L1843 — Ko Single Upright Pre Cst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ko single upright pre cst (HCPCS L1843) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L1843?code_type=HCPCS
MLA (9th ed.)
“Ko single upright pre cst (HCPCS L1843) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L1843?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Ko single upright pre cst (HCPCS L1843) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L1843?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $905–$1,470 (25th–75th percentile) across 1,351 hospitals · 2,004 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L1843 — 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
$905
$1,109 typical
$1,470
The middle 50% of negotiated facility rates for this procedure, measured across 1,351 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,109 |
| Likely subtotal | $1,109 |
Facility charge (no separate professional fee)
$1,109
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 $905–$1,470.
- 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| 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 | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.38 | $1,324.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.38 | $1,324.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $2.44 | $1,356.00 | — | 2025-12-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-08-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-08-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Outpatient | Us Department Of Labor | Node Us Dept Of Labor | $17.76 | $177.55 | $39.77 | 2026-11-04 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $18.33 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $18.33 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $18.33 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $21.01 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $21.01 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $21.01 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $22.88 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $22.88 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $22.88 | — | — | 2026-03-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-08-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-31 | 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 ↗ |
| 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 ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $34.44 | $177.55 | $39.77 | 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 ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $34.87 | $200.43 | $66.14 | 2026-07-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARHealth | $36.61 | $523.00 | $523.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | CHIP | $36.61 | $523.00 | $523.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $36.61 | $523.00 | $523.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $36.61 | $523.00 | $523.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARKids | $36.61 | $523.00 | $523.00 | 2026-03-01 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | SCAN | Medicare|All Plans | $40.00 | $3,650.00 | $1,189.90 | 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 | $1,148.37 | 2026-09-30 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $40.69 | $200.43 | $44.36 | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $40.84 | $177.55 | $39.77 | 2026-11-04 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $42.63 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | UnitedHealthcare | Quest | $42.63 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | UnitedHealthcare | Quest | $42.63 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $42.63 | — | — | 2026-02-12 | MRF ↗ |
| KAHUKU MEDICAL CENTER Outpatient | UHC | Mcd HMO | $42.63 | — | — | 2024-06-28 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | UnitedHealthcare | Quest | $42.63 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $42.63 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $42.63 | — | — | 2026-02-12 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Outpatient | Humana | Humana Ky Mcd | $44.09 | $200.43 | $54.12 | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Outpatient | Self Pay | Self Pay | $44.36 | $200.43 | $44.36 | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $45.50 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $45.50 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $45.50 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $45.50 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity/Federal Employee Program | $45.50 | — | — | 2026-07-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $45.78 | — | — | 2026-03-18 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | MCDSTAR | $46.55 | $665.00 | $665.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | CHIP | $46.55 | $665.00 | $665.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARHealth | $46.55 | $665.00 | $665.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARKids | $46.55 | $665.00 | $665.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARPLUS | $46.55 | $665.00 | $665.00 | 2026-03-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | 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 ↗ |
| LAFOLLETTE MEDICAL CENTER Outpatient | Medicaid Ky | Medicaid Ky | $50.11 | $200.43 | $54.12 | 2026-07-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Outpatient | Uhc Ky Mcd | Uhc Ky Mcd | $50.11 | $200.43 | $54.12 | 2026-07-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Outpatient | Wellcare | Wellcare Ky Mcd | $50.11 | $200.43 | $54.12 | 2026-07-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Outpatient | Aetna | Aetna Better Health Mcd Ky | $50.11 | $200.43 | $54.12 | 2026-07-15 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | STARHealth | $55.58 | $794.00 | $794.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | STARKids | $55.58 | $794.00 | $794.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $55.58 | $794.00 | $794.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $55.58 | $794.00 | $794.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | CHIP | $55.58 | $794.00 | $794.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARHealth | $55.58 | $794.00 | $794.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | MCDSTAR | $55.58 | $794.00 | $794.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | CHIP | $55.58 | $794.00 | $794.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARPLUS | $55.58 | $794.00 | $794.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARKids | $55.58 | $794.00 | $794.00 | 2026-03-01 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Outpatient | Self Pay | Self Pay | $57.54 | $200.43 | $54.12 | 2026-07-15 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARHealth | $59.01 | $843.00 | $843.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | MCDSTAR | $59.01 | $843.00 | $843.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARKids | $59.01 | $843.00 | $843.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | CHIP | $59.01 | $843.00 | $843.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARPLUS | $59.01 | $843.00 | $843.00 | 2026-03-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $59.65 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $59.65 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $59.65 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $59.65 | — | — | 2026-05-06 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior Health Plan | STARKids | $62.16 | $888.00 | $888.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior Health Plan | STARHealth | $62.16 | $888.00 | $888.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior Health Plan | MCDSTAR | $62.16 | $888.00 | $888.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior Health Plan | STARPLUS | $62.16 | $888.00 | $888.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Superior Health Plan | CHIP | $62.16 | $888.00 | $888.00 | 2026-03-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $63.95 | — | — | 2026-02-12 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Aetna | Aetna | $66.14 | $200.43 | $44.36 | 2026-07-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Aetna | Aetna | $66.14 | $200.43 | $66.14 | 2026-07-15 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | CHIP | $70.14 | $1,002.00 | $1,002.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARHealth | $70.14 | $1,002.00 | $1,002.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | MCDSTAR | $70.14 | $1,002.00 | $1,002.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARKids | $70.14 | $1,002.00 | $1,002.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARPLUS | $70.14 | $1,002.00 | $1,002.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | IFP | $70.61 | $523.00 | $523.00 | 2026-03-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $71.73 | $2,234.00 | $1,139.34 | 2025-01-10 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-08-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $72.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | QHP | $73.22 | $523.00 | $523.00 | 2026-03-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-08-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $74.00 | $400.00 | $140.00 | 2026-07-30 | MRF ↗ |
| RICHLAND HOSPITAL OutpatientFacility | Dean Health Plan | DHI/DHP Products and ASO Managed Care | $76.04 | $555.00 | $444.00 | 2026-04-24 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna All | $79.19 | $177.55 | $39.77 | 2026-11-04 | MRF ↗ |
| SHERIDAN MEMORIAL HOSPITAL Outpatient | BLUE CROSS WYOMING-ALL PLANS | BLUE CROSS WYOMING-ALL PLANS | $80.00 | $1,257.00 | $1,005.60 | 2026-10-02 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Medica | Medicare Advantage | — | $410.00 | $348.50 | 2026-02-12 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $1,324.00 | — | 2024-12-31 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $82.42 | $2,133.47 | $768.05 | 2026-09-19 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | SELECT HEALTH COMM - ALL OTHER PLANS | SELECT HEALTH COMM - ALL OTHER PLANS | $85.61 | $114.15 | $79.91 | 2026-02-02 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Cigna | IFP | $89.78 | $665.00 | $665.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | STARKids | $91.49 | $1,307.00 | $1,307.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | STARPLUS | $91.49 | $1,307.00 | $1,307.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | STARHealth | $91.49 | $1,307.00 | $1,307.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | MCDSTAR | $91.49 | $1,307.00 | $1,307.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | CHIP | $91.49 | $1,307.00 | $1,307.00 | 2026-03-01 | 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.