C8928 — Tte W Or Without Fol W/con,stres
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tte w or w/o fol w/con,stres (CPT C8928) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C8928?code_type=CPT
MLA (9th ed.)
“Tte w or w/o fol w/con,stres (CPT C8928) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C8928?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Tte w or w/o fol w/con,stres (CPT C8928) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C8928?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $811–$1,924 (25th–75th percentile) across 1,524 hospitals · 4,041 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS C8928 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $7,239.15 | $3,619.58 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $7,239.15 | $3,619.58 | 2024-12-15 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | Self Pay | All Plans | $0.03 | $3,280.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER 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 ↗ |
| CHSLI ST JOSEPH HOSPITAL 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 ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $3,352.00 | $992.20 | 2026-02-28 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $1.84 | $1,838.00 | $1,286.60 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $1.84 | $1,838.00 | $1,286.60 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $1.84 | $1,838.00 | $1,286.60 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $1.84 | $1,838.00 | $1,286.60 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $1.84 | $1,838.00 | $1,286.60 | 2025-01-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $9.03 | $4,129.00 | $1,263.00 | 2026-04-02 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS TRADITIONAL | 1147_SJPK BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $12.58 | $1,878.00 | $1,051.68 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS PPO | 1145_SJPK BLUE CROSS BLUE SHIELD PPO 20220401 | $12.58 | $1,878.00 | $1,051.68 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CARE NETWORK | 1143_SJPK BLUE CROSS BLUE SHIELD BCN 20220401 | $12.58 | $1,878.00 | $1,051.68 | 2026-01-01 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,375.00 | $1,543.75 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,375.00 | $1,543.75 | 2025-01-01 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $28.38 | $3,280.00 | — | 2026-02-19 | 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $41.74 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS PPO | 1137_SJPR BLUE CROSS BLUE SHIELD PPO 20220401 | $49.16 | $1,878.00 | $1,051.68 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS TRADITIONAL | 1135_SJPR BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $49.16 | $1,878.00 | $1,051.68 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BCN LOCAL NETWORK SOUTHEAST | 1131_SJPR BLUE CROSS BLUE SHIELD BCN LOCAL NETWORK SE 20220401 | $49.16 | $1,878.00 | $1,051.68 | 2026-01-01 | 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 ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | — | $1,914.00 | $813.45 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL InpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | — | $1,938.50 | $777.34 | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL InpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | — | $2,156.11 | $864.61 | 2026-01-29 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | UHC | UHC Commercial All Payor | $74.00 | $2,515.65 | $951.00 | 2024-12-19 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | UHC | UHC Commercial All Payor | $74.00 | $2,515.65 | $783.00 | 2026-03-17 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $76.29 | $1,549.00 | $1,006.85 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $76.29 | $1,549.00 | $1,006.85 | 2025-01-01 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Inpatient | ILLINICARE/MERIDIAN MEDICAID [6509] | YOUTHCARE IL [650908] | $80.00 | $1,892.00 | $504.00 | 2024-05-13 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Inpatient | ILLINICARE/MERIDIAN MEDICAID [6509] | ILLINICARE BH [650909] | $80.00 | $1,892.00 | $504.00 | 2024-05-13 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $3,991.00 | $3,392.35 | 2025-01-01 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | ANTHEM | ANTEHM MEDICAID | $92.78 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $92.78 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $92.78 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $92.78 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $92.78 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $92.78 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | ANTHEM | ANTEHM MEDICAID | $92.78 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $92.78 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $92.78 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $92.78 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST VINCENT HOSPITAL Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $95.56 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST VINCENT HOSPITAL Both | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $95.56 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST VINCENT HOSPITAL Both | ANTHEM | ANTEHM MEDICAID | $95.56 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST VINCENT HOSPITAL Both | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $95.56 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST VINCENT HOSPITAL Both | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $95.56 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | TRIOLOGY | TRILOGY MEDICAID | $98.35 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | TRIOLOGY | TRILOGY MEDICAID | $98.35 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | MOLINA HEALTHCARE | MOLINA MEDICAID | $98.35 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MOLINA HEALTHCARE | MOLINA MEDICAID | $98.35 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $100.00 | $2,616.00 | $392.40 | 2026-02-28 | MRF ↗ |
| EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $100.00 | $1,245.00 | — | 2026-02-24 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN Outpatient | Cigna | Commercial|All Plans | $100.00 | $2,616.00 | $392.40 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $100.00 | $2,616.00 | $392.40 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE Outpatient | Cigna | Commercial|All Plans | $100.00 | $2,616.00 | $392.40 | 2026-02-28 | MRF ↗ |
| ST VINCENT HOSPITAL Both | MOLINA HEALTHCARE | MOLINA MEDICAID | $101.29 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST VINCENT HOSPITAL Both | TRIOLOGY | TRILOGY MEDICAID | $101.29 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | $101.98 | $2,740.00 | $1,918.00 | 2025-01-01 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $103.24 | $2,515.65 | $951.00 | 2024-12-19 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | Empire | Medicare Advantage | $107.00 | $3,991.00 | $3,392.35 | 2025-01-01 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC PEPSI COLA [100539] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC OWEN BROCKWAY [100515] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC SEDGWICK OF OHIO [100516] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC US DEPARTMENT OF LABOR BLACK LUNG PROG [100542] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC US POST OFFICE [100517] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC WALMART CLAIMS [100518] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC ZANDEX [100519] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO GATES MCDONALD [100125] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC FRANK GATES [100541] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC CAREWORKS CONSULTANT [10057] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC 888 OHIO COMP LCHN [100535] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC COMPMANAGEMENT INC [10058] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO SHEAKLEY UNICARE [100127] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO WORKSTAR HEALTH SRV [100533] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | GENERIC WORKERS' COMP [10051] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO THE HEALTH PLAN [100176] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CAREWORKS OF OHIO [100122] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC COMP SERVICES [10056] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO 3 HAB [100522] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO TRAVELERS INSURANCE [100548] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO MINUTE MEN OHIOCOMP [100524] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO FRANK GATES MANAGED CARE [100528] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CORVEL GROUP [100124] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CONDUENT [100545] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO COMP MANAGEMENT HEALTH [100123] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO COMP ONE [100527] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO AULTCOMP [100526] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO UNIVERSITY HOSPITALS COMPCARE [100532] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO HUNTER CONSULTING [100546] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC AK STEEL ZANESVILLE [10055] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO OCCUPATIONAL HEALTH LINK, INC [100521] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC CONSTITUTION STATE [10059] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO ADVOCARE [100525] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO GENEX CARE OF OHIO [100529] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO TRANSPORTATION CLAIMS [100547] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC AVIZENT WORKERS COMP [10052] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO PROMEDICA MEDICAL MGMT [100531] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | SPOONER MEDICAL ADMINISTRATORS INC [100126] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | BWC PENDING ENABLECOMP [100544] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO SEDGWICK [100206] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC DOLLAR GENERAL CORP [100510] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC BROADSPIRE [100540] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC GALLAGHER BASSETT [10053] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC OHIO BWC BLACK LUNG [100534] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC ESIS 3700 [100538] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC GENESIS HCS WORKERS COMP [10054] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC BUNCH & ASSOCIATES [100537] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC HELMSMAN MANAGEMENT SRV [100536] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC LEAR CORP [100513] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC KROGER CO [100512] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC LONGABERGER [100514] | HB OHIO BWC | $108.25 | $3,625.73 | $2,175.44 | 2026-03-27 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $108.68 | $2,515.65 | $951.00 | 2024-12-19 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | COMM | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | CWI | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | IdahoEnvironmentalCoalition | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | HIX | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | PPO | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | HIX | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | EverNorth BH | COMM | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | PPO | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | HIX | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | — | $3,154.62 | $3,154.62 | 2024-10-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $121.62 | — | — | 2025-09-05 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $2,162.00 | $1,189.10 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $2,162.00 | $1,189.10 | 2025-01-01 | MRF ↗ |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL OutpatientFacility | Aetna | All Plans | $140.00 | — | — | 2026-01-28 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $141.65 | — | — | 2026-03-31 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ [5019] | NMC HORIZON OMNIA | $141.83 | $11,094.00 | $11,094.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | SUMMIT MEDICAL GROUP BLUE CROSS [5406] | NMC HORIZON OMNIA | $141.83 | $11,094.00 | $11,094.00 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Both | HORIZON BCBSNJ [5019] | NMC HORIZON OMNIA | $141.83 | $11,094.00 | $11,094.00 | 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.