V5281 — Ald Fm/dm System, Monaural
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALD FM/DM SYSTEM, MONAURAL (HCPCS V5281) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/V5281?code_type=HCPCS
MLA (9th ed.)
“ALD FM/DM SYSTEM, MONAURAL (HCPCS V5281) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/V5281?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ALD FM/DM SYSTEM, MONAURAL (HCPCS V5281) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/V5281?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $854–$1,765 (25th–75th percentile) across 183 hospitals · 303 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS V5281 — 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
$854
$1,455 typical
$1,765
The middle 50% of negotiated facility rates for this procedure, measured across 183 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,455 |
| Likely subtotal | $1,455 |
Facility charge (no separate professional fee)
$1,455
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 $854–$1,765.
- 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 |
|---|---|---|---|---|---|---|---|
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Bc State | $0.50 | — | — | 2026-10-03 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $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 | BLUE CROSS STATE | $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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | HMO | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $2.89 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Tufts | HMO | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Health New England | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Harvard Pilgrim Health Care | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Tufts | PPO | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | PPA | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Harvard Pilgrim Health Care | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Tufts | POS | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | PPA | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $2.89 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | HMO | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | Indemnity | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | MedicareAdvantage | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $2.89 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Health New England | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Tufts | POS | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | BCBS-MA | Indemnity | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Tufts | PPO | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Tufts | HMO | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | MedicareAdvantage | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $2.89 | — | — | 2025-04-16 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $8.31 | $2,245.00 | $2,132.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $8.31 | $2,245.00 | $2,132.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $8.31 | $2,245.00 | $2,132.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $8.53 | $2,245.00 | $2,132.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $8.76 | $2,245.00 | $2,132.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $8.98 | $2,245.00 | $2,132.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $11.00 | $2,245.00 | $2,132.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $11.00 | $2,245.00 | $2,132.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $11.22 | $2,245.00 | $2,132.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $11.67 | $2,245.00 | $2,132.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $12.12 | $2,245.00 | $2,132.75 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Commercial (Granger) | $28.95 | — | — | 2026-09-21 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | — | — | — | 2026-05-14 | 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 ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Community Blue | — | — | — | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Social Mission | — | — | — | 2026-07-15 | 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 ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Molina | Medicare Hmo | $35.46 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Simply Healthcare | Medicare Hmo | $35.46 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Simply Healthcare | Medicare Hmo | $35.46 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Molina | Medicare Hmo | $35.46 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Fidelis | Medicaid | — | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | — | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Fidelis Exchange | Commercial | — | — | — | 2026-10-12 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Optimum | Medicare Hmo | $39.40 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Freedom | Medicare Hmo | $39.40 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Optimum | Medicare Hmo | $39.40 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Freedom | Medicare Hmo | $39.40 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | $42.46 | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL OutpatientFacility | Anthem | HMO/POS/PPO Pathway Enhanced | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | $42.46 | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL OutpatientFacility | Anthem | HMO/POS/PPO Pathway Enhanced | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $43.34 | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $43.34 | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $43.34 | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $43.34 | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $43.34 | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $43.34 | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Careplus | Medicare Hmo | $45.01 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Careplus | Medicare Hmo | $45.01 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL OutpatientFacility | Wellcare | Medicare Advantage | $45.07 | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL OutpatientFacility | Wellcare | Medicare Advantage | $45.07 | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $46.82 | — | — | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | CommercialExchange | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Humana | ChoiceCare | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Triwest | All Plans | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | UHC | VA CCN | $51.08 | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Health Partners | All Plans | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Aetna | PPO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | HMO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Wellcare | by Allwell Medicare Advantage (Sunflower) | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | WPPA | All Plans | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | PPO | — | — | — | 2026-07-29 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $53.13 | — | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $53.13 | — | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $53.13 | — | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $53.13 | — | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $53.13 | — | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $53.13 | — | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $53.13 | — | — | 2025-12-31 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | VA | Other | $53.32 | — | — | 2026-07-13 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | Tricare Military | $53.65 | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | $53.65 | — | — | 2026-03-17 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso Health Plans | Medicaid | $54.00 | $300.00 | $60.00 | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso Health Plans | Medicaid | $54.00 | $300.00 | $60.00 | 2026-07-15 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Optum | Vaccnoptum | $54.10 | — | — | 2026-07-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $54.25 | — | — | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $54.25 | — | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $54.25 | — | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $54.25 | — | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $54.25 | — | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $54.25 | — | — | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $54.25 | — | — | 2025-12-31 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $54.82 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Veterans Administration | Veterans Administration | $54.82 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $54.82 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Veterans Administration | Veterans Administration | $54.82 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Veterans Administration | Veterans Administration | $54.82 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $54.82 | — | — | 2026-01-02 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Blue Cross | Commercial Hmo My Blue | $57.76 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Blue Cross | Commercial Hmo My Blue | $57.76 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-07-18 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Ultimate Health Plan | Medicare Hmo | $59.10 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Ultimate Health Plan | Medicare Hmo | $59.10 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Avmed | Commercial Other | $61.07 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Avmed | Commercial Other | $61.07 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Blue Cross | Commercial Hmo Simply Blue | $75.75 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Blue Cross | Commercial Hmo Simply Blue | $75.75 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Blue Cross | Commercial Ppo Blue Select | $78.13 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Blue Cross | Commercial Ppo Blue Select | $78.13 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso First Health Plan | Commercial | $84.00 | $300.00 | $60.00 | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso First Health Plan | Commercial | $84.00 | $300.00 | $60.00 | 2026-07-15 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Harvard Pilgrim Healthcare | Maine's Choice | $88.59 | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Wellcare | Medicare Advantage | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Aetna | MHACO Commercial | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Anthem | Medicare Advantage | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Aetna | MHACO Government | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Harvard Pilgrim Healthcare | Maine's Choice | $88.59 | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Aetna | MHACO Commercial | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Anthem | Medicare Advantage | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Wellcare | Medicare Advantage | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MAINEHEALTH WALDO HOSPITAL InpatientFacility | Aetna | MHACO Government | — | $105.70 | $105.70 | 2025-09-09 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Aetna | Commercial Other | $91.21 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Aetna | Commercial Other | $91.21 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Blue Cross | Commercial Hmo Health Options | $92.26 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Blue Cross | Commercial Hmo Health Options | $92.26 | $197.00 | $118.20 | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Highmark | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Highmark | Chip | — | — | — | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Highmark | Commercial | — | — | — | 2026-07-15 | 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.