C8921 — Tte W Or Without Fol W/cont, Com
Cite this view
HANK Price Transparency. (n.d.). Tte w or w/o fol w/cont, com (HCPCS C8921) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C8921?code_type=HCPCS
“Tte w or w/o fol w/cont, com (HCPCS C8921) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C8921?code_type=HCPCS. Accessed .
“Tte w or w/o fol w/cont, com (HCPCS C8921) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C8921?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $803–$1,941 (25th–75th percentile) across 1,557 hospitals · 3,526 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS C8921 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | BH Empire MPN | $0.03 | $5,199.00 | — | 2026-02-19 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Blue Access | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Connection | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Blue Priority PPO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | Self Pay | All Plans | $0.03 | $5,199.00 | — | 2026-02-19 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Small Group | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Self Pay | All Plans | $0.03 | $5,199.00 | — | 2026-02-19 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Connection | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Blue Access | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Blue Priority PPO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | BH Empire MPN | $0.03 | $5,199.00 | — | 2026-02-19 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Blue Priority HMO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | HMO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | HMO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | PPO | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | PPO | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Individual Network | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Indemnity | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Indemnity | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Small Group | $0.05 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | PPO | $0.05 | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Blue Cross | All Commercial Plans | $0.06 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Small Group | $0.06 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Connection | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Blue Access | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | PPO | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Blue Priority PPO | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Indemnity | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Blue Priority HMO | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | HMO | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $2,011.00 | — | 2026-07-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $5.89 | $2,695.00 | $1,263.00 | 2026-04-02 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.08 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.17 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.17 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $16.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $16.13 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $16.23 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $16.23 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $17.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $17.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $17.56 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $17.67 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $17.67 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $18.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $19.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $19.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $19.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $19.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $20.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,400.00 | $1,560.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,400.00 | $1,560.00 | 2025-01-01 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthcare Highways | Commercial | $20.80 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $21.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Tricare Prime West Tw | Commercial | $21.84 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Christus Health Plan | Commercial | $21.84 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Triwest | Va | $21.84 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Humana Choicecare | Medicare Advantage | $21.84 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Texas Dual Medicare Advantage | Medicare Advantage | $21.84 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $22.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Texas Mutual | Workers Comp | $22.50 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $23.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $23.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Superior | Managed Medicaid | $23.71 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $24.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $24.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $25.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $26.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $26.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $26.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $27.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $27.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $27.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $27.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $27.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $28.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $28.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $29.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $30.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $31.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $31.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $32.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $32.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $32.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $33.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $33.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $33.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $33.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $34.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | United Healthcare | United Healthcare | $34.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $34.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $34.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Priority Health | Medicare - Priority Health | $34.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $34.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $34.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $34.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $34.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $34.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $34.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Priority Health | Priority Health | $34.00 | $137.00 | $68.00 | 2025-02-03 | 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 ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $35.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $35.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | WC - Workers Compensation | WC - Workers Compensation | $35.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $35.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Priority Health | Priority Health | $35.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $35.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Aetna | Aetna | $36.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Humana | Medicare - Humana | $36.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $36.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | WC - Workers Compensation | WC - Workers Compensation | $36.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP | HAP | $36.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Healthsmart | Commercial | $36.40 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $37.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Humana | Medicare - Humana | $37.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $37.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP | HAP | $38.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Molina | Medicare - Molina | $38.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP | HAP | $38.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Priority Health | Priority Health | $38.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Triwest | Commercial | $39.00 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | United Healthcare | United Healthcare | $39.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Charter | Commercial | $40.82 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Claritev | Commercial | $41.60 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Choice Plus | Commercial | $41.60 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc Surest | Commercial | $41.60 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Uhc All Savers | Commercial | $41.60 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Cigna Healthcare Of Texas Inc | Commercial | $41.60 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $41.74 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Priority Health | Medicare - Priority Health | $42.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Aetna | Aetna | $42.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Molina | Medicare - Molina | $43.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Aetna | Aetna | $45.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | WC - Workers Compensation | WC - Workers Compensation | $45.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | WC - Workers Compensation | WC - Workers Compensation | $49.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Galaxy Health | Commercial | $49.40 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $51.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Aetna Healthcare | Commercial | $52.00 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Ppo | $52.00 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Hmo | $52.00 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Bav | $52.00 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| TITUS REGIONAL MEDICAL CENTER Both | Curative | Commercial | $52.00 | $52.00 | $31.20 | 2026-09-21 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | — | — | — | 2026-05-23 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | HAP | HAP | $62.00 | $137.00 | $68.00 | 2025-02-03 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $62.58 | $2,138.63 | $534.66 | 2026-07-15 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $71.68 | $2,389.29 | $2,389.29 | 2026-07-15 | MRF ↗ |
| HOLMES REGIONAL MEDICAL CENTER Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $79.33 | $2,138.63 | $534.66 | 2026-07-15 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Medicaid Georgia | Default | $79.99 | $495.00 | $371.25 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | Amerigroup NM, GA, DC | Default | $80.19 | $495.00 | $371.25 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | WellCare of Georgia | Default | $81.79 | $495.00 | $371.25 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | CareSource GA | Default | $83.99 | $495.00 | $371.25 | 2026-04-01 | MRF ↗ |
| LIBERTY REGIONAL MEDICAL CENTER Both | United Healthcare | Default | $89.10 | $495.00 | $371.25 | 2026-04-01 | MRF ↗ |
| CHRISTUS ST FRANCES CABRINI HOSPITAL OutpatientFacility | United Healthcare | KM | $89.52 | $746.00 | $193.96 | 2026-01-13 | MRF ↗ |
| CHRISTUS ST FRANCES CABRINI HOSPITAL OutpatientFacility | Amerihealth Caritas Louisiana | KM | $89.52 | $746.00 | $193.96 | 2026-01-13 | MRF ↗ |
| CHRISTUS ST FRANCES CABRINI HOSPITAL OutpatientFacility | Healthy Blue Louisiana | KM | $89.52 | $746.00 | $193.96 | 2026-01-13 | MRF ↗ |
| CHRISTUS ST FRANCES CABRINI HOSPITAL OutpatientFacility | Humana | Healthy Horizons KM | $89.52 | $746.00 | $193.96 | 2026-01-13 | MRF ↗ |
| CHRISTUS ST FRANCES CABRINI HOSPITAL OutpatientFacility | Louisiana Healthcare Connections | KM | $89.52 | $746.00 | $193.96 | 2026-01-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Utah Connect - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Share Network - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Global Benefits Standard Network - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Umr United Healthcare Options Ppo - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Meritain Health - Aetna Ut Connected Care Ntwk - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Humana One Ppo - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Healthscope Benefits - Uhc - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Uhc All Savers - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Uhc Medica Choice Plus - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Umr United Healthcare Choice Network - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Med Network Federal Employee - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cbsa Aetna Standard Network - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Chip Molina Healthy Kids - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | United Healthcare - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Great West Cigna - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Humana - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Molina Marketplace - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Ushealth Group Freedom Life Uhc - Inpatient | — | $90.97 | $128.12 | $96.09 | 2026-07-17 | 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.