L0486 — Tlso, Triplanar Control, Two Piece Rigid Plastic Shell With Interface Liner, Multiple Straps And Closures, Posterior Extends From Sacrococcygeal Junction And Terminates Just Inferior To Scapular Spine
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine (HCPCS L0486) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L0486?code_type=HCPCS
MLA (9th ed.)
“Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine (HCPCS L0486) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L0486?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine (HCPCS L0486) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L0486?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,167–$4,523 (25th–75th percentile) across 1,499 hospitals · 2,769 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L0486 — 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
$2,167
$2,663 typical
$4,523
The middle 50% of negotiated facility rates for this procedure, measured across 1,499 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,663 |
| Likely subtotal | $2,663 |
Facility charge (no separate professional fee)
$2,663
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 $2,167–$4,523.
- 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 HOSPITAL MANSFIELD Inpatient | — | — | — | $17,163.85 | $8,581.93 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $17,163.85 | $8,581.93 | 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 ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Carolina Complete | Medicaid | $0.37 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | $0.37 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Blue Cross NC | Healthy Blue Medicaid | $0.37 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | $0.37 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | AmeriHealth | Medicaid | $0.37 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | NC Department of Public Safety | Medicaid eligible Offenders | $0.37 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Humana Military | VA | $0.51 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross NC | Medicare | $0.54 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Pace of the Southern Piedmont | All Plans | $0.54 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare | $0.54 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Cigna | HealthSpring | $0.55 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | New Hanover Health | Medicare | $0.55 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare | $0.55 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | NC Department of Public Safety | Medicaid eligible Offenders | $0.56 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Carolina Complete | Medicaid | $0.56 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | AmeriHealth | Medicaid | $0.57 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Wellcare | Medicaid | $0.57 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Humana Military | Tricare Federal Services | $0.60 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross NC | PPO | $0.73 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross NC | Blue Home | $0.73 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross NC | HMO | $0.73 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross NC | Blue Value | $0.73 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Ambetter | Medicare | $0.75 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Liberty Health | Medicare HMO | $0.76 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Cigna | ACA | $0.77 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Cigna | ACA | $0.78 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Caresource North Carolina | Qualified Health Plan | $0.80 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Caresource North Carolina | Qualified Health Plan | $0.80 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Orchid Medical | WORKERS COMP | $0.85 | $3,150.00 | $1,732.50 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Orchid Medical | WORKERS COMP | $0.85 | $3,150.00 | $1,732.50 | 2026-03-31 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | $0.88 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,863.20 | $4,461.08 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | 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 | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $6,863.20 | $4,461.08 | 2025-11-26 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Blue Cross NC | Blue Home | $1.04 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Blue Cross NC | Blue Value | $1.08 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | NC Department of Public Safety | Offenders Not Medicaid eligible | $1.08 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Atlantic Corporation DBA Atlantic Packaging | All Plans | $1.13 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $1.18 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Plotkin Health | All Plans | $1.20 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Plotkin Health | All Plans | $1.20 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $1.23 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | BlueMedicare HMO | $1.24 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | Advantage65 | $1.24 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | BlueSelect | $1.24 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | BlueMedicare PPO | $1.24 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | HMO | $1.24 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | BlueMedicare HMO | $1.24 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | Advantage65 | $1.24 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | BlueSelect | $1.24 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | HMO | $1.24 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | BlueCare | $1.24 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | BlueMedicare PPO | $1.24 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | BlueCare | $1.24 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | AMPS | All Plans | $1.30 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer | $1.34 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Blue Cross NC | HMO | $1.37 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Blue Cross NC | PPO | $1.37 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | NetworkBlue | $1.40 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | CoverFL | $1.40 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | GoBlue | $1.40 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | BlueOptions | $1.40 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | CoverFL | $1.40 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | NetworkBlue | $1.40 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | GoBlue | $1.40 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | BlueOptions | $1.40 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | Traditional (PPSPHS) | $1.44 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | Traditional (PPSPHS) | $1.44 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | PPC | $1.44 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | Essential Network | $1.44 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | PPC | $1.44 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | FEP | $1.44 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | Essential Network | $1.44 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | BlueChoice | $1.44 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | FEP | $1.44 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | PPO | $1.44 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | BCBSFL | BlueChoice | $1.44 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | BCBSFL | PPO | $1.44 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Commercial | $1.46 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Medcost | MBS | $1.50 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Commercial | $1.54 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Humana | Commercial | $1.55 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Aetna | First Health | $1.60 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Aetna | Rental Network Products | $1.60 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Aetna | Non-Par Products of APCN | $1.60 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Aetna | Whole Health Non-Multitier | $1.60 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Aetna | ACA | $1.60 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Aetna | ACA | $1.60 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Non-Par Products of APCN | $1.60 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Whole Health Non-Multitier | $1.60 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Medcost | non-MBS | $1.67 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Rental Network Products | $1.70 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Aetna | First Health | $1.70 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Medcost | MBS | $1.70 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Humana | Commercial | $1.72 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Primary Physician Care | All Plans | $1.76 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Multiplan | All Plans | $1.80 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Phcs | All Plans | $1.80 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Beechstreet | Commercial | $1.80 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Medcost | non-MBS | $1.88 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | $1.94 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Employers Choice Network | All Plans | $1.94 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Employers Choice Network | All Plans | $1.94 | $2.00 | $0.90 | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Three Rivers Provider Network | All Plans | $1.94 | $2.00 | $1.20 | 2026-03-30 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.91 | $2,725.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.91 | $2,725.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.02 | $2,790.00 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.09 | $2,828.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.09 | $2,828.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.26 | $2,920.00 | — | 2025-12-31 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna | Better Health Medicaid Plans | $8.65 | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Op Plans | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Ip Plans | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Op | — | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $8.65 | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Op | — | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Ip | — | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Ip Plans | — | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Op | — | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Op | — | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Ip Plans | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Ip | — | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Ip Plans | — | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Op Plans | — | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Op Plans | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Ip | — | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $8.65 | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Op Plans | — | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Anthem | Healthkeepers Medicaid Plans | $8.65 | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Ip | — | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare | Medicaid | $8.82 | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare | Medicaid | $8.82 | $1,957.00 | $645.81 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Molina | Medicaid | $8.91 | $1,957.00 | $645.81 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $8.91 | $1,957.00 | $645.81 | 2026-09-21 | 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 ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Regence Uniform | Commercial | $31.00 | $55.00 | $44.00 | 2026-06-15 | 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $18,963.00 | $14,222.25 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $18,963.00 | $14,222.25 | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | SCAN | Medicare|All Plans | $40.00 | $8,025.00 | $2,616.15 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | SCAN | Medicare|All Plans | $40.00 | $8,025.00 | $2,524.84 | 2026-09-30 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Community Health Plan of Washington | Commercial | $44.00 | $55.00 | $44.00 | 2026-06-15 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $44.01 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $44.01 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $44.01 | — | — | 2026-03-18 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $18,963.00 | $14,222.25 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Ambetter | Cascade Care Select | $50.00 | $55.00 | $44.00 | 2026-06-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $50.44 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $50.44 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $50.44 | — | — | 2026-03-18 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Ambetter | Commercial | $52.00 | $55.00 | $44.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Cigna | Commercial | $54.00 | $55.00 | $44.00 | 2026-06-15 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $54.92 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $54.92 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $54.92 | — | — | 2026-03-18 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | GMR/Caldera Care | Commercial | $55.00 | $55.00 | $44.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Premera | Commercial | $55.00 | $55.00 | $44.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Aetna | Commercial | $55.00 | $55.00 | $44.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Regence | Commercial | $55.00 | $55.00 | $44.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | HMA | Commercial | $55.00 | $55.00 | $44.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | United Healthcare | Commercial | $55.00 | $55.00 | $44.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | Lifewise | Commercial | $55.00 | $55.00 | $44.00 | 2026-06-15 | MRF ↗ |
| OLYMPIC MEDICAL CENTER Outpatient | First Choice Network | Commercial | $55.00 | $55.00 | $44.00 | 2026-06-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Cigna | Cigna All | $70.68 | $15,038.50 | $4,962.71 | 2026-07-15 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | United Healthcare | Medicare Advantage | $74.54 | $124.23 | $74.54 | 2026-11-02 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | Blue Cross Blue Shield Of Ia Wellmark | Default | $74.54 | $124.23 | $74.54 | 2026-11-02 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | Umr United Medical Resources | Default | $74.54 | $124.23 | $74.54 | 2026-11-02 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | Blue Cross Blue Shield Of Ia And Sd Medicare Cob | Default | $74.54 | $124.23 | $74.54 | 2026-11-02 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | Blue Cross Blue Shield Of Sd Wellmark | Medicare Advantage | $74.54 | $124.23 | $74.54 | 2026-11-02 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | United Healthcare | Default | $74.54 | $124.23 | $74.54 | 2026-11-02 | MRF ↗ |
| BLACK HILLS SURGICAL HOSPITAL LLC Both | Blue Cross Blue Shield Of Sd Wellmark | Default | $74.54 | $124.23 | $74.54 | 2026-11-02 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $75.77 | $7,577.05 | $5,682.79 | 2026-11-03 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $2,828.00 | — | 2024-12-31 | 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.