L5991 — Low Pros Ext Osseo Connector
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Low pros ext osseo connector (HCPCS L5991) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L5991?code_type=HCPCS
MLA (9th ed.)
“Low pros ext osseo connector (HCPCS L5991) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L5991?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Low pros ext osseo connector (HCPCS L5991) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L5991?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,525–$16,367 (25th–75th percentile) across 849 hospitals · 955 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L5991 — 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
$11,525
$12,042 typical
$16,367
The middle 50% of negotiated facility rates for this procedure, measured across 849 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $12,042 |
| Likely subtotal | $12,042 |
Facility charge (no separate professional fee)
$12,042
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 $11,525–$16,367.
- 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 |
|---|---|---|---|---|---|---|---|
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | VA CCN Optum | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Amerihealth | Caritas | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Verity | Healthnet | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana Military | Tricare West | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Healthy Blue | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | Dual Managed MedicareMedicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | BCBS of Louisiana | Blue Advantage HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Gilsbar | 360 Alliance PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | POS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Louisiana Health Care Connections | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | HMOPPOPOS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Gold Medicare | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Healthy Blue Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | First Health | AllPlans | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Centene | Louisiana Healthcare Connections Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Veterans | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Community | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Multiplan | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | First Health | All Plans | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Vantage Health Plan Inc. | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Tricare | Veterans Administration | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Amerihealth | Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Tricare | ChampusVA | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Humana | Veterans | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | United Healthcare | VACCA | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Government Employees Health Association (Geha) | Geha | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Geha | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Tricare | VeteransAdministration | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | VA CCA | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Tricare | Triwest | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Tricare | Champus VA | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Tricare | Triwest | — | — | — | 2026-03-18 | 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 | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $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 | 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 ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | 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 | 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 | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | 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 ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $254.35 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $254.35 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $254.35 | — | — | 2026-03-18 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Affinity Health Plan | EP 1&2 | $260.33 | — | — | 2026-02-19 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $291.49 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $291.49 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $291.49 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $317.38 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $317.38 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $317.38 | — | — | 2026-03-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $587.28 | — | — | 2026-03-18 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | United | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | United | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $1,763.25 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $1,763.25 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $1,763.25 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | United | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $2,457.91 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $2,457.91 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $2,531.64 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $2,531.64 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $2,531.64 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $2,531.64 | — | — | 2026-07-31 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $3,269.22 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $3,396.62 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $3,396.62 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $3,396.62 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $3,461.32 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $3,461.32 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $3,544.52 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $3,613.34 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $3,613.34 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $3,613.34 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $3,647.76 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $3,682.17 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $3,682.17 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $3,785.41 | — | — | 2026-06-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $3,918.35 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $3,918.35 | — | — | 2026-03-01 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $4,282.56 | — | — | 2026-06-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo - Dhp | $4,387.70 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Tiered Freedom Plan | $4,387.70 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan - Dhp | $4,387.70 | — | — | 2026-07-18 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED MEDICAID | $4,387.70 | — | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED MEDICAID | $4,387.70 | — | — | 2025-12-31 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $4,496.69 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $4,496.69 | — | — | 2026-06-15 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | UHC | Managed Medicaid | $4,510.90 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $4,510.90 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid | $4,510.90 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $4,510.90 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid | $4,554.27 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $4,554.27 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $4,554.27 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Humana | Managed Medicaid | $4,554.27 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $4,554.27 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $4,554.27 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $4,554.27 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $4,554.27 | — | — | 2026-04-01 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $4,582.34 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $4,582.34 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $4,710.82 | — | — | 2026-06-15 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4,716.77 | — | — | 2025-06-28 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | BCBS | INDIVIDUAL EXCHANGE | $4,771.15 | — | — | 2025-06-28 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | BLUE CROSS BLUE SHIELD NY [1022] | BCBS CONNECTION [102217] | $4,783.30 | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | EMBLEM HEALTH MEDICAID [1044] | EMBLEM HEALTH HIP CHILD HEALTH PLUS [104401] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | AFFINITY BY MOLINA MEDICAID [1006] | AFFINITY BY MOLINA MEDICAID [100600] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | METROPLUS HEALTH [1326] | METROPLUS ESSENTIAL 3 AND 4 [132601] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | AFFINITY BY MOLINA MEDICAID [1006] | AFFINITY BY MOLINA CHILD HEALTH PLUS [100601] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | METROPLUS HEALTH [1326] | METROPLUS ESSENTIAL 1 AND 2 [132600] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | HEALTHFIRST MEDICAID [1059] | HEALTHFIRST MEDICAID MANAGED CARE [105900] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | METROPLUS MEDICAID [1327] | METROPLUS MEDICAID [132700] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | HEALTHFIRST MEDICAID [1059] | HEALTHFIRST CHILD HEALTH PLUS [105901] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | FIDELIS MEDICAID [1049] | FIDELIS MEDICAID [104900] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | EMBLEM HEALTH MEDICAID [1044] | EMBLEM HEALTH HIP MEDICAID [104400] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | EMBLEM HEALTH MEDICARE [1045] | EMBLEM HEALTH GHI MEDICARE [104500] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | UNITED HEALTHCARE MEDICAID [1108] | UNITED HEALTHCARE CHILD HEALTH PLUS [110803] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | EMBLEM HEALTH MEDICARE [1045] | EMBLEM HEALTH HIP MEDICARE [104501] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | UNITED HEALTHCARE MEDICAID [1108] | UNITED HEALTHCARE MEDICAID [110802] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | METROPLUS MEDICAID [1327] | METROPLUS CHILD HEALTH PLUS [132701] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | FIDELIS MEDICAID [1049] | FIDELIS CHILD HEALTH PLUS [104901] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | EMBLEM HEALTH [1043] | HIP ESSENTIAL GROUP 3 AND 4 [104310] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | EMBLEM HEALTH [1043] | HIP ESSENTIAL GROUP 1 AND 2 [104309] | — | $14,002.63 | $14,002.63 | 2026-04-01 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Pacific Source | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Aetna | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Washington L & I | Workers Comp | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Regence Blueshield of Idaho | PPO | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Tricare | POS | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Regence Blueshield of Idaho | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Kaiser Foundation Health Plan of Washington | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $4,978.61 | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | United Healthcare | POS | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | BCBS | ALL PRODUCTS | $5,301.28 | — | — | 2025-06-28 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | United Healthcare | Commercial | $5,331.05 | — | — | 2025-12-23 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Highmark | Highmark Together Blue | $5,410.78 | — | — | 2026-04-14 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $5,484.62 | — | — | 2026-07-15 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Commercial | $5,502.08 | — | — | 2026-04-30 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Highmark | Highmark Together Blue | $5,582.49 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Highmark | Highmark Together Blue | $5,582.49 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Highmark | Highmark Together Blue | $5,582.49 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Highmark | Highmark Together Blue | $5,582.49 | — | — | 2026-04-14 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Aetna 6/1/ | Aetna 6/1/ | $5,594.31 | — | — | 2026-08-30 | MRF ↗ |
| University Of Toledo Medical Center Both | [Aetna] | [Ppo Hmo Indemnity Healthreach Beechstreet International Asea Electchoice Alliedbenefitsystems Meritain] | $5,627.22 | — | — | 2026-07-15 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Highmark | Highmark Together Blue | $5,746.14 | — | — | 2026-04-14 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | HMO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Community Blue HMO HIX | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Traditional | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Coventry | First Health MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Verity Healthnet National | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Dignity Health | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Verity HealthNet | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Vantage Health Plan Inc. | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Triwest | VA MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Humana | Healthy Horizons KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Peoples Health | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Humana | Choicecare | — | — | — | 2026-01-13 | 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.