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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Hospitals

Payers

Negotiated range

$1,338.93 – $52,917

Negotiated median

$1,941.45

CPT 27486 Knee revision arthroplasty single component · Showing 200 of 569 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
COLLETON MEDICAL CENTER	SC	Blue Cross Blue Shield	BlueChoice	outpatient	negotiated	$52,917
COLLETON MEDICAL CENTER	SC	Blue Cross Blue Shield	PreferredBlue	outpatient	negotiated	$52,917
COLLETON MEDICAL CENTER	SC	UnitedHealthcare	AllPayerAppendix	outpatient	negotiated	$30,052
COLLETON MEDICAL CENTER	SC	UnitedHealthcare	NarrowNetworkIndivExchange	outpatient	negotiated	$30,052
HILTON HEAD HOSPITAL	SC	select health	Marketplace	outpatient	negotiated	$26,748
HILTON HEAD HOSPITAL	SC	UnitedHealthcare	Options PPO	outpatient	negotiated	$25,092
COASTAL CAROLINA MEDICAL CENTER	SC	UnitedHealthcare	Options PPO	outpatient	negotiated	$24,820
COLLETON MEDICAL CENTER	SC	select health	HIX	outpatient	negotiated	$23,906
EAST COOPER REGIONAL MEDICAL CENTER	SC	Blue Cross Blue Shield	State Health Plan	outpatient	negotiated	$23,346
COASTAL CAROLINA MEDICAL CENTER	SC	Blue Cross Blue Shield	State Health Plan	outpatient	negotiated	$23,346
HILTON HEAD HOSPITAL	SC	Blue Cross Blue Shield	State Health Plan	outpatient	negotiated	$23,346
EAST COOPER REGIONAL MEDICAL CENTER	SC	select health	Marketplace	outpatient	negotiated	$22,807
COASTAL CAROLINA MEDICAL CENTER	SC	select health	Marketplace	outpatient	negotiated	$22,807
EAST COOPER REGIONAL MEDICAL CENTER	SC	UnitedHealthcare	Options PPO	outpatient	negotiated	$21,890
HILTON HEAD HOSPITAL	SC	Molina	Marketplace	outpatient	negotiated	$20,897
COLLETON MEDICAL CENTER	SC	sc state employees	COMM	outpatient	negotiated	$20,462
HILTON HEAD HOSPITAL	SC	UnitedHealthcare	All Other Plans	outpatient	negotiated	$19,915
COASTAL CAROLINA MEDICAL CENTER	SC	UnitedHealthcare	All Other Plans	outpatient	negotiated	$19,814
COASTAL CAROLINA MEDICAL CENTER	SC	Molina	Marketplace	outpatient	negotiated	$19,703
COASTAL CAROLINA MEDICAL CENTER	SC	absolute total care	Marketplace	outpatient	negotiated	$19,703
HILTON HEAD HOSPITAL	SC	absolute total care	Marketplace	outpatient	negotiated	$19,703
EAST COOPER REGIONAL MEDICAL CENTER	SC	absolute total care	Marketplace	outpatient	negotiated	$19,703
EAST COOPER REGIONAL MEDICAL CENTER	SC	Molina	Marketplace	outpatient	negotiated	$17,314
EAST COOPER REGIONAL MEDICAL CENTER	SC	UnitedHealthcare	All Other Plans	outpatient	negotiated	$17,209
COLLETON MEDICAL CENTER	SC	Humana	MCR	outpatient	negotiated	$14,000
ROPER ST. FRANCIS HOSPITAL-BERKELEY	SC	Aetna	AETNA MEDICARE ADVANTAGE HMO [103003]	outpatient	negotiated	$12,550
ROPER HOSPITAL INC.	SC	Aetna	AETNA MEDICARE-ADVANTAGE PPO [103002]	outpatient	negotiated	$12,550
ROPER ST. FRANCIS HOSPITAL-BERKELEY	SC	Aetna	AETNA MEDICARE-ADVANTAGE PPO [103002]	outpatient	negotiated	$12,550
ROPER HOSPITAL INC.	SC	Aetna	AETNA MEDICARE ADVANTAGE HMO [103003]	outpatient	negotiated	$12,550
HILTON HEAD HOSPITAL	SC	select health	Medicare Advantage	outpatient	negotiated	$12,538
HILTON HEAD HOSPITAL	SC	select health	MMP	outpatient	negotiated	$12,538
EAST COOPER REGIONAL MEDICAL CENTER	SC	select health	Medicare Advantage	outpatient	negotiated	$12,538
EAST COOPER REGIONAL MEDICAL CENTER	SC	select health	MMP	outpatient	negotiated	$12,538
COASTAL CAROLINA MEDICAL CENTER	SC	select health	Medicare Advantage	outpatient	negotiated	$12,538
COASTAL CAROLINA MEDICAL CENTER	SC	select health	MMP	outpatient	negotiated	$12,538
EAST COOPER REGIONAL MEDICAL CENTER	SC	clover insurance company	PPO MA	outpatient	negotiated	$12,419
COASTAL CAROLINA MEDICAL CENTER	SC	clover insurance company	PPO MA	outpatient	negotiated	$12,419
COASTAL CAROLINA MEDICAL CENTER	SC	clover insurance company	HMO MA	outpatient	negotiated	$12,419
HILTON HEAD HOSPITAL	SC	clover insurance company	HMO MA	outpatient	negotiated	$12,419
HILTON HEAD HOSPITAL	SC	clover insurance company	PPO MA	outpatient	negotiated	$12,419
EAST COOPER REGIONAL MEDICAL CENTER	SC	clover insurance company	HMO MA	outpatient	negotiated	$12,419
HILTON HEAD HOSPITAL	SC	Cigna	HealthSpring	outpatient	negotiated	$12,299
EAST COOPER REGIONAL MEDICAL CENTER	SC	Cigna	HealthSpring	outpatient	negotiated	$12,299
COASTAL CAROLINA MEDICAL CENTER	SC	Cigna	HealthSpring	outpatient	negotiated	$12,299
COASTAL CAROLINA MEDICAL CENTER	SC	Molina	Medicare Advantage	outpatient	negotiated	$12,180
COASTAL CAROLINA MEDICAL CENTER	SC	Molina	MMP	outpatient	negotiated	$12,180
HILTON HEAD HOSPITAL	SC	Molina	Medicare Advantage	outpatient	negotiated	$12,180
HILTON HEAD HOSPITAL	SC	Molina	MMP	outpatient	negotiated	$12,180
EAST COOPER REGIONAL MEDICAL CENTER	SC	Molina	MMP	outpatient	negotiated	$12,180
EAST COOPER REGIONAL MEDICAL CENTER	SC	Molina	Medicare Advantage	outpatient	negotiated	$12,180
EAST COOPER REGIONAL MEDICAL CENTER	SC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$12,060
HILTON HEAD HOSPITAL	SC	Humana	Medicare Advantage	outpatient	negotiated	$11,941
COASTAL CAROLINA MEDICAL CENTER	SC	Aetna	Medicare Advantage	outpatient	negotiated	$11,941
HILTON HEAD HOSPITAL	SC	devoted health plan	PPO MA	outpatient	negotiated	$11,941
HILTON HEAD HOSPITAL	SC	Aetna	Medicare Advantage	outpatient	negotiated	$11,941
HILTON HEAD HOSPITAL	SC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$11,941
HILTON HEAD HOSPITAL	SC	devoted health plan	HMO MA	outpatient	negotiated	$11,941
COASTAL CAROLINA MEDICAL CENTER	SC	devoted health	HMO MA	outpatient	negotiated	$11,941
COASTAL CAROLINA MEDICAL CENTER	SC	devoted health	PPO MA	outpatient	negotiated	$11,941
COASTAL CAROLINA MEDICAL CENTER	SC	Humana	Medicare Advantage	outpatient	negotiated	$11,941
COASTAL CAROLINA MEDICAL CENTER	SC	absolute total care	MMP	outpatient	negotiated	$11,941
HILTON HEAD HOSPITAL	SC	absolute total care	MMP	outpatient	negotiated	$11,941
HILTON HEAD HOSPITAL	SC	absolute total care	Medicare Advantage	outpatient	negotiated	$11,941
EAST COOPER REGIONAL MEDICAL CENTER	SC	Humana	Medicare Advantage	outpatient	negotiated	$11,941
EAST COOPER REGIONAL MEDICAL CENTER	SC	devoted health	PPO MA	outpatient	negotiated	$11,941
EAST COOPER REGIONAL MEDICAL CENTER	SC	devoted health	HMO MA	outpatient	negotiated	$11,941
EAST COOPER REGIONAL MEDICAL CENTER	SC	Aetna	Medicare Advantage	outpatient	negotiated	$11,941
EAST COOPER REGIONAL MEDICAL CENTER	SC	absolute total care	MMP	outpatient	negotiated	$11,941
EAST COOPER REGIONAL MEDICAL CENTER	SC	absolute total care	Medicare Advantage	outpatient	negotiated	$11,941
COASTAL CAROLINA MEDICAL CENTER	SC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$11,941
COASTAL CAROLINA MEDICAL CENTER	SC	absolute total care	Medicare Advantage	outpatient	negotiated	$11,941
COLLETON MEDICAL CENTER	SC	clover	MCR	outpatient	negotiated	$10,600
EAST COOPER REGIONAL MEDICAL CENTER	SC	UnitedHealthcare	Exchange Plan	outpatient	negotiated	$9,830
COASTAL CAROLINA MEDICAL CENTER	SC	UnitedHealthcare	Exchange Plan	outpatient	negotiated	$9,761
HILTON HEAD HOSPITAL	SC	UnitedHealthcare	Exchange	outpatient	negotiated	$9,603
EAST COOPER REGIONAL MEDICAL CENTER	SC	Cigna	PPO	outpatient	negotiated	$7,646
EAST COOPER REGIONAL MEDICAL CENTER	SC	Cigna	HMOOPA	outpatient	negotiated	$6,953
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	ERIE INSURANCE NF [1140113]	outpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	STATE FARM INSURANCE [11400101]	outpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	ALLSTATE INS [11400104]	outpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	TRAVELERS INS [11400106]	inpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	federal workers compensation [500100]	DIVISION OF FEDERAL EMPLOYEES COMPENSATION (FECA) [50010001]	outpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	NO FAULT - NO INFORMATION [11400115]	outpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	NO FAULT - OTHER [11400112]	outpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	ONE BEACON INS [11400110]	inpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	NATIONWIDE INS [11400107]	inpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	PROGRESSIVE INS [11400105]	inpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	MET LIFE AUTO [11400111]	inpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	federal workers compensation [500100]	DIVISION OF COAL MINE WORKERS COMPENSATION [50010002]	inpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	LIBERTY MUTUAL INS [11400108]	inpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	HARTFORD INS [11400109]	inpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	GEICO INS [11400103]	outpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	no fault [114001]	NEW YORK CENTRAL MUTUAL [11400102]	inpatient	negotiated	$3,106.81
MARY BLACK MEMORIAL HOSPITAL	SC	federal workers compensation [500100]	DIVISION OF ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION [50010003]	inpatient	negotiated	$3,106.81
COLLETON MEDICAL CENTER	SC	pruitt health	MCR	outpatient	negotiated	$2,550
COLLETON MEDICAL CENTER	SC	nhc advantage	MGMCR	outpatient	negotiated	$2,550
COLLETON MEDICAL CENTER	SC	apex health	MCR	outpatient	negotiated	$2,550
MARY BLACK MEMORIAL HOSPITAL	SC	upmc health plan [100181]	UPMC HEALTH PLAN [10018101]	inpatient	negotiated	$2,410.07
MARY BLACK MEMORIAL HOSPITAL	SC	Cigna	CIGNA GREAT WEST [10000902]	inpatient	negotiated	$1,941.45
MARY BLACK MEMORIAL HOSPITAL	SC	Cigna	CIGNA [10000901]	outpatient	negotiated	$1,941.45
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	EMPIRE B/C -YLS [10015107]	outpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	AQUA [10017301]	outpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	BCBS OF MICH [10015110]	inpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	BLUE CROSS/BLUE SHIELD [10015101]	inpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	COMMUNITY BLUE POS [10017310]	outpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	EMPIRE B/C PPO-YLS [10015108]	outpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	FEDERAL BC UNDER 65 [10015112]	inpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	HEALTHY NEW YORK BC [10015103]	inpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	HMO ALIGN SELECT [10017311]	outpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA HMO/POS/BC [10017303]	outpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA PPO B/C [10015105]	outpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA TRADITIONAL B/C [10015104]	outpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	POS ALIGN SELECT [10017312]	outpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PPO B/C [10015111]	inpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PREFERRED CHOICE POS [10017313]	inpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PREFERRED CHOICE PPO [10015115]	inpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PREFERRED CHOICE TIERED [10017314]	outpatient	negotiated	$1,839.22
MARY BLACK MEMORIAL HOSPITAL	SC	iha first choice [800001]	IHA NON -CH FIRST CHOICE [80000102]	outpatient	negotiated	$1,754.54
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	IHA ENCOMPASS [10016503]	inpatient	negotiated	$1,754.54
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	IHA PASSPORT [10016507]	outpatient	negotiated	$1,754.54
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	NOVA [10016506]	inpatient	negotiated	$1,754.54
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	SELF FUNDED IHA [10016504]	outpatient	negotiated	$1,754.54
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	IHA ARTICLE 43 [10016502]	inpatient	negotiated	$1,754.54
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	COMMERCIAL IHA 44 [10016501]	inpatient	negotiated	$1,754.54
MARY BLACK MEMORIAL HOSPITAL	SC	iha first choice [800001]	IHA CH FIRST CHOICE [80000101]	outpatient	negotiated	$1,754.54
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	CHOICE PLUS [10016505]	outpatient	negotiated	$1,754.54
MARY BLACK MEMORIAL HOSPITAL	SC	mvp healthcare [100168]	MVP [10016801]	outpatient	negotiated	$1,731.49
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	LIFETIME BENEFIT SOLUTIONS [10016902]	inpatient	negotiated	$1,697.47
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	PPO UNIVERA [10016903]	outpatient	negotiated	$1,697.47
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	TRADITIONAL [10016904]	outpatient	negotiated	$1,697.47
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	UNIVERA ARTICLE 44 [10016907]	outpatient	negotiated	$1,697.47
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	UNIVERA ARTICLE 43 [10016906]	inpatient	negotiated	$1,697.47
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	HMO FOR INDIVIDUALS [10016901]	outpatient	negotiated	$1,697.47
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	ASO [10016905]	outpatient	negotiated	$1,697.47
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis exchange [100164]	FIDELIS EXCHANGE [10016401]	outpatient	negotiated	$1,606.72
MARY BLACK MEMORIAL HOSPITAL	SC	beacon health options [100023]	BEACON HEALTH OPTIONS [10002302]	outpatient	negotiated	$1,606.72
MARY BLACK MEMORIAL HOSPITAL	SC	beacon essential [350122]	BEACON ESSENTIAL PLAN 1 AND 2 [35012201]	outpatient	negotiated	$1,606.72
MARY BLACK MEMORIAL HOSPITAL	SC	beacon essential [350122]	BEACON ESSENTIAL PLAN 200-250 [35012203]	outpatient	negotiated	$1,606.72
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	EMPIRE PLAN OF UNITED HEALTHCARE [10015401]	outpatient	negotiated	$1,539.77
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	AFFINITY MOLINA ESSENTIAL PLAN 3 AND 4 [10016704]	outpatient	negotiated	$1,537.55
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	AFFINITY BY MOLINA ESSENTIAL 200-250 [10016705]	inpatient	negotiated	$1,537.55
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	MOLINA ESSENTIAL PLAN 3 AND 4 [10016702]	outpatient	negotiated	$1,537.55
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	MOLINA ESSENTIAL PLAN 200-250 [10016706]	inpatient	negotiated	$1,537.55
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	MOLINA ESSENTIAL PLAN 1 AND 2 [10016701]	inpatient	negotiated	$1,537.55
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	AFFINITY MOLINA ESSENTIAL PLAN 1 AND 2 [10016703]	inpatient	negotiated	$1,537.55
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UNITED HEALTHCARE ALT [10018401]	outpatient	negotiated	$1,531.59
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UHC OTHER COMMERCIAL [10015403]	outpatient	negotiated	$1,531.59
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UNITED HEALTHCARE [10015402]	outpatient	negotiated	$1,531.59
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UNITED HEALTHCARE UMR [10018501]	inpatient	negotiated	$1,531.59
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	SENIOR CHOICE [45012401]	inpatient	negotiated	$1,493.78
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PPO UNIVERA [45012402]	inpatient	negotiated	$1,493.78
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	UNIVERA MEDICARE DUAL [45012403]	inpatient	negotiated	$1,493.78
MARY BLACK MEMORIAL HOSPITAL	SC	ghi [100153]	GHI [10015301]	outpatient	negotiated	$1,472.83
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis essential [100163]	FIDELIS ESSENTIAL PLAN 1 AND 2 [10016301]	inpatient	negotiated	$1,472.83
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis essential [100163]	FIDELIS ESSENTIAL PLAN 200-250 [10016303]	outpatient	negotiated	$1,472.83
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis essential [100163]	FIDELIS ESSENTIAL PLAN 3 AND 4 [10016302]	inpatient	negotiated	$1,472.83
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE HMO [45012901]	outpatient	negotiated	$1,472.82
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	BEACON HEALTH MEDICARE [45012701]	inpatient	negotiated	$1,472.82
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE LIBERTY [45012902]	outpatient	negotiated	$1,472.82
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	SENIOR BLUE BLUESAVER [45011603]	inpatient	negotiated	$1,446.11
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	FEDERAL BC OVER 65 [45011602]	outpatient	negotiated	$1,446.11
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	SENIOR BLUE SELECT [45011604]	outpatient	negotiated	$1,446.11
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	MEDICARE PPO B/C [45011601]	outpatient	negotiated	$1,446.11
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	SENIOR BLUE [45011606]	inpatient	negotiated	$1,446.11
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA MEDICARE B/C [45011605]	outpatient	negotiated	$1,446.11
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MVP GOLD MEDICARE [45012301]	outpatient	negotiated	$1,427.47
MARY BLACK MEMORIAL HOSPITAL	SC	Aetna	AETNA MEDICARE HMO [45011201]	inpatient	negotiated	$1,405.88
MARY BLACK MEMORIAL HOSPITAL	SC	Humana	HUMANA MEDICARE PFFS [45013002]	outpatient	negotiated	$1,405.88
MARY BLACK MEMORIAL HOSPITAL	SC	Humana	HUMANA MEDICARE PPO [45013003]	outpatient	negotiated	$1,405.88
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis dual advantage [450120]	FIDELIS DUAL ADVANTAGE [45012001]	inpatient	negotiated	$1,405.88
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis dual advantage [450120]	FIDELIS DUAL ADV FLEX [45012002]	outpatient	negotiated	$1,405.88
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE FIDELIS DUAL PLUS [45045101]	inpatient	negotiated	$1,405.88
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE FIDELIS DUAL DSNP [45045103]	outpatient	negotiated	$1,405.88
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE FIDELIS DUAL ACCESS [45045102]	outpatient	negotiated	$1,405.88
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	FIDELIS MEDICARE ADVANTAGE [45012101]	inpatient	negotiated	$1,405.88
MARY BLACK MEMORIAL HOSPITAL	SC	Humana	HUMANA MEDICARE HMO/POS [45013001]	outpatient	negotiated	$1,405.88
MARY BLACK MEMORIAL HOSPITAL	SC	hospice [550001]	NIAGARA [55000102]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	KALOS MEDICARE ADVANTAGE [45012601]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	fallon health [450115]	FALLON HEALTH [45011501]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	CATHOLIC HEALTH LIFE PACE MEDICAID [30000501]	inpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	hospice [550001]	ERIE [55000101]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	EXCELLUS ROCHESTER MEDICARE [45012801]	inpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE COVID VAC ALT [4000010102]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE HMO OTHER [45011701]	inpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PART A [40000102]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PART A AND B [40000101]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PART B [40000103]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PART B ALTERNATE [88801]	inpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE RAILROAD [40000104]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	COMPLETE SENIOR CARE [45011704]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	CENTERS PLAN FOR HEALTHY LIVING [45011703]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	CARE IMPROVEMENT PLUS [45011702]	inpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	seneca nation [450119]	SENECA NATION [45011901]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	TRICARE	TRICARE [60010002]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	TRICARE	USFHP MARTINS POINT HEALTH CARE [60010003]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	TRICARE	WPS TRICARE FOR LIFE [60010001]	inpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	catholic health life pace [400005]	CATHOLIC HEALTH LIFE PACE [40000501]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	champ va [700002]	CHAMP VA [70000201]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	Cigna	CIGNA MEDICARE HMO [45011301]	outpatient	negotiated	$1,338.93
MARY BLACK MEMORIAL HOSPITAL	SC	covid19 hrsa [45013]	COVID19 HRSA [4501301]	inpatient	negotiated	$1,338.93

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).