L5649 — Isch Containmt/narrow M-l So
Cite this view
HANK Price Transparency. (n.d.). Isch containmt/narrow m-l so (HCPCS L5649) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L5649?code_type=HCPCS
“Isch containmt/narrow m-l so (HCPCS L5649) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L5649?code_type=HCPCS. Accessed .
“Isch containmt/narrow m-l so (HCPCS L5649) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L5649?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,485–$3,691 (25th–75th percentile) across 1,171 hospitals · 1,287 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L5649 — 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).
The middle 50% of negotiated facility rates for this procedure, measured across 1,171 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,967 |
| Likely subtotal | $2,967 |
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 $2,485–$3,691.
- 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 | 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 ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.09 | $2,826.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.09 | $2,826.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.21 | $2,894.00 | — | 2025-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| 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 ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $39.96 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $39.96 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $39.96 | — | — | 2026-03-18 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | SCAN | Medicare|All Plans | $40.00 | $8,025.00 | $2,616.15 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | SCAN | Medicare|All Plans | $40.00 | $8,025.00 | $2,524.84 | 2026-09-30 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $45.80 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $45.80 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $45.80 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $49.86 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $49.86 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $49.86 | — | — | 2026-03-18 | 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 ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | CareMore | Medicare|All Plans | $67.00 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | AHMC | Medicaid|Alhambra > 21 | $67.00 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Redlands | Commercial|All Plans | $67.00 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Redlands | Commercial|All Plans | $67.00 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | AHMC | Medicaid|Alhambra | $67.00 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | BCBS - Anthem | Medicaid|All Plans | $67.00 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | Alhambra | Medicaid|> 21 | $67.00 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | Alhambra | Medicaid|< 21 | $67.00 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | BCBS - Anthem | Medicaid|All Plans | $67.00 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | CareMore | Medicare|All Plans | $67.00 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | PrimeCare | Medicare|All Plans | $70.35 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Preferred IPA | Medicaid|Risk | $70.35 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Health Net | Medicaid|Preferred IPA | $70.35 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Health Net | Medicaid|Preferred IPA | $70.35 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Preferred IPA | Medicaid|Risk | $70.35 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | PrimeCare | Medicare|All Plans | $70.35 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | PrimeCare | Commercial|All Plans | $73.70 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | PrimeCare | Commercial|All Plans | $73.70 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | PrimeCare | Commercial|All Plans | $73.70 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | PrimeCare | Medicare|All Plans | $73.70 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Molina | Medicaid|All Plans | $77.05 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Molina | Medicaid|> 21 | $77.05 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Molina | Medicaid|< 21 | $77.05 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Molina | Medicaid|All Plans | $77.05 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Molina | Medicaid|All Plans | $77.05 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Molina | Medicaid|All Plans | $77.05 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | PrimeCare | Medicare|All Plans | $77.05 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | PrimeCare | Commercial|All Plans | $77.05 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Molina | Medicaid|All Plans | $77.05 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Molina | Medicaid|> 21 | $80.40 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Molina | Medicaid|All Other Plans | $80.40 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Molina | Medicaid|All Other Plans | $80.40 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Molina | Medicaid|> 21 | $80.40 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $2,826.00 | — | 2024-12-31 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | DHR | Medicaid|> 21 | $83.75 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | BCBS - Anthem | Medicaid|All Plans | $83.75 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | DHR | Medicaid|< 21 | $83.75 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | DHR | Medicaid|> 21 | $83.75 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | DHR | Medicaid|All Other Plans | $83.75 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | Health Net | Medicaid|DHR | $83.75 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | DHR | Medicaid|> 21 | $83.75 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | DHR | Medicaid|> 21 | $83.75 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | BCBS - Anthem | Medicaid|All Plans | $83.75 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | DHR | Medicaid|< 21 | $83.75 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | BCBS - Anthem | Medicaid|All Plans | $83.75 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | BCBS - Anthem | Medicaid|All Plans | $83.75 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | DHR | Medicaid|All Other Plans | $83.75 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | BCBS - Anthem | Medicaid|All Plans | $83.75 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | BCBS - Anthem | Medicaid|All Plans | $83.75 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | HPN | Commercial|All Plans | $87.10 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | HPN | Commercial|All Plans | $87.10 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $99.80 | — | — | 2026-03-18 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Cigna | Commercial|PPO | $100.50 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Cigna | Commercial|PPO | $100.50 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Cigna | Commercial|All Other Plans | $100.50 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Cigna | Commercial|PPO | $100.50 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | HCLA | Medicaid|Preferred IPA < 21 | $100.50 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Blue Shield CA | Commercial|Exchange | $100.50 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Cigna | Commercial|All Other Plans | $100.50 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Blue Shield CA | Commercial|All Other Plans | $100.50 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | HCLA | Medicaid|Preferred IPA < 21 | $100.50 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | HCLA | Medicaid|Preferred IPA > 21 | $100.50 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Blue Shield CA | Commercial|Exchange | $100.50 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Kaiser | Commercial|All Plans | $100.50 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | HCLA | Medicaid|Preferred IPA > 21 | $100.50 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $100.50 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Blue Shield CA | Commercial|All Other Plans | $100.50 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Cigna | Commercial|All Other Plans | $100.50 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $100.50 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | HCLA | Medicaid|Preferred IPA > 21 | $100.50 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | HCLA | Medicaid|Preferred IPA All Other Plans | $100.50 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | HCLA | Medicaid|Preferred IPA > 21 | $100.50 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | HCLA | Medicaid|Preferred IPA < 21 | $100.50 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | HPN | Medicaid|< 21 | $103.85 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | HPN | Commercial|All Plans | $103.85 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Kaiser | Commercial|All Plans | $103.85 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | HPN | Medicaid|All Other Plans | $103.85 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | HPN | Medicaid|> 21 | $103.85 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | HPN | Medicaid|> 21 | $103.85 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Cigna | Commercial|PPO | $107.20 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Cigna | Commercial|Pathwell | $107.20 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | HPN | Medicare|All Plans | $107.20 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | HPN | Medicare|All Plans | $107.20 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Cigna | Commercial|All Other Plans | $107.20 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Blue Shield CA | Commercial|Exchange | $113.90 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $113.90 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Blue Shield CA | Commercial|Exchange | $113.90 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $113.90 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Angeles IPA | Medicare|All Plans | $117.25 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | AltaMed | Medicaid|All Plans | $117.25 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Angeles IPA | Medicare|All Plans | $117.25 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Aetna | Commercial|Gatekeeper | $120.60 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Aetna | Commercial|Gatekeeper | $120.60 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Health Net | Commercial|EPPO | $123.95 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Choice Physicians Network | Medicare|All Plans | $123.95 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Select PPO | $123.95 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Health Net | Commercial|EPPO | $123.95 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Aetna | Commercial|Gatekeeper | $127.30 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Aetna | Commercial|Gatekeeper | $127.30 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | SCAN | Medicare|All Plans | $134.00 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | BCBS - Anthem | Commercial|MCS | $137.35 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Non-MCS HMO | $137.35 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | BCBS - Anthem | Commercial|All Other Plans | $137.35 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | BCBS - Anthem | Commercial|MCS | $137.35 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Blue Shield CA | Commercial|Exchange | $137.35 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Outpatient | BCBS - Anthem | Commercial|All Other Plans | $137.35 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Blue Shield CA | Commercial|Exchange | $137.35 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Health Net | Commercial|EPPO | $137.35 | $335.00 | $109.21 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Health Net | Commercial|EPPO | $140.70 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Health Net | Commercial|EPPO | $140.70 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Non-MCS HMO | $140.70 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Aetna | Commercial|Non-Gatekeeper | $144.05 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | United | Commercial|Select | $144.05 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|MCS | $144.05 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Non-MCS PPO | $144.05 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Aetna | Commercial|Non-Gatekeeper | $144.05 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|MCS | $144.05 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Non-MCS PPO | $144.05 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | HPN | Medicare|Senior | $147.40 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Cigna | Commercial|All Other Plans | $147.40 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Cigna | Commercial|PPO | $147.40 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Cigna | Commercial|All Other Plans | $147.40 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Cigna | Commercial|All Other Plans | $147.40 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Cigna | Commercial|PPO | $147.40 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Cigna | Commercial|PPO | $147.40 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | HPN | Medicare|Senior | $147.40 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Inland Empire Health Plan | Medicaid|All Plans | $150.75 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | United | Commercial|Select | $150.75 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Outpatient | Inland Empire Health Plan | Medicare|All Plans | $150.75 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Health Net | Commercial|Care Product | $150.75 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | HPN | Commercial|All Plans | $150.75 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Inland Empire Health Plan | Medicaid|All Plans | $150.75 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Inland Empire Health Plan | Medicaid|All Plans | $150.75 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | HPN | Commercial|All Plans | $150.75 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Inpatient | Health Net | Commercial|Care Product | $150.75 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Inland Empire Health Plan | Medicaid|All Plans | $150.75 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Aetna | Commercial|Non-Gatekeeper | $154.10 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Aetna | Commercial|Non-Gatekeeper | $154.10 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Cigna | Commercial|Pathwell | $154.10 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Cigna | Commercial|All Other Plans | $154.10 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Cigna | Commercial|PPO | $154.10 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Inpatient | Health Net | Commercial|Ambetter | $154.10 | $335.00 | $105.40 | 2026-09-30 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $157.14 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $157.14 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $157.14 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $157.14 | — | — | 2026-05-06 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | HPN | Medicare|Senior | $157.45 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | United | Commercial|Non-Options PPO | $157.45 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | HPN | Medicare|Senior | $157.45 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Health Net | Commercial|EPPO | $157.45 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | United | Commercial|Non-Options PPO | $157.45 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Health Net | Commercial|Care Product | $160.80 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | HPN | Medicaid|All Plans | $160.80 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | HPN | Commercial|All Plans | $160.80 | $335.00 | $111.56 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | HPN | Medicaid|All Plans | $160.80 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Health Net | Commercial|Care Product | $160.80 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | HPN | Medicaid|All Plans | $160.80 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | HPN | Medicaid|All Plans | $160.80 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | HPN | Commercial|All Plans | $160.80 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| ST BERNARDINE MEDICAL CENTER Inpatient | Blue Shield CA | Commercial|Tandem | $164.15 | $335.00 | $110.27 | 2026-09-30 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Health Net | Commercial|All Other Plans | $167.50 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|MCS | $167.50 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|All Other Plans | $167.50 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| COMMUNITY HOSPITAL OF SAN BERNARDINO Inpatient | Health Net | Commercial|All Other Plans | $167.50 | $335.00 | $130.99 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | United | Commercial|All Other Plans | $167.50 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | United | Commercial|Options PPO | $167.50 | $335.00 | $144.05 | 2026-02-28 | MRF ↗ |
| ST MARY MEDICAL CENTER Outpatient | United | Commercial|All Other Plans | $167.50 | $335.00 | $144.05 | 2026-02-28 | 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.