L1852 — Ko Double Upright Prefab Ots
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ko double upright prefab ots (HCPCS L1852) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L1852?code_type=HCPCS
MLA (9th ed.)
“Ko double upright prefab ots (HCPCS L1852) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L1852?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Ko double upright prefab ots (HCPCS L1852) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L1852?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $558–$885 (25th–75th percentile) across 1,142 hospitals · 1,625 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L1852 — 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
$558
$682 typical
$885
The middle 50% of negotiated facility rates for this procedure, measured across 1,142 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $682 |
| Likely subtotal | $682 |
Facility charge (no separate professional fee)
$682
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 $558–$885.
- 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 | — | — | — | $2,831.88 | $1,415.94 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $2,831.88 | $1,415.94 | 2024-12-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.59 | $1,437.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.59 | $1,437.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $2.65 | $1,472.00 | — | 2025-12-31 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.61 | $1,245.79 | $1,183.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $4.61 | $1,245.79 | $1,183.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.61 | $1,245.79 | $1,183.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.73 | $1,245.79 | $1,183.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.86 | $1,245.79 | $1,183.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $4.98 | $1,245.79 | $1,183.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $6.10 | $1,245.79 | $1,183.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $6.10 | $1,245.79 | $1,183.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.23 | $1,245.79 | $1,183.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.48 | $1,245.79 | $1,183.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $6.73 | $1,245.79 | $1,183.50 | 2026-02-20 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $12.88 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $19.09 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $20.47 | $89.00 | $89.00 | 2026-04-30 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | COVENTRY | All Products | $20.93 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | COVENTRY | All Products | $20.93 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $22.96 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | COVENTRY | All Products | $25.11 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | COVENTRY | All Products | $25.11 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Cigna Healthcare | Commercial | $26.66 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Cigna | Commercial | $26.66 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL InpatientFacility | Cigna Healthcare | Commercial | $27.61 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL InpatientFacility | Cigna | Commercial | $27.61 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL InpatientFacility | Central Healthcare Services | Commercial | $28.00 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | VIVA Health | Commercial | $28.00 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | VIVA Health | Commercial | $28.00 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL InpatientFacility | Central Healthcare Services | Commercial | $28.00 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL OutpatientFacility | POINT COMFORT UNDERWRITERS | All Products | $29.06 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $29.20 | $213.13 | $138.53 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $29.20 | $213.13 | $138.53 | 2025-01-01 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Commercial | $30.80 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Commercial | $30.80 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $31.64 | $137.55 | $137.55 | 2026-04-30 | MRF ↗ |
| SANFORD USD MEDICAL CENTER InpatientFacility | Security Health Plan | Commercial | $33.00 | $60.00 | $48.00 | 2026-03-04 | 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 ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $34.03 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | Molina | Medicare Advantage | $34.88 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL OutpatientFacility | POINT COMFORT UNDERWRITERS | All Products | $34.88 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | Molina | Medicare Advantage | $34.88 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | Molina | Medicare Advantage | $34.88 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | MultiPlan | Commercial | $36.40 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Humana ChoiceCare | Commercial | $36.40 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Humana ChoiceCare | Commercial | $36.40 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | MultiPlan | Commercial | $36.40 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Cigna Healthspring | Medicare Advantage | $36.40 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $36.49 | $89.00 | $89.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL InpatientFacility | Devoted Health | Medicare Advantage | $39.20 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | NaphCare | Commercial | $39.20 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL InpatientFacility | MultiPlan | Commercial | $39.20 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL InpatientFacility | Devoted Health | Medicare Advantage | $39.20 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Cigna Healthcare | Commercial | $39.51 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Cigna | Commercial | $39.51 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Blue Cross | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Blue Cross | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Align Senior | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | VACCN United | Veterans Affairs | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Aetna | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | HAP | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Molina | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Aetna | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Molina | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Priority Health | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Blue Care Network | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Align Senior | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | VACCN United | Veterans Affairs | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Humana | Humana HMO/PPO and MA | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | HAP | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Humana | Humana HMO/PPO and MA | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Priority Health | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Blue Care Network | Medicare Advantage | $39.53 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $39.95 | — | — | 2026-03-18 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | United Healthcare | CSP Top 20 | $40.38 | $60.00 | $48.00 | 2026-03-04 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL InpatientFacility | POINT COMFORT UNDERWRITERS | All Products | $40.69 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL InpatientFacility | Cigna | Commercial | $40.92 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL InpatientFacility | Cigna Healthcare | Commercial | $40.92 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL InpatientFacility | Anthem | Pathway Program | $41.20 | $213.13 | $138.53 | 2025-01-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL InpatientFacility | Central Healthcare Services | Commercial | $41.50 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL InpatientFacility | Central Healthcare Services | Commercial | $41.50 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | VIVA Health | Commercial | $41.50 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | VIVA Health | Commercial | $41.50 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | Molina | Medicare Advantage | $41.85 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | Molina | Medicare Advantage | $41.85 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | Molina | Medicare Advantage | $41.85 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Cigna Healthcare | Commercial | $42.36 | $89.00 | $89.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Cigna | Commercial | $42.36 | $89.00 | $89.00 | 2026-04-30 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Medicare Advantage | $42.63 | $213.13 | $138.53 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Medicare Advantage | $42.63 | $213.13 | $138.53 | 2025-01-01 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL InpatientFacility | Cigna | Commercial | $43.88 | $89.00 | $89.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL InpatientFacility | Cigna Healthcare | Commercial | $43.88 | $89.00 | $89.00 | 2026-04-30 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | Aetna | Medicare Advantage | $44.18 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | Aetna | Medicare Advantage | $44.18 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $44.18 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL InpatientFacility | Central Healthcare Services | Commercial | $44.50 | $89.00 | $89.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | VIVA Health | Commercial | $44.50 | $89.00 | $89.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL InpatientFacility | Central Healthcare Services | Commercial | $44.50 | $89.00 | $89.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | VIVA Health | Commercial | $44.50 | $89.00 | $89.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Commercial | $45.65 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Commercial | $45.65 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Cofinity | All Products | $47.20 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | HEALTHSCOPE | All Products | $47.20 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Web TPA | All Products | $47.20 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Healthgram | All Products | $47.20 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Web TPA | All Products | $47.20 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | HEALTHSCOPE | All Products | $47.20 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Cofinity | All Products | $47.20 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Healthgram | All Products | $47.20 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Blue Cross | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Aetna | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | VACCN United | Veterans Affairs | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Align Senior | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Aetna | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Blue Cross | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | HAP | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Align Senior | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Molina | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Priority Health | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Molina | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Humana | Humana HMO/PPO and MA | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | VACCN United | Veterans Affairs | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Humana | Humana HMO/PPO and MA | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Blue Care Network | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Blue Care Network | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Priority Health | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | HAP | Medicare Advantage | $47.43 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Aetna | Medicare Advantage | $47.74 | $213.13 | $120.84 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | Web TPA | All Products | $48.59 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | HEALTHSCOPE | All Products | $48.59 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | Healthgram | All Products | $48.59 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | Cofinity | All Products | $48.59 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL InpatientFacility | POINT COMFORT UNDERWRITERS | All Products | $48.83 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Commercial | $48.95 | $89.00 | $89.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Commercial | $48.95 | $89.00 | $89.00 | 2026-04-30 | 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 ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL InpatientFacility | NovaNet | Commercial | $50.40 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL InpatientFacility | NovaNet | Commercial | $50.40 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL InpatientFacility | MultiPlan | Commercial | $50.40 | $56.00 | $56.00 | 2026-04-30 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL BothFacility | Web TPA | All Products | $51.27 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL BothFacility | Healthgram | All Products | $51.27 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL BothFacility | Cofinity | All Products | $51.27 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL BothFacility | HEALTHSCOPE | All Products | $51.27 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | Healthgram | All Products | $51.96 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | HEALTHSCOPE | All Products | $51.96 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | Cofinity | All Products | $51.96 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | Healthgram | All Products | $51.96 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | Web TPA | All Products | $51.96 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | Web TPA | All Products | $51.96 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | Cofinity | All Products | $51.96 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | HEALTHSCOPE | All Products | $51.96 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Aetna | All Products | $52.66 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Aetna | All Products | $52.66 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $52.86 | $213.13 | $134.70 | 2025-01-01 | MRF ↗ |
| SANFORD USD MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $52.86 | $60.00 | $48.00 | 2026-03-04 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | Aetna | Medicare Advantage | $53.01 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $53.01 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | Aetna | Medicare Advantage | $53.01 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Oscar | Medicare Advantage | $53.28 | $213.13 | $120.84 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Oscar | Medicare Advantage | $53.28 | $213.13 | $134.70 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Oscar | Medicare Advantage | $53.28 | $213.13 | $126.39 | 2025-01-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | MultiPlan | Commercial | $53.95 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Humana ChoiceCare | Commercial | $53.95 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | MultiPlan | Commercial | $53.95 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Humana ChoiceCare | Commercial | $53.95 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Cigna Healthspring | Medicare Advantage | $53.95 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | Aetna | All Products | $54.29 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $54.97 | $239.00 | $239.00 | 2026-04-30 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL OutpatientFacility | Priority Health | Narrow Network | $55.17 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL OutpatientFacility | Priority Health | PPO | $55.50 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL OutpatientFacility | Priority Health | HMO | $55.50 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| CHELSEA HOSPITAL BothFacility | Aetna | All Products | $56.03 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL BothFacility | Aetna | All Products | $56.03 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | Aetna | All Products | $56.03 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | Aetna | All Products | $56.03 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $56.40 | $137.55 | $137.55 | 2026-04-30 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $56.51 | $412.50 | $268.13 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $56.51 | $412.50 | $268.13 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Cofinity | All Products | $56.64 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Healthgram | All Products | $56.64 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Cofinity | All Products | $56.64 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | HEALTHSCOPE | All Products | $56.64 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Healthgram | All Products | $56.64 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | HEALTHSCOPE | All Products | $56.64 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Web TPA | All Products | $56.64 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Web TPA | All Products | $56.64 | $139.50 | $90.68 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | Aetna | APCN/AFA | $57.31 | $116.25 | $75.56 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Eon Health Plan | Medicare Advantage | $57.55 | $213.13 | $138.53 | 2025-01-01 | 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.