G0104 — Ca Screen;flexi Sigmoidscope
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CA SCREEN;FLEXI SIGMOIDSCOPE (HCPCS G0104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/G0104?code_type=HCPCS
MLA (9th ed.)
“CA SCREEN;FLEXI SIGMOIDSCOPE (HCPCS G0104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/G0104?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“CA SCREEN;FLEXI SIGMOIDSCOPE (HCPCS G0104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/G0104?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $644–$1,959 (25th–75th percentile) across 2,312 hospitals · 5,171 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS G0104 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the physician and sedation fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$644
$1,014 typical
$1,959
The middle 50% of negotiated facility rates for this procedure, measured across 2,312 hospitals. The physician and sedation fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,014 |
| Endoscopist (professional fee) Estimate national typical Medicare $53 × 1.22 commercial. | $65 |
| Anesthesia Estimate national typical Generic anesthesia (~30 min typical, median CMS base units). Medicare $123 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $386 |
| Likely subtotal | $1,465 |
Complete-episode estimate (typical)
~$1,465
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $644–$1,959.
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$5,250
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Endoscopist (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 4 base units (typical CMS value) × ~30 min; approximate, NOT a procedure-specific crosswalk
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $14.09 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $14.09 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $14.09 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $14.09 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $14.09 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $14.09 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $14.09 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $14.09 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $14.09 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $14.09 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $14.61 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $14.61 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $14.61 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $14.61 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $14.61 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $14.61 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $14.61 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $14.61 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $14.61 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $14.61 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $15.35 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $15.35 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $15.35 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $15.35 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $15.35 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $15.35 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $15.35 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $15.35 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $15.35 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $15.35 | — | — | 2026-05-20 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | Aetna | Ppo | $15.95 | $365.00 | $149.65 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $16.13 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $16.13 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $16.13 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $16.13 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $16.13 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $16.13 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $16.13 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $16.13 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $16.13 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $16.13 | — | — | 2026-05-20 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $18.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $18.11 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $18.23 | $135.00 | $101.25 | 2026-01-16 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $19.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $19.92 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $19.92 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $19.92 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $20.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $20.59 | $546.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $20.59 | $546.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $20.59 | $546.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $20.59 | $546.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $20.59 | $546.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $20.59 | $546.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $20.59 | $546.00 | — | 2026-03-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $21.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| PELLA REGIONAL HEALTH CENTER Outpatient | Health Net Federal Services Llc | All Plans | $21.49 | $60.00 | $60.00 | 2026-07-15 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $21.84 | $4,286.34 | $2,571.80 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $21.84 | $4,286.34 | $2,571.80 | 2025-08-11 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $22.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $23.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $23.39 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Both | Avera Health Insurance | Com | $23.60 | $59.00 | $57.23 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Molina | Mmai Dual Eligibility | $23.87 | $327.00 | $98.10 | 2026-09-21 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $25.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $25.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $25.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| PELLA REGIONAL HEALTH CENTER Outpatient | Mount Carmel Health Plan Inc | All Plans | $25.20 | $60.00 | $60.00 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Blue Advantage Hmo | $25.22 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Blue Essentials Hmo | $25.53 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE 9229 [800302] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA TEXAS [803602] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE AUTO INSURANCE [800301] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE 9231 [800303] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GEICO INSURANCE [8016] | GEICO INSURANCE [801601] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | LIBERTY MUTUAL [8025] | LIBERTY MUTUAL [802501] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | SAFECO-AUTO [8037] | SAFECO-AUTO [803701] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | STATE FARM AUTO INSURANCE [8034] | STATE FARM AUTO INSURANCE [803401] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MITCHELL WCS FRANKENMUTH 135801 [8014] | MITCHELL WCS FRANKENMUTH 135801 [801401] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PROGRESSIVE AUTO INSURANCE [8031] | PROGRESSIVE AUTO INSURANCE [803101] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HASTINGS MUTUAL [8022] | HASTINGS MUTUAL [802201] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AUTO OWNERS AUTO INSURANCE [8006] | AUTO OWNERS AUTO INSURANCE [800601] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AAA AUTO INSURANCE [8001] | AAA AUTO INSURANCE [800102] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FREMONT INSURANCE [8015] | FREMONT INSURANCE [801501] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA TEXAS 26001 [803603] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HANOVER INSURANCE [8019] | HANOVER INSURANCE [801901] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BRISTOL WEST [8007] | BRISTOL WEST [800701] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MEEMIC INSURANCE [8026] | MEEMIC INSURANCE [802601] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FARMERS AUTO INSURANCE [8013] | FARMERS 27260 [801302] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FARMERS AUTO INSURANCE [8013] | FARMERS AUTO INSURANCE [801301] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ESIS [8011] | ESIS [801101] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MACKINAW ADMINISTRATORS [8040] | MACKINAW ADMINISTRATORS AUTO [804001] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PIONEER STATE MUTUAL AUTO [8030] | PIONEER STATE MUTUAL AUTO [803001] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ENCOMPASS INSURANCE [8010] | ENCOMPASS INSURANCE [801001] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GRANGE INSURANCE [8018] | GRANGE INSURANCE [801801] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CITIZENS AUTO INSURANCE [8008] | CITIZENS AUTO INSURANCE [800801] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | STATE AUTO GROUP [8033] | STATE AUTO GROUP [803301] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEMPER INSURANCE [8024] | KEMPER INSURANCE [802401] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HARTFORD AUTO INSURANCE [8021] | HARTFORD AUTO INSURANCE [802101] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | NATIONAL GENERAL INS [8017] | NATIONAL GENERAL INS [801701] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GENERIC NO FAULT AUTO [8000] | COFINITY GENERIC AUTO [800002] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | NATIONWIDE [8028] | NATIONWIDE [802801] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ESURANCE [8039] | ESURANCE [803901] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA [803601] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GRANGE INSURANCE [8018] | GRANGE INSURANCE 182657 [801802] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FARM BUREAU AUTO INSURANCE [8012] | FARM BUREAU AUTO INSURANCE [801201] | $25.91 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $25.99 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $25.99 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $25.99 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $25.99 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $25.99 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $25.99 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $26.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $26.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Harvard Pilgrim Healthcare | Default | $26.04 | $28.00 | $21.00 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Harvard Pilgrim Healthcare | Pos | $26.04 | $28.00 | $21.00 | 2026-05-18 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Prime Health Services | Workers Comp | $26.16 | $327.00 | $98.10 | 2026-09-21 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Ut Select | $26.43 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Ppo Pos | $26.43 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Utmb Multi-Share | All Contracted Plans | $26.47 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Cigna | Medicare | $26.57 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Medicare | $26.57 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Veteran'S Administration | Triwest | $26.57 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | United Healthcare | Default | $26.60 | $28.00 | $21.00 | 2026-05-18 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | AMERIGROUP MCAID-ALL PLANS | AMERIGROUP MCAID-ALL PLANS | $26.65 | $445.00 | $267.00 | 2026-01-09 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE WEST [105601] | $26.77 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HUMANA MILITARY [1098] | HUMANA MILITARY TRICARE EAST [109801] | $26.77 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VHA OFFICE OF COMMUNITY CARE [1011] | CHAMPVA [101101] | $26.77 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TRICARE [1056] | TRICARE FOR LIFE [105602] | $26.77 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $27.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $27.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Cigna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | IOWA TOTAL CARE-ALL PLANS | IOWA TOTAL CARE-ALL PLANS | $27.18 | $445.00 | $267.00 | 2026-01-09 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Tricare | Node Tricare | $27.77 | $150.00 | $75.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Department Of Veterans Affairs | Node Champva | $27.77 | $150.00 | $75.00 | 2026-07-15 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AETNA [1003] | AETNA 1107 [100301] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | NGS [1043] | COFINITY NGS [104303] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CORESOURCE [1016] | COFINITY CORESOURCE [101602] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MERITAIN HEALTH [1039] | COFINITY MERITAIN HEALTH [103904] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AETNA [1003] | AETNA 14079 [100303] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ASR CORPORATION [1007] | COFINITY ASR [100702] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AETNA [1003] | AETNA [100305] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED MEDICAL RESOURCES [1059] | COFINITY UNITED MEDICAL RESOURCES [105905] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BANKERS LIFE [1009] | COFINITY BANKERS LIFE [100902] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CHESTERFIELD RESOURCES [1012] | COFINITY CHESTERFIELD RESOURCES [101202] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNIVERSITY OF MICHIGAN HEALTH PLAN [1046] | UNIVERSITY OF MICHIGAN HEALTH PLAN [104601] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CIGNA [1013] | COFINITY CIGNA [101306] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MANAGED HEALTH NETWORK [1036] | COFINITY MANAGED HEALTH NETWORK [103602] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AARP [1001] | COFINITY AARP [100102] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | LUMINARE [1085] | LUMINARE [108501] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLIANCE HEALTH AND LIFE [1004] | COFINITY ALLIANCE HEALTH AND LIFE [100402] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | IBEW LOCAL 17 [1031] | COFINITY IBEW LOCAL 17 [103102] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | TEAMSTERS HEALTH AND WELFARE FUND [1054] | COFINITY TEAMSTERS HLTH & WELF [105402] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GENERIC COMMERCIAL [1000] | COFINITY GENERIC [100002] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | SHASTA [1090] | COFINITY SHASTA [109001] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED BEHAVIORAL HEALTH [1057] | COFINITY UNITED BEHAVIORAL HEALTH [105702] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | JP FARLEY CORPORATION [1033] | COFINITY JP FARLEY CORP [103302] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VARIPRO [1092] | VARIPRO [109201] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GEHA [1019] | GEHA [101901] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ZELIS [1093] | ZELIS [109301] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | COFINITY KEY BENEFIT ADMIN [108902] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLIED INSURANCE [1006] | COFINITY ALLIED INSURANCE [100602] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AETNA [1003] | COFINITY AETNA [100304] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GOLDEN RULE [1067] | COFINITY GOLDEN RULE [106702] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLIED BENEFIT SYSTEMS [1005] | COFINITY ALLIED BENEFIT SYSTEMS [100502] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AETNA [1003] | AETNA 1109 [100302] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GLOBALCARE [1024] | COFINITY-GLOBAL CARE [102402] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ASSURANT HEALTH [1008] | COFINITY ASSURANT [100802] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AUTOMATED BENEFIT SERVICES [1002] | COFINITY AUTOMATED BENEFIT SVCS [100202] | $27.86 | $125.00 | $125.00 | 2026-03-23 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Wellpoint | Medicare | $27.90 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Wellcare | Medicare | $27.90 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $28.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $28.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $28.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $28.01 | $135.00 | $101.25 | 2026-01-16 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | United Healthcare | Medicare | $28.52 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Humana | Medicare | $28.52 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | $6,966.75 | 2024-12-08 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Tricare | Node Tricare | $28.88 | $156.00 | $78.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Department Of Veterans Affairs | Node Champva | $28.88 | $156.00 | $78.00 | 2026-07-15 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $29.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $29.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $29.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $29.00 | $144.00 | $72.00 | 2025-02-03 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Aetna | Medicare | $29.47 | $365.00 | $58.14 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Medicare Traditional | Node Medicare Traditional | $29.52 | $150.00 | $75.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Anthem In Mcr Select | Node Anthem In Mcr Select | $29.52 | $150.00 | $75.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Node Humana Mcr Adv | Node Humana Mcr Adv | $29.52 | $150.00 | $75.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Iu Health Plan | Node Iu Health Plan Mcr Adv | $29.52 | $150.00 | $75.00 | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Outpatient | Managed Health Services | Node Mhs Mcr Adv | $29.52 | $150.00 | $75.00 | 2026-07-15 | 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.