [Hmo Ppo Pos Epo] | $1.99 | — | — | 2026-07-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $2.03 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $2.03 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $2.03 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $2.03 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $2.03 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $2.03 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $2.03 | — | — | 2026-04-15 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $2.15 | — | — | 2026-05-06 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Medicare Advantage PPO | $2.23 | — | — | 2026-04-15 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Aetna | Medicare Advantage | $2.33 | — | — | 2026-02-13 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $2.37 | — | — | 2026-07-15 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | UNITEDHEALTHCARE | ALL PRODUCTS | $2.51 | — | — | 2025-07-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | $2.52 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | $2.52 | — | — | 2026-07-18 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | United Healthcare | Commercial | $2.53 | — | — | 2025-12-23 | MRF ↗ |
| University Of Toledo Medical Center Both | [Aetna] | [Ppo Hmo Indemnity Healthreach Beechstreet International Asea Electchoice Alliedbenefitsystems Meritain] | $2.56 | — | — | 2026-07-15 | MRF ↗ |
| Pam Health Rehabilitation Hospital Of Surprise OutpatientFacility | Aetna | PPO/HMO/EPO | $2.57 | — | — | 2025-09-11 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $2.57 | — | — | 2025-06-28 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $2.58 | — | — | 2026-03-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Aetna | Commercial | $2.60 | — | — | 2026-01-01 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $2.64 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $2.64 | — | — | 2025-12-27 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | HMO/PPO/POS/EPO (MMG) | $2.66 | — | — | 2025-10-24 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Products Facility | $2.67 | — | — | 2025-07-22 | MRF ↗ |
| Shepherd Center Outpatient | United Healthcare | Commercial | $2.69 | — | — | 2026-05-06 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare Navigate Nexus Commercial | $2.73 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | United Healthcare | United Healthcare Navigate Nexus Commercial | $2.73 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | United Healthcare | United Healthcare Navigate Nexus Commercial | $2.73 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | United Healthcare | United Healthcare Navigate Nexus Commercial | $2.73 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | United Healthcare | United Healthcare Navigate Nexus Commercial | $2.73 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | United Healthcare | United Healthcare Navigate Nexus Commercial | $2.73 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | United Healthcare | United Healthcare Navigate Nexus Commercial | $2.73 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | United Healthcare Navigate Nexus Commercial | $2.73 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | United Healthcare | United Healthcare Navigate Nexus Commercial | $2.73 | — | — | 2026-04-14 | MRF ↗ |
| NORTHERN LIGHT C A DEAN HOSPITAL OutpatientFacility | Cigna | Commercial | $2.76 | — | — | 2026-03-30 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $2.76 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $2.76 | — | — | 2026-07-15 | MRF ↗ |
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL OutpatientFacility | Cigna | Commercial | $2.76 | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MAINE COAST HOSPITAL OutpatientFacility | Cigna | Commercial | $2.76 | — | — | 2026-03-30 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | CIGNA | Local Plus | $2.76 | — | — | 2026-01-25 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $2.76 | — | — | 2026-07-15 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Cigna | Commercial | $2.76 | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MAYO HOSPITAL OutpatientFacility | Cigna | Commercial | $2.76 | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $2.76 | — | — | 2026-02-03 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Cigna | Commercial | $2.76 | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | $2.76 | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MERCY HOSPITAL OutpatientFacility | Cigna | Commercial | $2.76 | — | — | 2026-04-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology UPW | Commercial | $2.81 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare Oncology | Commercial | $2.81 | — | — | 2025-08-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2.82 | — | — | 2026-02-12 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Medicare Advantage | $2.85 | — | — | 2026-06-30 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $2.85 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $2.85 | — | — | 2025-08-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Coventry | HMO | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | UMR | All Payer Appendix | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Employees Health Plan | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Three Rivers Provider Network | PPO | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | SUREST | All Payer Appendix | — | — | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | CHP | $2.86 | — | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | MEDICAID | $2.86 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | PHCS | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Ultra Benefits Inc. | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | MEDICAID | $2.86 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | US Family Health Plan | All Plans | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Meritain Health | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Aetna | Narrow Network | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | TPA Inc | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Salvation Army | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Aetna | Medicare | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Performax | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | SAMBA | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Centivo | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Guardian Life Insurance Company Of America | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Maloney and Assoc | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Centivo | PPO Cigna Medical | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Nippon Life Insurance Company Of America | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Cigna | Indemnity | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Mvp Health Plans | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Unicare | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Emblem Health | Medicare HMO | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Emblem Health | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | BCBS-NY Empire | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | International Benefit Administrator | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Pomco | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | UMR | All Payer Appendix | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | GHI CBP NY City Employee Alternate | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Health Plus | ESSENTIAL PLAN 1&2 | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Three Rivers Provider Network | PPO | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | SUREST | All Payer Appendix | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Comprehensive Benefits Consultant | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | CHP | $2.86 | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | Metro | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | BH Empire MPN | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer Appendix | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | Nexus ACO | — | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | PHCS | Commercial | — | — | — | 2026-02-19 | 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.