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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

$345.06 – $3,268.72

Negotiated median

$2,439.3

CPT 27487 Knee revision arthroplasty all components · Showing 200 of 242 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
MARION GENERAL HOSPITAL	IN	Cash pay	N/A	inpatient	cash	$70,703
DUPONT HOSPITAL	IN	Cash pay	N/A	outpatient	cash	$70,478
LUTHERAN MUSCULOSKELETAL CENTER	IN	Cash pay	N/A	outpatient	cash	$57,440
PORTER REGIONAL HOSPITAL	IN	Cash pay	N/A	outpatient	cash	$45,216
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$8,852.2
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	outpatient	cash	$5,901.7
MARGARET MARY COMMUNITY HOSPITAL	IN	Cash pay	N/A	outpatient	cash	$5,236.64
MARION GENERAL HOSPITAL	IN	Cash pay	N/A	both	cash	$1,463.4
MARION GENERAL HOSPITAL	IN	Cash pay	N/A	outpatient	cash	$1,463.4
SCHNECK MEDICAL CENTER	IN	Cash pay	N/A	both	cash	$49.7
MARION GENERAL HOSPITAL	IN	[de-identified min]	—	inpatient	min	$90,818
SCHNECK MEDICAL CENTER	IN	[De-identified Min]	—	outpatient	min	$32,508
DUPONT HOSPITAL	IN	[De-identified Min]	—	outpatient	min	$16,393
LUTHERAN MUSCULOSKELETAL CENTER	IN	[De-identified Min]	—	outpatient	min	$16,393
PORTER REGIONAL HOSPITAL	IN	[De-identified Min]	—	outpatient	min	$16,393
MARION GENERAL HOSPITAL	IN	[de-identified min]	—	outpatient	min	$1,879.74
MARION GENERAL HOSPITAL	IN	[de-identified min]	—	both	min	$1,879.74
LUTHERAN MUSCULOSKELETAL CENTER	IN	[De-identified Min]	—	outpatient	min	$1,625.02
DUPONT HOSPITAL	IN	[De-identified Min]	—	outpatient	min	$1,571.02
PORTER REGIONAL HOSPITAL	IN	[De-identified Min]	—	outpatient	min	$1,358
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	[De-identified Min]	—	both	min	$457.62
ASCENSION ST. VINCENT JENNINGS	IN	[De-identified Min]	—	both	min	$457.62
ASCENSION ST. VINCENT JENNINGS	IN	[De-identified Min]	—	outpatient	min	$457.62
ASCENSION ST VINCENT SETON SPECIALTY	IN	[De-identified Min]	—	outpatient	min	$457.62
ASCENSION ST VINCENT SETON SPECIALTY	IN	[De-identified Min]	—	both	min	$457.62
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	[De-identified Min]	—	outpatient	min	$457.62
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$3,268.72
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$3,268.72
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$3,268.72
ASCENSION ST VINCENT SETON SPECIALTY	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$3,268.72
ASCENSION ST VINCENT SETON SPECIALTY	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$3,268.72
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$3,268.72
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$3,268.72
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$3,268.72
ASCENSION ST. VINCENT JENNINGS	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$3,268.72
ASCENSION ST. VINCENT JENNINGS	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$3,268.72
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$3,268.72
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$3,268.72
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	inpatient	negotiated	$2,464.69
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$2,464.69
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	inpatient	negotiated	$2,464.69
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$2,464.69
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	9397_UNITED HEALTHCARE VWIN 20250101	both	negotiated	$2,464.69
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9400_ANTHEM HEALTHSYNC HMO SWIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9402_ANTHEM HEALTHSYNC POS SWIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	patoka valley tier 1	9411_PAKOTA VALLEY TIER 1 SWIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	patoka valley tier 2	9414_PAKOTA VALLEY TIER 2 SWIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT JENNINGS	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WILLIAMSPORT	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9400_ANTHEM HEALTHSYNC HMO SWIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9402_ANTHEM HEALTHSYNC POS SWIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 1	9411_PAKOTA VALLEY TIER 1 SWIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 2	9414_PAKOTA VALLEY TIER 2 SWIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$2,439.3
ASCENSION ST VINCENT SETON SPECIALTY	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$2,439.3
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$2,439.3
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$1,228.14
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$1,228.14
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT JENNINGS	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WARRICK	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WARRICK	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WARRICK	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$1,228.14
ASCENSION ST. VINCENT JENNINGS	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$1,228.14
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$1,228.14
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$1,228.14
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$1,228.14
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$1,228.14
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$1,228.14
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$1,228.14
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WILLIAMSPORT	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WILLIAMSPORT	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$1,228.14
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$1,228.14
ASCENSION ST. VINCENT JENNINGS	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$1,228.14
ASCENSION ST VINCENT SETON SPECIALTY	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST VINCENT SETON SPECIALTY	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$1,228.14
ASCENSION ST. VINCENT JENNINGS	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$1,228.14
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT JENNINGS	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$1,228.14
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$1,228.14
ST. MARY MEDICAL CENTER INC.	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$1,228.14
ST. MARY MEDICAL CENTER INC.	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ST. MARY MEDICAL CENTER INC.	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$1,228.14
ST. MARY MEDICAL CENTER INC.	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$1,228.14
ST. MARY MEDICAL CENTER INC.	IN	Medicaid	8723_MEDICAID REPLACEMENT OUTPATIENT 20240401	both	negotiated	$1,228.14
ST. MARY MEDICAL CENTER INC.	IN	Medicaid	8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$1,228.14
ASCENSION ST VINCENT SETON SPECIALTY	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$1,228.14
ASCENSION ST VINCENT SETON SPECIALTY	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WARRICK	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$1,228.14
ASCENSION ST VINCENT SETON SPECIALTY	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST VINCENT SETON SPECIALTY	IN	mhs care connect	8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WARRICK	IN	mhs care connect	8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT JENNINGS	IN	Medicaid	9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$1,228.14
ASCENSION ST. VINCENT WARRICK	IN	Medicaid	9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101	both	negotiated	$1,228.14
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$457.62
ASCENSION ST. VINCENT JENNINGS	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$457.62
ASCENSION ST. VINCENT JENNINGS	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$457.62
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$457.62
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$457.62
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$457.62
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$457.62
ASCENSION ST VINCENT SETON SPECIALTY	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$457.62
ASCENSION ST VINCENT SETON SPECIALTY	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$457.62
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$457.62
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$457.62
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$457.62
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$345.06
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$345.06
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	inpatient	negotiated	$345.06
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	9397_UNITED HEALTHCARE VWIN 20250101	both	negotiated	$345.06
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	inpatient	negotiated	$345.06

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).