D3110 — Pulp Cap Direct
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Pulp cap direct (HCPCS D3110) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/D3110?code_type=HCPCS
MLA (9th ed.)
“Pulp cap direct (HCPCS D3110) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/D3110?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Pulp cap direct (HCPCS D3110) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/D3110?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $187–$1,665 (25th–75th percentile) across 755 hospitals · 1,032 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS D3110 — 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 |
|---|---|---|---|---|---|---|---|
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $1.93 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.08 | $1,155.00 | — | 2024-12-31 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $2.10 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $2.12 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Wellsense | $2.68 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $5.06 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Harvard | Harvard Mktplace | $5.37 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicaid Replacement | — | $5.54 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL | Medicare/Medicare Advantage | — | $5.80 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicare Advantage | — | $6.03 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Ambetter | Commercial | $6.44 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL Inpatient | — | — | — | $41.00 | $26.65 | 2025-01-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicaid Replacement | — | $6.68 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicare Advantage | — | $7.05 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $7.07 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Anthem Centers for Medical Excellence | Transplant (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Medicaid (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Humana National | Transplant (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Government (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Commercial (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $7.30 | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Kaiser National | Transplant (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Commercial (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Blue Cross Blue Shield Association BDCT | Transplant (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Life Trac National | Transplant (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| SWEDISH HOSPITAL | Medicare/Medicare Advantage | — | $8.04 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Blue Cross Blue Shield | — | $8.95 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Ambetter | Commercial | $9.14 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL | Blue Cross Blue Shield | — | $9.19 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Aetna | — | $9.78 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | United Healthcare | — | $10.40 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Anthem | Anthem Hmo Pos | $10.50 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| SWEDISH HOSPITAL | United Healthcare | — | $10.52 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Cigna | — | $10.84 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Aetna Institute of Excellence | Transplant (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access Behavioral Health | Medicaid (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Medicaid | FFS (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Behavioral Health/Optum | Commercial (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna | Commercial (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (Select CO) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Select Health | Commercial (EPO/HMO/POS/PPO) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Denver Health Medical Plan | Medicaid Choice | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Rocky Mountain Health Plan | Medicaid Prime | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | MotivHealth/Denver Public Schools | Commercial (PPO) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Integrated Health Plan | Commercial (PPO) | $10.95 | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Department of Corrections | Commercial (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access | CHP+ | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | ValueOptions Colorado | Medicaid (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna Lifesource | Transplant (All Contracted Plans) | — | $73.00 | $47.45 | 2026-04-17 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $11.44 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $11.44 | — | — | 2026-03-01 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Cigna | Cigna | $11.91 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| SWEDISH HOSPITAL | Humana | — | $12.60 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Humana | — | $12.74 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Aetna Better Health Ky | Managed Care Medicaid Plan | $12.75 | $129.44 | $66.01 | 2026-07-18 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Cigna | Cigna | $12.87 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Harvard | Harvard Elevate | $13.00 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| SWEDISH HOSPITAL | Aetna | — | $13.25 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Aetna | Commercial | $13.33 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-17 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-18 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $104.00 | $58.24 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Ky | Managed Care Medicaid Plan | $13.39 | $129.44 | $66.01 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Wellcare Ky | Managed Care Medicaid Plan | $13.39 | $129.44 | $66.01 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Ky | Managed Care Medicaid Plan | $13.46 | $129.44 | $66.01 | 2026-07-18 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Cigna | Commercial | $13.53 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-17 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-17 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-18 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-17 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $104.00 | $58.24 | 2026-07-15 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | United Health Care | Commercial | $14.68 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Harvard | Harvard Comm | $14.76 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Cigna | Commercial | $15.21 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Anthem | Anthem Ppo | $15.45 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Always Healthcare | Always Healthcare | $16.34 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Aetna | Commercial | $16.40 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Always Healthcare | Always Healthcare | $16.56 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| SWEDISH HOSPITAL | Cigna | — | $16.78 | $41.00 | $41.00 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Humana | Commercial | $16.81 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Aetna Better Health Ky | Managed Care Medicaid Plan | $17.00 | $129.44 | $66.01 | 2026-07-18 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | United Health Care | Commercial | $17.02 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Pediatric | $17.43 | $89.00 | $48.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Adult | $17.43 | $89.00 | $48.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $17.43 | $89.00 | $25.81 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $17.43 | $89.00 | $25.81 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $17.43 | $89.00 | $25.81 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $17.43 | $89.00 | $25.81 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $17.43 | $89.00 | $25.81 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $17.43 | $89.00 | $25.81 | 2025-10-01 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Anthem | Anthem Ppo | $17.58 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Passport Ky | Managed Care Medicaid Plan | $17.68 | $129.44 | $66.01 | 2026-07-18 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Tufts | Tufts | $17.72 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Tufts | Tufts | $17.78 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Wellcare Ky | Managed Care Medicaid Plan | $17.85 | $129.44 | $66.01 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Ky | Managed Care Medicaid Plan | $17.85 | $129.44 | $66.01 | 2026-07-18 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Workers Comp | Workers Comp | $17.85 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Ky | Managed Care Medicaid Plan | $17.94 | $129.44 | $66.01 | 2026-07-18 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Anthem | Anthem Ind Fep | $18.36 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Aetna | Aetna | $18.90 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Aetna | Aetna | $18.90 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Commercial | Commercial | $18.90 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $19.14 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $19.14 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $19.14 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $19.14 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $19.14 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $19.14 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $19.14 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $19.38 | — | — | 2026-04-01 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Anthem | Anthem Ind Fep | $19.57 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | CP-HUMANA MIDTOWN IMAGING (UB) | $19.96 | — | — | 2026-09-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Humana | Commercial | $20.01 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | United Healthcare | United Healthcare | $20.16 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $20.47 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $20.47 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $20.47 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $20.47 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $20.47 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $20.47 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $20.65 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $20.80 | $104.00 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $20.80 | $104.00 | — | 2025-07-23 | MRF ↗ |
| PARKWEST MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $20.92 | — | — | 2026-04-27 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $20.92 | — | — | 2026-04-27 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Tricare | Tricare | $21.00 | $21.00 | $6.30 | 2026-07-15 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Adult | $21.26 | $89.00 | $48.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $21.26 | $89.00 | $25.81 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $21.26 | $89.00 | $25.81 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $21.26 | $89.00 | $25.81 | 2025-10-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Blue Cross | Commercial | $21.94 | $41.00 | $18.86 | 2026-07-31 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $21.96 | $191.83 | — | 2025-09-05 | 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.