Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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L8688 — Implt Nrostm Pls Gen Dua Non

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $12,140

Usually $8,961–$39,039 (25th–75th percentile) across 463 hospitals · 646 payers.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L8688 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What this costs at this hospital

The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$8,961 $12,140 typical $39,039

The middle 50% of negotiated facility rates for this procedure, measured across 463 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $12,140
Likely subtotal $12,140
Facility charge (no separate professional fee) $12,140

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 $8,961–$39,039.

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
CENTRAL CAROLINA HOSPITAL Both Aetna State Emp 20655 1 — $0.01 — 2026-07-27 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 Louisiana Healthcare Connection Medicaid — — — 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility United Healthcare HMO — — — 2026-03-17 MRF ↗
CENTRAL CAROLINA HOSPITAL Both Aetna Pos 20620 1 — $0.01 — 2026-07-27 MRF ↗
CENTRAL CAROLINA HOSPITAL Both Bc Nc Indemnity 29791 1 — $0.01 — 2026-07-27 MRF ↗
CENTRAL CAROLINA HOSPITAL Both Aetna Nap Ppo 99214 1 — $0.01 — 2026-07-27 MRF ↗
CENTRAL CAROLINA HOSPITAL Both Aetna Signature Admin Ppo 20668 1 — $0.01 — 2026-07-27 MRF ↗
CENTRAL CAROLINA HOSPITAL Both Aetna Life Insurance 20617 1 — $0.01 — 2026-07-27 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Aetna Medicare Advantage — — — 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Three Rivers Provider Network All Plans — — — 2026-03-17 MRF ↗
CENTRAL CAROLINA HOSPITAL Both Aetna Ppo 20618 1 — $0.01 — 2026-07-27 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 Humana All Plans — — — 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Peoples Health Medicare Enrollees — — — 2026-03-17 MRF ↗
CENTRAL CAROLINA HOSPITAL Both Aetna Hmo 20619 1 — $0.01 — 2026-07-27 MRF ↗
CENTRAL CAROLINA HOSPITAL Both Bc Nc Indemnity 29791 — $0.01 — 2026-07-27 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Womans Hospital Employees All Plans — — — 2026-03-17 MRF ↗
CENTRAL CAROLINA HOSPITAL Both Aetna New Business 20661 1 — $0.01 — 2026-07-27 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility Amerihealth Caritas Medicaid — — — 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 HS Technology 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 Aetna Better Health — — — 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 United Healthcare VA CCN — — — 2026-03-17 MRF ↗
OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility United Healthcare Community Plan — — — 2026-03-17 MRF ↗
CENTRAL CAROLINA HOSPITAL Both Aetna Epo 20621 1 — $0.01 — 2026-07-27 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 Cigna of LA All Plans — — — 2026-03-17 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Aetna Commercial — — — 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility First Choice Commercial — — — 2026-03-05 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 Aetna Commercial — — — 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Aetna Medicare Advantage — — — 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility PPOplus Llc 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 ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Humana Commercial — — — 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Humana Commercial — — — 2026-03-05 MRF ↗
OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility Wellcare Medicare Advantage — — — 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 ↗
ALLIANCEHEALTH WOODWARD OutpatientFacility Healthchoice All Commercial Plans $0.45 — — 2026-04-01 MRF ↗
INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $0.45 — — 2026-04-01 MRF ↗
INTEGRIS HEALTH PONCA CITY OutpatientFacility Healthchoice All Commercial Plans $0.45 — — 2026-04-01 MRF ↗
INTEGRIS MIAMI HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $0.45 — — 2026-04-01 MRF ↗
INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $0.45 — — 2026-04-01 MRF ↗
INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $0.45 — — 2026-04-01 MRF ↗
LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility Healthchoice All Commercial Plans $0.45 — — 2026-04-01 MRF ↗
INTEGRIS GROVE HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $0.45 — — 2026-04-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW MEXICO MEDICAID $1.00 $0.01 $0.01 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW MEXICO MEDICAID $1.00 $0.01 $0.01 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD $1.00 $0.01 $0.01 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD $1.00 $0.01 $0.01 2026-09-01 MRF ↗
CITIZENS MEDICAL CENTER Inpatient First Health First Health $1.38 $43,900.00 $21,950.00 2026-09-21 MRF ↗
CITIZENS MEDICAL CENTER Inpatient First Health First Health $1.38 $43,900.00 $21,950.00 2026-09-28 MRF ↗
CITIZENS MEDICAL CENTER Inpatient First Health First Health $1.41 $44,900.00 $22,450.00 2026-09-28 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Law Enforcement Franklin Co. Medicaid $14.41 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Law Enforcement Franklin Co. Medicaid $14.41 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility UHC Medicaid $14.99 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility UHC Medicaid $14.99 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Molina Medicaid $15.13 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Anthem Medicaid $15.13 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Anthem Medicaid $15.13 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Molina Medicaid $15.13 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Humana Medicaid $15.27 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Humana Medicaid $15.27 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Caresource Medicaid $15.42 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Caresource Medicaid $15.42 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Buckeye Community Health Medicaid $15.42 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Buckeye (Centene) Medicaid $15.42 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility AmeriHealth Caritas Medicaid $15.42 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Buckeye (Centene) Medicaid $15.42 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Buckeye Community Health Medicaid $15.42 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility AmeriHealth Caritas Medicaid $15.42 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Safe Program Medicaid $15.71 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility PARAMOUNT Medicaid $15.71 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility Safe Program Medicaid $15.71 — — 2025-01-01 MRF ↗
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OutpatientFacility PARAMOUNT Medicaid $15.71 — — 2025-01-01 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 BCBSSCPreferredBlue $33.10 — — 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 — — 2024-12-08 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility Blue Cross Blue Shield of KY Medicaid $33.30 $49,550.29 $29,693.08 2025-01-01 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 ↗
INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient Ccbh - Behavioral Health Behavioral — — — 2026-07-19 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 HEALTH SYSTEM, INC Outpatient Coventry Hmo/Pos/Ppo — — — 2026-07-18 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Aetna Commercial — — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Maine Community Health Options Mcho Shop - Exchange — — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Maine Community Health Options Mcho Indiv - Exchange — — — 2026-07-18 MRF ↗
MOUNT CARMEL EAST & WEST OutpatientFacility Law Enforcement Franklin Co. Medicaid $67.86 — — 2025-01-01 MRF ↗
MOUNT CARMEL ST ANN'S OutpatientFacility UHC Medicaid $69.63 — — 2025-01-01 MRF ↗
MOUNT CARMEL ST ANN'S OutpatientFacility UHC Medicaid $69.63 — — 2025-01-01 MRF ↗
MOUNT CARMEL ST ANN'S OutpatientFacility Anthem Medicaid $70.30 — — 2025-01-01 MRF ↗
MOUNT CARMEL ST ANN'S OutpatientFacility Molina Medicaid $70.30 — — 2025-01-01 MRF ↗
MOUNT CARMEL ST ANN'S OutpatientFacility Anthem Medicaid $70.30 — — 2025-01-01 MRF ↗
MOUNT CARMEL ST ANN'S OutpatientFacility Molina Medicaid $70.30 — — 2025-01-01 MRF ↗
MOUNT CARMEL EAST & WEST OutpatientFacility UHC Medicaid $70.57 — — 2025-01-01 MRF ↗
MOUNT CARMEL EAST & WEST OutpatientFacility Molina Medicaid $71.25 — — 2025-01-01 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Aetna Aetna Hmo/Pos/Ppo - Arnb $71.34 — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Aetna Aetna - Hmo/Pos/Ppo $71.34 — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Aetna Aetna Hmo/Pos/Ppo $71.34 — — 2026-07-18 MRF ↗
MOUNT CARMEL ST ANN'S OutpatientFacility AmeriHealth Caritas Medicaid $71.64 — — 2025-01-01 MRF ↗
MOUNT CARMEL ST ANN'S OutpatientFacility Caresource Medicaid $71.64 — — 2025-01-01 MRF ↗
MOUNT CARMEL ST ANN'S OutpatientFacility Buckeye (Centene) Medicaid $71.64 — — 2025-01-01 MRF ↗
MOUNT CARMEL ST ANN'S OutpatientFacility AmeriHealth Caritas Medicaid $71.64 — — 2025-01-01 MRF ↗
MOUNT CARMEL ST ANN'S OutpatientFacility Buckeye (Centene) Medicaid $71.64 — — 2025-01-01 MRF ↗
MOUNT CARMEL ST ANN'S OutpatientFacility Caresource Medicaid $71.64 — — 2025-01-01 MRF ↗
MOUNT CARMEL EAST & WEST OutpatientFacility Humana Medicaid $71.93 — — 2025-01-01 MRF ↗
MOUNT CARMEL EAST & WEST OutpatientFacility Buckeye Community Health Medicaid $72.61 — — 2025-01-01 MRF ↗
MOUNT CARMEL EAST & WEST OutpatientFacility Caresource Medicaid $72.61 — — 2025-01-01 MRF ↗
MOUNT CARMEL EAST & WEST OutpatientFacility Buckeye (Centene) Medicaid $72.61 — — 2025-01-01 MRF ↗
MOUNT CARMEL EAST & WEST OutpatientFacility AmeriHealth Caritas Medicaid $72.61 — — 2025-01-01 MRF ↗
MOUNT CARMEL EAST & WEST OutpatientFacility Safe Program Medicaid $73.97 — — 2025-01-01 MRF ↗
MOUNT CARMEL EAST & WEST OutpatientFacility PARAMOUNT Medicaid $73.97 — — 2025-01-01 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility Humana Medicaid $74.12 $49,550.29 $29,693.08 2025-01-01 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility Aetna Better Health of KY Medicaid $74.12 $49,550.29 $29,693.08 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Law Enforcement Franklin Co. Medicaid $82.26 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Law Enforcement Franklin Co. Medicaid $82.26 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility UHC Medicaid $85.55 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility UHC Medicaid $85.55 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Molina Medicaid $86.37 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Molina Medicaid $86.37 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Humana Medicaid $87.20 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Humana Medicaid $87.20 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Buckeye Community Health Medicaid $88.02 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility AmeriHealth Caritas Medicaid $88.02 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Caresource Medicaid $88.02 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Buckeye Community Health Medicaid $88.02 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Buckeye (Centene) Medicaid $88.02 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Caresource Medicaid $88.02 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility AmeriHealth Caritas Medicaid $88.02 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Anthem Medicaid $88.02 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Buckeye (Centene) Medicaid $88.02 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Anthem Medicaid $88.02 — — 2025-01-01 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility Medicaid Kentucky Original $89.06 $49,550.29 $29,693.08 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Safe Program Medicaid $89.66 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility PARAMOUNT Medicaid $89.66 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility Safe Program Medicaid $89.66 — — 2025-01-01 MRF ↗
DILEY RIDGE MEDICAL CENTER OutpatientFacility PARAMOUNT Medicaid $89.66 — — 2025-01-01 MRF ↗
Wayne Medical Center Outpatient Humana Commercial — — — 2026-05-23 MRF ↗
MAURY REGIONAL HOSPITAL Outpatient Humana Commercial — — — 2026-07-15 MRF ↗
MARSHALL MEDICAL CENTER Outpatient Humana Commercial — — — 2026-05-08 MRF ↗
Wayne Medical Center Outpatient Humana Commercial — — — 2026-05-13 MRF ↗
HARPER UNIVERSITY HOSPITAL Outpatient Hap HAPHMO $93.00 — — 2025-01-31 MRF ↗
MOUNT NITTANY MEDICAL CENTER Outpatient Highmark Commercial — — — 2026-07-15 MRF ↗
MOUNT NITTANY MEDICAL CENTER Outpatient Highmark Commercial — — — 2026-07-15 MRF ↗
MOUNT NITTANY MEDICAL CENTER Outpatient Highmark Chip — — — 2026-07-15 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Caresource Wv Marketplace — — — 2026-05-06 MRF ↗
CABELL HUNTINGTON HOSPITAL, INC Outpatient Caresource Wv Marketplace — — — 2026-07-15 MRF ↗
Rehabilitation Institute Of Michigan Outpatient Hap HAPHMO $104.79 — — 2025-01-31 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility VA Community Care Network VACCN Regions 1-3 $120.86 $49,550.29 $29,693.08 2025-01-01 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility CareSource Medicare Advantage $120.86 $49,550.29 $29,693.08 2025-01-01 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility Humana Medicare Advantage $120.86 $49,550.29 $29,693.08 2025-01-01 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility Blue Cross Blue Shield of KY Anthem Medicare Advantage $128.87 $49,550.29 $29,693.08 2025-01-01 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility CareSource Marketplace $163.16 $49,550.29 $29,693.08 2025-01-01 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility Affinity Health Plan EP 1&2 $260.33 — — 2026-02-19 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility BCBS of KC Blue Select ACA $399.28 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility BCBS of KC Blue Select/Select Plus $399.28 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility BCBS of KC PCB $409.20 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility BCBS of KC ACA PCB $409.20 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility BCBS of KC FNS $409.20 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility BCBS of KC BlueCare $409.20 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility BCBS of KC BlueAccess $409.20 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Occunet Network Commercial $447.02 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility Centivo Commercial $458.80 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Centrus Health Direct Exclusive $458.80 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility Wellfit Exclusive Network $458.80 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Aetna Local $496.00 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Aetna National $496.00 $1,240.00 $359.60 2026-03-06 MRF ↗
LOWELL GENERAL HOSPITAL Both HEALTH SAFETY NET [500011] HB XR HSN ER BAD DEBT MWF $530.75 $70,500.00 $49,350.00 2026-04-01 MRF ↗
MELROSEWAKEFIELD HEALTHCARE Both HEALTH SAFETY NET [500011] HB XR HSN ER BAD DEBT MWF $530.75 $70,500.00 $49,350.00 2026-04-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Oscar Commercial $557.88 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Centrus Health Direct Non-Exclusive $582.80 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility Wellfit Non-Exclusive Network $582.80 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Cigna Commercial $582.80 $1,240.00 $359.60 2026-03-06 MRF ↗
Memorial Regional Hospital South 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 HOSPITAL WEST OutpatientFacility Broward County Inmates w/o Other Insurance $682.69 — — 2025-07-30 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility QuikTrip Commercial $744.00 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility BCBS of KC FN $745.24 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility BCBS of KC PC $789.88 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility BCBS of KC PAR $834.52 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility MultiPlan Primary Network $868.00 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility MultiPlan Complementary Network $992.00 $1,240.00 $359.60 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Aetna First Health $1,014.32 $1,240.00 $359.60 2026-03-06 MRF ↗
JENNIE STUART MEDICAL CENTER OutpatientFacility United Healthcare Community Plan of KY Medicaid Replacement $1,394.64 $49,550.29 $29,693.08 2025-01-01 MRF ↗
ALTRU HOSPITAL OutpatientFacility Medica Medicaid Managed Care Plan $1,801.55 — — 2026-03-01 MRF ↗
ALTRU HOSPITAL OutpatientFacility Medica Medicaid Managed Care Plan – Hmo $1,801.55 — — 2026-03-01 MRF ↗
HUDSON REGIONAL HOSPITAL Outpatient UHC - ALL PLANS UHC - ALL PLANS $2,210.00 $6,500.00 $6,500.00 2026-01-19 MRF ↗
HUDSON REGIONAL HOSPITAL Outpatient AETNA - ALL PLANS AETNA - ALL PLANS $2,210.00 $6,500.00 $6,500.00 2026-01-19 MRF ↗
HUDSON REGIONAL HOSPITAL Outpatient OXFORD - ALL PLANS OXFORD - ALL PLANS $2,210.00 $6,500.00 $6,500.00 2026-01-19 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.