G0465 — Autolog Prp Diab Wound Ulcer
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Autolog prp diab wound ulcer (HCPCS G0465) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/G0465?code_type=HCPCS
MLA (9th ed.)
“Autolog prp diab wound ulcer (HCPCS G0465) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/G0465?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Autolog prp diab wound ulcer (HCPCS G0465) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/G0465?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,719–$3,002 (25th–75th percentile) across 1,162 hospitals · 1,818 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS G0465 — 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
$1,719
$2,120 typical
$3,002
The middle 50% of negotiated facility rates for this procedure, measured across 1,162 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. | $2,120 |
| Physician fee Estimate national typical Medicare $84 × 1.22 commercial. | $102 |
| Likely subtotal | $2,222 |
Complete-episode estimate (typical)
~$2,222
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 $1,719–$3,002.
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 |
|---|---|---|---|---|---|---|---|
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $1,659.00 | $575.67 | 2025-09-09 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $1,659.00 | $575.67 | 2025-09-09 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $1,659.00 | $575.67 | 2025-09-09 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HHW | CARESOURCE MCAID HHW | $21.00 | $21.00 | $14.70 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HHW/HCC | MHS MCAID HHW/HCC | $21.00 | $21.00 | $14.70 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HHW/HCC | MHS MCAID HHW/HCC | $21.00 | $21.00 | $14.70 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCAID HCC | UHC MCAID HCC | $21.00 | $21.00 | $14.70 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HHW - ALL OTHER PLANS | CENPATICO MCAID HHW - ALL OTHER PLANS | $21.00 | $21.00 | $14.70 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HHW - ALL OTHER PLANS | CENPATICO MCAID HHW - ALL OTHER PLANS | $21.00 | $21.00 | $14.70 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HHW | CARESOURCE MCAID HHW | $21.00 | $21.00 | $14.70 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCAID HCC | UHC MCAID HCC | $21.00 | $21.00 | $14.70 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCAID HHW/HCC | ANTHEM MCAID HHW/HCC | $21.63 | $21.00 | $14.70 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCAID HHW/HCC | ANTHEM MCAID HHW/HCC | $21.63 | $21.00 | $14.70 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HHW | CARESOURCE MCAID HHW | $22.10 | $22.10 | $15.47 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HHW/HCC | MHS MCAID HHW/HCC | $22.10 | $22.10 | $15.47 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCAID HCC | UHC MCAID HCC | $22.10 | $22.10 | $15.47 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HHW | CARESOURCE MCAID HHW | $22.10 | $22.10 | $15.47 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HHW - ALL OTHER PLANS | CENPATICO MCAID HHW - ALL OTHER PLANS | $22.10 | $22.10 | $15.47 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCAID HCC | UHC MCAID HCC | $22.10 | $22.10 | $15.47 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HHW - ALL OTHER PLANS | CENPATICO MCAID HHW - ALL OTHER PLANS | $22.10 | $22.10 | $15.47 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HHW/HCC | MHS MCAID HHW/HCC | $22.10 | $22.10 | $15.47 | 2026-07-07 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCAID HHW/HCC | ANTHEM MCAID HHW/HCC | $22.76 | $22.10 | $15.47 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCAID HHW/HCC | ANTHEM MCAID HHW/HCC | $22.76 | $22.10 | $15.47 | 2026-07-07 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Aetna | Commercial | $31.00 | — | — | 2026-10-12 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity/Federal Employee Program | $31.14 | — | — | 2026-07-18 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | BCBS- ALL OTHER PLANS | BCBS- ALL OTHER PLANS | $38.00 | $2,536.00 | $1,902.00 | 2026-07-22 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | BCBS- ALL OTHER PLANS | BCBS- ALL OTHER PLANS | $38.00 | $2,536.00 | $1,902.00 | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| SHERIDAN COUNTY HOSPITAL Both | Celtic Insurance | Default | $42.96 | $71.00 | $71.00 | 2026-07-15 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $44.23 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $44.51 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $44.51 | — | — | 2026-03-18 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $45.27 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $45.27 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $45.27 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $45.27 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $45.27 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $47.53 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $48.35 | — | — | 2025-06-28 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $50.69 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $51.01 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $51.01 | — | — | 2026-03-18 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $52.10 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $52.10 | — | — | 2026-05-14 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Blue Cross Complete | MEDICAID | $52.70 | — | — | 2025-06-28 | MRF ↗ |
| SHERIDAN COUNTY HOSPITAL Both | Blue Cross Blue Shield Of Ks | Default | $52.87 | $71.00 | $71.00 | 2026-07-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $53.46 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $53.46 | — | — | 2026-03-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $55.19 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $55.54 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $55.54 | — | — | 2026-03-18 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|Blue Premier | $56.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|Blue Premier | $56.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | BCBS-TX | Commercial|Blue Premier | $56.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | BCBS-TX | Commercial|Blue Premier | $56.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|Blue Premier | $56.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|Blue Premier | $56.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | BCBS-TX | Commercial|Blue Premier | $56.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|Blue Premier | $56.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | BCBS-TX | Commercial|Blue Premier | $56.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|Blue Premier | $56.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|HMO | $59.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | BCBS-TX | Commercial|HMO | $59.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|HMO | $59.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|HMO | $59.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|HMO | $59.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | BCBS-TX | Commercial|HMO | $59.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | BCBS-TX | Commercial|HMO | $59.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|HMO | $59.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | BCBS-TX | Commercial|HMO | $59.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|HMO | $59.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| VALOR HEALTH Outpatient | CIGNA OAP | CIGNA OAP | $61.00 | $2,041.60 | $1,939.52 | 2026-06-12 | MRF ↗ |
| VALOR HEALTH Outpatient | CIGNA PPO - ALL OTHER PLANS | CIGNA PPO - ALL OTHER PLANS | $61.00 | $2,041.60 | $1,939.52 | 2026-06-12 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | The Healthplan | Wv Medicaid | $64.71 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Unicare | Wv Medicaid | $64.71 | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $64.71 | — | — | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $64.71 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $64.98 | — | — | 2026-07-18 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | BCBS-TX | Commercial|PPO | $66.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|PPO | $66.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|PPO | $66.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | BCBS-TX | Commercial|PPO | $66.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|PPO | $66.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|PPO | $66.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| Chi St Joseph Health College Station Hospital Outpatient | BCBS-TX | Commercial|PPO | $66.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|PPO | $66.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS-TX | Commercial|PPO | $66.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| CHI ST JOSEPH HEALTH REGIONAL HOSPITAL Outpatient | BCBS-TX | Commercial|PPO | $66.00 | $4,580.00 | $801.50 | 2026-02-28 | MRF ↗ |
| SHERIDAN COUNTY HOSPITAL Both | United Healthcare | Default | $67.45 | $71.00 | $71.00 | 2026-07-15 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $67.95 | $4,787.00 | $2,393.50 | 2026-07-15 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | $67.95 | $4,787.00 | $2,393.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health Mgd Medicaid | $67.95 | $4,954.00 | $2,477.00 | 2026-07-15 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $67.95 | $4,787.00 | $2,393.50 | 2026-07-15 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | $67.95 | $5,199.00 | $2,599.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $67.95 | $4,954.00 | $2,477.00 | 2026-07-15 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $67.95 | $4,954.00 | $2,477.00 | 2026-07-15 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | $67.95 | $4,787.00 | $2,393.50 | 2026-07-15 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $67.95 | $4,345.00 | $2,172.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $67.95 | $5,214.00 | $2,607.00 | 2026-07-15 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | $67.95 | $5,199.00 | $2,599.50 | 2026-07-15 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $67.95 | $4,116.00 | $2,058.00 | 2026-07-18 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $67.95 | $4,475.00 | $2,237.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $67.95 | $4,954.00 | $2,477.00 | 2026-07-15 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $67.95 | $4,954.00 | $2,477.00 | 2026-07-15 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $67.95 | $4,345.00 | $2,172.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $67.95 | $5,214.00 | $2,607.00 | 2026-07-15 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $67.95 | $4,116.00 | $2,058.00 | 2026-07-18 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $67.95 | $4,475.00 | $2,237.50 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | The Health Plan Wv | Mgd Mcaid | $68.92 | $4,787.00 | $2,393.50 | 2026-07-15 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | $68.92 | $5,199.00 | $2,599.50 | 2026-07-15 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $68.92 | $5,214.00 | $2,607.00 | 2026-07-15 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | The Health Plan Wv | Mgd Mcaid | $68.92 | $4,954.00 | $2,477.00 | 2026-07-15 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | $68.92 | $4,787.00 | $2,393.50 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | The Health Plan Wv | Mgd Mcaid | $68.92 | $4,954.00 | $2,477.00 | 2026-07-15 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $68.92 | $4,345.00 | $2,172.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $68.92 | $4,475.00 | $2,237.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv | Mgd Mcaid | $68.92 | $4,116.00 | $2,058.00 | 2026-07-18 | MRF ↗ |
| VALOR HEALTH Outpatient | PACIFICSOURCE COMM - ALL OTHER PLANS | PACIFICSOURCE COMM - ALL OTHER PLANS | $69.00 | $2,041.60 | $1,939.52 | 2026-06-12 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Aetna | Better Health Wv Mgd Medicaid | $69.24 | $4,954.00 | $2,477.00 | 2026-07-15 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health Mgd Medicaid | $69.24 | $4,787.00 | $2,393.50 | 2026-07-15 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $69.24 | $5,214.00 | $2,607.00 | 2026-07-15 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna | Better Health Mgd Medicaid | $69.24 | $4,787.00 | $2,393.50 | 2026-07-15 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Better Health Wv Mgd Medicaid | $69.24 | $5,199.00 | $2,599.50 | 2026-07-15 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $69.24 | $4,345.00 | $2,172.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $69.24 | $4,475.00 | $2,237.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health Mgd Medicaid | $69.24 | $4,116.00 | $2,058.00 | 2026-07-18 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | $69.67 | — | — | 2026-07-01 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | Blue Advantage | $71.00 | $3,498.52 | $2,099.11 | 2026-06-13 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | $73.67 | — | — | 2026-07-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $74.34 | $1,624.00 | $357.28 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $74.34 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $74.34 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $74.34 | $1,624.00 | $357.28 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $74.34 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $74.34 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $74.34 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $74.34 | $8,780.00 | $7,199.60 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $74.34 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $74.34 | $1,624.00 | $357.28 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $74.34 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $74.34 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $74.34 | $8,780.00 | $7,199.60 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $74.34 | $1,624.00 | $357.28 | 2026-04-14 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $74.52 | — | — | 2026-01-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $75.00 | $3,498.52 | $2,099.11 | 2026-06-13 | MRF ↗ |
| VALOR HEALTH Outpatient | TRICARE TRIWEST - ALL PLANS | TRICARE TRIWEST - ALL PLANS | $75.67 | $2,041.60 | $1,939.52 | 2026-06-12 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Health Spring | Commercial | $76.00 | $218.00 | $52.00 | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $78.23 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $78.23 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $78.23 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $78.23 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $78.23 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $78.23 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $78.34 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $78.34 | — | — | 2025-09-05 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Community Blue Medicare | $78.64 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark | Highmark Community Blue Medicare | $78.64 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark | Highmark Community Blue Medicare | $78.64 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark | Highmark Community Blue Medicare | $78.64 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Highmark | Highmark Community Blue Medicare | $78.64 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Highmark | Highmark Community Blue Medicare | $78.64 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark | Highmark Community Blue Medicare | $78.64 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Highmark | Highmark Community Blue Medicare | $78.64 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Community Blue Medicare | $78.64 | — | — | 2026-04-14 | MRF ↗ |
| MADISON COUNTY HEALTH CARE SYSTEM Outpatient | MEDIMORE EMPLOYEE HP - ALL PLANS | MEDIMORE EMPLOYEE HP - ALL PLANS | $79.17 | $4,500.00 | $3,600.00 | 2026-06-05 | MRF ↗ |
| MADISON COUNTY HEALTH CARE SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $79.17 | $4,500.00 | $3,600.00 | 2026-06-05 | 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.