G0105 — Colorectal Scrn; Hi Risk Ind
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Colorectal scrn; hi risk ind (HCPCS G0105) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/G0105?code_type=HCPCS
MLA (9th ed.)
“Colorectal scrn; hi risk ind (HCPCS G0105) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/G0105?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Colorectal scrn; hi risk ind (HCPCS G0105) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/G0105?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $867–$2,312 (25th–75th percentile) across 2,872 hospitals · 6,194 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS G0105 — 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
$867
$1,320 typical
$2,312
The middle 50% of negotiated facility rates for this procedure, measured across 2,872 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. | $1,320 |
| Endoscopist (professional fee) Estimate national typical Medicare $165 × 1.22 commercial. | $201 |
| Anesthesia Estimate national typical 00812, ~30 min typical. Medicare $102 × 3.14 commercial. | $322 |
| Likely subtotal | $1,843 |
Complete-episode estimate (typical)
~$1,843
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 $867–$2,312.
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)
~$5,627
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
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 |
|---|---|---|---|---|---|---|---|
| CAMBRIDGE HEALTH ALLIANCE Both | HPHC [20001] | CHA HB HARVARD PILGRIM HEALTHCARE HPI | — | $1,646.00 | $1,646.00 | 2026-03-20 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | — | — | — | $525.00 | $383.25 | 2025-03-05 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Champva | Champva/Health Net | — | $101.00 | $101.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Managed Medicare Plans | Managed Medicare Plans | — | $101.00 | $101.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Bcbs | Medicare Advantage | — | $101.00 | $101.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Regence | Regence Medicare | — | $101.00 | $101.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Humana | Medicare Advantage | — | $101.00 | $101.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | — | $101.00 | $101.00 | 2026-10-02 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Ambetter | Ambetter | $41.47 | $96.00 | $96.00 | 2026-07-15 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE MEDICARE HMO [12201] | $41.70 | $103.64 | $103.64 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE [17601] | $41.70 | $103.64 | $103.64 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS DUAL ADVANTAGE [17605] | $41.70 | $103.64 | $103.64 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | WELLCARE MEDICARE HMO [122] | WELLCARE DUAL [12205] | $41.70 | $103.64 | $103.64 | 2024-12-30 | MRF ↗ |
| BLUE MOUNTAIN HOSPITAL Outpatient | MODA COMM - ALL PLANS | MODA COMM - ALL PLANS | $42.00 | $1,208.00 | $906.00 | 2026-08-18 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $42.16 | $510.00 | $306.00 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $42.16 | $510.00 | $306.00 | 2026-02-12 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS(INCLUDING GOLD,SILVER,BRONZE AND PLATINUM) [15701] | $43.21 | $103.64 | $103.64 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2 [15702] | $43.21 | $103.64 | $103.64 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK [11201] | $43.21 | $103.64 | $103.64 | 2024-12-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Blue Adv | — | $43.26 | $68.17 | $34.08 | 2026-07-30 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Ambetter | Ambetter | — | $101.00 | $101.00 | 2026-10-02 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $45.00 | $1,161.00 | $754.65 | 2026-05-07 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $45.60 | $1,096.00 | $328.80 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $45.60 | $1,096.00 | $328.80 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Unite Here Health | $45.60 | $1,096.00 | $328.80 | 2026-09-21 | MRF ↗ |
| San Angelo Community Medical Center | Aetna Commercial | — | $45.68 | $68.17 | $34.08 | 2026-07-30 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA HMO | AVERA HMO | $46.00 | $1,915.50 | $1,149.30 | 2025-12-20 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ACA PPO - ALL OTHER PLANS | AVERA ACA PPO - ALL OTHER PLANS | $46.00 | $1,915.50 | $1,149.30 | 2025-12-20 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $46.84 | — | — | 2026-03-18 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | REGENCE BLUE SHIELD-ALL OTHER PLANS | REGENCE BLUE SHIELD-ALL OTHER PLANS | $47.00 | $919.03 | $643.32 | 2026-03-16 | MRF ↗ |
| UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient | FALLON CONNECTORCARE [10503] | All FALLON HMO HR [109] Plans | $47.00 | $5,129.84 | $5,129.84 | 2026-04-03 | MRF ↗ |
| CENTRAL MONTANA MEDICAL CENTER Outpatient | EBMS - ALL PLANS | EBMS - ALL PLANS | $47.50 | $418.00 | $355.30 | 2025-11-21 | MRF ↗ |
| San Angelo Community Medical Center | Humana Commercial | — | $47.72 | $68.17 | $34.08 | 2026-07-30 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $47.99 | $2,285.35 | $1,714.01 | 2026-08-01 | MRF ↗ |
| CENTRAL MONTANA MEDICAL CENTER Outpatient | HEALTH INFONET - ALL PLANS | HEALTH INFONET - ALL PLANS | $48.00 | $418.00 | $355.30 | 2025-11-21 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ASO PPO | AVERA ASO PPO | $48.00 | $1,915.50 | $1,149.30 | 2025-12-20 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE [10101] | $48.50 | $103.64 | $103.64 | 2024-12-30 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $649.00 | $389.40 | 2026-08-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $49.08 | $1,332.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $49.08 | $1,332.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $49.08 | $1,332.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $49.08 | $1,332.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $49.08 | $1,332.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $49.08 | $1,332.00 | — | 2026-03-31 | MRF ↗ |
| San Angelo Community Medical Center | Cigna Commercial | — | $49.08 | $68.17 | $34.08 | 2026-07-30 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $49.08 | $1,332.00 | — | 2026-03-31 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Outpatient | Medicare A Fl Jn | Default | $49.86 | $212.00 | $95.40 | 2026-07-15 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid Replacement | — | $212.00 | $95.40 | 2026-07-15 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Outpatient | Humana | Medicaid Replacement | — | $212.00 | $95.40 | 2026-07-15 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Ppo/Pos | — | $49.91 | $68.17 | $34.08 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Hmo | — | $49.91 | $68.17 | $34.08 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Indemnity | — | $49.91 | $68.17 | $34.08 | 2026-07-30 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $8,715.75 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $6,966.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $4,092.75 | 2024-12-08 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $50.09 | $371.00 | $278.25 | 2026-01-16 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | Commercial | $50.40 | $84.00 | $75.60 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | Commercial | $50.40 | $84.00 | $75.60 | 2026-07-08 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $50.88 | $212.00 | $95.40 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | AETNA- ALL OTHER PLANS | AETNA- ALL OTHER PLANS | $51.00 | $827.00 | $446.58 | 2026-05-22 | MRF ↗ |
| San Angelo Community Medical Center | First Health | — | $51.12 | $68.17 | $34.08 | 2026-07-30 | MRF ↗ |
| BLUE MOUNTAIN HOSPITAL Outpatient | PROVIDENCE PREF - ALL PLANS | PROVIDENCE PREF - ALL PLANS | $52.00 | $1,208.00 | $906.00 | 2026-08-18 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | AETNA [100] | AETNA [10001] | $52.03 | $103.64 | $103.64 | 2024-12-30 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | Aetna | Ppo | $52.49 | $1,303.00 | $534.23 | 2026-07-15 | MRF ↗ |
| San Angelo Community Medical Center | United Healthcare Commercial | — | $53.17 | $68.17 | $34.08 | 2026-07-30 | MRF ↗ |
| BENEWAH COMMUNITY HOSPITAL Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $53.60 | $1,350.00 | $1,215.00 | 2025-11-10 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Molina | Medicaid | — | $1,096.00 | — | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | County Care Health Plan | Medicaid | — | $1,096.00 | — | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Youthcare Healthchoice | All Products | — | $1,096.00 | — | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Unite Here Health | $53.65 | $1,096.00 | — | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $53.65 | $1,096.00 | — | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $53.65 | $1,096.00 | — | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Aetna Better Health | Medicaid | — | $1,096.00 | — | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Meridian | Medicaid | — | $1,096.00 | — | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs Community | Medicaid | — | $1,096.00 | — | 2026-09-21 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA NONACA PPO | AVERA NONACA PPO | $54.00 | $1,915.50 | $1,149.30 | 2025-12-20 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $54.00 | $690.00 | $517.50 | 2026-03-18 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $54.02 | $212.00 | $95.40 | 2026-07-15 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | INTERWEST HEALTH PPO - ALL OTHER PLANS | INTERWEST HEALTH PPO - ALL OTHER PLANS | $54.50 | $834.00 | $792.30 | 2026-05-13 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | HealthNet | Commercial | $54.60 | $84.00 | $75.60 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | HealthNet | Commercial | $54.60 | $84.00 | $75.60 | 2026-07-08 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Harvard Pilgrim Healthcare | Pos | $54.87 | $59.00 | $44.25 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Harvard Pilgrim Healthcare | Default | $54.87 | $59.00 | $44.25 | 2026-05-18 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Bcbs | Medicare Advantage | $55.62 | $103.00 | $103.00 | 2026-08-10 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Great Plains | Medicare Advantage | $55.62 | $103.00 | $103.00 | 2026-08-10 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Humana | Medicare Advantage | $55.62 | $103.00 | $103.00 | 2026-08-10 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Nebraska Medicaid | Managed Care Plans | $55.62 | $103.00 | $103.00 | 2026-08-10 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Outpatient | — | — | — | $103.00 | $103.00 | 2025-06-26 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Wps | Medicare | $55.62 | $103.00 | $103.00 | 2026-08-10 | MRF ↗ |
| MARY LANNING HEALTHCARE Outpatient | WORKERS COMPENSATION-ALL PLANS | WORKERS COMPENSATION-ALL PLANS | $55.78 | $656.00 | $590.40 | 2026-01-23 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | INTERWEST HEALTH TRADITIONAL | INTERWEST HEALTH TRADITIONAL | $56.00 | $834.00 | $792.30 | 2026-05-13 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC [13801] | $56.04 | $103.64 | $103.64 | 2024-12-30 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | United Healthcare | Default | $56.05 | $59.00 | $44.25 | 2026-05-18 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Ne Totalcare | Medicare Advantage | $56.73 | $103.00 | $103.00 | 2026-08-10 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Aetna | Medicare Advantage | $56.73 | $103.00 | $103.00 | 2026-08-10 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Medicare A Fl Jn | Default | $56.92 | $242.00 | $108.90 | 2026-07-15 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | United Healthcare | Medicare Advantage | $57.41 | $2,682.00 | $1,877.40 | 2026-07-15 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Humana | Medicare Advantage | $57.41 | $2,682.00 | $1,877.40 | 2026-07-15 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Kaiser | Medicare Advantage | $57.41 | $2,682.00 | $1,877.40 | 2026-07-15 | MRF ↗ |
| NEMAHA COUNTY HOSPITAL Both | Uhc | Medicare Advantage | $57.68 | $103.00 | $103.00 | 2026-08-10 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $57.72 | $358.00 | $179.00 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $57.72 | $358.00 | $179.00 | 2026-05-08 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicaid | Professional | $57.72 | $358.00 | $179.00 | 2026-07-15 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | REGENCE BCBS-ALL PLANS | REGENCE BCBS-ALL PLANS | $57.75 | $1,414.49 | $763.82 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | REGENCE BCBS-ALL PLANS | REGENCE BCBS-ALL PLANS | $57.75 | $1,414.49 | $763.82 | 2025-12-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Inpatient | Aetna | Aetnamedicare | $57.90 | $193.00 | $173.70 | 2026-07-31 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | PROVIDENCE PPO - ALL PLANS | PROVIDENCE PPO - ALL PLANS | $58.00 | $1,081.00 | $518.88 | 2026-05-13 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $58.36 | $416.00 | $416.00 | 2026-03-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Novanet | Commercial | $59.24 | — | — | 2026-07-18 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $59.63 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTH CARE AH | $59.63 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $59.63 | — | — | 2024-07-01 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $60.00 | $3,819.25 | $1,909.63 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Texas Medicaid | Medicaid | $60.00 | $3,819.25 | $1,909.63 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Firstcare Medicaid | Medicaid | $60.00 | $3,819.25 | $1,909.63 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | BCBS Medicaid | Medicaid | $60.00 | $3,819.25 | $1,909.63 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Aetna Medicaid | Medicaid | $60.00 | $3,819.25 | $1,909.63 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Superior Medicaid | Medicaid | $60.00 | $3,819.25 | $1,909.63 | 2026-01-12 | MRF ↗ |
| San Angelo Community Medical Center | Healthsmart | — | $60.67 | $68.17 | $34.08 | 2026-07-30 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | UNITEDHEALTHCARE OF LOUISIANA INC | UNITEDHEALTHCARE OF LOUISIANA INC | $60.76 | $1,815.00 | — | 2026-03-26 | MRF ↗ |
| VALOR HEALTH Outpatient | CIGNA OAP | CIGNA OAP | $61.00 | $982.60 | $933.47 | 2026-06-12 | MRF ↗ |
| VALOR HEALTH Outpatient | CIGNA PPO - ALL OTHER PLANS | CIGNA PPO - ALL OTHER PLANS | $61.00 | $982.60 | $933.47 | 2026-06-12 | MRF ↗ |
| San Angelo Community Medical Center | Ebpa Multiplan | — | $61.35 | $68.17 | $34.08 | 2026-07-30 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $61.45 | — | — | 2026-07-18 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | MONTANA HEALTH CO-OP-ALL PLANS | MONTANA HEALTH CO-OP-ALL PLANS | $62.00 | $919.03 | $643.32 | 2026-03-16 | MRF ↗ |
| AVERA QUEEN OF PEACE Both | Avera Health Insurance | Com | $62.40 | $156.00 | $151.66 | 2026-07-18 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | THE ALLIANCE - ALL PLANS | THE ALLIANCE - ALL PLANS | $62.51 | $1,421.00 | $923.65 | 2026-01-15 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $62.58 | $10,355.03 | $2,588.76 | 2026-07-15 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH | $62.74 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $62.74 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH BLIND_DISABLED | $62.74 | — | — | 2024-07-01 | MRF ↗ |
| MADISON COUNTY HEALTH CARE SYSTEM Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $63.50 | $966.00 | $772.80 | 2026-06-05 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Aetna | Workers Comp | $63.74 | $1,096.00 | $328.80 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Aetna | Choice Pos & Health Network Option | $63.74 | $1,096.00 | $328.80 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Aetna | St Of Il Qchp, Aexcel, Coventry Ppo & First Health Network Solutions | $63.74 | $1,096.00 | $328.80 | 2026-09-21 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $64.20 | $416.00 | $416.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $64.20 | $416.00 | $416.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $64.20 | $416.00 | $416.00 | 2026-03-23 | MRF ↗ |
| Seymour Hospital Outpatient | Humana Medicare Advantage | Medicare Advantage | $65.00 | $1,638.00 | $1,146.60 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | United Medicare Advantage | Medicare Advantage | $65.00 | $1,638.00 | $1,146.60 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Wellmed | Medicare Advantage | $65.00 | $1,638.00 | $1,146.60 | 2026-01-12 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA MEDI-CAL | $65.34 | $7,835.74 | $4,309.66 | 2026-04-01 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | Commercial | $65.35 | $84.00 | $75.60 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | Commercial | $65.35 | $84.00 | $75.60 | 2026-07-08 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Outpatient | United | Core Epo & Navigate Epo | $65.74 | $1,096.00 | $328.80 | 2026-09-21 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Premera | Premera | $65.76 | $96.00 | $96.00 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $445.00 | $89.00 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $445.00 | $89.00 | 2026-05-24 | MRF ↗ |
| VALOR HEALTH Outpatient | PACIFICSOURCE COMM - ALL OTHER PLANS | PACIFICSOURCE COMM - ALL OTHER PLANS | $69.00 | $982.60 | $933.47 | 2026-06-12 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Outpatient | Coventry | Work Comp Cfd & Cpd | $69.29 | $1,096.00 | $328.80 | 2026-09-21 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS Blue Advantage | Blue Advantage | $69.92 | $1,210.00 | $847.00 | 2026-01-13 | MRF ↗ |
| Seymour Hospital Inpatient | Aetna - HMO/PPO | HMO/PPO/POS | $70.00 | $1,638.00 | $1,146.60 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Inpatient | Aetna - Meritain | UNKNOWN | $70.00 | $1,638.00 | $1,146.60 | 2026-01-12 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | ST LUKES BRIGHTPATH-ALL PLANS | ST LUKES BRIGHTPATH-ALL PLANS | $70.00 | $421.00 | $336.80 | 2026-04-16 | MRF ↗ |
| VIRGINIA GAY HOSPITAL Outpatient | HUMANA PPO/POS/HMO-ALL PLANS | HUMANA PPO/POS/HMO-ALL PLANS | $70.00 | $1,359.00 | $1,087.20 | 2026-03-12 | MRF ↗ |
| VIRGINIA GAY HOSPITAL Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $71.22 | $1,359.00 | $1,087.20 | 2026-03-12 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Community Health Options | Commercial | $71.40 | $84.00 | $75.60 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Community Health Options | Commercial | $71.40 | $84.00 | $75.60 | 2026-07-08 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | DEAN HEALTH PLAN - ALL PLANS | DEAN HEALTH PLAN - ALL PLANS | $71.99 | $1,421.00 | $923.65 | 2026-01-15 | MRF ↗ |
| SEARHC WRANGELL MEDICAL CENTER & LTC Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $72.00 | $948.79 | $948.79 | 2024-12-09 | MRF ↗ |
| HOSPITAL PAVIA SANTURCE Outpatient | MSO | MSO Medicare Advantage | $72.73 | $234.43 | $234.43 | 2025-04-10 | MRF ↗ |
| TOWNER COUNTY MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Commercial | $73.00 | $126.00 | $126.00 | 2026-06-10 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $73.15 | $416.00 | $416.00 | 2026-03-23 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Donor Connect | Other | $73.64 | $2,539.27 | $1,904.45 | 2026-08-01 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $74.21 | — | — | 2026-04-01 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $74.37 | — | — | 2026-04-14 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | UHC Commercial | PPO | $74.50 | $1,210.00 | $847.00 | 2026-01-13 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Ump Healthcare | Ump | $74.78 | $96.00 | $96.00 | 2026-07-15 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $75.00 | $840.00 | $840.00 | 2026-04-24 | MRF ↗ |
| HIAWATHA COMMUNITY HOSPITAL Outpatient | CIGNA/HLTH PARTNERS - ALL PLANS | CIGNA/HLTH PARTNERS - ALL PLANS | $75.00 | $947.00 | $947.00 | 2026-02-19 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $75.00 | $840.00 | $840.00 | 2026-07-22 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | Baylor Scott And White Commercial | UNKNOWN | $75.00 | $1,210.00 | $847.00 | 2026-01-13 | MRF ↗ |
| TOWNER COUNTY MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $76.00 | $126.00 | $126.00 | 2026-06-10 | MRF ↗ |
| TOWNER COUNTY MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $76.00 | $126.00 | $126.00 | 2026-06-10 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | Molina | Medicare Advantage | $76.00 | $400.00 | $400.00 | 2026-07-15 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS HMO | HMO | $76.00 | $1,210.00 | $847.00 | 2026-01-13 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | Triwest | Medicare Advantage | $76.00 | $400.00 | $400.00 | 2026-07-15 | MRF ↗ |
| EL CAMPO MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $76.00 | $400.00 | $400.00 | 2026-07-15 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Harvard Pilgrim | Commercial | $76.02 | $84.00 | $75.60 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Harvard Pilgrim | Commercial | $76.02 | $84.00 | $75.60 | 2026-04-05 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Medical Mutual Of Ohio | Mmonorthernohio | $76.04 | $193.00 | $173.70 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Outpatient | United | Choice Epo | $76.26 | $1,096.00 | $328.80 | 2026-09-21 | 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.