L6975 — Interscap-thor Myoelectronic
Cite this view
HANK Price Transparency. (n.d.). Interscap-thor myoelectronic (HCPCS L6975) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L6975?code_type=HCPCS
“Interscap-thor myoelectronic (HCPCS L6975) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L6975?code_type=HCPCS. Accessed .
“Interscap-thor myoelectronic (HCPCS L6975) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L6975?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $20,623–$30,197 (25th–75th percentile) across 854 hospitals · 1,116 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS L6975 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| 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 | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | 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 ↗ |
| 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 | Covered California/IFP/PPO | $387.47 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $387.47 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $387.47 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $444.04 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $444.04 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $444.04 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $483.48 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $483.48 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $483.48 | — | — | 2026-03-18 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $967.61 | — | — | 2026-03-18 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $1,083.11 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $1,083.11 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $3,412.09 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $3,412.09 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $3,412.09 | — | — | 2026-03-01 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $4,646.59 | — | — | 2026-01-29 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Medicare | Medicare | $5,112.41 | $30,073.00 | $21,051.10 | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $6,480.59 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $6,934.23 | — | — | 2025-09-05 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $7,278.07 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $7,278.07 | — | — | 2026-03-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | MDWise HIP | Managed Medicaid | $7,322.40 | — | — | 2026-02-13 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | United Healthcare of Indiana | Managed Medicaid | $7,322.40 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH OutpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $7,322.40 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $7,322.40 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $7,322.40 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $7,322.40 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $7,322.40 | — | — | 2025-04-24 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | United Healthcare IN | Managed Medicaid | $7,322.40 | — | — | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | Managed Medicaid | $7,322.40 | — | — | 2026-02-13 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Indiana | Managed Medicaid | $7,322.40 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | MDWise | Managed Medicaid | $7,322.40 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $7,322.40 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $7,322.40 | — | — | 2025-04-24 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Anthem IN | Managed Medicaid | $7,322.40 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | MHS Behavioral | Managed Medicaid | $7,322.40 | — | — | 2026-02-13 | MRF ↗ |
| REID HEALTH OutpatientFacility | MHS | Managed Medicaid | $7,322.40 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $7,322.40 | — | — | 2025-07-21 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Anthem IN Pathways for Aging | Managed Medicaid | $7,322.40 | — | — | 2026-02-13 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Hospice of Bloomington Hospital | MCR | $7,322.40 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MDWise | Managed Medicaid | $7,322.40 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Caresource IN | Managed Medicaid | $7,322.40 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Caresource HIP | Managed Medicaid | $7,322.40 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Anthem HIP | Managed Medicaid | $7,322.40 | — | — | 2026-02-13 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Hospice of Bloomington Hospital | MCR | $7,322.40 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MHS Hoosier Care Connect | Managed Medicaid | $7,322.40 | — | — | 2026-02-13 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $7,322.40 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $7,322.40 | — | — | 2025-04-24 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH OutpatientFacility | Anthem of Indiana | Managed Medicaid | $7,322.40 | — | — | 2026-05-05 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $7,322.40 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $7,395.62 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH OutpatientFacility | United Healthcare | Managed Medicaid | $7,468.85 | — | — | 2025-07-21 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | CareSource | MCD | $7,468.85 | — | — | 2024-10-01 | MRF ↗ |
| REID HEALTH OutpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $7,468.85 | — | — | 2025-07-21 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | CareSource | MCD | $7,468.85 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | MDwise Hoosier Alliance | HoosierHealthwise | $7,542.07 | — | — | 2024-10-01 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $7,542.07 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $7,542.07 | — | — | 2025-04-24 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | MDwise Hoosier Alliance | HoosierHealthwise | $7,542.07 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | MDwise Hoosier Alliance | HoosierCareConnect | $7,542.07 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | MDwise Hoosier Alliance | HoosierCareConnect | $7,542.07 | — | — | 2024-10-01 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $7,688.52 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $7,688.52 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $7,761.74 | — | — | 2025-04-24 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield Promise | Medi-Cal | $8,050.00 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield Promise | Medi-Cal | $8,050.00 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | CalOptima | Managed Medi-Cal LTC | $8,050.00 | — | — | 2026-03-18 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | LaSalle Medical Associates | Medi-Cal | $8,050.00 | — | — | 2026-02-25 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Care1st Health | Managed Medi-Cal | $8,050.00 | — | — | 2026-03-26 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | BLUE CROSS | MEDI-CAL | $8,050.00 | — | — | 2026-04-01 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Alta | Managed Medi-Cal | $8,050.00 | — | — | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Brand New Day | Managed Medi-Cal | $8,050.00 | — | — | 2026-03-26 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | LA Care Medi-Cal | MEDI-CAL | $8,050.00 | — | — | 2026-03-29 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | DIGNITY HEALTH | MEDI-CAL | $8,050.00 | — | — | 2026-04-01 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | LA Care Medi-Cal | MEDI-CAL | $8,050.00 | — | — | 2026-03-29 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | LA Health Care | Medi-Cal | $8,050.00 | — | — | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | Alpha Care | Medi-Cal | $8,050.00 | — | — | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | Physician Health Network | Medi-Cal | $8,050.00 | — | — | 2026-02-25 | MRF ↗ |
| ARROWHEAD REGIONAL MEDICAL CENTER OutpatientFacility | Inland Faculty Medical Group | Managed Medi-Cal | $8,050.00 | — | — | 2026-02-25 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | HealthNet | Managed Medicaid | $8,050.00 | — | — | 2025-12-24 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Alta Med | Managed Medicaid | $8,050.00 | — | — | 2025-12-24 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Alameda Alliance | Managed Medicaid | $8,050.00 | — | — | 2025-12-24 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Medi-Cal | Managed Medicaid | $8,050.00 | — | — | 2025-12-24 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Anthem Blue Cross | Managed Medicaid | $8,050.00 | — | — | 2025-12-24 | MRF ↗ |
| MOUNTAINS COMMUNITY HOSPITAL OutpatientFacility | KAISER | MED ADV | $8,050.00 | — | — | 2026-01-14 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield Promise | Medi-Cal | $8,050.00 | — | — | 2026-03-18 | MRF ↗ |
| FRESNO SURGICAL HOSPITAL OutpatientFacility | CalViva | Medi-Cal | $8,050.00 | — | $42,924.53 | 2026-04-08 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | LASALLE | MEDI-CAL | $8,050.00 | — | — | 2026-04-01 | MRF ↗ |
| FRESNO SURGICAL HOSPITAL OutpatientFacility | CalViva | Medi-Cal | $8,050.00 | — | $42,924.53 | 2026-04-08 | MRF ↗ |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE Outpatient | Molina | Managed Medicaid | $8,050.00 | — | — | 2025-12-24 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Molina | MCD | $8,054.64 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | Molina | MCD | $8,054.64 | — | — | 2024-10-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $8,123.31 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $8,123.31 | — | — | 2026-05-06 | MRF ↗ |
| COAST PLAZA HOSPITAL OutpatientFacility | Blue Cross | Medi-Cal | $8,211.00 | — | — | 2026-02-04 | MRF ↗ |
| COMMUNITY HOSPITAL OF HUNTINGTON PARK OutpatientFacility | Blue Cross | Medi-Cal | $8,211.00 | — | — | 2026-02-04 | MRF ↗ |
| MEMORIAL HOSPITAL OF GARDENA OutpatientFacility | Blue Cross | Medi-Cal | $8,211.00 | — | — | 2026-02-04 | MRF ↗ |
| EAST LOS ANGELES DOCTORS HOSPITAL OutpatientFacility | Blue Cross | Medi-Cal | $8,211.00 | — | — | 2026-02-04 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | JW Marriott | All Plans | $8,260.22 | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | United Healthcare | Golden Rule | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | United Healthcare | Generic | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Cirque De Soleil | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Cement Masons & Plasters H&W | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Arroweye Solutions | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Hometown Health Plan of Nevada | Friday Health Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Las Vegas Firefighters 1285 | UHC | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | United Healthcare | UMR | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | City of North Las Vegas | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Golden Entertainment | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Golden Nugget Hotel & Casino | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | City Of Henderson | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Hometown Health Plan of Nevada | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Teamsters Local 631 | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Hometown Health Plan of Nevada | Nevada Department of Corrections | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Las Vegas Firefighters 1285 | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | SO CA Pipe Trades H&W | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Mirage Las Vegas | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | United Healthcare | Oxford Health | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Teamsters Local 14 | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Teamsters Local 986 | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | UFCW Local 711 Retail Clerks | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Employee Painters Trust | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Sheet Metal Workers | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Clark County Self Funded | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Southwest Carpenters H&W | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | AIG | Claim Services | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Culinary Workers HWF | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | MGM Grand | Resorts International Direct | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Wynn Resorts | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | PLI Las Vegas | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Clark County Firefighters 1908 | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Venetian/Palazzo | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Molina | Medicaid | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | GEHA-UHC | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Las Vegas Metro Police Dept | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Laughlin Coalition | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | MGM Grand | MGM Properties | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Marshall Retail Group | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Clark County EPO | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Nevada Energy | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Nevada Hand | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Coventry | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Stations Casinos | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Strategic Resource Company (SRC)/Aetna Student Health | SRC Student | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | State of Nevada | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Switch | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Resorts World Las Vegas | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Clark County Detention Center | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | American Postal Workers Health Plan | APWU | — | — | — | 2025-12-27 | 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.