C8922 — Tte W Or Without Fol W/cont, F/u
Cite this view
HANK Price Transparency. (n.d.). Tte w or w/o fol w/cont, f/u (HCPCS C8922) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C8922?code_type=HCPCS
“Tte w or w/o fol w/cont, f/u (HCPCS C8922) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C8922?code_type=HCPCS. Accessed .
“Tte w or w/o fol w/cont, f/u (HCPCS C8922) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C8922?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $765–$1,392 (25th–75th percentile) across 1,254 hospitals · 2,926 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS C8922 — 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 |
|---|---|---|---|---|---|---|---|
| MERCY MEDICAL CENTER OutpatientFacility | Self Pay | All Plans | $0.03 | $3,280.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | BH Empire MPN | $0.03 | $3,280.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | Self Pay | All Plans | $0.03 | $3,280.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | BH Empire MPN | $0.03 | $3,280.00 | — | 2026-02-19 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Blue Cross | All Commercial Plans | $0.06 | — | — | 2026-04-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $4.96 | $2,270.00 | $1,263.00 | 2026-04-02 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $13.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $14.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $14.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $14.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $14.00 | $78.00 | $39.00 | 2025-02-03 | 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 BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $15.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $15.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $15.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $15.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $16.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $16.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $16.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $16.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $16.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $16.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $16.13 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $16.23 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $16.23 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $17.00 | $78.00 | $39.00 | 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 Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $17.67 | — | — | 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 ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $18.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $18.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $18.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $18.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $18.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $19.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $19.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $19.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $19.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $19.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $19.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Priority Health | Priority Health | $19.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $19.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $19.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Priority Health | Medicare - Priority Health | $19.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $19.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | United Healthcare | United Healthcare | $19.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Humana | Medicare - Humana | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | WC - Workers Compensation | WC - Workers Compensation | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP | HAP | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | WC - Workers Compensation | WC - Workers Compensation | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Priority Health | Priority Health | $20.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,325.00 | $1,511.25 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,325.00 | $1,511.25 | 2025-01-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $21.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Aetna | Aetna | $21.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Humana | Medicare - Humana | $21.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $21.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP | HAP | $22.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | United Healthcare | United Healthcare | $22.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Priority Health | Priority Health | $22.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP | HAP | $22.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Molina | Medicare - Molina | $22.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Molina | Medicare - Molina | $24.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Aetna | Aetna | $24.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Priority Health | Medicare - Priority Health | $24.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | WC - Workers Compensation | WC - Workers Compensation | $26.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Aetna | Aetna | $26.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | PACIFIC SOURCE | PACIFICSOURCE COMMUNITY SOLUTIONS | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | INTERCOMMUNITY HEALTH NETWORK | INTERCOMMUNITY_HEALTH_NETWORK | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CCO_YAMHILL | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | OHP NON CONTRACTING MEDICARE | OHP NON CONTRACTING MEDICARE HMO | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CCO EASTERN OREGON | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CARE OREGON MEDICAID | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | KAISER FOUNDATION HOSPITALS | KAISER MEDICAID | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | PACIFIC SOURCE | PACIFICSOURCE COMMUNITY SOLUTIONS | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CCO PROVIDENCE | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CCO OHSU HEALTH | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | KAISER FOUNDATION HOSPITALS | KAISER MEDICAID | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CARE OREGON MEDICAID | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | INTERCOMMUNITY HEALTH NETWORK | INTERCOMMUNITY_HEALTH_NETWORK | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CCO PROVIDENCE | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CCO EASTERN OREGON | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CCO_YAMHILL | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CCO OHSU HEALTH | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | OHP NON CONTRACTING MEDICARE | OHP NON CONTRACTING MEDICARE HMO | $27.66 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | WC - Workers Compensation | WC - Workers Compensation | $28.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $29.00 | $78.00 | $39.00 | 2025-02-03 | 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 ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | HUMANA | HUMANA MEDICARE | $34.58 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | HUMANA | HUMANA MEDICARE | $34.58 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | TRILLIUM | TRILLIUM | $34.58 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | KAISER FOUNDATION HOSPITALS | KAISER FOUNDATION MEDICARE | $34.58 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | TRILLIUM | TRILLIUM | $34.58 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | KAISER FOUNDATION HOSPITALS | KAISER FOUNDATION MEDICARE | $34.58 | $43,879.71 | $28,521.81 | 2026-03-23 | 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 NORTHERN MICHIGAN Outpatient | HAP | HAP | $35.00 | $78.00 | $39.00 | 2025-02-03 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | MODA | MODA MEDICARE (ODS HEALTH PLAN MEDICARE ADVANTAGE) | $36.30 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | PACIFIC SOURCE | PACIFICSOURCE MYCARE MEDICARE | $36.30 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | PACIFIC SOURCE | PACIFICSOURCE MYCARE MEDICARE | $36.30 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | MODA | MODA MEDICARE (ODS HEALTH PLAN MEDICARE ADVANTAGE) | $36.30 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | HUMANA | HUMANA MEDICARE PPO | $36.65 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | HUMANA | HUMANA MEDICARE PPO | $36.65 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $36.65 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $36.65 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | AETNA HEALTHCARE | AETNA MEDICARE | $37.34 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | AETNA HEALTHCARE | AETNA MEDICARE | $37.34 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | PACIFIC SOURCE | PACIFICSOURCE MEDICARE | $38.03 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | PACIFIC SOURCE | PACIFICSOURCE MEDICARE | $38.03 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CARE OREGON MEDICARE | $38.03 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | MANAGED MEDICARE | ATRIO MANAGED MEDICARE | $38.03 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CARE OREGON MEDICARE | $38.03 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | MANAGED MEDICARE | ATRIO MANAGED MEDICARE | $38.03 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | HEALTH NET HEALTH PLAN OF OREGON, INC. | HEALTHNET MEDICARE | $39.76 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | HEALTH NET HEALTH PLAN OF OREGON, INC. | HEALTHNET MEDICARE | $39.76 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CCO TRILLIUM TRI-COUNTY | $40.80 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | OHP NON CONTRACTING MEDICARE | OHP TRILLIUM NON CONTRACTING MEDICARE HMO | $40.80 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | OHP NON CONTRACTING MEDICARE | OHP TRILLIUM NON CONTRACTING MEDICARE HMO | $40.80 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CARE OREGON | CCO TRILLIUM TRI-COUNTY | $40.80 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | PROVIDENCE HEALTH PLAN | PROVIDENCE HEALTH PLAN MEDICARE | $41.49 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | PROVIDENCE HEALTH PLAN | PROVIDENCE HEALTH PLAN MEDICARE | $41.49 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $41.74 | — | — | 2026-03-18 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | COMMUNITY HEALTH PLAN OF WASHINGTON | CHPW MEDICARE | $48.41 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | COMMUNITY HEALTH PLAN OF WASHINGTON | CHPW MEDICARE | $48.41 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER 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 ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Aetna | Default | $55.00 | $2,402.00 | $1,753.46 | 2026-05-09 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CIGNA | CIGNA | $55.28 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | CIGNA | CIGNA | $55.28 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | MANAGED MEDICARE | CIGNA MEDICARE CHO | $55.32 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | MANAGED MEDICARE | CIGNA MEDICARE CHO | $55.32 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | BLUE CROSS REGENCE | BLUE CROSS OHSU PLUS | $57.24 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | BLUE CROSS REGENCE | BLUE CROSS PREFERRED | $57.24 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | BLUE CROSS REGENCE | BLUE CROSS OHSU PLUS | $57.24 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | BLUE CROSS REGENCE | BLUE CROSS PREFERRED | $57.24 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | TUALITY HEALTH | TUALITY HEALTH PLAN SERVICES | $62.24 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | TUALITY HEALTH | TUALITY HEALTH PLAN SERVICES | $62.24 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | PACIFIC SOURCE | PACIFIC SOURCE HEALTH PLANS | $64.87 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | PACIFIC SOURCE | PACIFIC SOURCE HEALTH PLANS | $64.87 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | PROVIDENCE HEALTH PLAN | PROVIDENCE EPO | $69.15 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | KAISER FOUNDATION HOSPITALS | KAISER PEBB MEDICARE | $69.15 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | AETNA HEALTHCARE | AETNA | $69.15 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | KAISER FOUNDATION HOSPITALS | KAISER PEBB MEDICARE | $69.15 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | AETNA HEALTHCARE | AETNA | $69.15 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | PROVIDENCE HEALTH PLAN | PROVIDENCE EPO | $69.15 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Blue Cross Blue Shield Of Wi Anthem | Default | $74.00 | $2,402.00 | $1,753.46 | 2026-05-09 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | KAISER FOUNDATION HOSPITALS | KAISER FOUNDATION | $80.39 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | KAISER FOUNDATION HOSPITALS | KAISER FOUNDATION | $80.39 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE | $83.34 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE | $83.34 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Broughton Cardinal Partners | Commercial | — | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Partners | Managed Medicaid | $83.78 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Partners | Managed Medicaid | $83.78 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | IEX Commercial | — | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | United Healthcare | IEX Commercial | — | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $85.04 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Behavioral Health | $85.87 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $85.87 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | SAMARITAN HEALTH PLAN | SAMARITAN HEALTHY KIDS | $86.44 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | SAMARITAN HEALTH PLAN | SAMARITAN HEALTHY KIDS | $86.44 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Carolina Complete Health | Managed Medicaid | $86.63 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Wellcare | Managed Medicaid | $86.63 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Healthy Blue | Managed Medicaid | $86.63 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Behavioral Health | $86.71 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Vaya | Managed Medicaid | $87.47 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Carolina Complete Health | Managed Medicaid | $87.47 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Healthy Blue | Managed Medicaid | $87.47 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Wellcare | Managed Medicaid | $87.47 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Quartz | Default | $88.00 | $2,402.00 | $1,753.46 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Alliance Healthplans Of Wi | Default | $88.01 | $2,402.00 | $1,753.46 | 2026-05-09 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Vaya | Managed Medicaid | $88.30 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | HEALTH NET HEALTH PLAN OF OREGON, INC. | HEALTH NET | $88.58 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | HEALTH NET HEALTH PLAN OF OREGON, INC. | HEALTH NET | $88.58 | $43,879.71 | $28,521.81 | 2026-03-23 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Managed Medicaid | $88.81 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Trillium | Managed Medicaid | $89.23 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Managed Medicaid | $89.23 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Trillium | Managed Medicaid | $90.06 | $837.80 | $418.90 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $837.80 | $418.90 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $94.50 | $837.80 | $418.90 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | United Healthcare | IEX Commercial | — | $837.80 | $418.90 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Behavioral Health | $95.43 | $837.80 | $418.90 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Carolina Complete Health | Managed Medicaid | $96.26 | $837.80 | $418.90 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Healthy Blue | Managed Medicaid | $96.26 | $837.80 | $418.90 | 2025-12-01 | 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.