L8612 — Valve Shunt Strata Prog Reg No Cath - Valve Only
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). VALVE SHUNT STRATA PROG REG NO CATH - VALVE ONLY (HCPCS L8612) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L8612?code_type=HCPCS
MLA (9th ed.)
“VALVE SHUNT STRATA PROG REG NO CATH - VALVE ONLY (HCPCS L8612) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L8612?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“VALVE SHUNT STRATA PROG REG NO CATH - VALVE ONLY (HCPCS L8612) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L8612?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $832–$3,631 (25th–75th percentile) across 1,214 hospitals · 2,202 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L8612 — 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
$832
$1,598 typical
$3,631
The middle 50% of negotiated facility rates for this procedure, measured across 1,214 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,598 |
| Likely subtotal | $1,598 |
Facility charge (no separate professional fee)
$1,598
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 $832–$3,631.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $5,977.74 | $2,988.87 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $5,977.74 | $2,988.87 | 2024-12-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $2,156.25 | — | 2026-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $2,097.00 | $1,719.54 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO 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 ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $2,097.00 | $1,719.54 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $2,097.00 | $1,719.54 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $2,097.00 | $1,719.54 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $2,097.00 | $1,719.54 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $2,097.00 | $1,719.54 | 2025-11-26 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Peak Health | Commercial | $1.33 | $1.77 | $1.77 | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Highmark Blue Cross | Ppo/Pos | $1.41 | $1.77 | $1.77 | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Peak Health | Commercial | $1.50 | $1.77 | $1.77 | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Aetna | Commercial | $1.59 | $1.77 | $1.77 | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Cigna | Commercial | $1.61 | $1.77 | $1.77 | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | United Healthcare | Commercial | $1.67 | $1.77 | $1.77 | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Caresource | Wv Marketplace | $1.68 | $1.77 | $1.77 | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Healthsmart | Commercial | $1.68 | $1.77 | $1.77 | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Firsthealth | Commercial | $1.68 | $1.77 | $1.77 | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Zelis Network | Commercial | $1.68 | $1.77 | $1.77 | 2026-07-15 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Inpatient | Phcs Multiplan | Commercial | $1.68 | $1.77 | $1.77 | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $2,097.00 | $1,719.54 | 2025-11-26 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $10.73 | $2,901.00 | $2,755.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $10.73 | $2,901.00 | $2,755.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $10.73 | $2,901.00 | $2,755.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $11.02 | $2,901.00 | $2,755.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $11.31 | $2,901.00 | $2,755.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $11.60 | $2,901.00 | $2,755.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $14.21 | $2,901.00 | $2,755.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $14.21 | $2,901.00 | $2,755.95 | 2026-02-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $14.27 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $14.51 | $2,901.00 | $2,755.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $15.09 | $2,901.00 | $2,755.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $15.67 | $2,901.00 | $2,755.95 | 2026-02-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $18.55 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $19.98 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,500.00 | $2,925.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $4,500.00 | $2,925.00 | 2025-01-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $21.84 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $21.98 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $21.98 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $23.83 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Blue Cross | Large Group Hmo | $24.06 | $289.88 | $37.68 | 2026-07-15 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Blue Cross | Large Group Epo-Ppo | $24.06 | $289.88 | $37.68 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $24.26 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $24.49 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $24.49 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $24.53 | $87.60 | $34.16 | 2026-07-30 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | $24.94 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Pathway Ppo/Hmo | $27.59 | $164.24 | $59.13 | 2026-08-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $27.87 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $27.87 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $27.87 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $27.97 | $2,854.03 | $2,854.03 | 2026-06-05 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Passport | Molina Ky Medicaid | $28.76 | $164.24 | $59.13 | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Ky Medicaid | $29.56 | $164.24 | $59.13 | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Wellcare | Ky Medicaid | $29.56 | $164.24 | $59.13 | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Ppo/Hmo | $29.73 | $164.24 | $59.13 | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Traditional | $29.73 | $164.24 | $59.13 | 2026-08-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Both | Novanet | Commercial - Outpatient | $31.05 | $207.00 | $113.85 | 2026-07-15 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Humana | Ky Medicaid | $31.12 | $164.24 | $59.13 | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Aetna | Better Health Ky Medicaid | $31.12 | $164.24 | $59.13 | 2026-08-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR [40246] | FS UMR Froedtert South Employees | $31.80 | $63.60 | $47.70 | 2026-07-01 | 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 ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Ut Care & Texas A&M 65 Plus Medicare Advantage Outpatient Rate | — | $34.16 | $122.00 | — | 2026-10-07 | 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 ↗ |
| FROEDTERT SOUTH INC. Both | ANTHEM [40119] | FS Anthem HMO POS | $34.98 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | OPERATING ENGINEERS [40419] | FS Anthem HMO POS | $34.98 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | ANTHEM INDEMNITY [70119] | FS Anthem HMO POS | $34.98 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Ut Care & Texas A&M 65 Plus Medicare Advantage Outpatient Rate | — | $36.40 | $130.00 | — | 2026-10-07 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $37.25 | $186.25 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $37.25 | $186.25 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $37.25 | $186.25 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $37.25 | $186.25 | — | 2025-09-05 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | OPTUM BEHAVIORAL HEALTH [100900] | CCMC HB HARVARD REIMB CONTRACT | $37.41 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | MULTIPLAN [1001126] | CCMC HB HARVARD REIMB CONTRACT | $37.41 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | HARVARD PILGRIM [1001134] | CCMC HB HARVARD REIMB CONTRACT | $37.41 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NETWORK HEALTH MP EXCHANGE [40456] | FS NETWORK HEALTH PLAN ACA/MARKETPLACE | $38.16 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | AETNA [100101] | CCMC HB AETNA MIDDLESEX HOSP CONTRACT | $38.82 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | SCAN | Medicare|All Plans | $40.00 | $6,170.00 | $2,011.42 | 2026-02-28 | MRF ↗ |
| GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient | SCAN | Medicare|All Plans | $40.00 | $6,170.00 | $2,011.42 | 2026-02-28 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $40.30 | $87.60 | $34.16 | 2026-07-30 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Outpatient | $40.81 | $122.00 | — | 2026-10-07 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Outpatient | BLUE CROSS [110001] | CCMC HB BCBS ANTHEM REIMB CONTRACT | $40.85 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Outpatient | WELLPOINT [100150] | CCMC HB BCBS ANTHEM REIMB CONTRACT | $40.85 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Outpatient | UNICARE [100148] | CCMC HB BCBS ANTHEM REIMB CONTRACT | $40.85 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Outpatient | BLUE CROSS [110001] | CCMC HB BCBS STATE PREF CONTRACT | $40.85 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | MIDWEST OPERATING ENGINEERS LOCAL 150 [40424] | FS Anthem PPO | $41.34 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | ANTHEM [40119] | FS Anthem PPO | $41.34 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | WI ELECTRICAL EMPLOYEES [40257] | FS Anthem PPO | $41.34 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | MILWAUKEE CARPENTERS [40425] | FS Anthem PPO | $41.34 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NATIONAL ELECTRICAL CONTRACTORS [40426] | FS Anthem PPO | $41.34 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | ANTHEM INDEMNITY [70119] | FS Anthem PPO | $41.34 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | CHICAGO LABORERS [40422] | FS Anthem PPO | $41.34 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | WI CARPENTERS [40427] | FS Anthem PPO | $41.34 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $42.84 | $153.00 | $59.67 | 2026-07-30 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | GOLDEN RULE [100106] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $43.08 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | HARVARD PILGRIM [1001134] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $43.08 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | OPTUM BEHAVIORAL HEALTH [100900] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $43.08 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | OXFORD [100103] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $43.08 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | UMR [100130] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $43.08 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | UNITED HEALTH CARE [100104] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $43.08 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | AETNA [100101] | CCMC HB AETNA REIMB CONTRACT | $43.13 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | MERITAIN HEALTH [100149] | CCMC HB AETNA REIMB CONTRACT | $43.13 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | NIPPON LIFE INS CO OF AMERICA [100112] | CCMC HB AETNA REIMB CONTRACT | $43.13 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | 1199 NATIONAL BENEFIT FUND [100134] | CCMC HB AETNA REIMB CONTRACT | $43.13 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | YALE HEALTH PLAN [100162] | CCMC HB AETNA REIMB CONTRACT | $43.13 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | GOVERNMENT EMPLOYEES HOSPITAL ASSOC [100115] | CCMC HB AETNA REIMB CONTRACT | $43.13 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | HUMANA [100116] | CCMC HB AETNA REIMB CONTRACT | $43.13 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Outpatient | $43.48 | $130.00 | — | 2026-10-07 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | MULTIPLAN [1001126] | CCMC HB MULTIPLAN REIMB CONTRACT | $43.59 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | CDPHP/COMM [100199] | CCMC HB MULTIPLAN REIMB CONTRACT | $43.59 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | GENERIC MULTIPLAN [1001130] | CCMC HB MULTIPLAN REIMB CONTRACT | $43.59 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | ULTRABENEFITS/COMM [100181] | CCMC HB MULTIPLAN REIMB CONTRACT | $43.59 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | CONNECTICARE [100105] | CCMC HB CONNECTICARE EXCHANGE REIMB CONTRACT | $43.61 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NETWORK HEALTH GLOBAL [41401] | FS Network Health Plan Mng Care | $44.01 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NETWORK HEALTH PLAN [40401] | FS Network Health Plan Mng Care | $44.01 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity/Federal Employee Program | $44.17 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $44.17 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $44.17 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $44.17 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $44.17 | — | — | 2026-07-18 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | CIGNA [100102] | CCMC HB CIGNA REIMB CONTRACT | $44.31 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | TUFTS HEALTH PLAN [100114] | CCMC HB CIGNA REIMB CONTRACT | $44.31 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | HEALTH PARTNERS [110229] | CCMC HB CIGNA REIMB CONTRACT | $44.31 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | MVP HEALTH PLAN [100144] | CCMC HB CIGNA REIMB CONTRACT | $44.31 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | GREAT WEST HEALTHCARE [100107] | CCMC HB CIGNA REIMB CONTRACT | $44.31 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | — | $2,097.00 | $1,719.54 | 2025-11-26 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $44.50 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $44.50 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $44.50 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $44.50 | — | — | 2026-09-21 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | NETWORK HEALTH PLAN FTH EMP [40459] | FS HPS | $44.84 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Inpatient | Novanet | Commercial | $45.00 | $300.00 | $165.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Both | Prime Group Health | Workers Comp | $45.36 | $164.24 | $39.42 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $45.76 | $370.50 | $370.50 | 2026-07-17 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Both | UnitedHealthcare | Quest | $45.77 | $4,766.00 | $1,906.40 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $45.77 | $4,957.00 | $2,974.20 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $45.77 | $4,957.00 | $2,974.20 | 2026-02-12 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | KAISER | QUEST INT | $45.77 | $695.00 | $625.50 | 2026-01-25 | MRF ↗ |
| KAHUKU MEDICAL CENTER Outpatient | UHC | Mcd HMO | $45.77 | — | — | 2024-06-28 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | EMBLEM HEALTH COMMERCIAL [1001108] | CCMC HB CONNECTICARE REIMB CONTRACT | $46.02 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | EMBLEM HEALTH MEDICAID [1001103] | CCMC HB CONNECTICARE REIMB CONTRACT | $46.02 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | OPTUM BEHAVIORAL HEALTH [100900] | CCMC HB CONNECTICARE REIMB CONTRACT | $46.02 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | CONNECTICARE [100105] | CCMC HB CONNECTICARE REIMB CONTRACT | $46.02 | $51.28 | $30.77 | 2026-01-01 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Blue Cross | Large Group Hmo | $46.26 | $557.40 | $72.46 | 2026-07-15 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Blue Cross | Large Group Epo-Ppo | $46.26 | $557.40 | $72.46 | 2026-07-15 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Magnacare | Jib | $46.38 | $289.88 | $37.68 | 2026-07-15 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $46.56 | $186.25 | — | 2025-09-05 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $47.14 | $4,957.00 | $2,974.20 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $47.14 | $4,957.00 | $2,974.20 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $47.14 | $4,957.00 | $2,974.20 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $47.14 | $4,957.00 | $2,974.20 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Both | AlohaCare | ABD | $47.14 | $4,766.00 | $1,906.40 | 2026-02-12 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $47.25 | $168.75 | $65.81 | 2026-07-30 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Ut Care & Texas A&M 65 Plus Medicare Advantage Inpatient Rate | — | $47.58 | $122.00 | — | 2026-10-07 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR INDEMNITY [70246] | FS United Health Care | $47.70 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR [40246] | FS United Health Care | $47.70 | $63.60 | $47.70 | 2026-07-01 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Both | Ohana Health Plan | Quest ABD | $48.52 | $4,766.00 | $1,906.40 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $48.52 | $4,766.00 | $2,859.60 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | ABD | $48.52 | $4,957.00 | $2,974.20 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | QUEST - ABD | $48.52 | $4,957.00 | $2,974.20 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | QUEST - ABD | $48.52 | $4,957.00 | $2,974.20 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | ABD | $48.52 | $4,957.00 | $2,974.20 | 2026-02-12 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-08-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $48.96 | $272.00 | $95.20 | 2026-07-31 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Devoted | Medicare Advantage | $49.27 | $164.24 | $59.13 | 2026-08-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Both | UMR [40246] | FS HealthEOS | $49.61 | $63.60 | $47.70 | 2026-07-01 | 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 ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Inpatient | $50.02 | $122.00 | — | 2026-10-07 | 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.