P9058 — Rbc, L/r, Cmv-neg, Irrad
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RBC, L/R, CMV-NEG, IRRAD (CPT P9058) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/P9058?code_type=CPT
MLA (9th ed.)
“RBC, L/R, CMV-NEG, IRRAD (CPT P9058) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/P9058?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RBC, L/R, CMV-NEG, IRRAD (CPT P9058) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/P9058?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $249–$768 (25th–75th percentile) across 1,368 hospitals · 4,154 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS P9058 — 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $600.00 | $510.00 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $2,129.15 | $1,064.58 | 2024-12-15 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $537.00 | $375.90 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $2,129.15 | $1,064.58 | 2024-12-15 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $537.00 | $375.90 | 2025-01-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.60 | $2,001.00 | $275.57 | 2024-12-31 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.78 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.78 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $4.78 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.78 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $4.78 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.78 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.78 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $4.78 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.78 | — | — | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.91 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.91 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.91 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $7.92 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $7.92 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $7.92 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $8.62 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $8.62 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $8.62 | — | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $10.01 | $981.00 | $637.65 | 2026-03-14 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | United HC | Medicare Advantage - Outpatient | $14.59 | $76.00 | $38.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Health First | Medicare Advantage - Outpatient | $14.59 | $76.00 | $38.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | BlueCross | Medicare Advantage - Outpatient | $14.59 | $76.00 | $38.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Molina | Medicare Advantage - Outpatient | $14.90 | $76.00 | $38.00 | 2025-10-24 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $15.13 | — | — | 2026-03-18 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Baycare | Medicare Advantage - Outpatient | $15.32 | $76.00 | $38.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Devoted | Medicare Advantage - Outpatient | $15.32 | $76.00 | $38.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | CarePlus | Medicare Advantage - Outpatient | $15.32 | $76.00 | $38.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Devoted | Medicare Advantage OON (MMG) - Outpatient | $16.05 | $76.00 | $38.00 | 2025-10-24 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $17.98 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $17.98 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $17.98 | — | — | 2026-04-01 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | UNITED HEALTH CARE | Managed Medicare | $19.13 | $1,031.00 | $618.60 | 2025-07-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Humana | Medicare Advantage - Outpatient | $19.15 | $76.00 | $38.00 | 2025-10-24 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $747.00 | $485.55 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $747.00 | $485.55 | 2025-01-01 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | LA-DHH-MEDICAID | LA-DHH-MEDICAID | $21.69 | $175.00 | — | 2026-03-26 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | LA-DHH-MEDICAID | LA-DHH-MEDICAID | $21.69 | $175.00 | — | 2026-03-26 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $24.19 | $919.00 | $597.35 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $24.19 | $919.00 | $597.35 | 2025-01-01 | MRF ↗ |
| BROWARD HEALTH CORAL SPRINGS OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $27.66 | $406.78 | $406.78 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH IMPERIAL POINT OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $27.66 | $406.78 | $406.78 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER OutpatientFacility | Children's Medical Services/Sunshine Health | Managed Medicaid | — | $406.78 | $406.78 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $27.66 | $406.78 | $406.78 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Aetna Healthcare of Florida/Vista Health Plan/Aetna Better Health | HMO | — | $406.78 | $406.78 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER OutpatientFacility | Aetna Best Choice | HMO Employee Plan | $27.66 | $406.78 | $406.78 | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH OutpatientFacility | Simply Healthcare/Clear Health Alliance | Managed Medicaid | — | $406.78 | $406.78 | 2026-04-17 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $1,118.00 | $301.86 | 2026-03-27 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Keystone First | Medicaid | $30.00 | $3,049.00 | $2,744.10 | 2026-02-27 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Keystone First | Medicaid | $30.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Aetna | Aetna Better Health CHIP | $30.00 | $1,337.00 | $1,029.49 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $30.00 | $1,337.00 | $1,029.49 | 2026-04-14 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Keystone First | Medicaid | $30.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Keystone First | Medicaid | $30.00 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $30.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $30.00 | — | — | 2026-04-01 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $741.00 | $200.07 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $741.00 | $200.07 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $741.00 | $200.07 | 2024-12-30 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $30.00 | — | — | 2026-04-01 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $1,118.00 | $301.86 | 2026-03-27 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Keystone First | Medicaid | $30.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Amerihealth_Caritas_Medicaid | All_Plans | $30.00 | $1,567.00 | $1,253.60 | 2026-01-01 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $741.00 | $200.07 | 2024-12-30 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Keystone First | Medicaid | $30.00 | $3,049.00 | $2,744.10 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Keystone First | Medicaid | $30.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $741.00 | $200.07 | 2025-01-14 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $30.00 | — | — | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $30.00 | $1,118.00 | $301.86 | 2026-03-27 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $30.00 | — | — | 2026-04-01 | MRF ↗ |
| SURGICAL INSTITUTE OF READING OutpatientFacility | Unison | Med Plus | $30.00 | — | $352.17 | 2026-04-08 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Aetna | Transplant - Outpatient | $30.40 | $76.00 | $38.00 | 2025-10-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $31.48 | $893.00 | $893.00 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $31.48 | $893.00 | $893.00 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $31.48 | $893.00 | $893.00 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | HMO | — | $893.00 | $893.00 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | $893.00 | $893.00 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | $893.00 | $893.00 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | PPA | — | $893.00 | $893.00 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $31.48 | $893.00 | $893.00 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | $893.00 | $893.00 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | Indemnity | — | $893.00 | $893.00 | 2025-04-16 | MRF ↗ |
| DOCTORS HOSPITAL OF LAREDO Both | None | — | — | $165.00 | $66.00 | 2026-01-01 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $33.00 | $1,337.00 | $976.01 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $33.00 | $1,604.00 | $1,315.28 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $33.00 | $1,337.00 | $976.01 | 2026-04-14 | 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 ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $34.50 | $1,337.00 | $1,029.49 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $34.50 | $1,337.00 | $1,029.49 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $34.50 | $1,604.00 | $1,315.28 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $34.50 | $1,337.00 | $1,029.49 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $34.50 | $1,604.00 | $1,315.28 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $34.50 | $1,337.00 | $1,082.97 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $34.50 | $1,337.00 | $1,082.97 | 2026-04-14 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | United Healthcare Community | Managed Medicaid | $34.50 | $680.00 | $612.00 | 2024-12-31 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $34.50 | $1,337.00 | $1,082.97 | 2026-04-14 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $34.50 | $3,049.00 | $2,530.67 | 2026-02-26 | 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 ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $34.63 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $34.63 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $34.63 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $34.63 | — | — | 2026-03-01 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $34.80 | $3,049.00 | $2,744.10 | 2026-02-26 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $34.91 | $537.00 | $349.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $34.91 | $537.00 | $349.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $34.91 | $537.00 | $349.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $34.91 | $537.00 | $349.05 | 2026-03-18 | MRF ↗ |
| SCRIPPS MERCY HOSPITAL Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $35.37 | $442.11 | $110.53 | 2026-03-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $35.37 | $442.11 | $110.53 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL - ENCINITAS Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $35.37 | $442.11 | $110.53 | 2026-03-30 | MRF ↗ |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $35.37 | $442.11 | $110.53 | 2026-03-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $35.37 | $442.11 | $110.53 | 2026-03-30 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | Geisinger | Medicaid/CHIP | $35.40 | $3,049.00 | $2,744.10 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Geisinger | Medicaid/CHIP | $35.40 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Geisinger | Medicaid/CHIP | $35.40 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | Geisinger | Medicaid/CHIP | $35.40 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Geisinger | Medicaid/CHIP | $35.40 | $3,049.00 | $2,744.10 | 2026-02-27 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | Geisinger | Medicaid/CHIP | $35.40 | $3,049.00 | $2,744.10 | 2026-02-27 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Geisinger | Medicaid/CHIP | $35.40 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Geisinger | Medicaid/CHIP | $35.40 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Geisinger | Medicaid/CHIP | $35.40 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Geisinger | Medicaid/CHIP | $35.40 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Geisinger | Medicaid/CHIP | $35.40 | $3,049.00 | $2,744.10 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Geisinger | Medicaid/CHIP | $35.40 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $36.00 | $741.00 | $200.07 | 2025-01-14 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | UPMC Health Plan | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | UPMC Health Plan | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Highmark Wholecare | Medicaid | $36.00 | $3,049.00 | $2,744.10 | 2026-02-27 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | PA HEALTH AND WELLNESS INC | PA HEALTH AND WELLNESS INC | $36.00 | $741.00 | $200.07 | 2025-01-14 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | PA Health & Wellness Community Health Choices | Dual Plan Managed Medicaid | $36.00 | $680.00 | $612.00 | 2024-12-31 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | PA HEALTH AND WELLNESS INC | PA HEALTH AND WELLNESS INC | $36.00 | $741.00 | $200.07 | 2024-12-30 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | Highmark Wholecare | Medicaid | $36.00 | $3,049.00 | $2,744.10 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $36.00 | $3,049.00 | $2,744.10 | 2026-02-27 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Highmark Wholecare | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $36.00 | $741.00 | $200.07 | 2024-12-30 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $36.00 | $3,049.00 | $2,744.10 | 2026-02-27 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | UPMC Health Plan | Medicaid | $36.00 | $3,049.00 | $2,744.10 | 2026-02-27 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | AmeriHealth Caritas | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | PA HEALTH AND WELLNESS INC | PA HEALTH AND WELLNESS INC | $36.00 | $741.00 | $200.07 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $36.00 | $741.00 | $200.07 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $36.00 | $741.00 | $200.07 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | PA HEALTH AND WELLNESS INC | PA HEALTH AND WELLNESS INC | $36.00 | $741.00 | $200.07 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $36.00 | $741.00 | $200.07 | 2024-12-30 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | AmeriHealth Caritas | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $36.00 | $1,118.00 | $301.86 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | HIGHMARK CHOICE COMPANY (BCBS) | BC HIGHMARK WHOLECARE MEDICAID | $36.00 | $1,118.00 | $301.86 | 2026-03-27 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | AmeriHealth Caritas | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $36.00 | $1,337.00 | $1,016.12 | 2026-04-14 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $36.00 | $1,118.00 | $301.86 | 2026-03-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | UPMC Health Plan | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | UPMC Health Plan | Medicaid | $36.00 | $3,049.00 | $2,744.10 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | UPMC Health Plan | Medicaid | $36.00 | $3,049.00 | $2,744.10 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | UPMC Health Plan | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $36.00 | $3,049.00 | $2,744.10 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | UPMC Health Plan | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | UPMC Health Plan | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | UPMC Health Plan | Medicaid | $36.00 | $3,049.00 | $2,744.10 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | PA HEALTH AND WELLNESS INC | PA HEALTH AND WELLNESS INC | $36.00 | $741.00 | $200.07 | 2024-12-30 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $36.00 | $3,049.00 | $2,744.10 | 2026-02-26 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $36.00 | $1,337.00 | $1,082.97 | 2026-04-14 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | HIGHMARK CHOICE COMPANY (BCBS) | BC HIGHMARK WHOLECARE MEDICAID | $36.00 | $1,118.00 | $301.86 | 2026-03-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Highmark Wholecare | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | UPMC Health Plan | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | UPMC Health Plan | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $36.00 | $1,118.00 | $301.86 | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Both | HIGHMARK CHOICE COMPANY (BCBS) | BC HIGHMARK WHOLECARE MEDICAID | $36.00 | $1,118.00 | $301.86 | 2026-03-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-27 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $36.00 | $1,337.00 | $976.01 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $36.00 | $1,337.00 | $1,042.86 | 2026-04-14 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Highmark Wholecare | Medicaid | $36.00 | $3,049.00 | $2,530.67 | 2026-02-26 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid MCO | $36.90 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid CHIP | $36.90 | — | — | 2026-03-18 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $37.18 | $1,058.00 | $524.77 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $37.18 | $1,058.00 | $524.77 | 2026-02-28 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $37.50 | $1,567.00 | $1,253.60 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Health_Partners_Medicaid | All_Other_Plans | $37.50 | $1,567.00 | $1,253.60 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $37.50 | $1,567.00 | $1,253.60 | 2026-01-01 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Health Partners | Managed Medicaid | $37.50 | $680.00 | $612.00 | 2024-12-31 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Geisinger_Medicaid | All_Plans | $37.50 | $1,567.00 | $1,253.60 | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | UPMC_Medicaid | All_Plans | $37.50 | $1,567.00 | $1,253.60 | 2026-01-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Humana | Commercial - Inpatient | $38.00 | $76.00 | $38.00 | 2025-10-24 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | PA Health_Wellness CHC | JNJ001_JNJ002_JNJ003 CHC | $39.00 | — | — | 2026-03-18 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC MEDICAID | $39.00 | $1,118.00 | $301.86 | 2026-03-27 | 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.