Q0508 — Implant Sewing Ring Centering Fixture Kit
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). IMPLANT SEWING RING CENTERING FIXTURE KIT (HCPCS Q0508) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q0508?code_type=HCPCS
MLA (9th ed.)
“IMPLANT SEWING RING CENTERING FIXTURE KIT (HCPCS Q0508) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q0508?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“IMPLANT SEWING RING CENTERING FIXTURE KIT (HCPCS Q0508) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q0508?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $351–$6,994 (25th–75th percentile) across 546 hospitals · 1,905 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q0508 — 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
$351
$1,442 typical
$6,994
The middle 50% of negotiated facility rates for this procedure, measured across 546 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,442 |
| Likely subtotal | $1,442 |
Facility charge (no separate professional fee)
$1,442
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 $351–$6,994.
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,850.00 | $1,572.50 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | National_Healthcare_Solutions | International_PPO | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Plotkin | International | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | GMMI | PPO | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Private_Healthcare_Systems | PPO_NR | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $2,884.75 | $1,442.38 | 2024-12-15 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $3,336.88 | $2,335.82 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Aetna | ASA_PPO | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,850.00 | $1,572.50 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Beech_Street_Corporation | PPO | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | United_HealthCare | International | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $2,884.75 | $1,442.38 | 2024-12-15 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $3,336.88 | $2,335.82 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Zelis | PPO | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Multiplan | PPO | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Aetna_Whole_Health | HMO_PPO | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | AvMed_ | HMO | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | UPMC | HMO_PPO | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,850.00 | $1,572.50 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | First_Health_Network | PPO | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Aetna | International_PPO | — | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | AETNA MEDICARE [211] | BJC HB MEDICARE GOLD ADVANTAGE BJH | $0.11 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | AETNA MEDICARE [211] | BJC HB MEDICARE ADVANTRA BJH | $0.12 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | AETNA MEDICARE [211] | BJC HB MEDICARE GOLD ADVANTAGE BJH | $0.19 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | AETNA MEDICARE [211] | BJC HB MEDICARE ADVANTRA BJH | $0.21 | $1.25 | $0.75 | 2025-12-15 | 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 | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.30 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.30 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHLINK [225] | BJC HB HEALTHLINK SOI BJH | $0.35 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CIGNA [202] | BJC HB CIGNA SPECIAL BJH | $0.37 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | NALC HEALTH BENEFIT PLAN [242] | BJC HB CIGNA HMO/PPO BJH | $0.37 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CIGNA [202] | BJC HB CIGNA LOCAL PLUS BJH | $0.37 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CIGNA [202] | BJC HB CIGNA HMO/PPO BJH | $0.37 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | APWU HEALTH PLAN [216] | BJC HB CIGNA HMO/PPO BJH | $0.37 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | PRIORITY HEALTH [648] | BJC HB CIGNA HMO/PPO BJH | $0.37 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB WASH U STUDENT HEALTH | $0.40 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | COX HEALTH SYSTEMS INSURANCE COMPANY [220] | BJC HB COX HEALTH ACA | $0.40 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTH ALLIANCE [224] | BJC HB HEALTH ALLIANCE BJH | $0.40 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CONSOCIATE [478] | BJC HB CONSOCIATE CARE D2E BJH | $0.41 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CONSOCIATE [478] | BJC HB CONSOCIATE CARE COE BJH | $0.41 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | SARAH BUSH LINCOLN [636] | BJC HB CONSOCIATE CARE COE BJH | $0.41 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | ALLIED BENEFITS [498] | BJC HB HOPE TRUST | $0.42 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HOPE TRUST [806] | BJC HB HOPE TRUST | $0.42 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.43 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | COX HEALTH SYSTEMS INSURANCE COMPANY [220] | BJC HB COX HEALTH NETWORK EPO | $0.43 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.43 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.43 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL InpatientFacility | Anthem | Pathway Program | $0.43 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.43 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Medicare Advantage | $0.44 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHSCOPE BENEFITS [258] | BJC HB HEALTHSCOPE ORSCHELN BJH SLC | $0.44 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Medicare Advantage | $0.44 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.45 | $248.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.45 | $248.00 | — | 2024-12-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HUMANA [203] | BJC HB HUMANA CHOICECARE BJH | $0.47 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | UNICARE [568] | BJC HB HEALTHLINK HMO BJH | $0.47 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | MED-PAY [480] | BJC HB HEALTHLINK HMO BJH | $0.47 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHSCOPE BENEFITS [258] | BJC HB HEALTHSCOPE EGYPTIAN TRUST MHS PHC BJH | $0.47 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHLINK [225] | BJC HB HEALTHLINK HMO BJH | $0.47 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | COX HEALTH SYSTEMS INSURANCE COMPANY [220] | BJC HB COX HEALTH NETWORK | $0.47 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Aetna | Medicare Advantage | $0.49 | $2.20 | $1.44 | 2025-01-01 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB ANTHEM CHOICE BJH | $0.50 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BCBS OOS [607] | BJC HB ANTHEM CHOICE BJH | $0.50 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.50 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.50 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.50 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD TRADITIONAL [500] | BJC HB ANTHEM CHOICE BJH | $0.50 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.50 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB ANTHEM ACCESS BJH | $0.51 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BCBS OOS [607] | BJC HB ANTHEM ACCESS BJH | $0.51 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD TRADITIONAL [500] | BJC HB ANTHEM ACCESS BJH | $0.51 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | FIRST HEALTH COMMERCIAL [734] | BJC HB FIRST HEALTH | $0.53 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | UNITED HEALTHCARE [201] | BJC HB FIRST HEALTH | $0.53 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | AETNA [200] | BJC HB AETNA NATIONAL | $0.53 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | ALLIED BENEFITS [498] | BJC HB FIRST HEALTH | $0.53 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | AETNA [200] | BJC HB FIRST HEALTH | $0.53 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | MULTIPLAN [240] | BJC HB MULTIPLAN | $0.54 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | MULTIPLAN COMMERCIAL [737] | BJC HB MULTIPLAN | $0.54 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHCARE SOL MERCY [609] | BJC HB ST JOHNS HEALTH SYSTEM | $0.54 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | MED-PAY [480] | BJC HB ST JOHNS HEALTH SYSTEM | $0.54 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | DETEGO HEALTH [868] | BJC HB PHCS BJH | $0.54 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | PREFERRED HEALTH PROFESSIONALS [561] | BJC HB HEALTHLINK PPO BJH | $0.54 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | UNICARE [568] | BJC HB HEALTHLINK PPO BJH | $0.54 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | PHCS [244] | BJC HB PHCS BJH | $0.54 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BEECHSTREET [551] | BJC HB MULTIPLAN | $0.54 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHLINK [225] | BJC HB HEALTHLINK PPO BJH | $0.54 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTH SYSTEMS INC [620] | BJC HB PHCS BJH | $0.54 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | AETNA [200] | BJC HB GROUP HEALTH PLAN PPO SELECT | $0.54 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $0.55 | $2.20 | $1.39 | 2025-01-01 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.55 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.55 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | PHCS [244] | BJC HB WELLFIRST FIRST HEALTH BJH | $0.58 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | MEDICA [661] | BJC HB WELLFIRST FIRST HEALTH BJH | $0.58 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CIGNA [202] | BJC HB CIGNA BEHAVIORAL HEALTH | $0.58 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $0.58 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $0.58 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | COVENTRY | All Products | $0.58 | $3.23 | $2.10 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | COVENTRY | All Products | $0.58 | $3.23 | $2.10 | 2025-01-01 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.59 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | Select | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Molina | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.59 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Kaiser Permanente | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Caresource | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Pruitthealth Premier | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Todays Options PFFS | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Wellcare | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Todays Options PPO | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Ambetter | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Coventry | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | Select | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Anthem BCBS | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | VACCN United | Veterans Affairs | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Eon Health Plan | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Care Improvement Plus | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Centene | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Cigna HealthSpring | Medicare Advantage | $0.59 | $2.20 | $1.43 | 2025-01-01 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.60 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.60 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.60 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.60 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.60 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.60 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | HealthChoice | HealthChoice | $0.60 | — | — | 2026-08-30 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHLINK [225] | BJC HB HEALTHLINK SOI BJH | $0.61 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $0.61 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB ANTHEM ALLIANCE EPO | $0.61 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB ANTHEM BLUE PREFERRED | $0.61 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD TRADITIONAL [500] | BJC HB ANTHEM BLUE PREFERRED | $0.61 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $0.61 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HFN [563] | BJC HB HFN BJH SLC | $0.61 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.62 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $0.62 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $0.62 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $0.62 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.62 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $1,500.00 | — | 2026-07-01 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $0.63 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BCBS OOS [607] | BJC HB ANTHEM TRADITIONAL | $0.63 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $0.63 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB ANTHEM TRADITIONAL | $0.63 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD TRADITIONAL [500] | BJC HB ANTHEM TRADITIONAL | $0.63 | $0.72 | $0.43 | 2025-12-15 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $0.64 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $0.64 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | APWU HEALTH PLAN [216] | BJC HB CIGNA HMO/PPO BJH | $0.65 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $0.65 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CIGNA [202] | BJC HB CIGNA SPECIAL BJH | $0.65 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | NALC HEALTH BENEFIT PLAN [242] | BJC HB CIGNA HMO/PPO BJH | $0.65 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | PRIORITY HEALTH [648] | BJC HB CIGNA HMO/PPO BJH | $0.65 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CIGNA [202] | BJC HB CIGNA LOCAL PLUS BJH | $0.65 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $0.65 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.65 | $2.20 | $1.30 | 2025-01-01 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CIGNA [202] | BJC HB CIGNA HMO/PPO BJH | $0.65 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Oscar | Medicare Advantage | $0.66 | $2.20 | $1.25 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Oscar | Medicare Advantage | $0.66 | $2.20 | $1.39 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Oscar | Medicare Advantage | $0.66 | $2.20 | $1.52 | 2025-01-01 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | AETNA MEDICARE [211] | BJC HB MEDICARE GOLD ADVANTAGE BJH | $0.66 | $4.38 | $2.63 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | COX HEALTH SYSTEMS INSURANCE COMPANY [220] | BJC HB COX HEALTH ACA | $0.69 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB WASH U STUDENT HEALTH | $0.69 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTH ALLIANCE [224] | BJC HB HEALTH ALLIANCE BJH | $0.69 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | HEALTH PARTNERS | HEALTH PARTNERS | $0.70 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CONSOCIATE [478] | BJC HB CONSOCIATE CARE COE BJH | $0.71 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | SARAH BUSH LINCOLN [636] | BJC HB CONSOCIATE CARE COE BJH | $0.71 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.71 | $396.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.71 | $396.00 | — | 2025-12-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CONSOCIATE [478] | BJC HB CONSOCIATE CARE D2E BJH | $0.71 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.71 | $396.80 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.71 | $396.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.71 | $396.80 | — | 2024-12-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | AETNA MEDICARE [211] | BJC HB MEDICARE ADVANTRA BJH | $0.73 | $4.38 | $2.63 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HOPE TRUST [806] | BJC HB HOPE TRUST | $0.73 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | ALLIED BENEFITS [498] | BJC HB HOPE TRUST | $0.73 | $1.25 | $0.75 | 2025-12-15 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MERITAIN | AETNA | $0.74 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | 1199 NATIONAL BENEFIT FUND | AETNA | $0.74 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | 1199 NATIONAL BENEFIT FUND | AETNA | $0.74 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL MUTUAL | AETNA | $0.74 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $0.74 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MERITAIN | AETNA | $0.74 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $0.74 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $0.74 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $0.74 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $0.74 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $0.74 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL MUTUAL | AETNA | $0.74 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | WEBTPA | AETNA | $0.74 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | COVENTRY | AETNA | $0.74 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $0.74 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | COVENTRY | AETNA | $0.74 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $0.74 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $0.74 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $0.74 | $2.13 | $1.38 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA | AETNA | $0.74 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $0.74 | $2.13 | $2.13 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $0.74 | $2.13 | $2.13 | 2026-03-31 | 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.