D7260 — Oral Antral Fistula Closure
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Oral antral fistula closure (HCPCS D7260) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/D7260?code_type=HCPCS
MLA (9th ed.)
“Oral antral fistula closure (HCPCS D7260) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/D7260?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Oral antral fistula closure (HCPCS D7260) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/D7260?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $803–$2,136 (25th–75th percentile) across 882 hospitals · 1,092 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS D7260 — 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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.60 | $1,442.00 | $1,442.00 | 2024-12-31 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $8.94 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $8.94 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $8.94 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $8.94 | — | — | 2025-04-16 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $23.45 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $23.45 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $23.45 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $23.45 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $24.16 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $24.16 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | $44.00 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Louisiana Community Blue 1 | All Payor | $44.00 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 3 | All Payor | $44.00 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Louisiana Community Blue 2 | All Payor | $44.00 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Louisiana Ppo | All Payor | $44.00 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 1 | All Payor | $44.00 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | All Payor | $44.00 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Payor | $44.00 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Verity Commercial And First Choice Network | All Payor | $50.16 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $66.00 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | $66.00 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Cigna Healthcare | All Payor | $66.09 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | First Health Network | All Payor | $70.40 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Healthcomp & Personify Health (Formerly Gilsbar) | All Payor | $72.16 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Usa Managed Care Network | All Payor | $74.80 | $88.00 | $41.36 | 2026-07-31 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $75.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | CHIP | $75.00 | — | — | 2025-08-01 | MRF ↗ |
| Pam Rehabilitation Hospital Of Fargo OutpatientFacility | UCare of Minnesota | Medicaid Minnesota Care | $76.51 | — | — | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Fargo OutpatientFacility | PrimeWest Minnesota | Managed Medicaid | $76.51 | — | — | 2025-09-11 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Anthem | Medicaid | $76.51 | — | — | 2025-06-27 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $76.51 | — | — | 2026-07-15 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | South County | Managed Medicaid | $76.51 | — | — | 2025-06-27 | MRF ↗ |
| ST ELIZABETH MEDICAL CENTER OutpatientFacility | Managed Health Service | 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 | South County | Managed Medicaid | $76.51 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Managed Health Service | Managed Medicaid | $76.51 | — | — | 2025-06-27 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $1,661.00 | $1,079.65 | 2026-08-10 | 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 ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | Ucare | INDIVIDUAL & FAMILY PLANS | $89.57 | — | — | 2025-06-24 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | Ucare | INDIVIDUAL & FAMILY PLANS | $89.57 | — | — | 2025-06-24 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $92.25 | — | — | 2025-08-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $93.56 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $93.56 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $93.56 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $93.56 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $93.56 | — | — | 2026-04-01 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $93.75 | — | — | 2026-05-23 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MANAGED MEDICAID | $93.75 | — | — | 2025-08-01 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $93.75 | — | — | 2026-05-13 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $95.25 | — | — | 2025-08-01 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $99.84 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $99.84 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | UnitedHealthcare | Quest | $99.84 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | UnitedHealthcare | Quest | $99.84 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $99.84 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $99.84 | — | — | 2026-02-12 | MRF ↗ |
| KAHUKU MEDICAL CENTER Outpatient | UHC | Mcd HMO | $99.84 | — | — | 2024-06-28 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $101.25 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $101.25 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | CHIP | $105.00 | — | — | 2025-08-01 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Kaiser National | Transplant (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Humana National | Transplant (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Commercial (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Life Trac National | Transplant (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Blue Cross Blue Shield Association BDCT | Transplant (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $108.10 | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Government (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Commercial (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Medicaid (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Anthem Centers for Medical Excellence | Transplant (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AETNA | MANAGED MEDICAID | $108.73 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | KEYSTONE FIRST | MANAGED MEDICAID | $108.75 | — | — | 2025-08-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $109.56 | — | — | 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] | $109.56 | — | — | 2026-04-01 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $110.16 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $113.40 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $116.64 | — | — | 2026-03-04 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $121.20 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $121.20 | — | — | 2026-03-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $122.19 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $122.19 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna - Hmo/Pos/Ppo | $122.19 | — | — | 2026-07-18 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UPMC | MANAGED MEDICAID | $123.42 | — | — | 2025-08-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UPMC | MANAGED MEDICAID | $125.89 | — | — | 2026-07-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $126.49 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $126.49 | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $126.49 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $126.49 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $126.49 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $126.49 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $126.49 | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-15 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $142.56 | — | — | 2026-03-04 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $149.76 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | UHC | ALL PRODUCTS | $149.76 | — | — | 2026-02-12 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $150.28 | — | — | 2026-07-18 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $150.66 | — | — | 2026-03-04 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $152.00 | $354.00 | $60.18 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | $1,072.00 | $182.24 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | UHC MCR ADV | UHC MCR ADV | $152.00 | $1,072.00 | $182.24 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BLUE SHIELD MCARE | BLUE SHIELD MCARE | $152.00 | $1,072.00 | $182.24 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | $354.00 | $60.18 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | UHC MCR ADV | UHC MCR ADV | $152.00 | $354.00 | $60.18 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $152.00 | $1,072.00 | $75.04 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $152.00 | $354.00 | $60.18 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | KAISER MCR ADV | KAISER MCR ADV | $152.00 | $1,072.00 | $75.04 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $152.00 | $1,072.00 | $75.04 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $152.00 | $1,072.00 | $75.04 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | PHS PRIME HEALTH SRVCS-ALL PLANS | PHS PRIME HEALTH SRVCS-ALL PLANS | $152.00 | $1,072.00 | $182.24 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $152.00 | $1,072.00 | $75.04 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCR ADV | HEALTHNET MCR ADV | $152.00 | $1,072.00 | $182.24 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $152.00 | $1,072.00 | $75.04 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | AETNA MCR ADV | AETNA MCR ADV | $152.00 | $354.00 | $60.18 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | AETNA MCR ADV | AETNA MCR ADV | $152.00 | $1,072.00 | $182.24 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $152.00 | $1,072.00 | $75.04 | 2026-08-02 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCR ADV | HEALTHNET MCR ADV | $152.00 | $354.00 | $60.18 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | UHC MCR ADV | UHC MCR ADV | $152.00 | $1,072.00 | $75.04 | 2026-08-02 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $154.79 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $154.79 | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $154.79 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $154.79 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $154.79 | — | — | 2026-07-18 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $155.04 | $1,072.00 | $75.04 | 2026-08-02 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $156.29 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $157.79 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $159.29 | — | — | 2026-07-18 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Self-Pay - Cc 30% | Self-Pay - Cc 30 Percent | $160.80 | $536.00 | $536.00 | 2026-10-16 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Aetna Institute of Excellence | Transplant (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | ValueOptions Colorado | Medicaid (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | MotivHealth/Denver Public Schools | Commercial (PPO) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access Behavioral Health | Medicaid (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access | CHP+ | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Department of Corrections | Commercial (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Denver Health Medical Plan | Medicaid Choice | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Medicaid | FFS (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Integrated Health Plan | Commercial (PPO) | $162.15 | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Rocky Mountain Health Plan | Medicaid Prime | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Select Health | Commercial (EPO/HMO/POS/PPO) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna Lifesource | Transplant (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Behavioral Health/Optum | Commercial (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (Select CO) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna | Commercial (All Contracted Plans) | — | $1,081.00 | $702.65 | 2026-04-17 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | IMPERIAL HP OF CA MCARE - ALL PLANS | IMPERIAL HP OF CA MCARE - ALL PLANS | $167.20 | $354.00 | $60.18 | 2026-01-24 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | Compass | $168.00 | $800.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | Compass | $168.00 | $800.00 | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | United Healthcare | Compass | $168.00 | $800.00 | — | 2026-02-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | $168.00 | $800.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | Compass | $168.00 | $800.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | $168.00 | $800.00 | — | 2026-02-19 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-17 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-17 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | KAISER - ALL PLANS | KAISER - ALL PLANS | $177.00 | $354.00 | $60.18 | 2026-01-24 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-18 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-17 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-17 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $7,320.00 | $4,099.20 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | UHC SELECT | UHC SELECT | $181.89 | $354.00 | $60.18 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $182.40 | $1,072.00 | $75.04 | 2026-08-02 | 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.