G0413 — Pelvic Ring Fracture Uni/bil
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Pelvic ring fracture uni/bil (HCPCS G0413) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/G0413?code_type=HCPCS
MLA (9th ed.)
“Pelvic ring fracture uni/bil (HCPCS G0413) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/G0413?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Pelvic ring fracture uni/bil (HCPCS G0413) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/G0413?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,951–$9,427 (25th–75th percentile) across 1,557 hospitals · 1,553 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS G0413 — 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 fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$3,951
$7,171 typical
$9,427
The middle 50% of negotiated facility rates for this procedure, measured across 1,557 hospitals. The physician 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. | $7,171 |
| Physician fee Estimate national typical Medicare $978 × 1.22 commercial. | $1,193 |
| Likely subtotal | $8,364 |
Complete-episode estimate (typical)
~$8,364
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- 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 $3,951–$9,427.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician 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
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 |
|---|---|---|---|---|---|---|---|
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Avmed | Commercial (MMG) | $244.82 | — | — | 2025-10-24 | MRF ↗ |
| Shepherd Center Outpatient | Aetna | Commercial | $250.03 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Aetna | Commercial | $250.03 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Aetna | Commercial | $250.03 | — | — | 2026-09-21 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Blue Select | $251.08 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Blue Select | $251.08 | — | — | 2026-06-30 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $23,753.00 | $16,627.10 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $23,753.00 | $16,627.10 | 2026-07-15 | MRF ↗ |
| Shepherd Center Outpatient | Coventry | Commercial | $259.48 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Coventry | Commercial | $259.48 | — | — | 2026-09-21 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Cigna Oncology UPW | Commercial | $261.40 | — | — | 2026-06-30 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Health First | Commercial (MMG) | $262.31 | — | — | 2025-10-24 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $264.20 | — | — | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $264.20 | — | — | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $265.22 | — | — | 2026-07-15 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $266.00 | — | — | 2024-12-11 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $269.27 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Health Options | $269.62 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Health Options | $269.62 | — | — | 2026-06-30 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Other | $270.84 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $270.84 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Ppo | $270.84 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Other | $270.84 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $270.84 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Silver Bow County Employees | $270.84 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $270.84 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Group Health | $270.84 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna - Commercial | $270.84 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Marketplace | $271.08 | — | — | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Marketplace | $271.08 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Boon-Chapman | $272.36 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $272.36 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Healthcomp Tpa | $272.36 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Other | $272.36 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Healthcomp Tpa | $272.36 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Health | $272.36 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Boon-Chapman | $272.36 | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $274.91 | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Highmark Blue Cross | Ppo/Pos | $274.91 | — | — | 2026-07-15 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $275.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $275.00 | — | — | 2024-12-11 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $278.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $278.00 | — | — | 2024-12-08 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $279.00 | — | — | 2024-12-11 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Multiplan | PHCS\PPO | $279.80 | — | — | 2025-10-24 | MRF ↗ |
| WALKER BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $281.00 | — | — | 2024-12-11 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Network Blue | $283.10 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Network Blue | $283.10 | — | — | 2025-08-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $289.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $289.00 | — | — | 2024-12-11 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $289.80 | — | — | 2026-07-18 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | PPC PPO | $289.84 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | PPC PPO | $289.84 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Traditional | $289.84 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Traditional | $289.84 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Oscar Oncology | Individual Exchange | $292.07 | — | — | 2025-08-01 | MRF ↗ |
| WALKER BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $295.00 | — | — | 2024-12-11 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $295.79 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $295.79 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Oscar Health Oncology UPW | Individual Exchange | $295.87 | — | — | 2026-06-30 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Commercial | $298.95 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Geha | Geha | $300.42 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $300.42 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $300.42 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $300.42 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | United Healthcare | $300.42 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $300.42 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $300.42 | — | — | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $300.59 | — | — | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $301.81 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Mt Health Co-Op | Mountain Health Co-Op | $302.54 | — | — | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $303.73 | $3,305.00 | $991.50 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | Aetna | Ppo | $305.64 | $2,693.00 | $1,104.13 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | Aetna | Marketplace Plans | $305.64 | $2,693.00 | $1,104.13 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | Aetna | Medicare | $305.64 | $2,693.00 | $1,104.13 | 2026-07-15 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $309.12 | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $320.02 | — | — | 2026-07-15 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $325.01 | — | — | 2026-01-13 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $325.37 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $325.37 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $330.50 | $3,305.00 | $991.50 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $333.80 | $3,305.00 | $991.50 | 2026-07-15 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $339.00 | $3,348.00 | $1,674.00 | 2025-02-03 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $341.63 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $341.63 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $344.00 | $3,348.00 | $1,674.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $344.74 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $354.94 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $354.94 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $354.94 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $354.94 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $364.80 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $364.80 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $364.80 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $364.80 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Commercial | $367.33 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $367.33 | — | — | 2025-08-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $372.00 | — | — | 2026-04-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $372.69 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $372.69 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $378.00 | $3,348.00 | $1,674.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $379.22 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $379.22 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $379.22 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $389.83 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $389.83 | — | — | 2026-05-24 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $401.28 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $401.28 | $985.94 | $571.85 | 2026-02-28 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $406.00 | $3,348.00 | $1,674.00 | 2025-02-03 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $411.07 | — | — | 2026-08-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $412.20 | $5,152.56 | $3,091.54 | 2026-02-21 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Wellsense | $422.05 | $3,305.00 | $991.50 | 2026-07-15 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $425.00 | — | — | 2024-12-11 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $427.00 | $3,348.00 | $1,674.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $427.00 | $3,348.00 | $1,674.00 | 2025-02-03 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $427.80 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $427.80 | — | — | 2026-01-01 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $430.88 | $2,693.00 | $1,104.13 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $430.88 | $2,693.00 | $1,104.13 | 2026-07-15 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $432.45 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $433.84 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $433.84 | — | — | 2026-05-24 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $439.29 | — | — | 2026-10-12 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $440.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $440.00 | — | — | 2024-12-11 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $442.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $442.00 | — | — | 2024-12-08 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Hospice of Bloomington Hospital | MCR | $443.28 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Hospice of Bloomington Hospital | MCR | $443.28 | — | — | 2024-10-01 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $447.00 | — | — | 2024-12-11 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $20,703.66 | $2,070.37 | 2026-07-18 | MRF ↗ |
| WALKER BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $449.00 | — | — | 2024-12-11 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP BothFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $450.00 | $16,568.00 | $4,473.36 | 2026-04-14 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $450.00 | $3,348.00 | $1,674.00 | 2025-02-03 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | CareSource | MCD | $452.15 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | CareSource | MCD | $452.15 | — | — | 2024-10-01 | MRF ↗ |
| STEVENS COMMUNITY MEDICAL CENTER Outpatient | UHC ALL PAYER - ALL PLANS | UHC ALL PAYER - ALL PLANS | $454.20 | $2,271.00 | $1,703.25 | 2026-06-26 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | MDwise Hoosier Alliance | HoosierHealthwise | $456.58 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | MDwise Hoosier Alliance | HoosierCareConnect | $456.58 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | MDwise Hoosier Alliance | HoosierCareConnect | $456.58 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | MDwise Hoosier Alliance | HoosierHealthwise | $456.58 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | In Medicaid | $457.46 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | In Medicaid | $457.46 | — | — | 2026-05-14 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Blue Essentials Hmo | $459.07 | $2,693.00 | $1,009.95 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Ppo Pos | $459.07 | $2,693.00 | $1,009.95 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Ut Select | $459.07 | $2,693.00 | $1,009.95 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Blue Advantage Hmo | $459.07 | $2,693.00 | $1,009.95 | 2026-07-15 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $462.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $462.00 | — | — | 2024-12-11 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $462.41 | — | — | 2026-10-12 | MRF ↗ |
| WALKER BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $471.00 | — | — | 2024-12-11 | MRF ↗ |
| Utmb Galveston Transplant Outpatient | United Healthcare | Medicare | $471.28 | $2,693.00 | $1,104.13 | 2026-07-15 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $472.37 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $472.37 | — | — | 2026-09-21 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $477.00 | $3,348.00 | $1,674.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $480.00 | $3,348.00 | $1,674.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $480.00 | $3,348.00 | $1,674.00 | 2025-02-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $480.50 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $480.50 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $480.50 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $480.50 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $480.50 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $480.50 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Veteran'S Administration | Triwest | $482.82 | $2,693.00 | $1,009.95 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Cigna | Medicare | $482.82 | $2,693.00 | $1,009.95 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Blue Cross | Medicare | $482.82 | $2,693.00 | $1,009.95 | 2026-07-15 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $482.85 | $1,073.00 | $804.75 | 2026-01-16 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $485.82 | $4,048.50 | $2,429.10 | 2026-02-19 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $486.00 | $3,348.00 | $1,674.00 | 2025-02-03 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $488.89 | — | — | 2026-10-12 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $489.00 | $3,348.00 | $1,674.00 | 2025-02-03 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $499.99 | $4,048.50 | $2,429.10 | 2026-02-21 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE AUTO INSURANCE [800301] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GEICO INSURANCE [8016] | GEICO INSURANCE [801601] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FREMONT INSURANCE [8015] | FREMONT INSURANCE [801501] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HARTFORD AUTO INSURANCE [8021] | HARTFORD AUTO INSURANCE [802101] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GRANGE INSURANCE [8018] | GRANGE INSURANCE [801801] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AAA AUTO INSURANCE [8001] | AAA AUTO INSURANCE [800102] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GRANGE INSURANCE [8018] | GRANGE INSURANCE 182657 [801802] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE 9229 [800302] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ESIS [8011] | ESIS [801101] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PIONEER STATE MUTUAL AUTO [8030] | PIONEER STATE MUTUAL AUTO [803001] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA [803601] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALLSTATE AUTO INSURANCE [8003] | ALLSTATE 9231 [800303] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | GENERIC NO FAULT AUTO [8000] | COFINITY GENERIC AUTO [800002] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AUTO OWNERS AUTO INSURANCE [8006] | AUTO OWNERS AUTO INSURANCE [800601] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ENCOMPASS INSURANCE [8010] | ENCOMPASS INSURANCE [801001] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | SAFECO-AUTO [8037] | SAFECO-AUTO [803701] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MACKINAW ADMINISTRATORS [8040] | MACKINAW ADMINISTRATORS AUTO [804001] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | NATIONAL GENERAL INS [8017] | NATIONAL GENERAL INS [801701] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | STATE AUTO GROUP [8033] | STATE AUTO GROUP [803301] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | HASTINGS MUTUAL [8022] | HASTINGS MUTUAL [802201] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA TEXAS 26001 [803603] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FARMERS AUTO INSURANCE [8013] | FARMERS AUTO INSURANCE [801301] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | FARMERS AUTO INSURANCE [8013] | FARMERS 27260 [801302] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEMPER INSURANCE [8024] | KEMPER INSURANCE [802401] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | LIBERTY MUTUAL [8025] | LIBERTY MUTUAL [802501] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | USAA [8036] | USAA TEXAS [803602] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | CITIZENS AUTO INSURANCE [8008] | CITIZENS AUTO INSURANCE [800801] | $502.53 | $2,013.00 | $2,013.00 | 2026-03-23 | 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.