L8691 — Dme Pos
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DME POS (HCPCS L8691) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L8691?code_type=HCPCS
MLA (9th ed.)
“DME POS (HCPCS L8691) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L8691?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DME POS (HCPCS L8691) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L8691?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,132–$7,250 (25th–75th percentile) across 1,115 hospitals · 1,992 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS L8691 — 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
$2,132
$3,605 typical
$7,250
The middle 50% of negotiated facility rates for this procedure, measured across 1,115 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,605 |
| Likely subtotal | $3,605 |
Facility charge (no separate professional fee)
$3,605
- 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 | None | — | — | $25,828.38 | $12,914.19 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $25,828.38 | $12,914.19 | 2024-12-15 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Aetna | Medicare Advantage | $0.13 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Aetna | Medicare Advantage | $0.13 | $1.00 | — | 2026-04-20 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Amerigroup | Medicaid | $0.17 | $2,620.00 | $2,096.00 | 2026-03-26 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Cigna | Commercial | $0.38 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Cigna | Commercial | $0.38 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Multiplan | Primary PPO | $0.40 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | AlaMed | Workers' Compensation | $0.40 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Multiplan | Primary PPO | $0.40 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | AlaMed | Workers' Compensation | $0.40 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | CorVel | Workers' Compensation | $0.42 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | CorVel | Workers' Compensation | $0.42 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | AlaMed | Workers' Compensation | $0.45 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Comp One | Workers' Compensation | $0.45 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | AlaMed | Workers' Compensation | $0.45 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Comp One | Workers' Compensation | $0.45 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Prime Health Services | Workers' Compensation | $0.49 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Prime Health Services | Workers' Compensation | $0.49 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Aetna | Commercial | $0.53 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Aetna | Commercial | $0.53 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Viva | Medicare Advantage | $0.60 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Viva | Commercial | $0.60 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Viva | Commercial | $0.60 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Viva | Medicare Advantage | $0.60 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Humana | Commercial | $0.63 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Humana | Commercial | $0.63 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Multiplan | Complementary PPO | $0.80 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Multiplan | Complementary PPO | $0.80 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | PNOA | Health Benefit Plans | $0.80 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | PNOA | Health Benefit Plans | $0.80 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | NovaNet | Commercial | $0.85 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | NovaNet | Commercial | $0.85 | $1.00 | — | 2026-04-20 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NON OPTIONS | $1.00 | $5,219.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NON OPTIONS | $1.00 | $5,219.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NAVIGATE | $1.00 | $5,219.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NAVIGATE | $1.00 | $5,219.00 | — | 2026-01-01 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | United Healthcare | Commercial | $1.02 | $1.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | United Healthcare | Commercial | $1.02 | $1.00 | — | 2026-04-20 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $15.62 | $8,680.00 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $15.62 | $8,680.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $15.62 | $8,680.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $18.88 | $10,490.40 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $18.88 | $10,490.40 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $18.88 | $10,490.40 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $19.80 | $10,998.80 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $19.80 | $10,998.80 | — | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $19.80 | $10,998.80 | — | 2024-12-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $5,302.88 | $3,446.87 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $5,302.88 | $3,446.87 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Partners | Managed Medicaid | $29.75 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Partners | Managed Medicaid | $29.75 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $30.20 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $30.49 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Behavioral Health | $30.49 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Carolina Complete Health | Managed Medicaid | $30.76 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Wellcare | Managed Medicaid | $30.76 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Healthy Blue | Managed Medicaid | $30.76 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Behavioral Health | $30.79 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Carolina Complete Health | Managed Medicaid | $31.06 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Vaya | Managed Medicaid | $31.06 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Wellcare | Managed Medicaid | $31.06 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Healthy Blue | Managed Medicaid | $31.06 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Vaya | Managed Medicaid | $31.36 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Managed Medicaid | $31.54 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Managed Medicaid | $31.68 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Trillium | Managed Medicaid | $31.68 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Trillium | Managed Medicaid | $31.98 | $297.50 | $148.75 | 2025-12-05 | 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 ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $33.56 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Behavioral Health | $33.89 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Wellcare | Managed Medicaid | $34.18 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Carolina Complete Health | Managed Medicaid | $34.18 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Healthy Blue | Managed Medicaid | $34.18 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Vaya | Managed Medicaid | $34.51 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Partners | Managed Medicaid | $34.51 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Managed Medicaid | $34.87 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Trillium | Managed Medicaid | $35.19 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL Outpatient | United Healthcare PPO | Commercial | $35.53 | $44.98 | $26.99 | 2026-01-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL Outpatient | UMR | Commercial | $35.53 | $44.98 | $26.99 | 2026-01-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL Outpatient | United Healthcare HMO | Commercial | $35.53 | $44.98 | $26.99 | 2026-01-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL Outpatient | UMR | Commercial | $35.53 | $44.98 | $26.99 | 2026-01-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL Outpatient | United Healthcare HMO | Commercial | $35.53 | $44.98 | $26.99 | 2026-01-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL Outpatient | United Healthcare PPO | Commercial | $35.53 | $44.98 | $26.99 | 2026-01-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Partners | Managed Medicaid | $35.70 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Behavioral Health | $35.73 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Carolina Complete Health | Managed Medicaid | $36.03 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Healthy Blue | Managed Medicaid | $36.03 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $36.03 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $36.38 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Vaya | Managed Medicaid | $36.38 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $36.50 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Managed Medicaid | $36.74 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Alliance | Behavioral Health | $36.86 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Trillium | Managed Medicaid | $37.10 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Carolina Complete Health | Managed Medicaid | $37.19 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Wellcare | Managed Medicaid | $37.19 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Healthy Blue | Managed Medicaid | $37.19 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Partners | Managed Medicaid | $37.49 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Vaya | Managed Medicaid | $37.57 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL Outpatient | The Health Plan HMO | Commercial | $37.78 | $44.98 | $26.99 | 2026-01-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL Outpatient | The Health Plan HMO | Commercial | $37.78 | $44.98 | $26.99 | 2026-01-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | United Healthcare | Managed Medicaid | $37.87 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Alliance | Managed Medicaid | $37.93 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Trillium | Managed Medicaid | $38.32 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Partners | Managed Medicaid | $38.68 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $38.97 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Alliance | Managed Medicaid | $39.36 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| BECKLEY ARH HOSPITAL Both | Aetna PPO | Commercial | $39.58 | $44.98 | $26.99 | 2026-01-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL Both | Aetna POS | Commercial | $39.58 | $44.98 | $26.99 | 2026-01-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL Both | Aetna PPO | Commercial | $39.58 | $44.98 | $26.99 | 2026-01-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL Both | Aetna POS | Commercial | $39.58 | $44.98 | $26.99 | 2026-01-01 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Wellcare | Managed Medicaid | $39.72 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Healthy Blue | Managed Medicaid | $39.72 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Carolina Complete Health | Managed Medicaid | $39.72 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | United Healthcare | Managed Medicaid | $39.87 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Vaya | Managed Medicaid | $40.10 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $40.46 | $297.50 | $148.75 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER OutpatientFacility | Peach State Health Plan | Managed Medicaid | $40.85 | $297.50 | $148.75 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $40.85 | $297.50 | $148.75 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Trillium | Managed Medicaid | $40.91 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Partners | Managed Medicaid | $41.65 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $41.98 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Wellcare | Managed Medicaid | $42.78 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Healthy Blue | Managed Medicaid | $42.78 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Carolina Complete Health | Managed Medicaid | $42.78 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Amerihealth | Medicaid Managed Care | $43.14 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Partners | Medicaid Tailored Plan | $43.14 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Carolina Complete | Medicaid Managed Care | $43.14 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Healthy Blue | Medicaid Managed Care | $43.14 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Vaya | Managed Medicaid | $43.20 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicaid Managed Care | $43.58 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Medicaid Managed Care | $43.58 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Vaya | Medicaid Tailored Plan | $43.58 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Alliance | Medicaid Tailored Plan | $44.00 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Trillium | Managed Medicaid | $44.06 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Alliance | Managed Medicaid | $44.15 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Trillium | Medicaid Tailored Plan | $44.45 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $44.51 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | United Healthcare | Managed Medicaid | $44.51 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Alliance | Behavioral Health | $44.95 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | Managed Medicaid | $44.95 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Healthy Blue | Managed Medicaid | $45.34 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Wellcare | Managed Medicaid | $45.34 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Carolina Complete Health | Managed Medicaid | $45.34 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Partners | Managed Medicaid | $45.34 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Alliance | Managed Medicaid | $45.79 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Vaya | Managed Medicaid | $45.79 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Alliance | Behavioral Health | $46.02 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Trillium | Managed Medicaid | $46.71 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $47.03 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $47.57 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | United Healthcare | Managed Medicaid | $49.47 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Alliance | Behavioral Health | $49.80 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ATRIUM HEALTH FLOYD MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $50.31 | $297.50 | $148.75 | 2025-11-19 | MRF ↗ |
| FLOYD CHEROKEE MEDICAL CENTER OutpatientFacility | Peach State Health Plan | Managed Medicaid | $50.78 | $297.50 | $148.75 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH FLOYD MEDICAL CENTER OutpatientFacility | Peach State Health Plan | Managed Medicaid | $50.78 | $297.50 | $148.75 | 2025-11-19 | MRF ↗ |
| ATRIUM HEALTH FLOYD MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $50.78 | $297.50 | $148.75 | 2025-11-19 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $51.59 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $52.24 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $53.46 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $53.73 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $54.59 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $54.59 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $54.59 | — | — | 2026-03-18 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Local Individual | $54.74 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Distinctions Transplant Services | — | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | Optum Transplant | Transplant Services | — | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $55.19 | $297.50 | $148.75 | 2025-12-05 | MRF ↗ |
| WILKES REGIONAL MEDICAL CENTER OutpatientFacility | Carolina Complete | Medicaid Managed Care | $55.66 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| WILKES REGIONAL MEDICAL CENTER OutpatientFacility | Partners | Medicaid Tailored Plan | $55.66 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| WILKES REGIONAL MEDICAL CENTER OutpatientFacility | Amerihealth | Medicaid Managed Care | $55.66 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| WILKES REGIONAL MEDICAL CENTER OutpatientFacility | HealthBlue | Medicaid Managed Care | $55.66 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Amerihealth | Medicaid Managed Care | $56.05 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Aetna | Medicare Advantage | — | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Carolina Complete | Medicaid Managed Care | $56.05 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Healthy Blue | Medicaid Managed Care | $56.05 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Partners | Medicaid Tailored Plan | $56.05 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| WILKES REGIONAL MEDICAL CENTER OutpatientFacility | Vaya | Medicaid Tailored Plan | $56.23 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $56.23 | $297.50 | $148.75 | 2025-12-01 | MRF ↗ |
| WILKES REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid Managed Care | $56.23 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| WILKES REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid Managed Care | $56.23 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Vaya | Medicaid Tailored Plan | $56.61 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Wellcare | Medicaid Managed Care | $56.61 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | United Healthcare | Medicaid Managed Care | $56.61 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| WILKES REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Medicaid Tailored Plan | $56.76 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $56.97 | $297.50 | $148.75 | 2025-12-04 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Alliance | Medicaid Tailored Plan | $57.18 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| WILKES REGIONAL MEDICAL CENTER OutpatientFacility | Trillium | Medicaid Tailored Plan | $57.33 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC OutpatientFacility | Trillium | Medicaid Tailored Plan | $57.74 | $297.50 | $148.75 | 2025-10-08 | MRF ↗ |
| ATRIUM HEALTH FLOYD MEDICAL CENTER OutpatientFacility | Oscar Health Plan | Commercial | $58.01 | $297.50 | $148.75 | 2025-11-19 | 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.