G0415 — Open Tx Post Pelvic Fxcture
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Open tx post pelvic fxcture (HCPCS G0415) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/G0415?code_type=HCPCS
MLA (9th ed.)
“Open tx post pelvic fxcture (HCPCS G0415) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/G0415?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Open tx post pelvic fxcture (HCPCS G0415) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/G0415?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,062–$8,349 (25th–75th percentile) across 1,362 hospitals · 1,178 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS G0415 — 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
$3,062
$4,591 typical
$8,349
The middle 50% of negotiated facility rates for this procedure, measured across 1,362 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. | $4,591 |
| Physician fee Estimate national typical Medicare $1,239 × 1.22 commercial. | $1,512 |
| Likely subtotal | $6,103 |
Complete-episode estimate (typical)
~$6,103
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 $3,062–$8,349.
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) | $315.40 | — | — | 2025-10-24 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | HMO/PPO/Traditional | $315.50 | — | — | 2026-02-13 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $318.74 | — | — | 2026-07-18 | MRF ↗ |
| Shepherd Center Outpatient | Aetna | Commercial | $323.01 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Aetna | Commercial | $323.01 | — | — | 2026-05-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Blue Select | $324.71 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Blue Select | $324.71 | — | — | 2026-06-30 | MRF ↗ |
| Shepherd Center Outpatient | Coventry | Commercial | $333.84 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Coventry | Commercial | $333.84 | — | — | 2026-09-21 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Cigna Oncology UPW | Commercial | $336.76 | — | — | 2026-06-30 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Health First | Commercial (MMG) | $337.93 | — | — | 2025-10-24 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $338.57 | — | — | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $338.57 | — | — | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $339.56 | — | — | 2026-07-15 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $347.87 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Health Options | $348.69 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Health Options | $348.69 | — | — | 2026-06-30 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna - Commercial | $348.83 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Silver Bow County Employees | $348.83 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $348.83 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Other | $348.83 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $348.83 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Other | $348.83 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Group Health | $348.83 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $348.83 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Ppo | $348.83 | — | — | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Marketplace | $349.21 | — | — | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Marketplace | $349.21 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $350.78 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Healthcomp Tpa | $350.78 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Other | $350.78 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Health | $350.78 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Boon-Chapman | $350.78 | — | — | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Highmark Blue Cross | Ppo/Pos | $353.72 | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Highmark Blue Cross | Ppo/Pos | $353.72 | — | — | 2026-05-06 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Multiplan | PHCS\PPO | $360.46 | — | — | 2025-10-24 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Network Blue | $366.12 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Network Blue | $366.12 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | PPC PPO | $374.84 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | PPC PPO | $374.84 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Traditional | $374.84 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology | Traditional | $374.84 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Oscar Oncology | Individual Exchange | $377.31 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Oscar Health Oncology UPW | Individual Exchange | $381.17 | — | — | 2026-06-30 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Commercial | $383.27 | — | — | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $383.96 | — | — | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $383.96 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $387.16 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | United Healthcare | $387.16 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $387.16 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Geha | Geha | $387.16 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $387.16 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $387.16 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $387.16 | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Mt Health Co-Op | Mountain Health Co-Op | $387.82 | — | — | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $388.71 | — | — | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $388.71 | — | — | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $403.99 | $4,396.00 | $1,318.80 | 2026-07-15 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $425.00 | — | — | 2024-12-11 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Commercial | $437.00 | — | — | 2025-01-28 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $439.60 | $4,396.00 | $1,318.80 | 2026-07-15 | 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 ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH SAGINAW COUNTY [901002] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH OAKLAND COUNTY [901005] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MCLAREN CAID [300601] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA [1071] | MOLINA MICHILD [107101] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | OUT OF COUNTY CMH [901001] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MIDWEST HEALTH CAID [300607] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID [300001] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH SHIAWASSEE COUNTY [901003] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL GREAT LAKES [300602] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA HEALTH CARE [9008] | MOLINA HEALTH CARE [900801] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL TOTAL HEALTHCARE [300606] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MOLINA CAID [300603] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH CLINTON EATON & INGHAM COUNTY [901006] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL PRIORITY HEALTH CAID [300611] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF COUNTY CMH [9010] | CMH LAPEER COUNTY [901004] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PACE MEDICAID HMO [9020] | GENESYS PACE [902001] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL OMNICARE CAID [300608] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | JVHL MEDICAID LABS [3006] | JVHL HEALTH PLUS CAID [300604] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENESEE COUNTY CMH [9003] | GENESEE COUNTY CMH [900301] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MICHIGAN COMPLETE HEALTH MEDICAID [9019] | MICHIGAN COMPLETE HEALTH MEDICAID [901901] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $443.58 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $444.00 | $4,396.00 | $1,318.80 | 2026-07-15 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $447.00 | — | — | 2024-12-11 | MRF ↗ |
| WALKER BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $449.00 | — | — | 2024-12-11 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $450.00 | — | — | 2026-04-14 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HUMANA | HUMANA PPO | — | — | — | 2026-04-14 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $462.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $462.00 | — | — | 2024-12-11 | MRF ↗ |
| WALKER BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $471.00 | — | — | 2024-12-11 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology UPW | Commercial | $475.63 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $475.63 | — | — | 2025-08-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $478.13 | $3,595.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $478.14 | $3,595.00 | — | 2025-12-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $487.94 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $487.94 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $487.94 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $492.00 | — | — | 2026-04-01 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $504.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $504.40 | — | — | 2026-05-14 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $506.89 | $3,595.00 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $506.90 | $3,595.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $506.90 | $3,595.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $510.49 | $3,595.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $510.49 | $3,595.00 | — | 2024-12-31 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $527.51 | — | — | 2026-08-19 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | PACE MEDICARE HMO [7023] | GENESYS PACE MEDICARE HMO [702301] | $550.19 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Verity Commercial And First Choice Network | All Payor | — | — | — | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Payor | — | — | — | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Ppo | All Payor | — | — | — | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare - Commercial Hmo Ppo | All Payor | $553.00 | — | — | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | — | — | — | 2026-10-17 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $557.23 | $3,595.00 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $557.23 | $3,595.00 | — | 2024-12-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $561.35 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $561.35 | — | — | 2026-05-14 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Wellsense | $561.37 | $4,396.00 | $1,318.80 | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $562.79 | — | — | 2026-10-12 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $565.80 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $565.80 | — | — | 2026-01-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $578.79 | $3,595.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $578.80 | $3,595.00 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $589.58 | $3,595.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $592.41 | — | — | 2026-10-12 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $596.77 | $3,595.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $596.77 | $3,595.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $596.77 | $3,595.00 | — | 2025-12-31 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Bcbs Blueplus Of Mn | Medicaid Managed Care Plan | $599.35 | — | — | 2026-03-01 | MRF ↗ |
| OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP OutpatientFacility | HEALTH NET | OKLAHOMA HEALTH NETWORK PPO | $605.00 | — | — | 2026-04-14 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $606.00 | — | — | 2026-09-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICARE [2000] | MEDICARE A&B [200003] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | WELLCARE HEALTH PLAN [7021] | WELLCARE HEALTH PLAN [702104] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICARE SELF AUDIT ALT [2002] | MEDICARE ALTERNATE SELF AUDIT [200201] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICARE PLUS BLUE/BCBS ADVANTAGE [7005] | MEDICARE PLUS BLUE/BCBS ADVANTAGE [700501] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENERIC MEDICARE ADVANTAGE [7000] | GENERIC MEDICARE ADVANTAGE [700001] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PACIFICARE OF ARIZONA [7013] | PACIFICARE OF ARIZONA [701301] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MICHIGAN COMPLETE HEALTH MEDICARE [7011] | MICHIGAN COMPLETE HEALTH MEDICARE [701101] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP SENIOR PLUS PPO [700305] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UNIVERSITY OF MICHIGAN HEALTH MEDICARE [7031] | UNIVERSITY OF MICHIGAN HEALTH MEDICARE [703101] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICARE ALT [2001] | MEDICARE A&B ALT [200009] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UPPER PENINSULA HEALTH PLAN MEDICARE [7019] | UPPER PENINSULA HEALTH PLAN MEDICARE [701901] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CARE NETWORK ADVANTAGE [7001] | BCN ADVANTAGE U-M PREMIER CARE [700102] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | RELIANCE MEDICARE ADVANTAGE [7027] | RELIANCE MEDICARE ADVANTAGE [702701] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP MEMBER ASSIST [700309] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP HENRY FORD SELECT [700307] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP MEDICARE COMPLETE ASSIST DSNP [700310] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HENRY FORD HEALTH SELECT HMO MEDICARE [700311] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP MEDICARE MEDICAL ACCESS HMO [700303] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP MEDICARE PRIME [700304] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MCLAREN ADVANTAGE [7002] | MCLAREN MEDICARE INSPIRE [700203] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | INDEPENDENT CARE HEALTH PLAN [7015] | INDEPENDENT CARE HEALTH PLAN [701501] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AETNA BETTER HEALTH PREMIER PLAN [7020] | AETNA BETTER HEALTH PREMIER PLAN [702001] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HEALTH ALLIANCE PLAN DUALS [700302] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN COMPLETE [7024] | MERIDIAN COMPLETE [702401] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN SENIOR [7003] | HAP MSU MEDICARE PRIME [700308] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICA HEALTHCARE PLAN, INC [7012] | MEDICA HEALTHCARE PLAN [701201] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER MARKETPLACE [109401] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICARE [2000] | MEDICARE B [200002] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA [1071] | MOLINA MARKETPLACE [107102] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | AMBETTER [1094] | AMBETTER OUT OF STATE [109402] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | VA MEDICAL CENTER [1061] | VA COMMUNITY CARE NETWORK [106104] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | LONGEVITY HEALTH MEDICARE [7032] | LONGEVITY MI MEDICARE ADVANTAGE [703201] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | BLUE CARE NETWORK ADVANTAGE [7001] | BLUE CARE NETWORK ADVANTAGE [700101] | $611.32 | $2,585.00 | $2,585.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICARE [2000] | RAIL ROAD MEDICARE [200004] | $611.32 | $2,585.00 | $2,585.00 | 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.