L1686 — Hip Orthosis, Abduction Control Of Hip Joint, Postoperative Hip Abduction Type, Prefabricated, Includes Fitting And Adjustment
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment (HCPCS L1686) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L1686?code_type=HCPCS
MLA (9th ed.)
“Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment (HCPCS L1686) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L1686?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment (HCPCS L1686) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L1686?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,037–$2,211 (25th–75th percentile) across 1,627 hospitals · 3,262 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L1686 — 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
$1,037
$1,337 typical
$2,211
The middle 50% of negotiated facility rates for this procedure, measured across 1,627 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,337 |
| Likely subtotal | $1,337 |
Facility charge (no separate professional fee)
$1,337
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 $1,037–$2,211.
- 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 | — | — | — | $5,569.05 | $2,784.52 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $5,569.05 | $2,784.52 | 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 ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $1,767.26 | — | 2026-07-01 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Orchid Medical | WORKERS COMP | $0.85 | $2,207.50 | $1,214.13 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Orchid Medical | WORKERS COMP | $0.85 | $2,207.50 | $1,214.13 | 2026-03-31 | 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 ↗ |
| 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 OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.59 | $1,439.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.59 | $1,439.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $2.92 | $1,620.00 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.06 | $1,700.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.06 | $1,700.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.13 | $1,741.00 | — | 2025-12-31 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $10.48 | $2,833.00 | $2,691.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $10.48 | $2,833.00 | $2,691.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $10.48 | $2,833.00 | $2,691.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $10.77 | $2,833.00 | $2,691.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $11.05 | $2,833.00 | $2,691.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $11.33 | $2,833.00 | $2,691.35 | 2026-02-20 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $13.50 | $75.00 | $48.75 | 2026-09-09 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | HUMANA MEDICAID | HUMANA MEDICAID | $13.50 | $75.00 | $48.75 | 2026-09-09 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | PASSPORT HEALTH - ALL PLANS | PASSPORT HEALTH - ALL PLANS | $13.50 | $75.00 | $48.75 | 2026-09-09 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | BCBS MEDICAID | BCBS MEDICAID | $13.50 | $75.00 | $48.75 | 2026-09-09 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | COVENTRY CARES OF KY - ALL PLANS | COVENTRY CARES OF KY - ALL PLANS | $13.50 | $75.00 | $48.75 | 2026-09-09 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | AETNA BETTER HEALTH - ALL PLANS | AETNA BETTER HEALTH - ALL PLANS | $13.50 | $75.00 | $48.75 | 2026-09-09 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $13.88 | $2,833.00 | $2,691.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $13.88 | $2,833.00 | $2,691.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $14.16 | $2,833.00 | $2,691.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $14.73 | $2,833.00 | $2,691.35 | 2026-02-20 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $14.75 | $59.00 | — | 2025-06-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $15.30 | $2,833.00 | $2,691.35 | 2026-02-20 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $15.64 | $1,563.75 | $1,172.81 | 2026-07-31 | MRF ↗ |
| OHSU HOSPITAL AND CLINICS Outpatient | COMMUNITY HEALTH PLAN OF WASHINGTON | COMMUNITY HEALTH PLAN OF WA | $15.88 | $82.72 | $53.77 | 2026-03-23 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $18.76 | $1,563.75 | $1,172.81 | 2026-07-17 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $19.64 | $85.40 | $85.40 | 2026-04-30 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of KY | Medicaid | $20.15 | $193.90 | $79.25 | 2025-01-01 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $20.33 | $1,563.75 | $1,172.81 | 2026-08-01 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER BothFacility | PROVIDER NETWORK OF AMERICA | ALL PRODUCTS | $20.65 | $59.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $21.24 | $59.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | CIGNA | IFP | $21.24 | $59.00 | — | 2025-06-28 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | — | — | — | $21.72 | $21.29 | 2025-11-05 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | Illinois Medicaid | Illinois Medicaid | $21.35 | $4,503.00 | $4,503.00 | 2026-07-15 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | Illinois Medicaid | Illinois Medicaid | $21.35 | $4,503.00 | $4,503.00 | 2026-10-09 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | Molina | Molina Medicaid | $21.78 | $4,503.00 | $4,503.00 | 2026-07-15 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | Molina | Molina Medicaid | $21.78 | $4,503.00 | $4,503.00 | 2026-10-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $21.89 | $1,563.75 | $1,172.81 | 2026-08-01 | MRF ↗ |
| READING HOSPITAL Inpatient | Cigna | All Commercial Plans | $23.25 | $3,571.75 | $2,500.23 | 2026-07-15 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $23.60 | $59.00 | — | 2025-06-28 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $23.81 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $23.81 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $23.81 | — | — | 2026-03-18 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $24.15 | $105.00 | $105.00 | 2026-04-30 | MRF ↗ |
| Elkview General Hospital Outpatient | Aetna | Default | $24.50 | $70.00 | $42.00 | 2026-07-15 | MRF ↗ |
| Elkview General Hospital Outpatient | Uhc Group Medicare Advantage | Medicare Advantage | — | $70.00 | $42.00 | 2026-09-28 | MRF ↗ |
| Elkview General Hospital Outpatient | Medicare A Ok Jh | Default | — | $70.00 | $42.00 | 2026-07-15 | MRF ↗ |
| Elkview General Hospital Outpatient | Aetna | Default | $24.50 | $70.00 | $42.00 | 2026-09-28 | MRF ↗ |
| Elkview General Hospital Outpatient | Uhc Group Medicare Advantage | Medicare Advantage | — | $70.00 | $42.00 | 2026-07-15 | MRF ↗ |
| Elkview General Hospital Outpatient | Medicare A Ok Jh | Default | — | $70.00 | $42.00 | 2026-09-28 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | HUMANA MEDICAID | HUMANA MEDICAID | $25.28 | $75.00 | $48.75 | 2026-03-03 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $25.28 | $75.00 | $48.75 | 2026-03-03 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | PASSPORT HEALTH - ALL PLANS | PASSPORT HEALTH - ALL PLANS | $25.28 | $75.00 | $48.75 | 2026-03-03 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | AETNA BETTER HEALTH - ALL PLANS | AETNA BETTER HEALTH - ALL PLANS | $25.28 | $75.00 | $48.75 | 2026-03-03 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | COVENTRY CARES OF KY - ALL PLANS | COVENTRY CARES OF KY - ALL PLANS | $25.28 | $75.00 | $48.75 | 2026-03-03 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | ANTHEM BCBS MEDICAID | ANTHEM BCBS MEDICAID | $25.28 | $75.00 | $48.75 | 2026-03-03 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $25.36 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $25.36 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $25.52 | $1,215.30 | $911.48 | 2026-08-01 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Ip Plans | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna | Better Health Medicaid Plans | $26.15 | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Op Plans | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Op | — | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $26.15 | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Ip Plans | — | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Op | — | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Op | — | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Op Plans | — | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Ip | — | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Op Plans | — | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Op Plans | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Ip | — | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Ip Plans | — | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Ip | — | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Op | — | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $26.15 | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Anthem | Healthkeepers Medicaid Plans | $26.15 | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Ip | — | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Ip Plans | — | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare | Medicaid | $26.67 | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare | Medicaid | $26.67 | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Molina | Medicaid | $26.93 | $1,193.00 | $393.69 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $26.93 | $1,193.00 | $393.69 | 2026-09-21 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Centene | Medicaid|NE Total Care | $27.18 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Centene | Medicaid|NE Total Care | $27.18 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Centene | Medicaid|NE Total Care | $27.18 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Centene | Medicaid|NE Total Care | $27.18 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $27.28 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $27.28 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $27.28 | — | — | 2026-03-18 | MRF ↗ |
| UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both | — | — | — | $28.68 | $28.11 | 2025-11-05 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | United | Medicaid|Community Plan | $28.99 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | United | Medicaid|Community Plan | $28.99 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Centene | Medicaid|NE Total Care | $28.99 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Centene | Medicaid|NE Total Care | $28.99 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Outpatient | UHC | Medicaid | $29.37 | $102.00 | $1,607.27 | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health | $29.37 | $102.00 | $1,607.27 | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Outpatient | Fidelis | Medicaid | $29.37 | $102.00 | $1,607.27 | 2026-08-13 | MRF ↗ |
| Elkview General Hospital Outpatient | Aetna | Default | $29.40 | $84.00 | $50.40 | 2026-07-15 | MRF ↗ |
| Elkview General Hospital Outpatient | Aetna | Default | $29.40 | $84.00 | $50.40 | 2026-09-28 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $29.71 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $29.71 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $29.71 | — | — | 2026-03-18 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Outpatient | WellPoint | WellPoint | $29.95 | $102.00 | $1,607.27 | 2026-08-13 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | UHC | UNITED HEALTHCARE | $30.46 | $63.99 | $1,315.98 | 2025-01-21 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Outpatient | Horizon | Medicare Advantage | $30.60 | $102.00 | $1,607.27 | 2026-08-13 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Centene | Medicaid|NE Total Care | $30.80 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | United | Medicaid|Community Plan | $30.80 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Centene | Medicaid|NE Total Care | $30.80 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | United | Medicaid|Community Plan | $30.80 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $30.80 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|NE Total Care | $30.80 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Centene | Medicaid|NE Total Care | $30.80 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | United | Medicaid|Community Plan | $30.80 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS Both | — | — | — | $32.83 | $32.17 | 2025-11-05 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | United | Medicaid|Community Plan | $32.61 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Centene | Medicaid|NE Total Care | $32.61 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Centene | Medicaid|NE Total Care | $32.61 | $181.14 | $76.08 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | United | Medicaid|Community Plan | $32.61 | $181.14 | $76.08 | 2026-02-28 | 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 ↗ |
| Elkview General Hospital Outpatient | Aetna | Default | $33.25 | $95.00 | $57.00 | 2026-07-15 | MRF ↗ |
| Elkview General Hospital Outpatient | Aetna | Default | $33.25 | $95.00 | $57.00 | 2026-09-28 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Siho | Siho Employee | $33.55 | $63.30 | $37.98 | 2026-07-15 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Outpatient | Amerihealth | Medicare | $33.66 | $102.00 | $1,607.27 | 2026-08-13 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $14,157.00 | $10,617.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $14,157.00 | $10,617.75 | 2024-12-08 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $34.69 | $289.09 | $34.69 | 2026-07-15 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Helping Hands Amish | Helping Hands Amish | $34.82 | $63.30 | $37.98 | 2026-07-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Cigna | Cigna All | $34.89 | $7,424.42 | $2,450.06 | 2026-07-15 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $35.01 | $85.40 | $85.40 | 2026-04-30 | MRF ↗ |
| UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER Both | — | — | — | $36.46 | $35.73 | 2025-11-05 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $36.46 | $364.55 | $236.96 | 2026-04-17 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Aetna Better Health of KY | Medicaid | $36.48 | $193.90 | $79.25 | 2025-01-01 | MRF ↗ |
| UMD REHABILITATION & ORTHOPAEDIC INSTITUTE Both | — | — | — | $37.77 | $37.01 | 2025-11-05 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Anthem | Anthem | $37.04 | $63.30 | $37.98 | 2026-07-15 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | United Healthcare | United Healthcare Umr - Wausau | $37.66 | $63.30 | $37.98 | 2026-07-15 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Health Alliance | Health Alliance - Midwest | $37.67 | $63.30 | $37.98 | 2026-07-15 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | AETNA | AETNA | $37.69 | $63.99 | $1,315.98 | 2025-01-21 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Siho | Siho Acr | $37.98 | $63.30 | $37.98 | 2026-07-15 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $38.04 | $181.14 | $110.50 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $38.04 | $181.14 | $110.50 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $38.04 | $181.14 | $110.50 | 2026-02-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER InpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $38.11 | $59.00 | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER BothFacility | COVENTRY | WORKERS COMP | $38.35 | $59.00 | — | 2025-06-28 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | BLUE_ADVANTAGE_BAV | BLUE CROSS BLUE ADVANTAGE HMO | $38.39 | $63.99 | $1,315.98 | 2025-01-21 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $38.40 | $75.00 | $48.75 | 2026-03-03 | MRF ↗ |
| MURRAY-CALLOWAY COUNTY HOSPITAL Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $38.40 | $75.00 | $48.75 | 2026-09-09 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $38.42 | $181.14 | $110.50 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $38.42 | $181.14 | $110.50 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $38.42 | $181.14 | $110.50 | 2026-02-28 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Aetna | Aetna Sony | $38.61 | $63.30 | $37.98 | 2026-07-15 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Outpatient | Aetna | Commercial | $38.76 | $102.00 | $1,607.27 | 2026-08-13 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $38.81 | $181.14 | $150.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $38.81 | $181.14 | $153.97 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $38.81 | $181.14 | $150.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $38.81 | $181.14 | $153.97 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $38.81 | $181.14 | $150.35 | 2026-02-28 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Outpatient | Horizon | Managed | $39.05 | $102.00 | $1,607.27 | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Outpatient | Horizon | Indemnity | $39.05 | $102.00 | $1,607.27 | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Outpatient | Horizon | PPO | $39.05 | $102.00 | $1,607.27 | 2026-08-13 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Humana | Humana Choice Care Plus | $39.25 | $63.30 | $37.98 | 2026-07-15 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $39.57 | $181.14 | $150.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $39.57 | $181.14 | $153.97 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $39.57 | $181.14 | $150.35 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $39.57 | $181.14 | $153.97 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $39.57 | $181.14 | $150.35 | 2026-02-28 | 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 | $3,650.00 | $1,189.90 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | SCAN | Medicare|All Plans | $40.00 | $3,650.00 | $1,189.90 | 2026-02-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | EMPLOYERS HEALTH NETWORK | ALL PRODUCTS | $40.12 | $59.00 | — | 2025-06-28 | 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.