D7250 — Tooth Root Removal
Cite this view
HANK Price Transparency. (n.d.). Tooth root removal (HCPCS D7250) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/D7250?code_type=HCPCS
“Tooth root removal (HCPCS D7250) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/D7250?code_type=HCPCS. Accessed .
“Tooth root removal (HCPCS D7250) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/D7250?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $644–$1,856 (25th–75th percentile) across 984 hospitals · 1,570 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS D7250 — 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 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 - MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.08 | $1,158.00 | $1,158.00 | 2024-12-31 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $15.99 | $174.00 | $52.20 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $17.40 | $174.00 | $52.20 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $17.57 | $174.00 | $52.20 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Wellsense | $22.22 | $174.00 | $52.20 | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Medicaid (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Life Trac National | Transplant (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Kaiser National | Transplant (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Humana National | Transplant (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Anthem Centers for Medical Excellence | Transplant (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $24.30 | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Blue Cross Blue Shield Association BDCT | Transplant (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Government (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Commercial (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Commercial (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | 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 ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | COMMUNITY HEALTH PLAN OF WASHINGTON | COMMUNITY HEALTH PLAN OF WA | $35.90 | $187.00 | $121.55 | 2026-03-23 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access | CHP+ | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Department of Corrections | Commercial (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Behavioral Health/Optum | Commercial (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Integrated Health Plan | Commercial (PPO) | $36.45 | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Rocky Mountain Health Plan | Medicaid Prime | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Aetna Institute of Excellence | Transplant (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access Behavioral Health | Medicaid (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Medicaid | FFS (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | ValueOptions Colorado | Medicaid (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna | Commercial (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (Select CO) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna Lifesource | Transplant (All Contracted Plans) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Denver Health Medical Plan | Medicaid Choice | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Select Health | Commercial (EPO/HMO/POS/PPO) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | MotivHealth/Denver Public Schools | Commercial (PPO) | — | $243.00 | $157.95 | 2026-04-17 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $40.47 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $40.47 | — | — | 2026-03-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Adult | $42.03 | $324.00 | $174.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $42.03 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Pcp | $42.03 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $42.03 | — | — | 2026-05-13 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $42.03 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $42.03 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $42.03 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Special | $42.03 | — | — | 2026-07-18 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $42.03 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $42.03 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $42.03 | — | — | 2026-07-18 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Pediatric | $42.03 | $324.00 | $174.96 | 2025-10-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $42.03 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $42.03 | — | — | 2026-05-13 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $42.03 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $43.32 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $43.32 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $43.32 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $43.32 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $43.32 | — | — | 2026-04-01 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $43.86 | — | — | 2026-03-04 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Harvard | Harvard Mktplace | $44.53 | $174.00 | $52.20 | 2026-07-15 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $45.15 | — | — | 2026-03-04 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $45.54 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids Pcp | $45.54 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $45.54 | — | — | 2026-05-24 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $46.44 | — | — | 2026-03-04 | 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 ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $50.73 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $50.73 | — | — | 2026-04-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $51.27 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Adult | $51.27 | $324.00 | $174.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $51.27 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $51.27 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Inpatient | BCBS - MN | Medicaid|All Plans | $51.98 | $226.00 | $135.60 | 2026-02-28 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Inpatient | BCBS - MN | Medicaid|All Plans | $51.98 | $226.00 | $135.60 | 2026-02-28 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $56.40 | $188.00 | $188.00 | 2026-03-23 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $56.76 | — | — | 2026-03-04 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | VCHCP-ALL PLANS | VCHCP-ALL PLANS | $57.00 | $300.00 | $150.00 | 2026-03-23 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Brook | $58.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Msq | $58.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Brook | $58.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Brook | $58.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Msq | $58.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Msq | $58.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Snch | $58.00 | — | — | 2026-04-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $58.84 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $58.84 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $58.84 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $58.84 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $58.84 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $58.84 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Pediatric | $58.84 | $324.00 | $174.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Adult | $58.84 | $324.00 | $174.96 | 2025-10-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | BCBS TN Medicaid | MANAGED MEDICAID | $59.96 | — | — | 2025-07-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | $250.00 | $162.50 | 2024-12-16 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $60.34 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $60.34 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $60.34 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $60.34 | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $60.34 | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $60.34 | — | — | 2026-04-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $60.35 | $754.32 | $452.59 | 2026-02-21 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $61.36 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $61.36 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Pediatric | $61.36 | $324.00 | $174.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $61.36 | $324.00 | $93.96 | 2025-10-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | Commercial | $63.22 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | Commercial | $63.22 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | Commercial | $63.22 | — | — | 2026-05-13 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Tenncare Select HMO | MANAGED MEDICAID | $65.12 | — | — | 2025-07-01 | 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 | $65.90 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $65.90 | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $65.90 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $65.90 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $65.90 | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $65.90 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 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 | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $65.90 | — | — | 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 ↗ |
| Westchester Medical Center T C Inpatient | Self-Pay - Cc 30% | Self-Pay - Cc 30 Percent | $66.30 | $221.00 | $221.00 | 2026-10-16 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $67.13 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $67.13 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $67.13 | $706.00 | $211.80 | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Essential Plans | $67.37 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Essential Plans | $67.37 | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Essential Plans | $67.37 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $68.23 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | CP-HUMANA MIDTOWN IMAGING (UB) | $68.60 | — | — | 2026-09-01 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | BLUECARE | TENNCARE SELECT-ADULT | $69.39 | — | — | 2026-01-25 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $72.50 | $145.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $72.50 | $145.00 | — | 2026-02-27 | MRF ↗ |
| PARKWEST MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $72.70 | — | — | 2026-04-27 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $72.70 | — | — | 2026-04-27 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $73.09 | — | — | 2026-03-01 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Health Inc. | Commercial | $73.59 | $410.00 | $410.00 | 2026-10-22 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID TN-TENNCARE BLUECARE [3230] | PHTN HB BLUECARE OF TENN MEDICAID - BLOUNT | $73.82 | $4,157.00 | $1,288.67 | 2026-03-01 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $74.83 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $74.83 | — | — | 2026-05-13 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Bcbs Of Tennessee | Medicaid | $74.83 | — | — | 2026-07-15 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $74.83 | — | — | 2026-05-08 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | CURATIVE - ALL PLANS | CURATIVE - ALL PLANS | $75.00 | $2,019.00 | $1,475.00 | 2026-10-13 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | CURATIVE - ALL PLANS | CURATIVE - ALL PLANS | $75.00 | $2,019.00 | $1,475.00 | 2026-09-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $76.00 | $380.00 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $76.00 | $380.00 | — | 2025-07-23 | MRF ↗ |
| Pam Rehabilitation Hospital Of Fargo OutpatientFacility | PrimeWest Minnesota | Managed Medicaid | $76.51 | — | — | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Fargo OutpatientFacility | UCare of Minnesota | Medicaid Minnesota Care | $76.51 | — | — | 2025-09-11 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | BLUE CROSS [1021] | BCBS MEDICARE ADVANTAGE [4278] | — | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | HEALTH PARTNERS [1061] | HEALTHPARTNERS FREEDOM [3106] | — | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | UCARE [1148] | UCARE MEDICARE ADVANTAGE [3303] | — | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | MEDICA [1086] | MEDICA PMAP/MNCARE [4467] | $76.51 | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| ST ELIZABETH MEDICAL CENTER OutpatientFacility | South County | Managed Medicaid | $76.51 | — | — | 2025-06-27 | MRF ↗ |
| ST ELIZABETH MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $76.51 | — | — | 2025-06-27 | MRF ↗ |
| ST ELIZABETH MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $76.51 | — | — | 2025-06-27 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | AMERICA'S PPO [1010] | AMERICA'S PPO [3015] | — | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | UCARE [1148] | UCARE IFB [4293] | — | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | AMERICA'S PPO [1010] | HEALTHEZ AMERICA'S PPO [3438] | — | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $76.51 | — | — | 2026-07-15 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | UNITED HEALTHCARE [2204] | UHC MEDICARE ADVANTAGE [4360] | — | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | ALLINA HEALTH-AETNA [2201] | ALLINA HEALTH-AETNA COMMERCIAL [4352] | — | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Managed Health Service | Managed Medicaid | $76.51 | — | — | 2025-06-27 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | MEDICA [1086] | MEDICA DUAL SOLUTION/MSHO [3178] | — | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | ALLINA HEALTH-AETNA [2201] | ALLINA HEALTH-AETNA MEDICARE [4353] | — | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | South County | Managed Medicaid | $76.51 | — | — | 2025-06-27 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | HEALTH PARTNERS [1061] | HEALTHPARTNERS MSHO [3118] | $76.51 | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Anthem | Medicaid | $76.51 | — | — | 2025-06-27 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | UCARE [1148] | UCARE MSHO [3304] | — | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | BLUE CROSS [1021] | BCBS PMAP/MNCARE [4483] | $77.28 | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $298.00 | $193.70 | 2026-08-10 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $78.83 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $78.83 | — | — | 2026-09-21 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Both | HEALTH PARTNERS [1061] | HEALTHPARTNERS CARE [3108] | $79.03 | $389.00 | $250.13 | 2024-12-31 | MRF ↗ |
| AFFILIATE OF VITRUVIAN HEALTH OutpatientFacility | BCBS | BlueCare Medicaid Managed Care Plan | $79.51 | — | — | 2026-04-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $79.75 | $145.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $79.75 | $145.00 | — | 2026-02-27 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | AVMED SELECT/FIRST NTWRK | AVMED SELECT/FIRST NTWRK | $80.00 | $2,019.00 | $1,475.00 | 2026-09-23 | MRF ↗ |
| AFFILIATE OF VITRUVIAN HEALTH OutpatientFacility | BCBS | Tenncare Select Medicaid Managed Care Plan | $80.33 | — | — | 2026-04-01 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | Ucare | Medicare Advantage | $80.34 | — | — | 2025-06-24 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | Ucare | Medicare Advantage | $80.34 | — | — | 2025-06-24 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $80.46 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $80.46 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $80.46 | — | — | 2026-03-01 | 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.