L7499 — Upper Extremity Prosthes Nos
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). UPPER EXTREMITY PROSTHES NOS (HCPCS L7499) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L7499?code_type=HCPCS
MLA (9th ed.)
“UPPER EXTREMITY PROSTHES NOS (HCPCS L7499) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L7499?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“UPPER EXTREMITY PROSTHES NOS (HCPCS L7499) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L7499?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $314–$6,652 (25th–75th percentile) across 101 hospitals · 285 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L7499 — 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
$314
$1,569 typical
$6,652
The middle 50% of negotiated facility rates for this procedure, measured across 101 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,569 |
| Likely subtotal | $1,569 |
Facility charge (no separate professional fee)
$1,569
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 $314–$6,652.
- 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 |
|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | 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 | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF NEW MEXICO FKA CIMARRON MEDICAID | $0.50 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF NEW MEXICO FKA CIMARRON MEDICAID | $0.50 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | CP-HUMANA MIDTOWN IMAGING (UB) | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | HealthChoice | HealthChoice | $0.60 | — | — | 2026-08-30 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF NEW MEXICO FKA CIMARRON MEDICAID | $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 ↗ |
| 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 ↗ |
| 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 ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA HEALTHCARE OF NEW MEXICO FKA CIMARRON MEDICAID | $1.00 | — | — | 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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $1.14 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE HIX | $1.14 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE HIX | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS HMO/POS | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS PPO/EPO | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS PPO/EPO | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS HMO/POS | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Point Comfort Underwriters Unaccompanied Children Program | Hmo | $1.72 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Point Comfort Underwriters Unaccompanied Children Program | Hmo | $1.72 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | University Of Michigan Michigan Care | Hmo | $1.72 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Physicians Health Plan | Ppo | $1.72 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Priority Health | Nb | $1.84 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Priority Health [1038] | Priority Strategic Business Discount Hmo/Pos [103812] | $1.84 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Metrocare | Ppo | $1.88 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Metrocare | Hmo | $1.88 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Colorado State Medicaid | Medicaid Out Of State | $2.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Colorado State Medicaid | Medicaid Out Of State | $2.00 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | United Healthcare Insurance Company | Ppo Nb | $2.08 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | United Healthcare Insurance Company | Ppo Nb | $2.08 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Hap [1023] | Hap Hmo [102304] | $2.20 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Health Alliance Plan | Hmo | $2.20 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.23 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.23 | — | — | 2026-09-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Aetna [1003] | Aetna Mi Preferred Apm [100309] | $2.30 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Confinity Advantage | Ppo | $2.31 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Confinity Advantage | Ppo | $2.31 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Plain Church Group | Ppo | $2.40 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Priority Health | Hmo | $2.51 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $2.53 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $2.53 | — | — | 2026-09-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Priority Health [1038] | Priority Hmo Pos [103801] | $2.61 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Priority Health | Ppo | $2.66 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL PPO | $2.78 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL PPO | $2.78 | — | — | 2026-09-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Beaumont Health Network | Ppo | $2.80 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Nomi Health | Ppo | $2.80 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Mclaren Health Plan Inc | Hmo | $2.80 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Provider Network Of America | Ppo | $2.80 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Provider Network Of America | Hmo | $2.80 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Beaumont Health Network | Ppo | $2.80 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Mclaren Health Plan Inc | Hmo | $2.80 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Aetna [1003] | Aetna Ppo [100307] | $2.81 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Aetna | Ppo Nb | $2.81 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Aetna | Hmo-Ppo | $2.81 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Unitedhealthcare Insurance Company | Ppo | $2.92 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Unitedhealthcare [1042] | Uhc [104202] | $2.92 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.96 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.97 | — | — | 2026-09-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Mclaren Health Plan Inc | Ppo | $3.00 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Hap [1023] | Hap Preferred Epa Other [102307] | $3.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Hap [1023] | Alliance Hlt Life Pos Ppo [102302] | $3.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | First Agency | Ppo | $3.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Health Alliance Plan | Ppo | $3.00 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Parkview Health Plan Services | Ppo | $3.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | First Agency | Ppo | $3.00 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Parkview Health Plan Services | Ppo | $3.00 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Alliance Health And Life Insurance Company | Ppo | $3.00 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Physicians Care | Ppo | $3.00 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Cofinity | Ppo | $3.05 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Cofinity | Ppo | $3.05 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Frontpath Health Coalition | Ppo | $3.24 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $3.28 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $3.28 | — | — | 2026-09-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Paramount Health Care | Hmo | $3.32 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Paramount Health Care | Hmo | $3.32 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | HUMANA | HUMANA COMMERCIAL | $3.35 | — | — | 2026-09-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Multiplan | Ppo | $3.40 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | First Health | Ppo | $3.40 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Bronson Healthcare Group | Ppo | $3.40 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Multiplan | Ppo | $3.40 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | First Health | Ppo | $3.40 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Paramount Health Care | Ppo | $3.48 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL PPO | $3.62 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL PPO | $3.62 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL | $3.65 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | HUMANA | HUMANA COMMERCIAL | $3.65 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | HUMANA | HUMANA EXCHANGE HMOX | $3.94 | — | — | 2026-09-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $4.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $4.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $4.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Blue Cross Blue Shield Of Michigan | Hmo-Ppo | $4.00 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $4.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $4.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $4.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $4.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $4.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Blue Care Network Of Michigan | Hmo | $4.00 | $4.00 | $1.60 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $4.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $4.00 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Priority Health | Ppo | $4.25 | $4.00 | $1.60 | 2026-07-18 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | HUMANA | HUMANA EXCHANGE | $4.27 | — | — | 2026-09-01 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $10.45 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $10.45 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $10.77 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $10.77 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $10.77 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $10.77 | — | — | 2026-07-31 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $13.90 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $14.44 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $14.44 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $14.44 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $14.71 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $14.71 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $15.07 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $15.36 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $15.36 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $15.36 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $15.51 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $15.65 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $15.65 | — | — | 2026-06-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $16.09 | — | — | 2026-06-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Physicians Health Plan | Ppo | $17.20 | $40.00 | $16.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | University Of Michigan Michigan Care | Hmo | $17.20 | $40.00 | $16.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Point Comfort Underwriters Unaccompanied Children Program | Hmo | $17.20 | $40.00 | $16.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Point Comfort Underwriters Unaccompanied Children Program | Hmo | $17.20 | $40.00 | $16.00 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | University Of Michigan Michigan Care | Hmo | $18.06 | $42.00 | $16.80 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Physicians Health Plan | Ppo | $18.06 | $42.00 | $16.80 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Point Comfort Underwriters Unaccompanied Children Program | Hmo | $18.06 | $42.00 | $16.80 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Point Comfort Underwriters Unaccompanied Children Program | Hmo | $18.06 | $42.00 | $16.80 | 2026-07-18 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $18.21 | — | — | 2026-06-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Priority Health | Nb | $18.40 | $40.00 | $16.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Priority Health [1038] | Priority Strategic Business Discount Hmo/Pos [103812] | $18.40 | $40.00 | $16.00 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Metrocare | Ppo | $18.80 | $40.00 | $16.00 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Metrocare | Hmo | $18.80 | $40.00 | $16.00 | 2026-07-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $19.12 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $19.12 | — | — | 2026-06-15 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.