C9775 — Revasc Lith-sten-ath Tib/per
Cite this view
HANK Price Transparency. (n.d.). Revasc lith-sten-ath tib/per (HCPCS C9775) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C9775?code_type=HCPCS
“Revasc lith-sten-ath tib/per (HCPCS C9775) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C9775?code_type=HCPCS. Accessed .
“Revasc lith-sten-ath tib/per (HCPCS C9775) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C9775?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13,568–$28,012 (25th–75th percentile) across 1,570 hospitals · 3,988 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS C9775 — 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 | — | — | $90,716.08 | $45,358.04 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $90,716.08 | $45,358.04 | 2024-12-15 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | GEHA OP | $0.05 | $51,534.00 | $15,460.20 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | UHC COMM IP | $0.05 | $51,534.00 | $15,460.20 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | GEHA IP | $0.05 | $51,534.00 | $15,460.20 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | UNITED MISC OP | $0.05 | $51,534.00 | $15,460.20 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | GEHA SECONDARY OP | $0.05 | $51,534.00 | $15,460.20 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | UHC COMM OP | $0.05 | $51,534.00 | $15,460.20 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | UMR OP | $0.05 | $51,534.00 | $15,460.20 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | COMMERCIAL INSURANCE | GOLDEN RULE IP | $0.05 | $51,534.00 | $15,460.20 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | COMMERCIAL INSURANCE | GOLDEN RULE OP | $0.05 | $51,534.00 | $15,460.20 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | GEHA SECONDARY IP | $0.05 | $51,534.00 | $15,460.20 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | UNITED MISC IP | $0.05 | $51,534.00 | $15,460.20 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | UMR IP | $0.05 | $51,534.00 | $15,460.20 | 2025-12-04 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $0.50 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $0.50 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $0.50 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $0.50 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $0.50 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $0.50 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | LEE HEALTH CARE PARTNERS [250255] | KEY BENEFIT ADMIN [25025501] | $0.50 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL BothFacility | CIGNA [210201] | CIGNA HMO/PPO [21020101] | $0.59 | $1.00 | $0.20 | 2026-03-26 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | United Healthcare | United Healthcare - Medicare | $63.62 | $39,708.00 | $29,781.00 | 2026-04-01 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Kings | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Tulare | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Kern | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Tulare | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Fresno | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Fresno | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Shield | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Fresno | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CHDP | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Merced | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Merced | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kings | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Kings | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Kern | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Fresno | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Tulare | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Blue Shield | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Tulare | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Kings | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Merced | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Merced | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CHDP | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $75.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $97.89 | $54,381.00 | $18,859.63 | 2024-12-31 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Sequoia Pace | Managed Medi-Cal | $112.50 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Health Plan of San Joaquin | Managed Medi-Cal | $112.50 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Health Plan of San Joaquin | Managed Medi-Cal | $112.50 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Health Plan of San Joaquin | Managed Medi-Cal | $112.50 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Sequoia Pace | Managed Medi-Cal | $112.50 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Sequoia Pace | Managed Medi-Cal | $112.50 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sequoia Pace | Managed Medi-Cal | $112.50 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Health Plan of San Joaquin | Managed Medi-Cal | $112.50 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN TMC | $113.44 | $432.00 | $302.40 | 2026-04-01 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Cross | Managed Medi-Cal | $114.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Blue Cross | Managed Medi-Cal | $114.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Managed Medi-Cal | $114.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Cross | Managed Medi-Cal | $114.00 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante | Managed Medi-Cal | $116.25 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Sante | Managed Medi-Cal | $116.25 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Sante | Managed Medi-Cal | $116.25 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Sante | Managed Medi-Cal | $116.25 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED TMC | $122.69 | $432.00 | $302.40 | 2026-04-01 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Adventist -MCL CALVIVA SUB CAP | Managed Medi-Cal | $123.75 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Adventist -MCL CALVIVA SUB CAP | Managed Medi-Cal | $123.75 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | HealthNet | Managed Medi-Cal | $123.75 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | HealthNet | Managed Medi-Cal | $123.75 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Adventist -MCL CALVIVA SUB CAP | Managed Medi-Cal | $123.75 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | HealthNet | Managed Medi-Cal | $123.75 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Adventist -MCL CALVIVA SUB CAP | Managed Medi-Cal | $123.75 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | HealthNet | Managed Medi-Cal | $123.75 | $54,433.00 | $43,546.40 | 2025-03-13 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $124.00 | $101,079.85 | $40,431.94 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $124.00 | $101,079.85 | $40,431.94 | 2024-12-15 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | United Healthcare | United Healthcare - PPO | $124.06 | $39,708.00 | $29,781.00 | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $128.00 | $101,079.85 | $40,431.94 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $128.00 | $101,079.85 | $40,431.94 | 2024-12-15 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | VWH ILLINOIS MEDICAID | $129.58 | $1,878.00 | $1,314.60 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | VWH ILLINOIS MEDICAID | $129.58 | $1,878.00 | $1,314.60 | 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.