L4631 — Afo, Walk Boot Type, Cus Fab
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Afo, walk boot type, cus fab (HCPCS L4631) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L4631?code_type=HCPCS
MLA (9th ed.)
“Afo, walk boot type, cus fab (HCPCS L4631) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L4631?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Afo, walk boot type, cus fab (HCPCS L4631) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L4631?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,776–$2,766 (25th–75th percentile) across 1,235 hospitals · 1,491 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L4631 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$1,776
$1,956 typical
$2,766
The middle 50% of negotiated facility rates for this procedure, measured across 1,235 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,956 |
| Likely subtotal | $1,956 |
Facility charge (no separate professional fee)
$1,956
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $1,776–$2,766.
- 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 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 ↗ |
| 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 OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare Comm. | — | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Op Plans | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Ip Plans | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Ip | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Cigna | Hmo Ppo Healthpartners Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $2.07 | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Op | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Op | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $2.07 | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $2.07 | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Op | — | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $2.07 | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Ip | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Op | — | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare Comm. | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Ip | — | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | All Sentara Comm. Plans | — | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Ip | — | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Sentara Medicaid | — | $2.09 | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Sentara Medicaid | — | $2.09 | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare | Medicaid | $2.11 | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $2.11 | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $2.13 | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $2.13 | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.30 | $2,390.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.30 | $2,390.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $4.40 | $2,447.00 | — | 2025-12-31 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicaid | $4.70 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicaid | $4.70 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicaid | $4.70 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicaid | $4.70 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $4.70 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicaid | $4.70 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $4.70 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicaid | $4.70 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $4.70 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicare | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicare | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicare | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $4.74 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $4.79 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $4.79 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $4.79 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare | Medicare | $5.95 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare | Medicare | $5.95 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare | Medicare | $5.95 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna | Medicare | $6.58 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna | Medicare | $6.58 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna | Medicare | $6.58 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $7.13 | $3,960.31 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $7.13 | $3,960.31 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $7.34 | $4,079.10 | — | 2025-12-31 | 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 | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-30 | 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 - SACRAMENTO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-08-01 | 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 - SAN LEANDRO | 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-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 - FRESNO | 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-SANTA ROSA | 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 - ANTIOCH | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $10.08 | $56.00 | $19.60 | 2026-07-31 | 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 - SAN FRANCISCO | 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 - FRESNO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $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 - SAN FRANCISCO | 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 - OAKLAND/RICHMOND | 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 - SACRAMENTO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-08-01 | 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 AND REHAB CENTER | 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-SAN JOSE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-30 | 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 | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-30 | 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-SANTA ROSA | 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-SANTA CLARA | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $10.36 | $56.00 | $19.60 | 2026-07-31 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso Health Plans | Medicaid | $13.32 | $74.00 | $14.80 | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso Health Plans | Medicaid | $13.32 | $74.00 | $14.80 | 2026-07-15 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare PPO | Commercial | $16.91 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare HMO | Commercial | $16.91 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare PPO | Commercial | $16.91 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | UMR | Commercial | $16.91 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare PPO | Commercial | $16.91 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | UMR | Commercial | $16.91 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | UMR | Commercial | $16.91 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare HMO | Commercial | $16.91 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare HMO | Commercial | $16.91 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | CareSoure Kentucky | Commercial | $20.35 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | CareSoure Kentucky | Commercial | $20.35 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | CareSoure Kentucky | Commercial | $20.35 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso First Health Plan | Commercial | $20.72 | $74.00 | $14.80 | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso First Health Plan | Commercial | $20.72 | $74.00 | $14.80 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $22.92 | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Ip Plans | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $22.92 | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Op | — | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna | Better Health Medicaid Plans | $22.92 | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Ip | — | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Anthem | Healthkeepers Medicaid Plans | $22.92 | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Ip | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Op | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Op Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Ip Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Op Plans | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Op Plans | — | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Ip | — | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Op Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Op | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Op | — | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Ip Plans | — | — | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Ip Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Ip | — | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare | Medicaid | $23.38 | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare | Medicaid | $23.38 | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $23.61 | $1,728.00 | $570.24 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Molina | Medicaid | $23.61 | $1,728.00 | $570.24 | 2026-07-15 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem HMO | Commercial | $26.01 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem HMO | Commercial | $26.01 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem HMO | Commercial | $26.01 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | MEDICAL ASSOCIATES-ALL PLANS | MEDICAL ASSOCIATES-ALL PLANS | $26.59 | $73.85 | $66.47 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | VA CCN -ALL PLANS | VA CCN -ALL PLANS | $26.59 | $73.85 | $66.47 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRIWEST WELLMARK-ALL PLANS | TRIWEST WELLMARK-ALL PLANS | $26.59 | $73.85 | $66.47 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | TRICARE- ALL PLANS | TRICARE- ALL PLANS | $26.59 | $73.85 | $66.47 | 2026-01-03 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | WELLMARK MCR ADV- ALL PLANS | WELLMARK MCR ADV- ALL PLANS | $26.85 | $73.85 | $66.47 | 2026-01-03 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem Traditional/PPO | Commercial | $27.37 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem Traditional/PPO | Commercial | $27.37 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem Traditional/PPO | Commercial | $27.37 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH Outpatient | UHC MCR ADV | UHC MCR ADV | $27.38 | $73.85 | $66.47 | 2026-01-03 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Both | Aetna POS | Commercial | $27.55 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Both | Aetna PPO | Commercial | $27.55 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Both | Aetna POS | Commercial | $27.55 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Both | Aetna POS | Commercial | $27.55 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Both | Aetna PPO | Commercial | $27.55 | $31.31 | $18.79 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Both | Aetna PPO | Commercial | $27.55 | $31.31 | $18.79 | 2026-01-01 | 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 - SOUTH SAN FRANCISCO | 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 - SACRAMENTO | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-08-01 | 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 - WALNUT CREEK | 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 - FRESNO | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-30 | 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 ↗ |
| 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 | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | Commercial - Kaiser Foundation Health Plan, Inc. Price | — | $28.00 | $56.00 | $19.60 | 2026-07-30 | 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.