11004 — Dbrdmt Skin Xtrnl Gent&per
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DBRDMT SKIN XTRNL GENT&PER (HCPCS 11004) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/11004?code_type=HCPCS
MLA (9th ed.)
“DBRDMT SKIN XTRNL GENT&PER (HCPCS 11004) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/11004?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DBRDMT SKIN XTRNL GENT&PER (HCPCS 11004) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/11004?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $638–$3,750 (25th–75th percentile) across 1,485 hospitals · 2,481 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11004 — 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 the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$638
$1,629 typical
$3,750
The middle 50% of negotiated facility rates for this procedure, measured across 1,485 hospitals. The the surgeon's fee 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. | $1,629 |
| Surgeon (professional fee) Estimate national typical Medicare $505 × 1.22 commercial. | $616 |
| Likely subtotal | $2,245 |
Surgical episode (typical)
~$2,245
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 |
|---|---|---|---|---|---|---|---|
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| ANDERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $1.00 | $657.00 | $144.54 | 2026-02-25 | MRF ↗ |
| ANDERSON REGIONAL MEDICAL CENTER SOUTH CAMPUS OutpatientFacility | United Healthcare | Commercial | $1.00 | $657.00 | $262.80 | 2026-02-17 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.91 | $2,725.00 | — | 2024-12-31 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | LA Care Health | Medi-cal | $6.00 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $6.00 | — | — | 2026-03-01 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $6.00 | $2,545.00 | $2,545.00 | 2025-10-04 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $6.00 | — | — | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Physicians Medical Group | MCD | $6.00 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Molina | MCD | $6.00 | — | — | 2024-10-01 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $6.00 | $2,545.00 | $2,545.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $6.00 | $2,545.00 | $2,545.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $6.00 | $2,545.00 | $2,545.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $6.12 | $2,545.00 | $2,545.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $6.12 | $2,545.00 | $2,545.00 | 2025-10-04 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Brand New Day | MCD | $6.60 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Brand New Day | MCD | $6.60 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $6.60 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $6.60 | — | — | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medi-Cal | $6.60 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Gold Coast Health Plan | MCD | $6.60 | — | — | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $6.60 | — | — | 2026-03-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $7.15 | $4,145.75 | $2,487.45 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $7.15 | $4,145.75 | $2,487.45 | 2025-08-11 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $7.80 | $2,545.00 | $2,545.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $7.80 | $2,545.00 | $2,545.00 | 2025-10-04 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $8.70 | — | — | 2026-03-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $8.70 | — | — | 2024-10-01 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $11.00 | $1,804.00 | $1,804.00 | 2025-12-03 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $11.21 | $1,077.65 | $1,077.65 | 2026-04-24 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $16.68 | $1,368.00 | $259.92 | 2026-01-25 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $20.00 | — | — | 2026-05-06 | MRF ↗ |
| Riverside Community Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | — | — | — | 2026-03-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $25.30 | $4,145.75 | $2,487.45 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $25.30 | $4,145.75 | $2,487.45 | 2025-08-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,454.00 | $872.40 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,454.00 | $872.40 | 2026-05-21 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $2,253.50 | $1,622.52 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $2,253.50 | $1,622.52 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $2,253.50 | $1,622.52 | 2026-05-04 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MHCP | BCBS MHCP | $59.80 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $67.76 | $299.00 | $56.81 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $67.76 | $299.00 | $56.81 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $67.76 | $299.00 | $56.81 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $67.76 | $299.00 | $56.81 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $67.76 | $299.00 | $56.81 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | United Healthcare | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Coventry | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Great West Ppo | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | United Healthcare | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Great West Other Plans | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Great West Ppo | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Cross Blue Shield Of Ca | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Healthnet Medical | Managed Medicaid | $67.82 | $2,008.30 | $1,405.81 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Interplan | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Great West Other Plans | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Healthnet Medical | Managed Medicaid | $67.82 | $2,008.30 | $1,405.81 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Universal Care | Managed Medicaid | — | $2,008.30 | $1,405.81 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Cross Blue Shield Of Ca | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Aetna | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Interplan | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Coventry | Commercial | — | $2,008.30 | $1,405.81 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Universal Care | Managed Medicaid | — | $2,008.30 | $1,405.81 | 2026-05-22 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS Blue Advantage | Blue Advantage | $69.92 | $590.00 | $413.00 | 2026-01-13 | MRF ↗ |
| RURAL WELLNESS STROUD HOSPITAL Both | HealthChoice | Commercial | $70.00 | $28,940.97 | $17,364.58 | 2026-03-23 | MRF ↗ |
| THE PHYSICIANS' HOSPITAL IN ANADARKO Both | HealthChoice | Commercial | $70.00 | $28,940.97 | $17,364.58 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | HealthChoice | Commercial | $70.00 | $28,940.97 | $17,364.58 | 2026-03-23 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Kern Healthcare Systems | Commercial | $71.21 | $2,008.30 | $1,405.81 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Kern Healthcare Systems | Commercial | $71.21 | $2,008.30 | $1,405.81 | 2026-05-18 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | UHC Commercial | PPO | $74.50 | $590.00 | $413.00 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | Baylor Scott And White Commercial | UNKNOWN | $75.00 | $590.00 | $413.00 | 2026-01-13 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MCAID | MEDICA MCAID | $75.31 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS HMO | HMO | $76.00 | $590.00 | $413.00 | 2026-01-13 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $76.61 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $76.61 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $76.61 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $79.52 | $589.00 | $441.75 | 2026-01-16 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR ADV | UCARE MCR ADV | $81.50 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE SR HLTH OPTIONS (MSHO) | UCARE SR HLTH OPTIONS (MSHO) | $81.50 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | UCARE MCR SELECT | UCARE MCR SELECT | $81.50 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS PPO | PPO | $82.00 | $590.00 | $413.00 | 2026-01-13 | MRF ↗ |
| ISLAND HOSPITAL BothFacility | Kaiser | Commercial | $85.36 | $1,067.00 | $1,067.00 | 2026-05-04 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | Multiplan | PPO | $88.00 | $590.00 | $413.00 | 2026-01-13 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $90.59 | $711.00 | $124.43 | 2026-02-28 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Ip|Negotiated_Percentage | — | $91.00 | $1,454.00 | $872.40 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Ip|Negotiated_Percentage | — | $91.00 | $1,454.00 | $872.40 | 2026-05-18 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $91.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $91.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $91.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $91.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $91.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $91.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $91.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $91.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $91.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $91.55 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $91.55 | — | — | 2026-01-01 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $92.43 | $711.00 | $124.43 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $92.43 | $711.00 | $124.43 | 2026-02-28 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Op|Negotiated_Percentage | — | $93.00 | $1,454.00 | $872.40 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Blue Cross Blue Shield Op|Negotiated_Percentage | — | $93.00 | $1,454.00 | $872.40 | 2026-05-18 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $94.28 | $711.00 | $124.43 | 2026-02-28 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Cigna|Negotiated_Percentage | — | $95.00 | $1,454.00 | $872.40 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Aetna|Negotiated_Percentage | — | $95.00 | $1,454.00 | $872.40 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|United Healthcare|Negotiated_Percentage | — | $95.00 | $1,454.00 | $872.40 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Multiplan|Negotiated_Percentage | — | $95.00 | $1,454.00 | $872.40 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Multiplan|Negotiated_Percentage | — | $95.00 | $1,454.00 | $872.40 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Cigna|Negotiated_Percentage | — | $95.00 | $1,454.00 | $872.40 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Aetna|Negotiated_Percentage | — | $95.00 | $1,454.00 | $872.40 | 2026-05-18 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|United Healthcare|Negotiated_Percentage | — | $95.00 | $1,454.00 | $872.40 | 2026-05-21 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $95.21 | $711.00 | $124.43 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $98.91 | $711.00 | $124.43 | 2026-02-28 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA MSHO | MEDICA MSHO | $101.39 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM HMO/POS | 9229_ANTHEM HMO POS VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PATHWAY | 9230_ANTHEM PATHWAY VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM PPO PREFERRED | 9232_ANTHEM PREFERRED VCIN 20250101 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $101.65 | — | — | 2026-01-01 | MRF ↗ |
| ISLAND HOSPITAL BothFacility | Kaiser | Commercial | $102.72 | $1,284.00 | $1,284.00 | 2026-05-04 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid 95 Percent | $103.45 | $2,520.80 | — | 2024-12-19 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| DALLAS REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $108.90 | $2,520.80 | — | 2024-12-19 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | HMO | $115.00 | $144.00 | $144.00 | 2025-03-24 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | PPO | $115.00 | $144.00 | $144.00 | 2025-03-24 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $115.00 | $144.00 | $144.00 | 2025-03-24 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $115.00 | $144.00 | $144.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $115.00 | $144.00 | $144.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $115.00 | $144.00 | $144.00 | 2026-04-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $117.33 | — | — | 2025-12-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $122.22 | $589.00 | $441.75 | 2026-01-16 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Nordian Healthcare Solutions | Medicare Advantage | $126.00 | $2,008.30 | $1,405.81 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Nordian Healthcare Solutions | Medicare Advantage | $126.00 | $2,008.30 | $1,405.81 | 2026-05-18 | MRF ↗ |
| ANDERSON REGIONAL MEDICAL CENTER SOUTH CAMPUS InpatientFacility | Aetna | Commercial | — | $657.00 | $262.80 | 2026-02-17 | MRF ↗ |
| ANDERSON REGIONAL MEDICAL CENTER SOUTH CAMPUS InpatientFacility | Molina | Exchange | $131.40 | $657.00 | $262.80 | 2026-02-17 | MRF ↗ |
| ANDERSON REGIONAL MEDICAL CENTER InpatientFacility | Aetna | Commercial | — | $657.00 | $144.54 | 2026-02-25 | MRF ↗ |
| ANDERSON REGIONAL MEDICAL CENTER InpatientFacility | Molina | Exchange | $131.40 | $657.00 | $144.54 | 2026-02-25 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Ambetter | Commercial|All Plans | $134.03 | $711.00 | $124.43 | 2026-02-28 | MRF ↗ |
| HIAWATHA COMMUNITY HOSPITAL | Medicare (Aetna, United, Humana) | — | $134.64 | $374.00 | $243.10 | 2026-05-22 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $137.30 | $1,574.50 | $944.70 | 2026-01-24 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Commercial|Exchange | $138.65 | $711.00 | $124.43 | 2026-02-28 | MRF ↗ |
| HIAWATHA COMMUNITY HOSPITAL | Medicare (Aetna, United, Humana) | — | $147.96 | $411.00 | $267.15 | 2026-05-22 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $152.56 | $1,574.50 | $944.70 | 2026-01-24 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $152.56 | $1,574.50 | $944.70 | 2026-01-24 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | AMERICAN HLTH MCR ADV- ALL PLANS | AMERICAN HLTH MCR ADV- ALL PLANS | $152.56 | $1,574.50 | $944.70 | 2026-01-24 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | ANTHEM MCR ADV | ANTHEM MCR ADV | $152.56 | $1,574.50 | $944.70 | 2026-01-24 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | SANFORD-ALL PLANS | SANFORD-ALL PLANS | $154.85 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $155.61 | $1,574.50 | $944.70 | 2026-01-24 | MRF ↗ |
| HERMANN AREA DISTRICT HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $155.61 | $1,574.50 | $944.70 | 2026-01-24 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $156.42 | $711.00 | $124.43 | 2026-02-28 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS COMM- ALL OTHER PLANS | BCBS COMM- ALL OTHER PLANS | $157.98 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | MEDICA COMM - ALL OTHER PLANS | MEDICA COMM - ALL OTHER PLANS | $158.44 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $159.55 | $711.00 | $124.43 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $161.12 | $711.00 | $124.43 | 2026-02-28 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $163.00 | $163.00 | $143.44 | 2026-02-03 | MRF ↗ |
| LIFECARE MEDICAL CENTER Outpatient | BCBS MEDICAID | BCBS MEDICAID | $163.00 | $163.00 | $143.44 | 2026-02-03 | 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.