00021 — Level I Post Mastectomy And Reconstructive Breast Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LEVEL I POST MASTECTOMY AND RECONSTRUCTIVE BREAST PROCEDURES (EAPG 00021) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00021?code_type=EAPG
MLA (9th ed.)
“LEVEL I POST MASTECTOMY AND RECONSTRUCTIVE BREAST PROCEDURES (EAPG 00021) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00021?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“LEVEL I POST MASTECTOMY AND RECONSTRUCTIVE BREAST PROCEDURES (EAPG 00021) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00021?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,163–$3,971 (25th–75th percentile) across 56 hospitals · 46 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 00021 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| Memorial Regional Hospital South OutpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $6.99 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $6.99 | — | — | 2026-05-27 | MRF ↗ |
| ASPIRE HEALTH PARTNERS OutpatientFacility | Sunshine Health | Medicaid | $7.28 | — | — | 2026-02-03 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Quartz | Badgercare/Employee Trust Funds/QHP | $683.53 | — | — | 2026-10-12 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Dean Health | Medicaid | $683.53 | — | — | 2026-10-12 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicaid HMO | $683.53 | — | — | 2026-10-12 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | United Healthcare | Medicaid | $683.53 | — | — | 2026-10-12 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Molina Healthcare | Medicaid | $683.53 | — | — | 2026-10-12 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Independent Care Health Plan | Medicaid | $683.53 | — | — | 2026-10-12 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Cook Children's Health Plan (CCHP) | Medicaid | $683.53 | — | — | 2026-10-12 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Anthem | Medicaid | $683.53 | — | — | 2026-10-12 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Managed Health Services | Medicaid | $710.87 | — | — | 2026-10-12 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna | Qualified Health Plan | — | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna | Gatekeeper | — | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna | Gatekeeper | — | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna | Qualified Health Plan | — | — | — | 2026-05-27 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $969.87 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $969.87 | — | — | 2026-04-28 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Managed Medicaid | $969.87 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $969.87 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $969.87 | — | — | 2026-09-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $969.87 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $969.87 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $1,018.38 | — | — | 2026-04-28 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Molina Healthcare of OH | Medicaid OOS/Medicare | $1,110.54 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC OutpatientFacility | Buckeye Health | Medicaid OOS | $1,110.54 | — | — | 2026-02-18 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Aetna | CHP/Medicaid | $1,564.29 | — | — | 2026-01-23 | MRF ↗ |
| SOUTHERN OHIO MEDICAL CENTER OutpatientFacility | Humana | OH Medicaid | $1,564.29 | — | — | 2026-01-23 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Health Benefit Exchange Products | $1,794.24 | — | — | 2026-09-08 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | United Healthcare | Managed Medicaid | $1,864.73 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $1,864.73 | — | — | 2025-05-16 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $1,866.99 | — | — | 2026-09-23 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Ohio | Managed Medicaid | $1,913.51 | — | — | 2025-07-21 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Ohio | Managed Medicaid | $1,913.51 | — | — | 2025-07-21 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | CareSource | OH MA | $1,913.51 | — | — | 2026-03-06 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | CareSource | Managed Medicaid | $1,920.67 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $1,920.67 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $1,939.32 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $1,939.32 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $1,957.97 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $1,957.97 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Humana | Managed Medicaid | $1,957.97 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $1,957.97 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Molina | Managed Medicaid | $1,957.97 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Buckeye | Managed Medicaid | $1,957.97 | — | — | 2025-05-17 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Essential Plans | $1,988.25 | — | — | 2026-04-28 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Essential Plans | $1,988.25 | — | — | 2026-09-08 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $1,996.77 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $1,996.77 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | UHC Medicaid NY | Medicaid | $1,996.77 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Fidelis | Child Health Plus/Family Health Plus/Medicaid | $1,996.77 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Child Health Plus | $1,996.77 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Fidelis | Family Health Plus/Medicaid | $1,996.77 | — | — | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Optum | Medicaid | $1,996.77 | — | — | 2025-07-23 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Beacon | Managed Medicaid | $1,996.77 | — | — | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Molina | Medicaid | $2,056.67 | — | — | 2025-07-23 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UHC Medicaid OH | Medicaid | $2,066.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | UHC Medicaid OH | Medicaid | $2,066.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UHC Medicaid OH | Medicaid | $2,066.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UHC Medicaid OH | Medicaid | $2,066.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $2,096.61 | — | — | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MyCompass | Medicaid | $2,156.51 | — | — | 2025-07-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $2,163.12 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | MVP | Managed Medicaid | $2,163.12 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $2,163.12 | — | — | 2026-02-19 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,163.12 | — | — | 2026-02-19 | MRF ↗ |
| PORTER HOSPITAL INC OutpatientFacility | MVP | Managed Medicaid, Child Health Plus, Health & Recovery Plans | $2,163.12 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,163.12 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | Fidelis Care | Managed Medicaid | $2,163.12 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,163.12 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $2,163.12 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | MVP | Managed Medicaid | $2,163.12 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,163.12 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $2,163.12 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,163.94 | — | — | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | MVP | Managed Medicaid | $2,163.94 | — | — | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Managed Medicaid | $2,163.94 | — | — | 2026-10-12 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $2,182.20 | — | — | 2026-09-08 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Essential Plans/Managed Medicaid | $2,182.20 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $2,182.20 | — | — | 2026-04-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Fidelis Care | Essential Plans | $2,182.20 | — | — | 2026-04-28 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Health Value Management | Transplants - Medicaid | $2,244.79 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Health Value Management | Transplants - Medicaid | $2,244.79 | — | — | 2026-05-27 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Managed Medicaid | $2,271.29 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Fidelis Care | Child Health Plus | $2,271.29 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $2,271.29 | — | — | 2026-02-19 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL OutpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $2,271.29 | — | — | 2026-02-19 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Sunshine | Transplant - Medicaid | $2,334.58 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | Transplant - Medicaid | $2,334.58 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Sunshine | Transplant - Medicaid | $2,334.58 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Sunshine | Transplant - Medicaid | $2,334.58 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply Healthcare | Medicaid | $2,357.03 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Humana | FL Medicaid | $2,357.03 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Humana | FL Medicaid | $2,357.03 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Florida Community Care | FL Medicaid | $2,357.03 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Humana | FL Medicaid | $2,357.03 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Simply Healthcare | Medicaid | $2,357.03 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Florida Community Care | FL Medicaid | $2,357.03 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Florida Community Care | FL Medicaid | $2,357.03 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Simply Healthcare | Medicaid | $2,357.03 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Humana | FL Medicaid | $2,357.03 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Simply Healthcare | Medicaid | $2,357.03 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Florida Community Care | FL Medicaid | $2,357.03 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Wellcare | FL Medicaid | $2,379.46 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Wellcare | FL Medicaid | $2,379.46 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Wellcare | FL Medicaid | $2,379.46 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Wellcare | FL Medicaid | $2,379.46 | — | — | 2026-05-27 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $2,396.12 | — | — | 2026-03-06 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | United Healthcare | Medicaid | $2,469.27 | — | — | 2026-03-25 | MRF ↗ |
| BANNER FORT COLLINS MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $2,474.33 | — | — | 2026-03-02 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Simply Healthcare | Medicaid | $2,581.51 | — | — | 2026-03-25 | MRF ↗ |
| BANNER NORTH COLORADO MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $2,635.50 | — | — | 2026-03-02 | MRF ↗ |
| BANNER MCKEE MEDICAL CENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $2,635.50 | — | — | 2026-03-02 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Simply Healthcare | Florida Health Kids | $2,693.73 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Simply Healthcare | Florida Health Kids | $2,693.73 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Simply Healthcare | Florida Health Kids | $2,693.73 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Simply Healthcare | Florida Health Kids | $2,693.73 | — | — | 2026-05-27 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Aetna of FL | Medicaid | $2,693.75 | — | — | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Sunshine Health | Healthy Kids Medicaid | $2,693.75 | — | — | 2026-03-25 | MRF ↗ |
| Univ Of Miami Hospital And Clinics-sylvester Compr OutpatientFacility | Sunshine Health | Managed Medicaid | $2,693.75 | — | — | 2026-03-25 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | CORVEL | WC | $2,695.64 | — | — | 2026-03-06 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | CHP/FHP/Medicaid | $2,800.30 | — | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | CHP/FHP/Medicaid | $2,800.30 | — | — | 2026-02-27 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,051.44 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,066.32 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,096.09 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,096.09 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,125.86 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,125.86 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,125.86 | — | — | 2025-05-15 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,230.31 | — | — | 2025-05-19 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Molina Healthcare | Medicaid/CHIP | — | — | — | 2026-03-02 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Colorado Child Health Plan Plus | Medicaid | $3,238.81 | — | — | 2026-03-02 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,246.07 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,277.58 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,277.58 | — | — | 2025-05-19 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Buckeye | Managed Medicaid | $3,282.23 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $3,284.94 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | CareSource | Managed Medicaid | $3,298.25 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,298.25 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,298.25 | — | — | 2025-05-16 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,309.10 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,309.10 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,309.10 | — | — | 2025-05-19 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | BCBS of Western NY | Medicaid | $3,313.44 | — | — | 2026-03-06 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $3,317.15 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $3,317.15 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,330.27 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,330.27 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,330.27 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,330.27 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,349.35 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,349.35 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Molina | Managed Medicaid | $3,362.29 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $3,362.29 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,362.29 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,362.29 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,362.29 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Humana | Managed Medicaid | $3,362.29 | — | — | 2025-05-16 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | United Community Health Plan | Managed Medicaid | $3,363.14 | — | — | 2025-10-03 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $3,381.56 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $3,381.56 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,392.95 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,392.95 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,412.76 | — | — | 2025-10-03 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,425.90 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,425.90 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,458.84 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,458.84 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,458.84 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Program | $3,462.17 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $3,462.17 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $3,462.17 | — | — | 2025-10-03 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Aetna Medicaid] | [Better Health] | $3,547.65 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Meridian] | [Medicaid] | $3,547.65 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Caresource] | [Medicaid] | $3,547.65 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Unitedhealthcare] | [Medicaid] | $3,547.65 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Anthem] | [Medicaid] | $3,547.65 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Amerihealth Caritas] | [Medicaid] | $3,654.08 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Humana Behavior Health] | [Medicaid] | $3,654.08 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,688.99 | — | — | 2025-05-19 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Buckeye Community Health Plan] | [Medicaid] | $3,725.03 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Molina] | [Medicaid] | $3,725.03 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,725.16 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,725.16 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,761.33 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,761.33 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3,797.49 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,797.49 | — | — | 2025-05-19 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | Commercial | $3,859.09 | — | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | Commercial | $3,859.09 | — | — | 2026-02-27 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Buckeye | Managed Medicaid | $3,878.04 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,878.04 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,894.16 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,894.16 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $3,894.16 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $3,896.95 | — | — | 2025-05-16 | 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.