Q2058 — Obecbtge Autol Up To 400 Mil
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Obecbtge autol up to 400 mil (HCPCS Q2058) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q2058?code_type=HCPCS
MLA (9th ed.)
“Obecbtge autol up to 400 mil (HCPCS Q2058) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q2058?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Obecbtge autol up to 400 mil (HCPCS Q2058) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q2058?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $278,250–$737,362 (25th–75th percentile) across 715 hospitals · 1,196 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q2058 — 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
$278,250
$320,421 typical
$737,362
The middle 50% of negotiated facility rates for this procedure, measured across 715 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $320,421 |
| Likely subtotal | $320,421 |
Facility charge (no separate professional fee)
$320,421
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 $278,250–$737,362.
- 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 |
|---|---|---|---|---|---|---|---|
| DUKE UNIVERSITY HOSPITAL Both | Medcost | Ultra | $0.03 | $0.07 | $0.02 | 2026-07-18 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Cigna | Connect | $0.03 | $0.07 | $0.02 | 2026-07-18 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Cigna | Connect | $0.03 | $0.07 | $0.02 | 2026-07-18 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Aetna | Whole Health | $0.03 | $0.07 | $0.02 | 2026-07-18 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Medcost | — | $0.03 | $0.07 | $0.02 | 2026-07-18 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Bcbs | Commercial/Hmo/Ppo/Select | $0.04 | $0.07 | $0.02 | 2026-07-18 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $0.04 | $1,921,500.00 | $328,576.50 | 2026-09-25 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Aetna | Commercial/Hmo/Ppo/Pos | $0.04 | $0.07 | $0.02 | 2026-07-18 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Sentara | Optima | $0.04 | $0.07 | $0.02 | 2026-07-18 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $0.04 | $572,250.00 | $97,854.75 | 2026-09-25 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Gateway Health | — | $0.04 | $0.07 | $0.02 | 2026-07-18 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $0.05 | $1,921,500.00 | $328,576.50 | 2026-09-25 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Medicare Advantage | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $0.05 | $572,250.00 | $97,854.75 | 2026-09-25 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $0.05 | $572,250.00 | $97,854.75 | 2026-09-25 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $0.05 | $1,921,500.00 | $328,576.50 | 2026-09-25 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Both | Cigna | Commercial/Hmo/Ppo | $0.05 | $0.07 | $0.02 | 2026-07-18 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Medicare Direct | Medicare Advantage | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $0.06 | $1,921,500.00 | $328,576.50 | 2026-09-25 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $0.06 | $572,250.00 | $97,854.75 | 2026-09-25 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $0.06 | $1,921,500.00 | $328,576.50 | 2026-09-25 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Blue Cross Blue Shield of Arizona | Commercial | $0.06 | $572,250.00 | $97,854.75 | 2026-09-25 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Preferred | $0.06 | $572,250.00 | $97,854.75 | 2026-09-25 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Humana | Choicecare | $0.06 | $0.07 | $0.02 | 2026-07-18 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Blue Cross Blue Shield of Arizona | Commercial | $0.06 | $1,921,500.00 | $328,576.50 | 2026-09-25 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | Ambetter | — | $0.07 | $0.07 | $0.02 | 2026-07-18 | MRF ↗ |
| UNC HOSPITALS Outpatient | Contigo | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ultra | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ppo | $0.14 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Value | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Health Network | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alliance | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Vaya Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Carolina Complete Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Choice | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Exchange | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Nalc Health Benefit Plan | Hmo/Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Tricare | Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Partners | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Trillium | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Preferred Plus Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | COX HEALTH SYSTEMS INSURANCE COMPANY [220] | BJC HB COX HEALTH NETWORK EPO | $0.55 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB WASH U STUDENT HEALTH | $0.55 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CIGNA [202] | BJC HB CIGNA LOCAL PLUS BJH | $0.56 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | SARAH BUSH LINCOLN [636] | BJC HB CONSOCIATE CARE COE BJH | $0.57 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CONSOCIATE [478] | BJC HB CONSOCIATE CARE COE BJH | $0.57 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CONSOCIATE [478] | BJC HB CONSOCIATE CARE D2E BJH | $0.57 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | ALLIED BENEFITS [498] | BJC HB HOPE TRUST | $0.58 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HOPE TRUST [806] | BJC HB HOPE TRUST | $0.58 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $1,015,000.00 | — | 2026-07-01 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHSCOPE BENEFITS [258] | BJC HB HEALTHSCOPE EGYPTIAN TRUST MHS PHC BJH | $0.65 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HUMANA [203] | BJC HB HUMANA CHOICECARE BJH | $0.66 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB ANTHEM CHOICE BJH | $0.70 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD TRADITIONAL [500] | BJC HB ANTHEM CHOICE BJH | $0.70 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BCBS OOS [607] | BJC HB ANTHEM CHOICE BJH | $0.70 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BCBS OOS [607] | BJC HB ANTHEM ACCESS BJH | $0.71 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD TRADITIONAL [500] | BJC HB ANTHEM ACCESS BJH | $0.71 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB ANTHEM ACCESS BJH | $0.71 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHCARE SOL MERCY [609] | BJC HB ST JOHNS HEALTH SYSTEM | $0.75 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | MED-PAY [480] | BJC HB ST JOHNS HEALTH SYSTEM | $0.75 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | PHCS [244] | BJC HB WELLFIRST FIRST HEALTH BJH | $0.80 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | MEDICA [661] | BJC HB WELLFIRST FIRST HEALTH BJH | $0.80 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD TRADITIONAL [500] | BJC HB ANTHEM TRADITIONAL | $0.87 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BCBS OOS [607] | BJC HB ANTHEM TRADITIONAL | $0.87 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB ANTHEM TRADITIONAL | $0.87 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | 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 TRUST PPO | $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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Uhc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $3,150,000.00 | $2,047,500.00 | 2026-03-30 | MRF ↗ |
| NICKLAUS CHILDREN'S HOSPITAL OutpatientFacility | Cigna | Surfit/Local Plus | $2,408.00 | — | — | 2026-04-01 | MRF ↗ |
| NICKLAUS CHILDREN'S HOSPITAL OutpatientFacility | Cigna | Hmo/Ppo | $2,675.00 | — | — | 2026-04-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $5,254.90 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | $5,254.90 | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Select Health | Medicaid | $5,254.90 | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Humana | Medicaid | $5,254.90 | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Molina | Medicaid | $5,254.90 | — | — | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $5,254.90 | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $5,254.90 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $5,254.90 | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | $5,254.90 | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Absolute Total Care | Medicaid | $5,517.65 | — | — | 2026-03-10 | 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.