Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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L1970 — Afo Plastic Molded W/ankle J

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $1,043

Usually $834–$1,619 (25th–75th percentile) across 1,464 hospitals · 2,575 payers.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L1970 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$834 $1,043 typical $1,619

The middle 50% of negotiated facility rates for this procedure, measured across 1,464 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $1,043
Likely subtotal $1,043
Facility charge (no separate professional fee) $1,043

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 $834–$1,619.

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 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 ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE CROSS STATE $1.00 — — 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage — $1,453.00 $1,191.46 2025-11-26 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility Humana Medicare Advantage — $2.00 $0.56 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility 90 Degree Benefits Commercial $1.00 $2.00 $0.56 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility United Healthcare Medicare Advantage — $2.00 $0.56 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility Aetna Medicare Advantage — $2.00 $0.56 2025-02-14 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 BCBS PREFERRED BLUE PPO $1.00 — — 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO — $1,453.00 $1,191.46 2025-11-26 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN OF SC $1.00 — — 2026-09-01 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility United Healthcare Medicare Advantage — $2.00 $0.56 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility Aetna Medicare Advantage — $2.00 $0.56 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL InpatientFacility Humana Medicare Advantage — $2.00 $0.56 2025-02-14 MRF ↗
MEDICAL CENTER HOSPITAL OutpatientFacility 90 Degree Benefits Commercial $1.00 $2.00 $0.56 2025-02-14 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $1.19 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $1.19 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $1.19 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $1.19 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $1.19 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $1.19 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $1.19 $59.50 — 2026-03-31 MRF ↗
OCEAN MEDICAL CENTER OutpatientFacility Clover Managed Medicare $2.37 $1,318.00 — 2024-12-31 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $2.37 $1,318.00 — 2024-12-31 MRF ↗
BAYSHORE MEDICAL CENTER OutpatientFacility CLOVER MEDICARE ADVANTAGE $2.43 $1,350.00 — 2025-12-31 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Kaiser Foundation Hospitals HMO — $1,740.00 $1,426.80 2025-11-26 MRF ↗
KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility United Healthcare All Products $11.07 $2,129.77 — 2025-12-05 MRF ↗
MT SAN RAFAEL HOSPITAL Both LIBERTY MUTUAL LIBERTY MUTUAL $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MUTUAL OF OMAHA MUTUAL OF OMAHA $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both SECUREHORIZONS SECUREHORIZONS $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both CORVEL CORVEL $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both HALIBURTON ESIS $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both HUMANA GOLD CHOICE HUMANA GOLD CHOICE $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both HEALTH NET LIFE INS CO HEALTH NET LIFE INS CO $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WPS TRICARE FOR LIFE TRICARE FOR LIFE $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both AARP SUPPLEMENT AARP MC ADVANTAGE $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WPS CHAMPVA CHAMPVA $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MISC MCR ADV MISC MEDICARE ADV $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLCARE WELLCARE $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both TRIWEST TRIWEST $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UNITED HEALTHCARE AARP MC LIFE1 $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both CIRSA CIRSA $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UNITED HEALTHCARE UNITED MEDICARE HEALTHPLA $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DEVOTED DEVOTED HEALTH PLAN $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both RAILROAD MEDICARE SERVICE RAILROAD MEDICARE SERVICE $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both HUMANA GOLD CHOICE HUMANA LIFE1 $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MISC WORK COMP MISC WC GET COMPANY NAME $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both TRICARE WEST TRICARE WEST $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UMWA THE FUNDS 2ND ALWAYS UMWA RETIREE $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both PINNACOL ASSURANCE PINNACOL ASSURANCE $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both CIGNA HEALTHSPRING CIGNA HEALTHSPRING $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UNITED HEALTHCARE UNITED MC LIFE1 $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both PRESBYTERIAN CENTENNIAL PRESBYTERIAN MEDICARE $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both CTSI WOODMAN & POWERS CTSI $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both CMI CMI $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both AETNA AETNA MEDICARE LIFE INS $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both FREEDOM NETWORK SELECT FREEDOM NETWORK SELECT $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICARE MEDICARE $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both US DEPT OF LABOR US DEPT OF LABOR $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both BANKERS LIFE BANKERS LIFE $11.90 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both VHA OFFICE OF COMM CARE VHA OFFICE OF COMM CARE $11.90 $59.50 — 2026-03-31 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $15.13 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $15.13 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $15.13 — — 2026-03-18 MRF ↗
MT SAN RAFAEL HOSPITAL Both HUMANA GOLD CHOICE HUMANA LIFE1 $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UNITED HEALTHCARE UNITED MEDICARE HEALTHPLA $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both PINNACOL ASSURANCE PINNACOL ASSURANCE $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both CORVEL CORVEL $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MISC WORK COMP MISC WC GET COMPANY NAME $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both AETNA AETNA MEDICARE LIFE INS $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both CIGNA HEALTHSPRING CIGNA HEALTHSPRING $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both HUMANA GOLD CHOICE HUMANA GOLD CHOICE $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both RAILROAD MEDICARE SERVICE RAILROAD MEDICARE SERVICE $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both CTSI WOODMAN & POWERS CTSI $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICARE MEDICARE $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UMWA THE FUNDS 2ND ALWAYS UMWA RETIREE $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both LIBERTY MUTUAL LIBERTY MUTUAL $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both CIRSA CIRSA $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both HEALTH NET LIFE INS CO HEALTH NET LIFE INS CO $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both VHA OFFICE OF COMM CARE VHA OFFICE OF COMM CARE $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both TRICARE WEST TRICARE WEST $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both CMI CMI $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WPS TRICARE FOR LIFE TRICARE FOR LIFE $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both TRIWEST TRIWEST $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both PRESBYTERIAN CENTENNIAL PRESBYTERIAN MEDICARE $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both US DEPT OF LABOR US DEPT OF LABOR $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both FREEDOM NETWORK SELECT FREEDOM NETWORK SELECT $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UNITED HEALTHCARE AARP MC LIFE1 $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLCARE WELLCARE $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DEVOTED DEVOTED HEALTH PLAN $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WPS CHAMPVA CHAMPVA $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MISC MCR ADV MISC MEDICARE ADV $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both HALIBURTON ESIS $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both AARP SUPPLEMENT AARP MC ADVANTAGE $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both BANKERS LIFE BANKERS LIFE $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UNITED HEALTHCARE UNITED MC LIFE1 $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MUTUAL OF OMAHA MUTUAL OF OMAHA $16.66 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both SECUREHORIZONS SECUREHORIZONS $16.66 $59.50 — 2026-03-31 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $17.34 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $17.34 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $17.34 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $18.87 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $18.87 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $18.87 — — 2026-03-18 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Medcost Ip — — $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both United Healthcare Comm. Op Plans — $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Medcost Op — — $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both All Sentara Ip Plans — — $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Aetna Ppo Meritain Health Carilion Employee Exchange Op Plans — $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both All Sentara Op Plans — — $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Aetna Ppo Meritain Health Carilion Employee Exchange Ip Plans — $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both United Healthcare Comm. Ip Plans — $739.00 $243.87 2026-09-21 MRF ↗
Centra Specialty Hospital Both Medcost Op — — $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both United Healthcare Comm. Op Plans — $739.00 $243.87 2026-07-15 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Gateway Health Ip — — $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Gateway Health Op — — $739.00 $243.87 2026-09-21 MRF ↗
Centra Specialty Hospital Both Gateway Health Ip — — $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both Gateway Health Op — — $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both Medcost Ip — — $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both United Healthcare Comm. Ip Plans — $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both All Sentara Ip Plans — — $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both Aetna Meritain Centra Employee Ip Op Plans — $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both All Sentara Op Plans — — $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both Cigna Op Ppo Genworth Tyco Electronics Plans — $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both Aetna Better Health Medicaid Plans $25.20 $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both Cigna Ip Ppo Genworth Tyco Electronics Plans — $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both Cigna Ip Hmo Ppo Healthpartners Plans — $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both Cigna Op Hmo Ppo Healthpartners Plans — $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both Aetna Ppo Meritain Health Carilion Employee Exchange Op Plans — $739.00 $243.87 2026-07-15 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Aetna Meritain Centra Employee Ip Op Plans — $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Cigna Op Ppo Genworth Tyco Electronics Plans — $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Cigna Op Hmo Ppo Healthpartners Plans — $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Aetna Better Health Medicaid Plans $25.20 $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Cigna Ip Hmo Ppo Healthpartners Plans — $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Anthem Healthkeepers Medicaid Plans $25.20 $739.00 $243.87 2026-09-21 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Cigna Ip Ppo Genworth Tyco Electronics Plans — $739.00 $243.87 2026-09-21 MRF ↗
Centra Specialty Hospital Both Anthem Healthkeepers Medicaid Plans $25.20 $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both Aetna Ppo Meritain Health Carilion Employee Exchange Ip Plans — $739.00 $243.87 2026-07-15 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both United Healthcare Medicaid $25.70 $739.00 $243.87 2026-09-21 MRF ↗
Centra Specialty Hospital Both United Healthcare Medicaid $25.70 $739.00 $243.87 2026-07-15 MRF ↗
Centra Specialty Hospital Both Molina Medicaid $25.96 $739.00 $243.87 2026-07-15 MRF ↗
CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both Molina Medicaid $25.96 $739.00 $243.87 2026-09-21 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 — — 2024-12-08 MRF ↗
BROWNFIELD REGIONAL MEDICAL CENTER Outpatient Cigna Commercial $29.00 $41.00 $41.00 2025-05-28 MRF ↗
BROWNFIELD REGIONAL MEDICAL CENTER Outpatient Cigna Commercial $29.00 $41.00 $41.00 2025-05-28 MRF ↗
MCKAY-DEE HOSPITAL Inpatient Donor Connect Other $29.95 $2,994.65 $2,245.99 2026-07-31 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 — — 2024-12-08 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 ↗
BROWNFIELD REGIONAL MEDICAL CENTER Outpatient Blue Cross Blue Shield of Texas Blue Advantage HMO $34.00 $41.00 $41.00 2025-05-28 MRF ↗
BROWNFIELD REGIONAL MEDICAL CENTER Outpatient Blue Cross Blue Shield of Texas Blue Advantage HMO $34.00 $41.00 $41.00 2025-05-28 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 ↗
SANFORD USD MEDICAL CENTER InpatientFacility United Healthcare Medicare Replacement — $89.00 $71.20 2026-03-04 MRF ↗
SANFORD USD MEDICAL CENTER InpatientFacility Wellmark HMO/PPO — $89.00 $71.20 2026-03-04 MRF ↗
SANFORD USD MEDICAL CENTER InpatientFacility United Healthcare CSP Top 20 — $89.00 $71.20 2026-03-04 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Aetna Medicare $35.00 $35.00 $24.50 2026-07-31 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Aetna Commercial Commercial $35.00 $35.00 $24.50 2026-07-31 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Bcbs Commercial $35.00 $35.00 $24.50 2026-07-31 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Cigna Commercial $35.00 $35.00 $24.50 2026-07-31 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Peoples Health Commercial $35.00 $35.00 $24.50 2026-07-31 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Bcbs Ppo Commercial $35.00 $35.00 $24.50 2026-07-31 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Uhc Va $35.00 $35.00 $24.50 2026-07-31 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Humana Commercial $35.00 $35.00 $24.50 2026-07-31 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Uhc Advantage $35.00 $35.00 $24.50 2026-07-31 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Uhc Commercial $35.00 $35.00 $24.50 2026-07-31 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Bcbs Hmo Commercial $35.00 $35.00 $24.50 2026-07-31 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Aetna Medicaid $35.00 $35.00 $24.50 2026-07-31 MRF ↗
DESOTO REGIONAL HEALTH SYSTEM Both Wellcare — $35.00 $35.00 $24.50 2026-07-31 MRF ↗
INTERMOUNTAIN MEDICAL CENTER Inpatient Donor Connect Other $35.94 $2,994.65 $2,245.99 2026-07-17 MRF ↗
LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility Blue Shield of California Commercial/IFP $37.77 — — 2026-03-18 MRF ↗
LDS HOSPITAL Inpatient Donor Connect Other $38.93 $2,994.65 $2,245.99 2026-08-01 MRF ↗
SANFORD USD MEDICAL CENTER InpatientFacility Security Health Plan Commercial $39.05 $71.00 $56.80 2026-03-04 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 $2,805.00 $914.43 2026-02-28 MRF ↗
GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient SCAN Medicare|All Plans $40.00 $2,805.00 $914.43 2026-02-28 MRF ↗
BRIDGEPORT HOSPITAL Outpatient Harvard Pilgrim All Plans $40.18 $2,488.48 $1,269.12 2025-01-10 MRF ↗
SANFORD USD MEDICAL CENTER InpatientFacility Security Health Plan Commercial $41.25 $75.00 $60.00 2026-03-04 MRF ↗
MT SAN RAFAEL HOSPITAL Both PRIVATE PAY PRIVATE PAY $41.65 $59.50 — 2026-03-31 MRF ↗
INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient Donor Connect Other $41.93 $2,994.65 $2,245.99 2026-08-01 MRF ↗
SANFORD MEDICAL CENTER BISMARCK InpatientFacility Health Partners Commercial $46.57 $101.24 $81.00 2026-03-04 MRF ↗
MT SAN RAFAEL HOSPITAL Both HRSA COVID 19 FUNDS HRSA COVID 19 FUNDS $47.60 $59.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both CORRECTION HEALTH PARTNER CORRECTIONAL HEALTH PARTN $47.60 $59.50 — 2026-03-31 MRF ↗
SANFORD USD MEDICAL CENTER OutpatientFacility United Healthcare CSP Top 20 $47.78 $71.00 $56.80 2026-03-04 MRF ↗
SANFORD BEMIDJI MEDICAL CENTER OutpatientFacility Sanford Health Plan SD Exchange True $48.85 $107.19 $85.76 2026-03-04 MRF ↗
SANFORD USD MEDICAL CENTER InpatientFacility Security Health Plan Commercial $48.95 $89.00 $71.20 2026-03-04 MRF ↗
SANFORD MEDICAL CENTER BISMARCK InpatientFacility Health Partners Commercial $49.03 $106.59 $85.28 2026-03-04 MRF ↗
LOGAN REGIONAL HOSPITAL Inpatient Donor Connect Other $49.22 $2,343.65 $1,757.74 2026-08-01 MRF ↗
COASTAL CAROLINA HOSPITAL 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 ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 — — 2024-12-08 MRF ↗
SANFORD USD MEDICAL CENTER OutpatientFacility United Healthcare CSP Top 20 $50.48 $75.00 $60.00 2026-03-04 MRF ↗
Shepherd Center Outpatient Bcbs Ppo $50.69 — — 2026-09-21 MRF ↗
Shepherd Center Outpatient Bcbs Hmo $50.69 — — 2026-09-21 MRF ↗
Shepherd Center Outpatient Bcbs Hmo $50.69 — — 2026-05-06 MRF ↗
Shepherd Center Outpatient Bcbs Ppo $50.69 — — 2026-05-06 MRF ↗
SANFORD BEMIDJI MEDICAL CENTER OutpatientFacility Sanford Health Plan SD Exchange True $51.43 $112.86 $90.29 2026-03-04 MRF ↗
MT SAN RAFAEL HOSPITAL Both FRIDAY HEALTH PLAN FRIDAY HEALTH PLAN $53.55 $59.50 — 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.