L0456 — Tlso Flex Trnk Sj-ss Pre Cst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tlso flex trnk sj-ss pre cst (HCPCS L0456) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L0456?code_type=HCPCS
MLA (9th ed.)
“Tlso flex trnk sj-ss pre cst (HCPCS L0456) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L0456?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Tlso flex trnk sj-ss pre cst (HCPCS L0456) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L0456?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $737–$1,843 (25th–75th percentile) across 1,485 hospitals · 2,718 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L0456 — 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 this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$737
$1,215 typical
$1,843
The middle 50% of negotiated facility rates for this procedure, measured across 1,485 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,215 |
| Likely subtotal | $1,215 |
Facility charge (no separate professional fee)
$1,215
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 $737–$1,843.
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,338.60 | $669.30 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $1,338.60 | $669.30 | 2024-12-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Orchid Medical | WORKERS COMP | $0.85 | $2,409.50 | $1,325.23 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Orchid Medical | WORKERS COMP | $0.85 | $2,409.50 | $1,325.23 | 2026-03-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $2,338.00 | $1,917.16 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $2,338.00 | $1,917.16 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.62 | $1,454.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.62 | $1,454.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $2.68 | $1,489.00 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.42 | $1,898.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.42 | $1,898.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.53 | $1,959.00 | — | 2025-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | HMO | — | $2,338.00 | $1,917.16 | 2025-11-26 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.96 | $2,151.00 | $2,043.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.96 | $2,151.00 | $2,043.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $7.96 | $2,151.00 | $2,043.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $8.17 | $2,151.00 | $2,043.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $8.39 | $2,151.00 | $2,043.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $8.60 | $2,151.00 | $2,043.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $10.54 | $2,151.00 | $2,043.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $10.54 | $2,151.00 | $2,043.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $10.76 | $2,151.00 | $2,043.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $11.19 | $2,151.00 | $2,043.45 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $11.62 | $2,151.00 | $2,043.45 | 2026-02-20 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $20.06 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | LLUH Dept of Risk Management | WC | $20.06 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $20.06 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $20.06 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.32 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.32 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $20.32 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $23.29 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $23.29 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $23.29 | — | — | 2026-03-18 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $24.08 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $24.08 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.36 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.36 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $25.36 | — | — | 2026-03-18 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $28.68 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $28.68 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | LLUH Dept of Risk Management | WC | $28.68 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $28.68 | $143.41 | $64.53 | 2026-02-19 | 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 ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Select/Navigate/Core | $32.85 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | Select/Navigate/Core | $32.85 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | Select/Navigate/Core | $32.85 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $34.34 | $3,433.85 | $2,575.39 | 2026-07-31 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $34.42 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $34.42 | $143.41 | $64.53 | 2026-02-19 | 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 ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | HMO Rider | $35.85 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | HMO Rider | $35.85 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | HMO Rider | $35.85 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other HMO | $36.65 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other HMO | $36.65 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | All Other HMO | $36.65 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other Commercial | $37.65 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | All Other Commercial | $37.65 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other Commercial | $37.65 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $38.22 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $38.22 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $38.22 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Medicaid | Illinois Medicaid | $38.40 | $4,192.00 | $4,192.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Molina Healthcare | Molina Medicaid | $38.40 | $4,192.00 | $4,192.00 | 2026-07-15 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | SCAN | Medicare|All Plans | $40.00 | $975.00 | $317.85 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | SCAN | Medicare|All Plans | $40.00 | $975.00 | $317.85 | 2026-02-28 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | EPIC Health Plan | Commercial | $40.13 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Riverside University Health System | MISP | $40.13 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | EPIC Health Plan | Senior | $40.13 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | EPIC Health Plan | Senior | $40.13 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | EPIC Health Plan | Senior | $40.13 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | EPIC Health Plan | Commercial | $40.13 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | EPIC Health Plan | Commercial | $40.13 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Adventist Health | Commercial | $41.13 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Adventist Health | Commercial | $41.13 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Adventist Health | Commercial | $41.13 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | LLUH Dept of Risk Management | WC | $41.13 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $41.21 | $3,433.85 | $2,575.39 | 2026-07-17 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $44.64 | $3,433.85 | $2,575.39 | 2026-08-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $46.17 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $46.17 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $46.17 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $46.17 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Select/Navigate/Core | $46.97 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | Select/Navigate/Core | $46.97 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | Select/Navigate/Core | $46.97 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $48.07 | $3,433.85 | $2,575.39 | 2026-08-01 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Superior Wellcare | Managed Medicaid | $48.47 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Blue Shield of California | EPN | $48.76 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Blue Shield of California | EPN | $48.76 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| BACON COUNTY HOSPITAL Inpatient | Cigna | — | $49.50 | $66.00 | $52.80 | 2026-07-15 | MRF ↗ |
| BACON COUNTY HOSPITAL Inpatient | Aetna | — | $49.50 | $66.00 | $52.80 | 2026-07-15 | MRF ↗ |
| BACON COUNTY HOSPITAL Inpatient | Anthem | — | $49.50 | $66.00 | $52.80 | 2026-07-15 | MRF ↗ |
| BACON COUNTY HOSPITAL Inpatient | Blue Cross/Blue Shield | — | $49.50 | $66.00 | $52.80 | 2026-07-15 | MRF ↗ |
| BACON COUNTY HOSPITAL Inpatient | United Healthcare | — | $49.50 | $66.00 | $52.80 | 2026-07-15 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Molina | Managed Medicaid | $49.88 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $50.00 | $298.00 | $68.54 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $50.00 | $298.00 | $68.54 | 2026-07-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $50.00 | $298.00 | $68.54 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $50.00 | $298.00 | $68.54 | 2026-07-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $50.00 | $298.00 | $68.54 | 2026-07-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $50.00 | $298.00 | $68.54 | 2026-07-15 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $50.05 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | United Healthcare | Managed Medicaid | $50.05 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Cook Childrens | Managed Medicaid | $50.05 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Amerigroup | Managed Medicaid | $50.05 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Networks By Design | Commercial | $50.16 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Networks By Design | Commercial | $50.16 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Networks By Design | Commercial | $50.16 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Shield of California | EPN | $50.56 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $50.75 | — | — | 2026-03-18 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Aetna | Managed Medicaid | $50.78 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | HMO Rider | $51.25 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | HMO Rider | $51.25 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | HMO Rider | $51.25 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other HMO | $52.39 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | All Other HMO | $52.39 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other HMO | $52.39 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $52.58 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $52.63 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Amerigroup | Managed Medicaid | $52.63 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | United Healthcare | Managed Medicaid | $52.63 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Parkland | Managed Medicaid | $52.63 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Parkland | Managed Medicaid | $52.63 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Amerigroup | Managed Medicaid | $52.63 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Amerigroup | Managed Medicaid | $52.63 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $52.63 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Cook Childrens | Managed Medicaid | $52.63 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | United Healthcare | Managed Medicaid | $52.63 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | United Healthcare | Managed Medicaid | $52.63 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $52.63 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | All Other Commercial | $53.82 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other Commercial | $53.82 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other Commercial | $53.82 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Parkland | Managed Medicaid | $53.87 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Amerigroup | Managed Medicaid | $53.87 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $53.87 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | United Healthcare | Managed Medicaid | $53.87 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Molina | Managed Medicaid | $54.04 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $54.64 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $54.64 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $54.64 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Aetna | Managed Medicaid | $55.05 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Alpha Care Medical Group | Medi-Cal | $55.18 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Alpha Care Medical Group | Medi-Cal | $55.18 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Alpha Care Medical Group | Medi-Cal | $55.18 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Superior Wellcare | Managed Medicaid | $55.28 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Superior Wellcare | Managed Medicaid | $55.28 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Superior Wellcare | Managed Medicaid | $55.28 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| DUNES SURGICAL HOSPITAL BothFacility | Cigna | Commercial | $56.00 | $80.00 | $120.00 | 2026-04-07 | MRF ↗ |
| DUNES SURGICAL HOSPITAL BothFacility | Midlands Choice | Commercial | $56.00 | $80.00 | $120.00 | 2026-04-07 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $56.44 | $2,687.40 | $2,015.55 | 2026-08-01 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Superior Wellcare | Managed Medicaid | $56.57 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Amerigroup | Managed Medicaid | $56.68 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $56.68 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Parkland | Managed Medicaid | $56.68 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $56.68 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | Cook Childrens | Managed Medicaid | $56.68 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $56.68 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Cook Childrens | Managed Medicaid | $56.68 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE OutpatientFacility | United Healthcare | Managed Medicaid | $56.68 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL OutpatientFacility | Amerigroup | Managed Medicaid | $56.68 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Molina | Managed Medicaid | $56.85 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN OutpatientFacility | Molina | Managed Medicaid | $56.85 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS OutpatientFacility | Molina | Managed Medicaid | $56.85 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Riverside University Health System | MISP | $57.36 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | EPIC Health Plan | Senior | $57.36 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | EPIC Health Plan | Commercial | $57.36 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | EPIC Health Plan | Commercial | $57.36 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | EPIC Health Plan | Senior | $57.36 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | EPIC Health Plan | Commercial | $57.36 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | EPIC Health Plan | Senior | $57.36 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $57.75 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Cook Childrens | Managed Medicaid | $57.75 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | Amerigroup | Managed Medicaid | $57.75 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE OutpatientFacility | United Healthcare | Managed Medicaid | $57.75 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON OutpatientFacility | Aetna | Managed Medicaid | $57.92 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | ANTHEM | HPN | $58.05 | $348.25 | $226.36 | 2025-06-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Anthem Blue Cross of CA | HMO/PPO | $58.11 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Anthem Blue Cross of CA | HMO/PPO | $58.11 | $100.32 | $45.14 | 2026-02-19 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL OutpatientFacility | Molina | Managed Medicaid | $58.20 | $562.32 | $337.40 | 2026-04-21 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Adventist Health | Commercial | $58.80 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Adventist Health | Commercial | $58.80 | $143.41 | $64.53 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | LLUH Dept of Risk Management | WC | $58.80 | $143.41 | $64.53 | 2026-02-19 | 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.