M1077 — Hc Ctc Rom Rad Ther Bone Mets, Tc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC Ctc Rom Rad Ther Bone Mets, Tc (CPT M1077) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/M1077?code_type=CPT
MLA (9th ed.)
“HC Ctc Rom Rad Ther Bone Mets, Tc (CPT M1077) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/M1077?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC Ctc Rom Rad Ther Bone Mets, Tc (CPT M1077) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/M1077?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,874–$5,355 (25th–75th percentile) across 17 hospitals · 117 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS M1077 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER InpatientFacility | None | — | — | $0.01 | $0.01 | 2026-02-03 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | HEALTHNET | ALL PRODUCTS | $0.03 | $0.10 | $0.07 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | HEALTHNET | MEDI-CAL | $0.03 | $0.10 | $0.07 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | KAISER | ALL PRODUCTS | $0.07 | $0.10 | $0.07 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $0.07 | $0.10 | $0.07 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | HEALTHNET | MEDICARE ADVANTAGE | $0.08 | $0.10 | $0.07 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | MULTIPLAN | PPO | $0.08 | $0.10 | $0.07 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | HEALTHSMART | PPO | $0.09 | $0.10 | $0.07 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $0.09 | $0.10 | $0.07 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | BCBS | ALL PRODUCTS | $0.09 | $0.10 | $0.07 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | MULTIPLAN | COMPLIMENTARY | $0.09 | $0.10 | $0.07 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | BLUE SHIELD | ALL PRODUCTS | $0.09 | $0.10 | $0.07 | 2026-04-01 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $537.08 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | — | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | — | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | CHIP/Medicaid | $633.60 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | CHIP/Medicaid | $633.60 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Aetna | Medicare | $647.75 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Capital Blue Cross | Medicare Advantage | $651.00 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Keystone Health Plan | Medicare Advantage | $651.00 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | CHIP/Medicaid | $671.58 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | CHIP/Medicaid | $671.58 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $787.71 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Medicare | $880.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Medicare | $880.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Medicare | $932.75 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Medicare | $932.75 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Aetna | Medicare | $933.00 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Private Health Care Systems | Workers' Comp | — | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Work Partners | Workers Comp | — | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Work Partners | Workers Comp | — | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Private Health Care Systems | Workers' Comp | — | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Aetna | Medicare | $933.00 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MA-BEHAVIORAL HEALTH | $1,070.10 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $1,070.10 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $1,080.80 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $1,177.11 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | HEALTHNET | MEDICARE ADV. | $1,177.11 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $1,198.51 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $1,217.70 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $1,217.70 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $1,229.88 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $1,229.88 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $1,229.88 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $1,229.88 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $1,230.62 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | CHIP | $1,232.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | CHIP | $1,232.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Neighborhood Network | $1,267.20 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Neighborhood Network | $1,267.20 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Cigna | New Business ASO | $1,268.88 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Cigna | New Business ASO | $1,268.88 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | CHIP | $1,305.85 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | CHIP | $1,305.85 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | ACO/Legacy Commercial | $1,334.55 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $1,339.47 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $1,339.47 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Neighborhood Network | $1,343.16 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Neighborhood Network | $1,343.16 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | New Business ASO | $1,343.52 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | New Business ASO | $1,343.52 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Aetna | ACO | $1,344.32 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $1,363.82 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $1,363.82 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR FI | $1,372.80 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR FI | $1,372.80 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Home Depot Employer Group | $1,379.84 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Home Depot Employer Group | $1,379.84 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $1,400.36 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $1,400.36 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $1,405.60 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Both | PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $1,405.60 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Both | PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $1,405.60 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR ASO | $1,408.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | Commercial | $1,408.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | NBR ASO/FI | $1,408.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | New Business ASO | $1,408.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | Commercial | $1,408.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR ASO | $1,408.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | New Business ASO | $1,408.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | NBR ASO/FI | $1,408.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR FI | $1,455.09 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR FI | $1,455.09 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care | $1,455.48 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $1,455.48 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $1,455.48 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,455.48 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $1,455.48 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care | $1,455.48 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $1,455.48 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,455.48 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Home Depot Employer Group | $1,462.55 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Home Depot Employer Group | $1,462.55 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | NBR ASO/FI | $1,492.40 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | New Business ASO | $1,492.40 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | Commercial | $1,492.40 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | Commercial | $1,492.40 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR ASO | $1,492.40 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | New Business ASO | $1,492.40 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | NBR ASO/FI | $1,492.40 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR ASO | $1,492.40 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | Commercial | $1,492.80 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | Commercial | $1,492.80 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | Commercial | $1,531.20 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | Commercial | $1,531.20 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | GateKeeper/NonGateKeeper | $1,552.63 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Aetna | Commercial | $1,562.40 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Health Plan | Commercial | $1,576.40 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Health Plan | Commercial | $1,576.40 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | Prime Net | ACO/Legacy Commercial | $1,578.67 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | Aetna | ACO | $1,588.44 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| ST CHARLES MADRAS Both | MEDICARE VACCINE [999100100] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AETNA MEDICARE [131] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | CIGNA MEDICARE [143] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | SAMARITAN HEALTH PLAN MED ADV [141] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | UNICARE [133] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | CHAMP VA [700] | Veteran Affairs | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | MEDICARE ADVANTAGE GENERIC [199] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | DEVOTED HEALTH INC [145] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | HEALTH NET MED ADV [135] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | INDIAN HEALTH [704] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | MEDICARE [100] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | ATRIO HEALTH MEDICARE [138] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | KAISER PERMANENTE MED ADV [136] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | HEALTH MARKET CARE ASSURED [134] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | HUMANA MEDICARE [130] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | UHC MEDICARE ADVANTAGE [127] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | AGERIGHT ADVANTAGE [142] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | HUMANA MC AB REBILL [176] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | COVID-19 MEDICARE ALT PAYOR [805] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | PYRAMID MEDICARE [128] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | MEDICARE AB REBILL ALT PAYER [175] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | WELLCARE [132] | Medicare | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | LAW ENFORCEMENT [701] | SCHS SMH HB LAW ENFORCEMENT | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | VETERANS [706] | Veteran Affairs | $1,606.40 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $1,611.22 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | Commercial | $1,622.98 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | Commercial | $1,622.98 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | EBR FI | $1,679.04 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | EBR FI | $1,679.04 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| LOGAN HEALTH - SHELBY OutpatientFacility | Bcbs | Ppo | $1,682.80 | — | — | 2026-04-01 | MRF ↗ |
| ST CHARLES MADRAS Both | PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $1,693.41 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Health Plan of Upper Ohio Valley | Commercial | $1,724.18 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Health Plan of Upper Ohio Valley | Commercial | $1,724.18 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $1,760.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,760.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,760.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | InterGroup | PPO | $1,760.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $1,760.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | InterGroup | PPO | $1,760.00 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| ST CHARLES MADRAS Both | BLUE CROSS MED ADV [125] | Blue Cross Medicare | $1,767.04 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1,777.23 | $5,077.80 | $4,062.24 | 2025-12-16 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | EBR FI | $1,779.69 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | EBR FI | $1,779.69 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Geisinger | Medicaid/CHIP | $1,790.25 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | Prime Net | GateKeeper/NonGateKeeper | $1,835.82 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $1,845.00 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | SAMARITAN | MEDICARE ADV. | $1,845.00 | $3,690.00 | $2,952.00 | 2026-01-31 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | Aetna | Commercial | $1,848.84 | $3,255.00 | $1,953.00 | 2026-03-06 | MRF ↗ |
| ST CHARLES MADRAS Both | PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $1,863.42 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | InterGroup | PPO | $1,865.50 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,865.50 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,865.50 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | InterGroup | PPO | $1,865.50 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $1,865.50 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $1,865.50 | $3,731.00 | $2,238.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Cigna | New Business ASO | $1,865.60 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Home Depot Employer Group | $1,865.60 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Cigna | New Business ASO | $1,865.60 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Neighborhood Network | $1,865.60 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Neighborhood Network | $1,865.60 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Home Depot Employer Group | $1,865.60 | $3,520.00 | $2,112.00 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,866.00 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $1,866.00 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $1,866.00 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,866.00 | $3,732.00 | $2,239.20 | 2026-03-07 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | PYRAMID MEDICARE [128] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | AGERIGHT ADVANTAGE [142] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | MEDICARE AB REBILL ALT PAYER [175] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | HEALTH MARKET CARE ASSURED [134] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | INDIAN HEALTH [704] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | LAW ENFORCEMENT [701] | SCHS SPH HB LAW ENFORCEMENT | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | HEALTH NET MED ADV [135] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | SAMARITAN HEALTH PLAN MED ADV [141] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | KAISER PERMANENTE MED ADV [136] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | VETERANS [706] | Veteran Affairs | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | UNICARE [133] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | MEDICARE [100] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | ATRIO HEALTH MEDICARE [138] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | DEVOTED HEALTH INC [145] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | AETNA MEDICARE [131] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | WELLCARE [132] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | CHAMP VA [700] | Veteran Affairs | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | HUMANA MEDICARE [130] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | UHC MEDICARE ADVANTAGE [127] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | COVID-19 MEDICARE ALT PAYOR [805] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | MEDICARE ADVANTAGE GENERIC [199] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Both | MEDICARE VACCINE [999100100] | Medicare | $1,874.13 | $6,693.32 | $5,354.66 | 2026-04-01 | 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.