L3967 — Dme Pos
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DME POS (HCPCS L3967) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L3967?code_type=HCPCS
MLA (9th ed.)
“DME POS (HCPCS L3967) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L3967?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DME POS (HCPCS L3967) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L3967?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,136–$3,026 (25th–75th percentile) across 1,130 hospitals · 1,417 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L3967 — 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
$2,136
$2,250 typical
$3,026
The middle 50% of negotiated facility rates for this procedure, measured across 1,130 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,250 |
| Likely subtotal | $2,250 |
Facility charge (no separate professional fee)
$2,250
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 $2,136–$3,026.
- 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 | 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 | 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 | 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 ↗ |
| GALION COMMUNITY HOSPITAL Both | Ohiorise | Medicaid Outpatient | $16.27 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Caresource | Medicaid Outpatient | $16.27 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| AVITA ONTARIO Both | Ohiorise | Medicaid Outpatient | $16.27 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Molina | Medicaid Outpatient | $16.27 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Caresource | Medicaid Outpatient | $16.27 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Molina | Medicaid Outpatient | $16.27 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Traditional Medicaid | Outpatient | $16.27 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | United Healthcare | Medicaid Outpatient | $16.27 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Traditional Medicaid | Outpatient | $16.27 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Ohiorise | Medicaid Outpatient | $16.27 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| AVITA ONTARIO Both | Caresource | Medicaid Outpatient | $16.27 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Traditional Medicaid | Outpatient | $16.27 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | United Healthcare | Medicaid Outpatient | $16.27 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| AVITA ONTARIO Both | Anthem | Medicaid Outpatient | $16.76 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Anthem | Medicaid Outpatient | $16.76 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Medicaid Outpatient | $16.76 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Amerihealth | Medicaid Outpatient | $17.09 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Amerihealth | Medicaid Outpatient | $17.09 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | United Healthcare | Medicaid Outpatient | $17.09 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Amerihealth | Medicaid Outpatient | $17.09 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| AVITA ONTARIO Both | Humana Horizons | Medicaid Outpatient | $17.60 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Humana Horizons | Medicaid Outpatient | $17.60 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| AVITA ONTARIO Both | Buckeye | Medicaid Outpatient | $17.60 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Humana Horizons | Medicaid Outpatient | $17.60 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Buckeye | Medicaid Outpatient | $17.60 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Buckeye | Medicaid Outpatient | $17.60 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| AVITA ONTARIO Both | United Healthcare | Medicare Outpatient | $22.97 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | United Healthcare | Medicare Outpatient | $22.97 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Molina | Medicare Outpatient | $22.97 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Humana | Medicare Outpatient | $22.97 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Traditional Medicare | Outpatient | $22.97 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Medicare Outpatient | $22.97 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Mount Carmel | Medicare Outpatient | $22.97 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| AVITA ONTARIO Both | Molina | Medicare Outpatient | $22.97 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Buckeye | Medicare Outpatient | $22.97 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Aetna | Medicare Advantage | $23.14 | $58.00 | $18.56 | 2025-07-22 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Medical Mutual | Medicare Outpatient | $23.43 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| AVITA ONTARIO Both | Medical Mutual | Medicare Outpatient | $23.43 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Aetna | Medicare Outpatient | $23.43 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Anthem | Blue Priority WI | $24.36 | $58.00 | $18.56 | 2025-07-22 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Humana | Medicare Outpatient | $24.40 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Traditional Medicare | Outpatient | $24.40 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | United Healthcare | Medicare Outpatient | $24.40 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Mount Carmel | Medicare Outpatient | $24.40 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Buckeye | Medicare Outpatient | $24.40 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Molina | Medicare Outpatient | $24.40 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Anthem | Medicare Outpatient | $24.40 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | Illinois Medicaid | Illinois Medicaid | $24.63 | $4,521.00 | $4,521.00 | 2026-10-09 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | Illinois Medicaid | Illinois Medicaid | $24.63 | $4,521.00 | $4,521.00 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Aetna | Medicare Outpatient | $24.89 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | United Healthcare | All Products | $25.02 | $4,811.03 | — | 2025-12-05 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | Molina | Molina Medicaid | $25.12 | $4,521.00 | $4,521.00 | 2026-07-15 | MRF ↗ |
| MEMORIAL MEDICAL CENTER Outpatient | Molina | Molina Medicaid | $25.12 | $4,521.00 | $4,521.00 | 2026-10-09 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Anthem | All Products | $27.26 | $58.00 | $18.56 | 2025-07-22 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | FIRSTCARE | STAR | $28.75 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | CHIP | $28.75 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | STAR | $28.75 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | CHIP | $28.75 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | ALL PRODUCTS | $28.75 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | HEALTH OPTIONS | $28.75 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $28.75 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| AVITA ONTARIO Both | Humana | Medicare Outpatient | $30.80 | $2,858.00 | $2,429.30 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Buckeye | Medicare Outpatient | $30.80 | $2,858.00 | $2,429.30 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | United Healthcare | Medicare Outpatient | $30.80 | $2,858.00 | $2,429.30 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Aetna | Medicare Outpatient | $30.80 | $2,858.00 | $2,429.30 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Molina | Medicare Outpatient | $30.80 | $2,858.00 | $2,429.30 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Anthem | Medicare Outpatient | $30.80 | $2,858.00 | $2,429.30 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Traditional Medicare | Outpatient | $30.80 | $2,858.00 | $2,429.30 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Mount Carmel | Medicare Outpatient | $30.80 | $2,858.00 | $2,429.30 | 2026-07-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| AVITA ONTARIO Both | Medical Mutual | Medicare Outpatient | $31.42 | $2,858.00 | $2,429.30 | 2026-07-15 | 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 ↗ |
| 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 ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Anthem Blue Priority | Blue Priority/Pathway | $34.80 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Anthem Blue Priority | Blue Priority/Pathway | $34.80 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Molina | Marketplace Outpatient | $36.75 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Molina | Marketplace Outpatient | $36.75 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $36.89 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $36.89 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $36.89 | — | — | 2026-03-18 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative | All Products | $37.12 | $58.00 | $18.56 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | All Products | $37.57 | $58.00 | $18.56 | 2025-07-22 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Molina | Marketplace Outpatient | $39.04 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | STAR | $40.08 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | MDC S&W | $40.08 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w/o UHRIP | CHIP | $40.08 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w. UHRIP | STAR | $40.08 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $40.08 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Pathway Group Hmo Pathway X | $40.26 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Blue Access I-Ii Enhanced Choice Pathway X | $40.26 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| AVITA ONTARIO Both | Anthem | Blue Access I-Ii Enhanced Choice Pathway X | $40.44 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Alliance Premier Network | Alliance Premier Network | $40.75 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Alliance Premier Network | Alliance Premier Network | $40.75 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Alliance | All Products | $41.18 | $58.00 | $18.56 | 2025-07-22 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | CHIP | $42.09 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR | $42.09 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | CHIP | $42.09 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR | $42.09 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR PLUS | $42.09 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR PLUS | $42.09 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR KIDS | $42.09 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | WELLSENSE HEALTH MEDICAID NEW HAMPSHIRE [1108] | BMC HB WELLSENSE HEALTH MEDICAID NEW HAMPSHIRE | $42.12 | $117.00 | $52.65 | 2026-03-13 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $42.27 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $42.27 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $42.27 | — | — | 2026-03-18 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Mercycare | Pos/Hmo/Ppo/Epo | $42.31 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Mercycare | Pos/Hmo/Ppo/Epo | $42.31 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | MercyCare | All Products | $42.72 | $58.00 | $18.56 | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Aetna | All Products | $43.04 | $58.00 | $18.56 | 2025-07-22 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | BCBS TX STAR | $43.29 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP | $43.29 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP STAR KIDS | $43.29 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| AVITA ONTARIO Both | Anthem | Traditional Blue Access Blue Preferred | $43.42 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Traditional Blue Access Blue Preferred | $43.42 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Triology | Upward | $43.50 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Triology | Upward | $43.50 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | STAR | $44.33 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | STAR KIDS | $44.33 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | CHIP | $44.33 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| AVITA ONTARIO Both | Anthem | Blue Access Blue Preferred | $45.22 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Blue Access Blue Preferred | $45.22 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w. UHRIP | STAR | $45.55 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $46.03 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $46.03 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $46.03 | — | — | 2026-03-18 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Security Health Plan | Enrich | $46.06 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Security Health Plan | Enrich | $46.06 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | UPHAMS CORNER ESP [1213] | BMC HB UPHAMS - ELDER SERVICE PLAN | $46.80 | $117.00 | $52.65 | 2026-03-13 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Employer'S Coalition On Health | Ecohone | $46.91 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Employer'S Coalition On Health | Ecohone | $46.92 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| AVITA ONTARIO Both | Anthem | Pathway Group Hmo Pathway X | $47.58 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Alliance | Alliance | $47.97 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Alliance | Alliance | $47.97 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Anthem Hmo Pos | Hmo/Pos | $48.06 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Anthem Hmo Pos | Hmo/Pos | $48.06 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Hfn | Platinum | $48.62 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Hfn | Platinum | $48.62 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | United Healthcare | Nexus | $48.88 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | United Healthcare | Nexus | $48.88 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Beloit Health System | Ppo | $49.47 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Beloit Health System | Ppo | $49.47 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Aspirus Health Plan | Hmo/Pos | $49.82 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Aspirus Health Plan | Hmo/Pos | $49.82 | $85.30 | $51.18 | 2026-07-15 | 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 ↗ |
| BOSTON MEDICAL CENTER Both | WORKERS COMP [5002] | BMC HB WORKERS COMP | $50.16 | $117.00 | $52.65 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZBU EMPLOYEE WORK COMP [5004] | BMC HB WORKERS COMP | $50.16 | $117.00 | $52.65 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZCITY OF BOSTON WORK COMP [5003] | BMC HB WORKERS COMP | $50.16 | $117.00 | $52.65 | 2026-03-13 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Trilogy | All Products | $50.46 | $58.00 | $18.56 | 2025-07-22 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Cigna | Oap/Ppo/Epo | $51.18 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Employer'S Coalition On Health | Ecohtwo | $52.03 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Health Partners Insurance | Hmo | $52.03 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Employer'S Coalition On Health | Ecohtwo | $52.03 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Health Partners Insurance | Hmo | $52.03 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Triology | Ppo | $52.03 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Triology | Ppo | $52.03 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Cigna | Commercial | $52.25 | $71.77 | $61.00 | 2026-11-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Health Payment Systems | Ppo | $52.28 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Health Payment Systems | Ppo | $52.28 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | CHIP | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | STAR KIDS | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | STAR MEDICAID | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | HEALTH OPTIONS | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | STAR | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | CHIP | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | CHIP | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | ALL PRODUCTS | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | STAR | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | STAR PLUS | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | RIGHTCARE | STAR | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Optum | ALL PRODUCTS | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | CHIP | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | STAR | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | RIGHTCARE | MDC S&W | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | STAR | $52.72 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Optum Behavioral Health | Optum Behavioral Health | $53.40 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Optum Behavioral Health | Optum Behavioral Health | $53.40 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | United Healthcare | Nonoptions | $53.40 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | United Healthcare | Nonoptions | $53.40 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Security Health Plan | Hmo/Pos/Indemnity/Aso | $54.17 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| FORT MEMORIAL HOSPITAL BothFacility | Cigna | All Products | $54.52 | $58.00 | $18.56 | 2025-07-22 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Dean Health Plan | Hmo/Pos/Aso/Focus | $54.59 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Dean Health Plan | Hmo/Pos/Aso/Focus | $54.59 | $85.30 | $51.18 | 2026-07-15 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Anthem Pathway Group Hmo | Pathway X | $55.12 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $55.16 | — | — | 2026-07-18 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Anthem | Blue Access I-Ii Enhanced Choice Pathway X | $55.26 | $71.77 | $61.00 | 2026-07-15 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRSTCARE | STAR | $55.35 | $119.81 | $89.86 | 2026-01-01 | MRF ↗ |
| AVITA ONTARIO Both | Cigna | Commercial | $55.91 | $71.77 | $61.00 | 2026-07-15 | 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.