Q0483 — Dme Pos
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DME POS (HCPCS Q0483) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q0483?code_type=HCPCS
MLA (9th ed.)
“DME POS (HCPCS Q0483) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q0483?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DME POS (HCPCS Q0483) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q0483?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $22,224–$30,224 (25th–75th percentile) across 997 hospitals · 1,077 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q0483 — 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
$22,224
$23,335 typical
$30,224
The middle 50% of negotiated facility rates for this procedure, measured across 997 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $23,335 |
| Likely subtotal | $23,335 |
Facility charge (no separate professional fee)
$23,335
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $22,224–$30,224.
- 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 |
|---|---|---|---|---|---|---|---|
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $26.34 | — | — | 2026-07-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $114.95 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $149.44 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $160.93 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $175.94 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $177.09 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $177.09 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $191.97 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $195.41 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $197.25 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $197.25 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | $200.86 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $224.47 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $224.47 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $224.47 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $225.30 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Affinity Health Plan | EP 1&2 | $260.33 | — | — | 2026-02-19 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $317.02 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $317.02 | — | — | 2025-06-28 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $383.83 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $383.83 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $383.83 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $439.88 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $439.88 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $439.88 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $478.94 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $478.94 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $478.94 | — | — | 2026-03-18 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $592.68 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $592.68 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $592.68 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $592.68 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $592.68 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $592.68 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | — | — | 2025-07-30 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Verity Health Network � Lsu First Choice | All Plans | $827.42 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $958.54 | — | — | 2026-03-18 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare � Commercial Heritage | All Plans | $1,064.70 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $1,131.54 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity/Federal Employee Program | $1,131.54 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $1,131.54 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $1,131.54 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $1,131.54 | — | — | 2026-07-18 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare � Commercial Hmo Ppo | All Plans | $1,242.15 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $1,248.87 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $1,248.87 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $1,248.87 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $1,248.87 | — | — | 2026-09-21 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | First Health Network Ppo | All Plans | $1,249.76 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Aetna Health Inc. Ppo/Pos | All Plans | $1,249.76 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $1,267.50 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $1,267.50 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Usa Managed Care Network | All Plans | $1,267.50 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $1,267.50 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Blue High-Performance Network | All Plans | $1,267.50 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Fallon | Community Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Senior Whole Health | Medicare Managed Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Fallon | NaviCare | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Fallon | Fallon Health One Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Mass General Brigham Health Plan | QHP Subsidized | $1,287.22 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellsense | Masshealth Managed Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Commonwealth Care Alliance | One Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Tufts | ACO/MCO Masshealth | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Senior Whole Health | One Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Commonwealth Care Alliance | Senior Care Options | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Tufts | One Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Wellsense | Masshealth Managed Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Mass General Brigham Health Plan | QHP Subsidized | $1,287.22 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Mass General Brigham Health Plan | ACO Masshealth | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Medicare Managed Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Tufts | One Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Tufts | ACO/MCO Masshealth | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Cigna | All Commercial Plans | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Medicare Managed Care Plan | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Senior Whole Health | One Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Fallon | Fallon Health One Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Fallon | NaviCare | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Senior Whole Health | Medicare Managed Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Fallon | Summit ElderCare (PACE) | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Commonwealth Care Alliance | Senior Care Options | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Wellsense | Masshealth Behavioral Health | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Commonwealth Care Alliance | One Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Be Healthy ACO Masshealth | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Health New England | Be Healthy ACO Masshealth | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Fallon | Berkshire ACO/MCO | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Fallon | Community Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Fallon | Summit ElderCare (PACE) | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | BCBS | Medicare Managed Care Plan | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Health New England | Medicare Managed Care | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Mass General Brigham Health Plan | ACO Masshealth | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Fallon | Berkshire ACO/MCO | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellsense | Masshealth Behavioral Health | — | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $1,296.96 | $10,808.00 | $6,484.80 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $1,334.79 | $10,808.00 | $6,484.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | TriWest | Community Care Network | $1,405.04 | $10,808.00 | $6,484.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | HealthSpring | Medicare Advantage | $1,475.29 | $10,808.00 | $6,484.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | American Health Plan | Medicare Advantage | $1,475.29 | $10,808.00 | $6,484.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $1,475.29 | $10,808.00 | $6,484.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Superior Health Plan | Medicare HMO/Medicare PPO | $1,475.29 | $10,808.00 | $6,484.80 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | ProCare Advantage | Medicare Advantage | $1,475.29 | $10,808.00 | $6,484.80 | 2026-02-21 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Better Health | $1,601.60 | $8,008.00 | $2,322.32 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Better Health | $1,601.60 | $8,008.00 | $2,322.32 | 2025-10-01 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Superior Ambetter Exchange | Commercial | — | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Healthcare | Medicare Advantage HMO | — | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Humana | Medicare Advantage | — | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Blue Cross Blue Shield | PPO | — | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Superior | Managed Medicaid | $1,616.33 | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Wellpoint | Managed Medicaid | $1,616.33 | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Behavioral Health | Medicare Advantage | — | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Healthcare | Medicare Advantage PPO | — | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Blue Cross Blue Shield | HMO | — | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Parkland | Managed Medicaid | $1,616.33 | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Procare | Medicare Advantage | — | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Aetna Better Health | Managed Medicaid | $1,616.33 | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Cigna Behavioral Health | Commercial | — | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Healthcare | Managed Medicaid | $1,616.78 | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Mass General Brigham Health Plan | Commercial (HMO, PPO, QHP Unsubsidized) | $1,621.15 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Both | Mass General Brigham Health Plan | Commercial (HMO, PPO, QHP Unsubsidized) | $1,621.15 | $22,990.00 | $22,990.00 | 2026-06-05 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | Superior Health Plan | Medicaid | $1,621.20 | $10,808.00 | $6,484.80 | 2026-02-21 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | Superior Health Plan | Medicaid | $1,621.20 | $10,808.00 | $6,484.80 | 2026-02-21 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Inpatient | Cigna Healthcare | All Plans | $1,647.75 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,686.05 | $10,808.00 | $6,484.80 | 2026-02-21 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | Molina | Managed Medicaid | $1,745.56 | $11,188.80 | $5,594.40 | 2026-03-10 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Individual | $1,763.87 | $10,808.00 | $6,484.80 | 2026-02-21 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Multiplan/Phcs/American Lifecare | All Plans | $1,774.50 | $2,535.00 | $836.55 | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $1,783.77 | — | — | 2026-07-15 | MRF ↗ |
| MERCY HOSPITAL OF FOLSOM Inpatient | WCMG | Commercial|All Plans | $1,940.95 | $17,645.00 | $6,863.91 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL OF FOLSOM Inpatient | WCMG | Commercial|All Plans | $1,940.95 | $17,645.00 | $6,863.91 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $1,940.95 | $17,645.00 | $4,834.73 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $1,940.95 | $17,645.00 | $4,834.73 | 2026-02-28 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | WCMG | Commercial|All Plans | $1,940.95 | $17,645.00 | $4,834.73 | 2026-02-28 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | WCMG | Commercial|All Plans | $1,940.95 | $17,645.00 | $4,834.73 | 2026-02-28 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA OutpatientFacility | Superior Health Plan | Medicaid | $1,945.44 | $10,808.00 | $6,484.80 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | Superior Health Plan | Medicaid | $1,945.44 | $10,808.00 | $6,484.80 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS OutpatientFacility | Superior Health Plan | Medicaid | $1,945.44 | $10,808.00 | $6,484.80 | 2026-02-20 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Commercial | $2,099.89 | — | — | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Hmo | $2,125.90 | $6,074.00 | $3,037.00 | 2026-08-01 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Exchange Hmo | $2,125.90 | $6,074.00 | $3,037.00 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Hmo | $2,125.90 | $6,074.00 | $3,037.00 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Carefirst | Exchange Hmo | $2,125.90 | $6,074.00 | $3,037.00 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Exchange Hmo | $2,125.90 | $6,074.00 | $3,037.00 | 2026-08-01 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Carefirst | Hmo | $2,125.90 | $6,074.00 | $3,037.00 | 2026-07-15 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $2,156.20 | $10,808.00 | $6,484.80 | 2026-02-24 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Superior Health Plan | Medicaid | $2,161.60 | $10,808.00 | $6,484.80 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | Superior Health Plan | Medicaid | $2,161.60 | $10,808.00 | $6,484.80 | 2026-02-20 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Hmo | $2,204.73 | $6,681.00 | $3,340.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Hmo | $2,204.73 | $6,681.00 | $3,340.50 | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Carefirst | Hmo | $2,204.73 | $6,681.00 | $3,340.50 | 2026-07-15 | MRF ↗ |
| St Luke's Hospital Of Kansas City Both | AETNA [5000] | ZZZAETNA CARELINK EXCHANGE [50016] | $2,219.28 | $8,400.00 | $5,040.00 | 2025-12-31 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Ppo | $2,247.38 | $6,074.00 | $3,037.00 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Exchange Ppo | $2,247.38 | $6,074.00 | $3,037.00 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Ppo | $2,247.38 | $6,074.00 | $3,037.00 | 2026-08-01 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Carefirst | Exchange Ppo | $2,247.38 | $6,074.00 | $3,037.00 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Exchange Ppo | $2,247.38 | $6,074.00 | $3,037.00 | 2026-08-01 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Carefirst | Ppo | $2,247.38 | $6,074.00 | $3,037.00 | 2026-07-15 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | TriWest | Community Care Network | $2,269.68 | $10,808.00 | $6,484.80 | 2026-02-24 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | United Healthcare | Medicaid/CHIP | $2,312.91 | $10,808.00 | $6,484.80 | 2026-06-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Plus - Small Group | $2,318.32 | $10,808.00 | $6,484.80 | 2026-02-21 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Both | Carefirst | Ppo | $2,338.35 | $6,681.00 | $3,340.50 | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Both | Carefirst | Ppo | $2,338.35 | $6,681.00 | $3,340.50 | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Both | Carefirst | Ppo | $2,338.35 | $6,681.00 | $3,340.50 | 2026-07-15 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $2,352.00 | $33,600.00 | $33,600.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Superior Health Plan | STARHealth | $2,352.00 | $33,600.00 | $33,600.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $2,352.00 | $33,600.00 | $33,600.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $2,352.00 | $33,600.00 | $33,600.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARKids | $2,352.00 | $33,600.00 | $33,600.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $2,352.00 | $33,600.00 | $33,600.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARHealth | $2,352.00 | $33,600.00 | $33,600.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | STARHealth | $2,352.00 | $33,600.00 | $33,600.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $2,352.00 | $33,600.00 | $33,600.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | STARKids | $2,352.00 | $33,600.00 | $33,600.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Superior Health Plan | CHIP | $2,352.00 | $33,600.00 | $33,600.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Superior Health Plan | STARKids | $2,352.00 | $33,600.00 | $33,600.00 | 2026-03-01 | 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.