P9052 — Hc Plt Hla Matched Lr Ea Unit
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC PLT HLA MATCHED LR EA UNIT (HCPCS P9052) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/P9052?code_type=HCPCS
MLA (9th ed.)
“HC PLT HLA MATCHED LR EA UNIT (HCPCS P9052) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/P9052?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“HC PLT HLA MATCHED LR EA UNIT (HCPCS P9052) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/P9052?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $743–$1,892 (25th–75th percentile) across 1,713 hospitals · 4,787 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS P9052 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $9,550.32 | $4,775.16 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $9,550.32 | $4,775.16 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,617.00 | $1,374.45 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,617.00 | $1,374.45 | 2025-01-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $0.06 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $0.06 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna - Hmo/Pos/Ppo | $0.06 | — | — | 2026-07-18 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $2,701.00 | — | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $4,441.00 | $3,330.75 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $4,441.00 | $3,330.75 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $4,441.00 | $3,330.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $4,441.00 | $3,330.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $4,441.00 | $3,330.75 | 2026-09-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $1.87 | $854.42 | $185.00 | 2026-04-02 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $9.11 | $5,062.00 | $909.69 | 2024-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | PPO | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| University Of Toledo Medical Center Both | [Aetna] | [Ppo Hmo Indemnity Healthreach Beechstreet International Asea Electchoice Alliedbenefitsystems Meritain] | $15.00 | $3,384.00 | $2,030.40 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $15.43 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $18.13 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $18.13 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $18.13 | — | — | 2026-03-18 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | PPO | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $20.06 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,466.00 | $1,602.90 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,466.00 | $1,602.90 | 2025-01-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $20.78 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $20.78 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $20.78 | — | — | 2026-03-18 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $21.60 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | POS | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Both | Promise Health | Commerical | $21.81 | $3,474.00 | $2,466.54 | 2026-08-13 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $22.62 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $22.62 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $22.62 | — | — | 2026-03-18 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Cigna HealthCare of California, Inc. (CHC) and Cigna Health and Life Insurance Company (CHLIC) | POS | — | $832.00 | $682.24 | 2025-11-26 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | United Health Care | Commercial HMO | $23.28 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | United Health Care | All Commercial Products | $23.28 | — | — | 2026-04-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $23.62 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $23.77 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $23.77 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $23.93 | $2,818.13 | $1,437.25 | 2025-01-10 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $25.34 | $3,094.93 | $1,819.87 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $25.34 | $3,094.93 | $1,819.87 | 2025-01-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $25.77 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $26.23 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $26.48 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $26.48 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | $26.96 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare | $28.00 | $3,407.00 | $3,407.00 | 2026-07-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Pa Medicaid | Pa Medicaid | $30.00 | $4,062.00 | $1,096.74 | 2026-07-15 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Keystone First | Medicaid | $30.00 | $8,455.00 | $7,609.50 | 2026-02-27 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | PA Health & Wellness | PA Health & Wellness Medicaid | $30.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Ghp | Medicaid | $30.00 | — | — | 2026-07-15 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $30.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $30.00 | — | — | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $1,799.00 | $485.73 | 2024-12-30 | MRF ↗ |
| SURGICAL INSTITUTE OF READING OutpatientFacility | Unison | Med Plus | $30.00 | — | $999.83 | 2026-04-08 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Aetna | Aetna Better Health CHIP | $30.00 | $4,665.00 | $3,592.05 | 2026-04-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | Health Partners | Health Partners Plan Medicaid | $30.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $2,075.00 | $560.25 | 2026-03-27 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $1,799.00 | $485.73 | 2024-12-30 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Aetna | Medicaid | $30.00 | $2,594.00 | $1,556.40 | 2026-03-06 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Amerihealth | Medicaid | $30.00 | — | — | 2026-07-15 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $30.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $1,799.00 | $485.73 | 2025-01-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-05-13 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Uhc | Mcd Advantage | $30.00 | — | — | 2026-07-19 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $1,799.00 | $485.73 | 2025-01-14 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $30.00 | $2,591.00 | $704.00 | 2026-03-17 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $30.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $30.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $30.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $30.00 | — | — | 2026-04-01 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | PA Health & Wellness | PA Health & Wellness Medicaid | $30.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | PA Health & Wellness | PA Health & Wellness Medicaid | $30.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $30.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $30.00 | $2,591.00 | $704.00 | 2026-09-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $30.00 | $2,591.00 | $704.00 | 2026-09-01 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $30.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $30.00 | — | — | 2026-05-14 | MRF ↗ |
| SURGICAL INSTITUTE OF READING OutpatientFacility | Unison | Med Plus | $30.00 | — | $999.83 | 2026-04-08 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $1,799.00 | $485.73 | 2024-12-30 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Keystone First | Medicaid | $30.00 | $8,455.00 | $7,017.65 | 2026-02-26 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcd Advantage | $30.00 | — | — | 2026-07-15 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Keystone First | Medicaid | $30.00 | $8,455.00 | $7,017.65 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Keystone First | Medicaid | $30.00 | $8,455.00 | $7,017.65 | 2026-02-26 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $2,075.00 | $560.25 | 2026-03-27 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $30.00 | — | — | 2026-04-01 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Keystone First | Medicaid | $30.00 | $8,455.00 | $7,017.65 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Keystone First | Medicaid | $30.00 | $8,455.00 | $7,017.65 | 2026-02-26 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Mcd Advantage | $30.00 | — | — | 2026-07-15 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Aetna | Medicaid | $30.00 | $2,594.00 | $1,556.40 | 2026-03-06 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $30.00 | — | — | 2026-04-14 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Pa Medicaid Non Par | Pa Medicaid Non Par | $30.00 | $4,062.00 | $1,096.74 | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Upmc | Medicaid | $30.00 | — | — | 2026-07-15 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $30.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $30.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Medicaid | Traditional Medicaid | $30.00 | — | — | 2026-07-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $30.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicaid | $30.00 | $2,591.00 | $704.00 | 2026-03-17 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $2,075.00 | $560.25 | 2026-03-27 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $30.00 | — | — | 2026-05-23 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Keystone First | Medicaid | $30.00 | $8,455.00 | $7,017.65 | 2026-02-26 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $30.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Keystone First | Medicaid | $30.00 | $8,455.00 | $7,609.50 | 2026-02-26 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Pa Medicaid | Pa Medicaid | $30.00 | $4,062.00 | $1,096.74 | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Pa Medicaid Non Par | Pa Medicaid Non Par | $30.00 | $4,062.00 | $1,096.74 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $30.13 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $30.13 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $30.13 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $30.24 | $3,086.00 | $3,086.00 | 2026-06-05 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $31.50 | $6,665.00 | $1,610.26 | 2026-05-23 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $31.50 | $2,594.00 | $1,556.40 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $31.50 | $2,594.00 | $1,556.40 | 2026-03-06 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Geisinger | Geisinger Medicaid Pa | $31.50 | $4,062.00 | $1,096.74 | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Geisinger | Geisinger Medicaid Pa | $31.50 | $4,062.00 | $1,096.74 | 2026-07-15 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $31.50 | $6,665.00 | $1,610.26 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Community Plan Of Pa | $31.50 | $6,865.00 | $1,703.21 | 2026-09-21 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | Keystone | Keystone First Medicaid | $31.80 | $2,591.00 | $704.00 | 2026-09-01 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | Keystone First | Keystone First Medicaid | $31.80 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | Keystone | Keystone First Medicaid | $31.80 | $2,591.00 | $704.00 | 2026-03-17 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Keystone | Keystone First Medicaid | $31.80 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Keystone | Keystone First Medicaid | $31.80 | $2,591.00 | $704.00 | 2026-09-01 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | Keystone | Keystone First Medicaid | $31.80 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Keystone | Keystone First Medicaid | $31.80 | $2,591.00 | $704.00 | 2026-03-17 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $32.40 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $32.40 | — | — | 2026-05-23 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Geisinger | Mcd Advantage | $32.70 | — | — | 2026-07-19 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | UPMC Health Plan | Managed Medicaid | $33.00 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | UPMC Health Plan | CHIP | $33.00 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc Community Healthchoices Plan | $33.00 | $6,665.00 | $1,610.26 | 2026-05-23 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Amerihealth | Mcd Advantage | $33.00 | — | — | 2026-07-19 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | Geisinger | Medicaid/CHIP | $33.00 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $33.00 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For You Medicaid | $33.00 | $6,665.00 | $1,610.26 | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $33.00 | — | — | 2026-05-14 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Health Plan | Managed Medicaid | $33.00 | $2,594.00 | $1,556.40 | 2026-03-06 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Gateway Health Plan | Gateway Health Medicaid Plan | $33.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | Mcd Advantage | $33.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $33.00 | — | — | 2026-05-23 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Jefferson Health Plan | Mcd Advantage | $33.00 | — | — | 2026-07-19 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcd Advantage | $33.00 | — | — | 2026-05-13 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | UPMC Health Plan | CHIP | $33.00 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | Gateway Health Plan | Gateway Health Plan Medicaid | $33.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | Gateway Health Plan | Gateway Health Plan Medicaid | $33.00 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $33.00 | — | — | 2026-05-14 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $33.00 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | UPMC Health Plan | Managed Medicaid | $33.00 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Amerihealth Mercy | Amerihealth Mercy Medicaid Pa | $33.00 | $4,062.00 | $1,096.74 | 2026-07-15 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $33.00 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $33.00 | — | — | 2026-04-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $33.00 | — | — | 2026-05-23 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Geisinger | Medicaid/CHIP | $33.00 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $33.00 | $5,598.00 | $4,590.36 | 2026-04-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Jefferson Health Plan | Mcd Advantage | $33.00 | — | — | 2026-05-13 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Health Plan | Managed Medicaid | $33.00 | $2,594.00 | $1,556.40 | 2026-03-06 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Amerihealth Mercy | Amerihealth Mercy Medicaid Pa | $33.00 | $4,062.00 | $1,096.74 | 2026-07-15 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc Community Healthchoices Plan | $33.00 | $6,665.00 | $1,610.26 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For You Medicaid | $33.00 | $6,665.00 | $1,610.26 | 2026-05-13 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | UPMC Health Plan | CHIP | $33.00 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | Geisinger | Medicaid/CHIP | $33.00 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | UPMC Health Plan | Managed Medicaid | $33.00 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $2,265.00 | $1,698.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $2,265.00 | $1,698.75 | 2024-12-08 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $33.45 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $33.45 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $33.45 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | AmeriHealth Caritas | Community HealthChoices (CHC) | $33.83 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | AmeriHealth Caritas | Medicaid | $33.83 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | AmeriHealth Caritas | Community HealthChoices (CHC) | $33.83 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | AmeriHealth Caritas | Medicaid | $33.83 | $6,770.00 | $4,062.00 | 2026-03-06 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | UHC | UHC Medicaid | $33.90 | $2,591.00 | $704.00 | 2026-09-01 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Outpatient | UHC | UHC Medicaid | $33.90 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Upmc | Medicaid | $33.90 | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Gateway | Mcd Advantage | $33.90 | — | — | 2026-07-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Outpatient | UHC | UHC Medicaid | $33.90 | $2,591.00 | $936.00 | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | UHC | UHC Medicaid | $33.90 | $2,591.00 | $704.00 | 2026-09-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | UHC | UHC Medicaid | $33.90 | $2,591.00 | $704.00 | 2026-03-17 | 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.