L0650 — Lso Sc R Ant/pos Pnl Pre Ots
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lso sc r ant/pos pnl pre ots (HCPCS L0650) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L0650?code_type=HCPCS
MLA (9th ed.)
“Lso sc r ant/pos pnl pre ots (HCPCS L0650) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L0650?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Lso sc r ant/pos pnl pre ots (HCPCS L0650) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L0650?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $726–$1,631 (25th–75th percentile) across 1,465 hospitals · 2,207 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L0650 — 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
$726
$943 typical
$1,631
The middle 50% of negotiated facility rates for this procedure, measured across 1,465 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $943 |
| Likely subtotal | $943 |
Facility charge (no separate professional fee)
$943
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 $726–$1,631.
- 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 | — | — | — | $687.09 | $343.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $687.09 | $343.54 | 2024-12-15 | 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 | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $530.40 | — | 2026-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Inpatient | Humana | Military Tricare | $7.87 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Inpatient | Humana | Military Tricare | $7.87 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $10.37 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $10.37 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $10.37 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $10.65 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Inpatient | Humana | Military Tricare | $10.65 | $53.26 | $53.26 | 2026-11-04 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $10.93 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $11.21 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $13.73 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $13.73 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $14.02 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $14.58 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $15.14 | $2,803.00 | $2,662.85 | 2026-02-20 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Municipal Health | General | $19.68 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Municipal Health | General | $19.68 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $25.54 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $25.54 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $25.54 | — | — | 2026-03-18 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Municipal Health | General | $26.63 | $53.26 | $53.26 | 2026-11-04 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $26.90 | $2,689.70 | $2,017.28 | 2026-11-03 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Inpatient | Evolutions | Ppo | $27.55 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Inpatient | Evolutions | Ppo | $27.55 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Evolutions | Ppo | $27.55 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Evolutions | Ppo | $27.55 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $28.12 | $393.33 | $196.66 | 2026-03-21 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $29.27 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $29.27 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $29.27 | — | — | 2026-03-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $31.87 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $31.87 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $31.87 | — | — | 2026-03-18 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $32.28 | $2,689.70 | $2,017.28 | 2026-11-02 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $32.29 | $393.33 | $196.66 | 2026-03-20 | 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 ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Zelis | General | $33.46 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Inpatient | Evolutions | Workers Comp | $33.46 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Evolutions | Workers Comp | $33.46 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Aetna | Signature | $33.46 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Zelis | General | $33.46 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Evolutions | Workers Comp | $33.46 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Arkansas Managed Care | General | $33.46 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Arkansas Managed Care | General | $33.46 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Inpatient | Evolutions | Workers Comp | $33.46 | $39.36 | $39.36 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Aetna | Signature | $33.46 | $39.36 | $39.36 | 2026-11-04 | 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 ↗ |
| METHODIST CHARLTON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $34.97 | $393.33 | $196.66 | 2026-03-21 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $34.97 | $2,689.70 | $2,017.28 | 2026-08-01 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Health_First_Health | HMO_PPO | $35.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Health_First | HMO_PPO | $35.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Cigna_HealthCare | HMO_PPO | $36.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Cigna_HealthCare | Volusia_County | — | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | United_HealthCare | Exchange | — | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Cigna | Surefit | $36.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | United_HealthCare | NHP | — | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Cigna_HealthCare | SureFit_EPO | $36.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Evolutions | Ppo | $37.28 | $53.26 | $53.26 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Inpatient | Evolutions | Ppo | $37.28 | $53.26 | $53.26 | 2026-11-04 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $37.66 | $2,689.70 | $2,017.28 | 2026-08-01 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $37.68 | $393.33 | $196.66 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $37.68 | $393.33 | $196.66 | 2026-03-21 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | AMPS | HMO_PPO | $40.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | BCBS | NETWORK_BLUE | $40.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | EXCHANGE | $40.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | BCBS | BLUE_SELECT | $40.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | PPO_Medicare_ | $40.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | BCBS | HEALTH_OPTIONS | $40.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | BCBS | MYBLUE | $40.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | BCBS | TRADITIONAL | $40.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | BCBS | PPC | $40.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AMPS | PPO | $40.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | Exchange | $41.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $44.21 | $2,105.00 | $1,578.75 | 2026-08-01 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Zelis | General | $45.27 | $53.26 | $53.26 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Inpatient | Evolutions | Workers Comp | $45.27 | $53.26 | $53.26 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Arkansas Managed Care | General | $45.27 | $53.26 | $53.26 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Aetna | Signature | $45.27 | $53.26 | $53.26 | 2026-11-04 | MRF ↗ |
| NORTH ARKANSAS REGIONAL MEDICAL CENTER Outpatient | Evolutions | Workers Comp | $45.27 | $53.26 | $53.26 | 2026-11-04 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $45.60 | $254.75 | $188.59 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $45.60 | $254.75 | $188.59 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $45.60 | $254.75 | $188.59 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $46.51 | $254.75 | $188.59 | 2026-07-15 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $46.66 | $170.28 | $110.68 | 2026-03-31 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | HEALTH NEW ENGLAND MEDICARE ADVANTAGE | HEALTH NEW ENGLAND MEDICARE ADVANTAGE | $46.66 | $170.28 | $110.68 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $46.83 | $286.92 | $286.92 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $46.83 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $46.97 | $254.75 | $188.59 | 2026-07-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Cigna | County_of_Volusia | $47.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Health_First_Health | HMO_PPO | $47.00 | $205.75 | $82.30 | 2024-12-15 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $47.28 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $47.28 | $286.92 | $286.92 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $47.47 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $47.47 | $286.92 | $286.92 | 2026-03-31 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $47.87 | $254.75 | $188.59 | 2026-07-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $48.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $48.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Aetna | QHP | $48.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $48.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $48.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $48.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Aetna | QHP_Exchange | $48.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | UHC | EXCHANGE | $49.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | Exchange | $49.00 | $205.75 | $82.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | UHC | NHP | $49.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $49.27 | $254.75 | $180.92 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $49.27 | $254.75 | $180.92 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $49.27 | $254.75 | $180.92 | 2026-07-15 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $49.75 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Independence BC (IBC) ACA Tiered | HMO/PPO | $49.87 | $280.00 | $252.00 | 2024-12-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Cigna | HMO_PPO | $50.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $50.24 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $50.25 | $254.75 | $180.92 | 2026-07-15 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $50.43 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $50.75 | $254.75 | $180.92 | 2026-07-15 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $51.03 | $621.52 | $372.92 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $51.03 | $621.52 | $372.92 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $51.03 | $621.52 | $372.92 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $51.03 | $621.52 | $372.92 | 2026-04-21 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Independence BC (IBC) | Indemnity/Traditional | $51.66 | $280.00 | $252.00 | 2024-12-31 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $51.74 | $254.75 | $180.92 | 2026-07-15 | MRF ↗ |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER OutpatientFacility | Blue Cross NC | HMO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER OutpatientFacility | Blue Cross NC | PPO | — | — | — | 2026-03-30 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Aetna | HMO_PPO | $52.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | United_HealthCare | HMO_PPO | $52.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Aetna | HMO_PPO | $52.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | UHC | HMO_PPO | $52.00 | $153.84 | $61.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | PPO_Medicare_ | $53.00 | $205.75 | $82.30 | 2024-12-15 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Medica | Choice Care | — | $222.00 | $188.70 | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Medica | Medicare Advantage | — | $222.00 | $188.70 | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Medica | Commercial | — | $222.00 | $188.70 | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Blue Cross Blue Shield | Minnesota Health Care Programs | $53.10 | $222.00 | $188.70 | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Medica | Minnesota Health Care Programs | — | $222.00 | $188.70 | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Medica | MHSO Medicare Cost & Select | — | $222.00 | $188.70 | 2026-02-12 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $53.13 | $231.00 | $231.00 | 2026-04-30 | MRF ↗ |
| The Burdett Care Center BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $53.21 | $212.85 | $138.35 | 2026-03-31 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Superior Wellcare | Managed Medicaid | $53.58 | $621.52 | $372.92 | 2026-04-21 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AMPS | PPO | $54.00 | $205.75 | $82.30 | 2024-12-15 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Independence BC (IBC) | HMO/PPO | $54.18 | $280.00 | $252.00 | 2024-12-31 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Blue Cross Out of Area Plans | HMO/PPO | $54.18 | $280.00 | $252.00 | 2024-12-31 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Molina | Managed Medicaid | $55.13 | $621.52 | $372.92 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Amerigroup | Managed Medicaid | $55.32 | $621.52 | $372.92 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | United Healthcare | Managed Medicaid | $55.32 | $621.52 | $372.92 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Cook Childrens | Managed Medicaid | $55.32 | $621.52 | $372.92 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $55.32 | $621.52 | $372.92 | 2026-04-21 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $55.61 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $55.61 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Aetna | Managed Medicaid | $56.12 | $621.52 | $372.92 | 2026-04-21 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $56.15 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $56.15 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $56.37 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $56.37 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $56.84 | $2,105.00 | $1,578.75 | 2026-11-02 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | BLUE CROSS - MI | BCBS MI LOCAL HMO | $56.96 | $247.76 | $161.04 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $57.38 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $57.38 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $57.38 | $286.92 | $286.92 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $57.38 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $57.38 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $57.38 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $57.38 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $57.38 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $57.38 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | SUPERIOR HEALTH PLAN MEDICAID | SUPERIOR HEALTH PLAN MEDICAID | $57.50 | $575.00 | $74.75 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | AMERIGROUP - ALL PLANS | AMERIGROUP - ALL PLANS | $57.50 | $575.00 | $74.75 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | TCHP CHIPS - ALL PLANS | TCHP CHIPS - ALL PLANS | $57.50 | $575.00 | $74.75 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | COMMUNITY HEALTH CHOICE - ALL PLANS | COMMUNITY HEALTH CHOICE - ALL PLANS | $57.50 | $575.00 | $74.75 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | AMERICHOICE - ALL PLANS | AMERICHOICE - ALL PLANS | $57.50 | $575.00 | $74.75 | 2026-02-03 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $57.67 | $286.92 | $186.50 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $57.67 | $286.92 | $286.92 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $57.67 | $286.92 | $286.92 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $57.67 | $286.92 | $186.50 | 2026-03-31 | 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.