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 (HCPCS C8928) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C8928?code_type=HCPCS
MLA (9th ed.)
“Tte w or w/o fol w/con,stres (HCPCS C8928) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C8928?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Tte w or w/o fol w/con,stres (HCPCS C8928) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C8928?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $804–$1,986 (25th–75th percentile) across 1,830 hospitals · 4,080 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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 | — | — | — | $7,239.15 | $3,619.58 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $7,239.15 | $3,619.58 | 2024-12-15 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | BH Empire MPN | $0.03 | $3,280.00 | — | 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 ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | BH Empire MPN | $0.03 | $3,280.00 | — | 2026-02-19 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Blue Priority PPO | $0.03 | — | — | 2026-04-01 | 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 Queens OutpatientFacility | Empire | Small Group | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | Self Pay | All Plans | $0.03 | $3,280.00 | — | 2026-02-19 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | HMO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Connection | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Self Pay | All Plans | $0.03 | $3,280.00 | — | 2026-02-19 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Blue Access | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Indemnity | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | PPO | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Indemnity | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Individual Network | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | PPO | $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 ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Small Group | $0.06 | — | — | 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 | 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 | Indemnity | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | PPO | $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 | Blue Priority PPO | $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 | $2,218.00 | — | 2026-07-01 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $3,352.00 | $1,417.90 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $3,352.00 | $992.20 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $3,352.00 | $992.20 | 2026-02-28 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $5,116.00 | $3,837.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $5,116.00 | $3,837.00 | 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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $3,328.00 | $2,496.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $3,328.00 | $2,496.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $3,328.00 | $2,496.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $3,328.00 | $2,496.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $3,328.00 | $2,496.00 | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $3,581.00 | $1,790.50 | 2026-07-01 | 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 TRUST PPO | $1.00 | $5,116.00 | $3,837.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $5,116.00 | $3,837.00 | 2026-05-20 | 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 | $5,116.00 | $3,837.00 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $3,581.00 | $1,790.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $3,581.00 | $1,790.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $3,581.00 | $1,790.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $3,581.00 | $1,790.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $3,581.00 | $1,790.50 | 2026-07-01 | 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 SELECT [10026309] | $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 ↗ |
| 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] | IRON CLAD INSURANCE [10026304] | $1.84 | $1,838.00 | $1,286.60 | 2025-01-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $3,581.00 | $1,790.50 | 2026-07-01 | 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 ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $11.76 | $2,003.00 | $1,402.10 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $11.76 | $2,003.00 | $1,402.10 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $11.76 | $2,003.00 | $1,402.10 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $11.76 | $2,003.00 | $1,402.10 | 2026-05-14 | 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 ↗ |
| 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 ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.08 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.17 | — | — | 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 ↗ |
| SPARTA COMMUNITY HOSPITAL | Meridian Negotiated Rate | — | $15.50 | $155.00 | $155.00 | 2026-07-16 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL | Molina Healthchoice Negotiated Rate | — | $15.50 | $155.00 | $155.00 | 2026-07-16 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL | Bcbs Health Choice Negotiated Rate | — | $15.50 | $155.00 | $155.00 | 2026-07-16 | 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 ↗ |
| SPARTA COMMUNITY HOSPITAL | Molina Mmai Negotiated Rate | — | $20.15 | $155.00 | $155.00 | 2026-07-16 | 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 | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL | Bcbs Mmai Negotiated Rate | — | $33.87 | $155.00 | $155.00 | 2026-07-16 | 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 ↗ |
| SPARTA COMMUNITY HOSPITAL | Health Alliance Medicare Advantage Negotiated Rate | — | $35.65 | $155.00 | $155.00 | 2026-07-16 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL | Humana Medicare Advantage Negotiated Rate | — | $35.65 | $155.00 | $155.00 | 2026-07-16 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL | Coventry Medicare Advantage Negotiated Rate | — | $36.36 | $155.00 | $155.00 | 2026-07-16 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL | Aetna Medicare Advantage Negotiated Rate | — | $36.36 | $155.00 | $155.00 | 2026-07-16 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $41.74 | — | — | 2026-03-18 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Both | Peachstate | Medicaid Cmo | $43.93 | $3,279.00 | $1,967.40 | 2026-07-15 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | 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 - Elevatehealth Qhp - Exchange | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | — | — | — | 2026-05-23 | MRF ↗ |
| ST JOHNS MEDICAL CENTER Outpatient | MOUNTAIN HEALTH COOP-ALL PLANS | MOUNTAIN HEALTH COOP-ALL PLANS | $57.00 | $1,850.00 | $1,850.00 | 2026-07-17 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Freedom Blue | Medicare Advantage | $58.97 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $58.97 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $58.97 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $58.97 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | — | $1,914.00 | $813.45 | 2026-01-29 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL InpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | — | $2,156.11 | $864.61 | 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 ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $70.38 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Health Partners | Medicare Advantage | $70.38 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Both | Emblem | Medicare Advantage | $70.38 | $391.02 | $312.82 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Geisinger | Medicare Advantage | $71.40 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $72.04 | $2,401.27 | $2,401.27 | 2026-07-15 | MRF ↗ |
| Florida Medical Center Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $72.04 | $2,401.27 | $2,401.27 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $72.85 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Upmc | Medicare Advantage | $73.90 | $415.87 | $332.70 | 2026-07-15 | 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 ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Medicare Advantage | $77.42 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Freedom Blue | Medicare Advantage | $77.42 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Blue Medicare Hmo/Ppo | $77.42 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Inpatient | ILLINICARE/MERIDIAN MEDICAID [6509] | ILLINICARE BH [650909] | $80.00 | $1,892.00 | $504.00 | 2024-05-13 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Inpatient | ILLINICARE/MERIDIAN MEDICAID [6509] | YOUTHCARE IL [650908] | $80.00 | $1,892.00 | $504.00 | 2024-05-13 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Better Health Of West Virginia | Chip | $80.49 | $2,485.00 | $2,485.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Managed Medicaid | $80.49 | $2,485.00 | $2,485.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Unicare Health Plan Of West Virginia Inc. | Managed Medicaid | $80.49 | $2,485.00 | $2,485.00 | 2026-10-22 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $82.11 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $82.11 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Outpatient | Icircle | Medicare Advantage | $82.11 | $415.87 | $332.70 | 2026-07-15 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Aetna Savings Plus | Exchange | $86.24 | — | $800.90 | 2026-07-13 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $3,991.00 | $3,392.35 | 2025-01-01 | MRF ↗ |
| HIALEAH HOSPITAL Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $92.74 | $3,091.24 | $3,091.24 | 2026-07-15 | 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 | ANTHEM | ANTEHM MEDICAID | $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 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 | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $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 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 MARYS HOSPITAL MEDICAL CTR Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $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 NICHOLAS HOSPITAL Both | ANTHEM | ANTEHM MEDICAID | $92.78 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Aetna Non-Gatekeeper | Commercial | $94.35 | — | $800.90 | 2026-07-13 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Aetna Gatekeeper | Commercial | $94.35 | — | $800.90 | 2026-07-13 | 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 | 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 VINCENT HOSPITAL Both | ANTHEM | ANTEHM MEDICAID | $95.56 | $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 MARYS HOSPITAL MEDICAL CTR Both | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $95.73 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | ANTHEM | ANTEHM MEDICAID | $95.73 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $95.73 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $95.73 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $95.73 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $95.73 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | ANTHEM | ANTEHM MEDICAID | $95.73 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $95.73 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $95.73 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $95.73 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| O'connor Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $96.12 | $4,995.00 | $3,496.50 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $96.12 | $4,995.00 | $3,496.50 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $96.12 | $4,995.00 | $3,496.50 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $96.12 | $4,995.00 | $3,496.50 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $96.12 | $4,995.00 | $3,496.50 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $96.12 | $4,995.00 | $3,496.50 | 2026-09-01 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MOLINA HEALTHCARE | MOLINA 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 | TRIOLOGY | TRILOGY MEDICAID | $98.35 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST VINCENT HOSPITAL Both | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $99.26 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST VINCENT HOSPITAL Both | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $99.26 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST VINCENT HOSPITAL Both | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $99.26 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST VINCENT HOSPITAL Both | ANTHEM | ANTEHM MEDICAID | $99.26 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST VINCENT HOSPITAL Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $99.26 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER 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 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 LUFKIN 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 SAN AUGUSTINE Outpatient | Cigna | Commercial|All Plans | $100.00 | $2,616.00 | $392.40 | 2026-02-28 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL | Bcbs Negotiated Rate | — | $100.75 | $155.00 | $155.00 | 2026-07-16 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL | Bcbs Blue Choice Negotiated Rate | — | $100.75 | $155.00 | $155.00 | 2026-07-16 | MRF ↗ |
| ST VINCENT HOSPITAL Both | TRIOLOGY | TRILOGY MEDICAID | $101.29 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST VINCENT HOSPITAL Both | MOLINA HEALTHCARE | MOLINA MEDICAID | $101.29 | $2,512.00 | $1,657.92 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | TRIOLOGY | TRILOGY MEDICAID | $101.47 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MOLINA HEALTHCARE | MOLINA MEDICAID | $101.47 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | MOLINA HEALTHCARE | MOLINA MEDICAID | $101.47 | $2,512.00 | $1,657.92 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | TRIOLOGY | TRILOGY MEDICAID | $101.47 | $2,512.00 | $1,657.92 | 2026-03-24 | 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.