G0121 — Colon Ca Scrn Not Hi Rsk Ind
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Colon ca scrn not hi rsk ind (HCPCS G0121) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/G0121?code_type=HCPCS
MLA (9th ed.)
“Colon ca scrn not hi rsk ind (HCPCS G0121) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/G0121?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Colon ca scrn not hi rsk ind (HCPCS G0121) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/G0121?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $856–$2,312 (25th–75th percentile) across 2,920 hospitals · 6,807 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS G0121 — 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
$856
$1,283 typical
$2,312
The middle 50% of negotiated facility rates for this procedure, measured across 2,920 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. | $1,283 |
| 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 | $1,806 |
Two ways this can go
- If it stays a screening/diagnostic-only procedure
- Screening colonoscopies are ACA preventive care — with in-network insurance you typically pay $0 out of pocket.
- If a polyp is found and removed (becomes 45385)
- The procedure converts to a therapeutic one and normal cost-sharing applies to the episode total of ~$1,806 — you can’t know which way it goes before the procedure, so plan for both.
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: whether a polyp is found and removed, which converts the procedure and its cost-sharing.
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)
~$5,591
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 |
|---|---|---|---|---|---|---|---|
| SAUNDERS MEDICAL CENTER Both | Cigna | Default | — | $2,895.00 | $2,171.25 | 2026-03-31 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | — | — | — | $526.00 | $383.98 | 2025-03-05 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Managed Medicare Plans | Managed Medicare Plans | — | $102.00 | $102.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Champva | Champva/Health Net | — | $102.00 | $102.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Bcbs | Medicare Advantage | — | $102.00 | $102.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Regence | Regence Medicare | — | $102.00 | $102.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Humana | Medicare Advantage | — | $102.00 | $102.00 | 2026-10-02 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | — | $102.00 | $102.00 | 2026-10-02 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $41.49 | $3,191.55 | $2,393.66 | 2026-08-01 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Ambetter | Ambetter | $41.90 | $97.00 | $97.00 | 2026-07-15 | MRF ↗ |
| BLUE MOUNTAIN HOSPITAL Outpatient | MODA COMM - ALL PLANS | MODA COMM - ALL PLANS | $42.00 | $1,290.00 | $967.50 | 2026-08-18 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $44.04 | $3,670.28 | $2,752.71 | 2026-07-17 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Ambetter | Ambetter | — | $102.00 | $102.00 | 2026-10-02 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $45.00 | $580.00 | $377.00 | 2026-05-07 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Unite Here Health | $45.75 | $1,099.00 | — | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice Opt Ppo | $45.75 | $1,099.00 | — | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Bcbs | Blue Choice City Of Chicago | $45.75 | $1,099.00 | — | 2026-09-21 | 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 | $1,390.73 | $973.51 | 2026-03-16 | MRF ↗ |
| CENTRAL MONTANA MEDICAL CENTER Outpatient | EBMS - ALL PLANS | EBMS - ALL PLANS | $47.50 | $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 ↗ |
| CENTRAL MONTANA MEDICAL CENTER Outpatient | HEALTH INFONET - ALL PLANS | HEALTH INFONET - ALL PLANS | $48.00 | $418.00 | $355.30 | 2025-11-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $565.00 | $339.00 | 2026-08-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $6,966.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $8,715.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $5,175.00 | 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 ↗ |
| DOCTORS MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid Replacement | — | $213.00 | $95.85 | 2026-07-15 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Outpatient | Humana | Medicaid Replacement | — | $213.00 | $95.85 | 2026-07-15 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Outpatient | Medicare A Fl Jn | Default | $50.10 | $213.00 | $95.85 | 2026-07-15 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $50.58 | $1,100.00 | $550.00 | 2026-04-15 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $50.85 | $113.00 | $101.70 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $50.85 | $113.00 | $101.70 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $50.85 | $113.00 | $101.70 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $50.85 | $113.00 | $101.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $50.85 | $113.00 | $101.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $50.85 | $113.00 | $101.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $50.85 | $113.00 | $101.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $50.85 | $113.00 | $101.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $50.85 | $113.00 | $101.70 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $50.85 | $113.00 | $101.70 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $50.85 | $113.00 | $101.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $50.85 | $113.00 | $101.70 | 2026-07-08 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $1,011.00 | $727.92 | 2026-05-04 | MRF ↗ |
| ADVENTIST HEALTH TILLAMOOK Outpatient | AETNA- ALL OTHER PLANS | AETNA- ALL OTHER PLANS | $51.00 | $827.00 | $446.58 | 2026-05-22 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $1,011.00 | $727.92 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $1,011.00 | $727.92 | 2026-05-04 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $51.12 | $213.00 | $95.85 | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $51.38 | $3,670.28 | $2,752.71 | 2026-08-01 | MRF ↗ |
| BLUE MOUNTAIN HOSPITAL Outpatient | PROVIDENCE PREF - ALL PLANS | PROVIDENCE PREF - ALL PLANS | $52.00 | $1,290.00 | $967.50 | 2026-08-18 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | Aetna | Ppo | $52.57 | $1,028.00 | $421.48 | 2026-07-15 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Blue Adv | — | $52.89 | $83.36 | $41.68 | 2026-07-30 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $54.00 | $690.00 | $517.50 | 2026-03-18 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA NONACA PPO | AVERA NONACA PPO | $54.00 | $1,915.50 | $1,149.30 | 2025-12-20 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $54.27 | $213.00 | $95.85 | 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 ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Harvard Pilgrim Healthcare | Default | $54.87 | $59.00 | $44.25 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Harvard Pilgrim Healthcare | Pos | $54.87 | $59.00 | $44.25 | 2026-05-18 | MRF ↗ |
| MARY LANNING HEALTHCARE Outpatient | WORKERS COMPENSATION-ALL PLANS | WORKERS COMPENSATION-ALL PLANS | $55.78 | $657.00 | $591.30 | 2026-01-23 | MRF ↗ |
| San Angelo Community Medical Center | Aetna Commercial | — | $55.85 | $83.36 | $41.68 | 2026-07-30 | MRF ↗ |
| BARRETT HOSPITAL & HEALTHCARE Outpatient | INTERWEST HEALTH TRADITIONAL | INTERWEST HEALTH TRADITIONAL | $56.00 | $834.00 | $792.30 | 2026-05-13 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | United Healthcare | Default | $56.05 | $59.00 | $44.25 | 2026-05-18 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Medicare A Fl Jn | Default | $56.92 | $242.00 | $108.90 | 2026-07-15 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | PROVIDENCE CHOICE | PROVIDENCE CHOICE | $57.00 | $1,011.00 | $727.92 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | PROVIDENCE SIGNATURE | PROVIDENCE SIGNATURE | $57.00 | $1,011.00 | $727.92 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | PROVIDENCE HEALTH - ALL OTHER PLANS | PROVIDENCE HEALTH - ALL OTHER PLANS | $57.00 | $1,011.00 | $727.92 | 2026-05-04 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | REGENCE BCBS-ALL PLANS | REGENCE BCBS-ALL PLANS | $57.75 | $1,415.79 | $764.53 | 2025-12-08 | MRF ↗ |
| LOWER UMPQUA HOSPITAL DISTRICT Outpatient | REGENCE BCBS-ALL PLANS | REGENCE BCBS-ALL PLANS | $57.75 | $1,415.79 | $764.53 | 2025-12-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $57.94 | $359.00 | $179.50 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $57.94 | $359.00 | $179.50 | 2026-05-13 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicaid | Professional | $57.94 | $359.00 | $179.50 | 2026-07-15 | MRF ↗ |
| Sparrow Specialty Hospital Inpatient | Medicaid | Professional | $57.94 | $359.00 | $179.50 | 2026-07-15 | MRF ↗ |
| MID-COLUMBIA MEDICAL CENTER Outpatient | PROVIDENCE PPO - ALL PLANS | PROVIDENCE PPO - ALL PLANS | $58.00 | $1,082.00 | $519.36 | 2026-05-13 | MRF ↗ |
| FISHER-TITUS HOSPITAL Inpatient | Aetna | Aetnamedicare | $58.20 | $194.00 | $174.60 | 2026-07-31 | MRF ↗ |
| San Angelo Community Medical Center | Humana Commercial | — | $58.35 | $83.36 | $41.68 | 2026-07-30 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $58.47 | $323.00 | $323.00 | 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 HEALTHCARE BEHAVIORAL HEALTH ONLY | $59.63 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTH CARE AH | $59.63 | — | — | 2024-07-01 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Aetna Medicaid | Medicaid | $60.00 | $3,819.40 | $1,909.70 | 2026-01-12 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Outpatient | DIRECT BENEFIT-ALL PLANS | DIRECT BENEFIT-ALL PLANS | $60.00 | $250.00 | $225.00 | 2026-03-10 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | BCBS Medicaid | Medicaid | $60.00 | $3,819.40 | $1,909.70 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Amerigroup Medicaid | Medicaid | $60.00 | $3,819.40 | $1,909.70 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Firstcare Medicaid | Medicaid | $60.00 | $3,819.40 | $1,909.70 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Texas Medicaid | Medicaid | $60.00 | $3,819.40 | $1,909.70 | 2026-01-12 | MRF ↗ |
| HEART OF TEXAS MEMORIAL HOSPITAL Outpatient | Superior Medicaid | Medicaid | $60.00 | $3,819.40 | $1,909.70 | 2026-01-12 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Outpatient | DIRECT BENEFIT-ALL PLANS | DIRECT BENEFIT-ALL PLANS | $60.00 | $250.00 | $225.00 | 2026-03-10 | MRF ↗ |
| San Angelo Community Medical Center | Cigna Commercial | — | $60.02 | $83.36 | $41.68 | 2026-07-30 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $60.25 | $2,500.00 | — | 2026-08-17 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $60.32 | $2,872.40 | $2,154.30 | 2026-08-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $60.98 | $396.00 | $257.40 | 2026-03-01 | 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 | Bcbs Texas Hmo | — | $61.03 | $83.36 | $41.68 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Ppo/Pos | — | $61.03 | $83.36 | $41.68 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Indemnity | — | $61.03 | $83.36 | $41.68 | 2026-07-30 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $61.63 | — | — | 2026-07-18 | MRF ↗ |
| CARIBOU MEDICAL CENTER Outpatient | MONTANA HEALTH CO-OP-ALL PLANS | MONTANA HEALTH CO-OP-ALL PLANS | $62.00 | $1,390.73 | $973.51 | 2026-03-16 | MRF ↗ |
| AVERA QUEEN OF PEACE Both | Avera Health Insurance | Com | $62.40 | $156.00 | $151.77 | 2026-07-18 | MRF ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | THE ALLIANCE - ALL PLANS | THE ALLIANCE - ALL PLANS | $62.51 | $687.00 | $446.55 | 2026-01-15 | MRF ↗ |
| San Angelo Community Medical Center | First Health | — | $62.52 | $83.36 | $41.68 | 2026-07-30 | MRF ↗ |
| PALM BAY HOSPITAL Outpatient | United Healthcare | United Healthcare Florida Healthy Kids | $62.58 | $10,299.15 | $2,574.79 | 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 AH BLIND_DISABLED | $62.74 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $62.74 | — | — | 2024-07-01 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $62.90 | — | $25,763.87 | 2026-03-31 | MRF ↗ |
| MADISON COUNTY HEALTH CARE SYSTEM Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $63.50 | $969.00 | $775.20 | 2026-06-05 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Aetna | St Of Il Qchp, Aexcel, Coventry Ppo & First Health Network Solutions | $63.94 | $1,099.00 | $329.70 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Aetna | Workers Comp | $63.94 | $1,099.00 | $329.70 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Aetna | Choice Pos & Health Network Option | $63.94 | $1,099.00 | $329.70 | 2026-09-21 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $64.32 | $323.00 | $323.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $64.32 | $323.00 | $323.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $64.32 | $323.00 | $323.00 | 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 | Wellmed | 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 ↗ |
| San Angelo Community Medical Center | United Healthcare Commercial | — | $65.03 | $83.36 | $41.68 | 2026-07-30 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA MEDI-CAL | $65.34 | $7,653.44 | $4,209.39 | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Outpatient | United | Core Epo & Navigate Epo | $65.86 | $1,099.00 | $329.70 | 2026-09-21 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $66.10 | $2,728.68 | $1,091.47 | 2026-07-18 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $66.25 | $2,500.00 | — | 2026-08-17 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $445.00 | $89.00 | 2026-05-24 | 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 ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Premera | Premera | $66.44 | $97.00 | $97.00 | 2026-07-15 | MRF ↗ |
| SOUTHERN COOS HOSPITAL & HEALTH CENTER Outpatient | PROVIDENCE COMM - ALL PLANS | PROVIDENCE COMM - ALL PLANS | $67.00 | $1,619.11 | $1,619.11 | 2026-10-09 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | Commercial | $67.80 | $113.00 | $101.70 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | Commercial | $67.80 | $113.00 | $101.70 | 2026-04-05 | 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 | $69.41 | $1,099.00 | $329.70 | 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 - Meritain | UNKNOWN | $70.00 | $1,638.00 | $1,146.60 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Inpatient | Aetna - HMO/PPO | HMO/PPO/POS | $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 | $422.00 | $337.60 | 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 ↗ |
| GRANT REGIONAL HEALTH CENTER Outpatient | DEAN HEALTH PLAN - ALL PLANS | DEAN HEALTH PLAN - ALL PLANS | $71.99 | $687.00 | $446.55 | 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 ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Outpatient | UHC KANCARE | UHC KANCARE | $72.50 | $250.00 | $225.00 | 2026-03-10 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Outpatient | UHC KANCARE | UHC KANCARE | $72.50 | $250.00 | $225.00 | 2026-03-10 | MRF ↗ |
| HOSPITAL PAVIA SANTURCE Outpatient | MSO | MSO Medicare Advantage | $72.73 | $234.43 | $234.43 | 2025-04-10 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $73.32 | $323.00 | $323.00 | 2026-03-23 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | HealthNet | Commercial | $73.45 | $113.00 | $101.70 | 2026-07-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | HealthNet | Commercial | $73.45 | $113.00 | $101.70 | 2026-04-05 | MRF ↗ |
| San Angelo Community Medical Center | Healthsmart | — | $74.19 | $83.36 | $41.68 | 2026-07-30 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | UHC Commercial | PPO | $74.50 | $1,210.00 | $847.00 | 2026-01-13 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $74.57 | — | — | 2026-04-14 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $74.59 | — | — | 2026-04-01 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $75.00 | $840.00 | $840.00 | 2026-04-24 | MRF ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Outpatient | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $75.00 | $250.00 | $225.00 | 2026-03-10 | 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 ↗ |
| SATANTA DISTRICT HOSPITAL, CLINICS, & LTCU Outpatient | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $75.00 | $250.00 | $225.00 | 2026-03-10 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | Baylor Scott And White Commercial | UNKNOWN | $75.00 | $1,210.00 | $847.00 | 2026-01-13 | MRF ↗ |
| CLAY COUNTY MEDICAL CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $75.00 | $840.00 | $840.00 | 2026-07-22 | MRF ↗ |
| San Angelo Community Medical Center | Ebpa Multiplan | — | $75.02 | $83.36 | $41.68 | 2026-07-30 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Ump Healthcare | Ump | $75.56 | $97.00 | $97.00 | 2026-07-15 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS HMO | HMO | $76.00 | $1,210.00 | $847.00 | 2026-01-13 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Outpatient | United | Choice Epo | $76.39 | $1,099.00 | $329.70 | 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.