10120 — Pr Incision & Removal Foreign Body Subcutaneous Tissues Simple
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Incision & Removal Foreign Body Subcutaneous Tissues Simple (CPT 10120) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/10120?code_type=CPT
MLA (9th ed.)
“PR Incision & Removal Foreign Body Subcutaneous Tissues Simple (CPT 10120) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/10120?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Incision & Removal Foreign Body Subcutaneous Tissues Simple (CPT 10120) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/10120?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $277–$735 (25th–75th percentile) across 3,056 hospitals · 10,433 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 10120 — 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 the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$277
$450 typical
$735
The middle 50% of negotiated facility rates for this procedure, measured across 3,056 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $450 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $102 × 1.22 commercial. | $125 |
| Likely subtotal | $575 |
Surgical episode (typical)
~$575
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,359
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $2,063.43 | $1,341.23 | 2025-11-26 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $0.36 | — | $14,205.50 | 2026-03-31 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.43 | $88.00 | $66.00 | 2026-03-26 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $1,295.00 | $383.32 | 2026-02-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $917.00 | $751.94 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $2,063.43 | $1,341.23 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,063.43 | $1,341.23 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $917.00 | $751.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $917.00 | $751.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $917.00 | $751.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $917.00 | $751.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $917.00 | $751.94 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.05 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.05 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.05 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.08 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.14 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.37 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.37 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.40 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.40 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.40 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.40 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.43 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.45 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.48 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.54 | $285.00 | $270.75 | 2026-02-20 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.83 | $185.00 | $138.75 | 2025-03-07 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.21 | $1,773.57 | $1,064.14 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.21 | $1,773.57 | $1,064.14 | 2025-08-11 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.94 | $275.00 | $52.25 | 2026-01-25 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $2.94 | $215.00 | $215.00 | 2026-03-09 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | UHC MCR ADV | UHC MCR ADV | $2.94 | $1,496.00 | $748.00 | 2026-03-23 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $3.23 | $133.00 | $86.45 | 2026-05-07 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.46 | $1,773.57 | $1,064.14 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.46 | $1,773.57 | $1,064.14 | 2025-08-11 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | AETNA [40002] | UVAPW & UVAHM - Aetna | $4.27 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | AETNA [40002] | UVAPW & UVAHM - Aetna | $4.27 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $4.28 | $411.25 | $411.25 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $4.43 | $426.35 | $426.35 | 2026-04-24 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $4.57 | $633.00 | $234.21 | 2026-03-31 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst RPN | $4.77 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst HMO | $4.77 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst RPN | $4.77 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CAREFIRST [30007] | UVAPW & UVAHM - Carefirst HMO | $4.77 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $4.86 | $243.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $4.86 | $243.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $4.86 | $243.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $4.86 | $243.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $4.86 | $243.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $4.86 | $243.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $4.86 | $243.00 | — | 2026-03-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.88 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.91 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.91 | — | — | 2026-03-18 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (OAP) | $4.98 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (OAP) | $4.98 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | UNITED HEALTHCARE [40032] | UNITED EXCHANGE PLAN [4003231] | $5.02 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | UNITED HEALTHCARE [40032] | UNITED EXCHANGE PLAN [4003231] | $5.02 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL AETNA CARE [700912] | $5.23 | $13,026.99 | $13,026.99 | 2026-03-23 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Martins Point | Default | $5.40 | $15.00 | $11.25 | 2026-05-18 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $5.48 | $274.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $5.48 | $274.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $5.48 | $274.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $5.48 | $274.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $5.48 | $274.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $5.48 | $274.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $5.48 | $274.00 | — | 2026-03-31 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | CIGNA 182223 PPO [4000520] | $5.52 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | CIGNA NALC SUPPLEMENTAL [4000510] | $5.52 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | CIGNA 182223 PPO [4000520] | $5.52 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | CIGNA NALC SUPPLEMENTAL [4000510] | $5.52 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Ppo | $5.56 | $15.00 | $11.25 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Default | $5.56 | $15.00 | $11.25 | 2026-05-18 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | Blue Cross Blue Shield Of Vt | Federal | $5.56 | $15.00 | $11.25 | 2026-05-18 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | UNITED HEALTHCARE [40032] | UVAPW & UVAHM - United (All Payer) | $5.58 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | UNITED HEALTHCARE [40032] | UVAPW & UVAHM - United (Options PPO) | $5.58 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | GEHA [40009] | UVAPW & UVAHM - United (All Payer) | $5.58 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | GEHA [40009] | UVAPW & UVAHM - United (All Payer) | $5.58 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | UNITED HEALTHCARE [40032] | UVAPW & UVAHM - United (All Payer) | $5.58 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | UNITED HEALTHCARE [40032] | UVAPW & UVAHM - United (Options PPO) | $5.58 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $5.59 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $5.63 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $5.63 | — | — | 2026-03-18 | MRF ↗ |
| FLOYD CHEROKEE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Alabama | Commercial | — | $1,175.00 | $587.50 | 2025-11-19 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $5.88 | $2,178.00 | $2,178.00 | 2026-02-13 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $5.95 | $13,026.99 | $13,026.99 | 2026-03-23 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | TriWest | Healthcare Alliance | $6.00 | $24.00 | $20.40 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | TriWest | Healthcare Alliance | $6.00 | $24.00 | $20.40 | 2026-03-06 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | CIGNA 188061 CONNECT [4000513] | $6.01 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (IFP) | $6.01 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | UVAPW & UVAHM - Cigna (IFP) | $6.01 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | CIGNA 188061 CONNECT [4000513] | $6.01 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.09 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.13 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.13 | — | — | 2026-03-18 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $6.23 | $311.50 | — | 2026-03-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL UNITED HEALTHCARE LABS [106809] | $6.67 | $13,026.99 | $13,026.99 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $6.67 | $13,026.99 | $13,026.99 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL UNITED HEALTHCARE CARE [700909] | $6.67 | $13,026.99 | $13,026.99 | 2026-03-23 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | VHN GENERIC [40040] | MEDCOST/PHCS VIRGINIA GENERIC [4004001] | $6.84 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | MULTIPLAN GENERIC [40035] | MULTIPLAN GENERIC [4003501] | $6.84 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | VHN GENERIC [40040] | UVAPW & UVAHM - Misc. (PHCS) | $6.84 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | MULTIPLAN GENERIC [40035] | MULTIPLAN GENERIC [4003501] | $6.84 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | VHN GENERIC [40040] | MEDCOST/PHCS VIRGINIA GENERIC [4004001] | $6.84 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | VHN GENERIC [40040] | UVAPW & UVAHM - Misc. (PHCS) | $6.84 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | SENTARA [40021] | UVAPW & UVAHM - Optima | $6.99 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | SENTARA BEHAVIORAL HEALTH [40052] | UVAPW & UVAHM - Optima | $6.99 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | SENTARA BEHAVIORAL HEALTH [40052] | UVAPW & UVAHM - Optima | $6.99 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | SENTARA [40021] | UVAPW & UVAHM - Optima | $6.99 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | CIGNA [40005] | UVAPW - Evernorth (Cigna BH) | $7.20 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS ESSENTIAL PLAN APG [35008202] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS CHILD HEALTH PLUS [35008101] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS HMO MEDICAID APG [35008201] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS HMO MEDICAID APG [35008201] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS HEALTHY NY EPO [20004107] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS HMO MEDICAID [35008103] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS ESSENTIAL PLAN APG [35008202] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS CHILD HEALTH PLUS [35008101] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS CHILD HEALTH PLUS APG [35008203] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS CHILD HEALTH PLUS APG [35008203] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS HEALTHY NY EPO [20004107] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS ESSENTIAL PLAN [35008102] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS HMO MEDICAID [35008103] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS ESSENTIAL PLAN [35008102] | $7.58 | $10,924.14 | $6,554.48 | 2025-01-17 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | AARP-UHC Replacement | Medicare Advantage | $8.03 | $11.00 | $8.25 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Triwest | Federal | $8.03 | $11.00 | $8.25 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | St. Luke's - Medicare Advantage | Medicare Advantage | $8.03 | $11.00 | $8.25 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Tricare | Federal | $8.03 | $11.00 | $8.25 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Saint Alphonsus - Regence Medicare Advantage | Medicare Advantage | $8.03 | $11.00 | $8.25 | 2026-01-22 | MRF ↗ |
| NOVANT PRINCE WILLIAM MEDICAL CENTER Both | KAISER PERMENENTE [40014] | UVAPW & UVAHM - Misc. (Kaiser) | $8.10 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| UVA HEALTH HAYMARKET MEDICAL CENTER Both | KAISER PERMENENTE [40014] | UVAPW & UVAHM - Misc. (Kaiser) | $8.10 | $9.00 | $4.50 | 2026-03-24 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Aetna - Medicare Advantage | Medicare Advantage | $8.11 | $11.00 | $8.25 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | BC of Idaho - True Blue Medicare Advantage | Medicare Advantage | $8.11 | $11.00 | $8.25 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | MODA - Medicare Advantage | Medicare Advantage | $8.19 | $11.00 | $8.25 | 2026-01-22 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $8.25 | $13,026.99 | $13,026.99 | 2026-03-23 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $8.65 | — | — | 2026-04-14 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL WELLCARE CARE [700920] | $8.79 | $13,026.99 | $13,026.99 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL MED PLUS BLUE CARE [700903] | $8.79 | $13,026.99 | $13,026.99 | 2026-03-23 | MRF ↗ |
| UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient | TUFTS MEDICAID [10908] | All TUFTS TOGETHER HR [124] Plans | $9.31 | $8,456.28 | $8,456.28 | 2026-04-03 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $9.52 | $1,773.57 | $1,064.14 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $9.52 | $1,773.57 | $1,064.14 | 2025-08-11 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $9.77 | $488.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $9.77 | $488.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $9.77 | $488.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $9.77 | $488.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $9.77 | $488.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $9.77 | $488.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $9.77 | $488.50 | — | 2026-03-31 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $9.86 | $194.00 | $116.40 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $9.86 | $194.00 | $116.40 | 2026-02-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $9.92 | $13,026.99 | $13,026.99 | 2026-03-23 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | VA CCN-ALL PLANS | VA CCN-ALL PLANS | $10.08 | $28.00 | $22.40 | 2026-01-05 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $10.13 | $13,026.99 | $13,026.99 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MIDWEST HEALTH CAID [300607] | $10.13 | $13,026.99 | $13,026.99 | 2026-03-23 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $10.20 | $629.00 | $377.40 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $10.20 | $629.00 | $377.40 | 2026-02-12 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $10.37 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $10.37 | — | — | 2026-04-01 | 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.