11012 — Deb Skin Bone At Fx Site
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DEB SKIN BONE AT FX SITE (HCPCS 11012) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/11012?code_type=HCPCS
MLA (9th ed.)
“DEB SKIN BONE AT FX SITE (HCPCS 11012) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/11012?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DEB SKIN BONE AT FX SITE (HCPCS 11012) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/11012?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,269–$4,236 (25th–75th percentile) across 2,195 hospitals · 7,140 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11012 — 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 |
|---|---|---|---|---|---|---|---|
| LEE MEMORIAL HOSPITAL OutpatientFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | — | $47,373.91 | $9,474.78 | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH OutpatientFacility | UNITED HEALTHCARE [210402] | UNITED HMO/PPO [21040201] | — | $47,373.91 | $9,474.78 | 2026-03-26 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $1.00 | $0.60 | 2026-05-22 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Cigna | Cigna - HMO | $2.20 | $6,262.00 | $4,696.50 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net Individual - EPO | $2.86 | $6,262.00 | $4,696.50 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net - Medi-Cal | $2.92 | $6,262.00 | $4,696.50 | 2026-04-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $4.29 | $1,127.00 | $845.25 | 2025-03-07 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.83 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.87 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.87 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $8.97 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $9.02 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $9.02 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.76 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.83 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $9.83 | — | — | 2026-03-18 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $11.00 | $1,148.00 | $1,148.00 | 2025-12-03 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $11.60 | — | — | 2024-10-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL UNITED HEALTHCARE CARE [700909] | $11.94 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL UNITED HEALTHCARE LABS [106809] | $11.94 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $11.94 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $13.41 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL CIGNA PRIORITY HEALTH [106826] | $15.63 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL PRIORITY HEALTH PLAN [106814] | $15.63 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL HUMANA CARE LABS [700905] | $17.05 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL HUMANA LABS [106813] | $17.05 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $18.58 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MEDI-CAL [1048] | MEDI-CAL | $20.00 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | XIMED [2016] | MEDI-CAL | $20.00 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | VANTAGE [1092] | PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL | $20.00 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MEDI-CAL [2001] | MEDI-CAL | $20.00 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA MEDI-CAL | $20.00 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY ELDERCARE [1027] | MEDI-CAL | $20.00 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CAREMORE [2028] | MEDI-CAL | $20.00 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| Southwest Healthcare System-wildomar Both | Anthem Blue Cross Blue Shield | Medicaid | $20.00 | $6,343.00 | $2,537.20 | 2026-05-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BRAND NEW DAY [1089] | MEDI-CAL | $20.00 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | OTHER TUFTS HEALTH PUBLIC PLAN [75002] | CHA HB MEDICAID-STANDARD | $21.26 | $14,275.90 | $14,275.90 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | OOS MEDICAID [70002] | CHA HB MEDICAID-STANDARD | $21.26 | $14,275.90 | $14,275.90 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | BOSTON MEDICAL CENTER - WELLSENSE [50003] | CHA HB MEDICAID-STANDARD | $21.26 | $14,275.90 | $14,275.90 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | TUFTS TOGETHER W CHA [75001] | CHA HB MEDICAID-STANDARD | $21.26 | $14,275.90 | $14,275.90 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | MASS GENERAL BRIGHAM [50021] | CHA HB MEDICAID-STANDARD | $21.26 | $14,275.90 | $14,275.90 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | UNITED HEALTH [40002] | CHA HB MEDICAID-STANDARD | $21.26 | $14,275.90 | $14,275.90 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | FALLON [50006] | CHA HB MEDICAID-STANDARD | $21.26 | $14,275.90 | $14,275.90 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | MASS HEALTH [70001] | CHA HB MEDICAID-STANDARD | $21.26 | $14,275.90 | $14,275.90 | 2026-03-20 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $22.00 | $6,343.00 | $2,537.20 | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Medicaid | $22.00 | $6,343.00 | $2,537.20 | 2026-05-14 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL AETNA CARE [700912] | $22.34 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL BLUE CROSS COMPLETE [300610] | $22.34 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL MERIDIAN HEALTH ADVANTAGE [700910] | $22.73 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL MED PLUS BLUE CARE [700903] | $22.73 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL WELLCARE CARE [700920] | $22.73 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MIDWEST HEALTH CAID [300607] | $22.81 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL HAP EMPOWERED [300613] | $22.81 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PADRES [2014] | GLOBAL SPORTS SERVICES PROVIDER ALLIANCE (PADRES) | $23.44 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CHARGERS FOOTBALL COMPANY [1109] | CHARGER FOOTBALL COMPANY [11090001] | $23.44 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PADRES WORKERS COMPENSATION [2013] | GLOBAL SPORTS SERVICES PROVIDER ALLIANCE (PADRES) | $23.44 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | MEDICARE [60001] | CHA HB MEDICARE | $24.11 | $14,275.90 | $14,275.90 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | RR MEDICARE [60002] | CHA HB MEDICARE | $24.11 | $14,275.90 | $14,275.90 | 2026-03-20 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL [12400001] | $25.20 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL [10550002] | $25.20 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL COMMUNITY CARE [10550015] | $25.20 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL | $25.20 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL | $25.20 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY HEALTH GROUP [1022] | COMMUNITY HEALTH GROUP (MEDI-CAL) | $25.80 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL BCN CARE LABS [700902] | $26.42 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET [1039] | HEALTH NET MEDI-CAL | $27.00 | $104,824.37 | $57,653.40 | 2026-04-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | OMNICARE CARE [700906] | $28.41 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL GENERIC MEDICARE [700914] | $28.41 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL PRIORITY HEALTH CARE [700911] | $28.41 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL HAP CARE [700904] | $28.41 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL AMERIHEALTH CARITAS VIP [700921] | $28.41 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL VACCN [106827] | $28.41 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL MIDWEST HEALTHCARE CARE [700907] | $28.41 | $125,127.49 | $125,127.49 | 2026-03-23 | 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 | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL AETNA LABS [106802] | $34.02 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | $4,624.88 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | $4,624.88 | 2024-12-08 | MRF ↗ |
| GREAT PLAINS OF SABETHA Outpatient | BCBS BLUE CHOICE | BCBS BLUE CHOICE | $36.10 | $3,800.00 | $3,420.00 | 2026-03-10 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Humana ChoiceCare | Medicare Advantage | $37.63 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL CIGNA LABS [106804] | $37.80 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL HAP LABS [106805] | $37.80 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL HAP PPO PLAN [106821] | $37.80 | $125,127.49 | $125,127.49 | 2026-03-23 | MRF ↗ |
| GREAT PLAINS OF SABETHA Outpatient | BCBS KS CAP-ALL OTHER PLANS | BCBS KS CAP-ALL OTHER PLANS | $38.00 | $3,800.00 | $3,420.00 | 2026-03-10 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | BCBS PPO - ALL PLANS | BCBS PPO - ALL PLANS | $38.00 | $440.50 | $374.43 | 2026-03-02 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | $38.38 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Amerigroup by Anthem | Medicare Advantage | $38.76 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Cigna | Default | — | $216.00 | $183.60 | 2024-12-30 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Amerigroup Corporation Texas Plans | Default | $38.88 | $216.00 | $183.60 | 2024-12-30 | MRF ↗ |
| PARKVIEW HOSPITAL Outpatient | Medicaid Texas | Default | $38.88 | $216.00 | $183.60 | 2024-12-30 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Superior Select | Dual Eligible Plans | $39.51 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Wellcare by Allwell | All Plans | $39.51 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Wellcare Health Plans | All Plans | $39.51 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Cigna Healthspring | Medicare Advantage | $39.51 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Provider Partners Health Plans | All Plans | $39.51 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $44.10 | $98.00 | $88.20 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $44.10 | $98.00 | $88.20 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $44.10 | $98.00 | $88.20 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $44.10 | $98.00 | $88.20 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $44.10 | $98.00 | $88.20 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $44.10 | $98.00 | $88.20 | 2026-04-05 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $45.16 | $1,996.00 | $1,497.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $1,996.00 | $1,497.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $1,996.00 | $1,497.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $1,996.00 | $1,497.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $1,996.00 | $1,497.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $1,996.00 | $1,497.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $1,996.00 | $1,497.00 | 2026-05-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $1,996.00 | $1,497.00 | 2026-05-18 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | QualChoice of Arkansas | All Plans | $48.92 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Ambetter | Marketplace Plans | $48.92 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,246.00 | $747.60 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $1,246.00 | $747.60 | 2026-05-18 | MRF ↗ |
| SWEENY COMMUNITY HOSPITAL Both | BCBSTX BLUE ADV | BCBSTX BLUE ADV | $49.74 | $165.80 | $99.48 | 2026-04-02 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | $4,624.88 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $51.00 | $3,584.00 | $680.96 | 2026-02-27 | MRF ↗ |
| Seymour Hospital Outpatient | Superior Health | Medicaid | $55.00 | $906.00 | $634.20 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Amerigroup Medicaid | UNKNOWN | $55.00 | $906.00 | $634.20 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Texas Medicaid | UNKNOWN | $55.00 | $906.00 | $634.20 | 2026-01-12 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | Aetna | Default | $55.00 | $1,179.00 | $860.67 | 2026-05-09 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | United Healthcare | Default | — | $1,179.00 | $860.67 | 2026-05-09 | MRF ↗ |
| Seymour Hospital Outpatient | Aetna Medicaid | UNKNOWN | $55.00 | $906.00 | $634.20 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Firstcare Medicaid | UNKNOWN | $55.00 | $906.00 | $634.20 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Wellpoint Medicaid | UNKNOWN | $55.00 | $906.00 | $634.20 | 2026-01-12 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Outpatient | Amerigroup | Medicaid | $55.42 | $3,207.00 | $2,565.60 | 2026-03-26 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Arkansas Total Care | Managed Medicaid | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Provider Partners Health Plans | All Plans | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Plans | $56.80 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Covenant Healthcare | All Plans | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Assured Benefits Administrators | All Plans | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Wellcare by Allwell | All Plans | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Empower Healthcare Solutions | Managed Medicaid | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | QualChoice of Arkansas | All Plans | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Arkansas Superior Select | Dual Eligible Plans | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Ambetter | Marketplace Plans | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Cigna Healthspring | Medicare Advantage | — | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $57.30 | $191.00 | $133.70 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $57.30 | $191.00 | $133.70 | 2025-07-14 | MRF ↗ |
| SWEENY COMMUNITY HOSPITAL Both | BCBSTX BLUE ESSENTIALS | BCBSTX BLUE ESSENTIALS | $58.03 | $165.80 | $99.48 | 2026-04-02 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | Commercial | $58.80 | $98.00 | $88.20 | 2026-04-05 | MRF ↗ |
| WINKLER COUNTY MEMORIAL HOSPITAL Outpatient | UHC COMM - ALL OTHER PLANS | UHC COMM - ALL OTHER PLANS | $60.00 | $206.50 | $165.20 | 2026-03-13 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Assured Benefits Administrators | All Plans | $60.21 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $60.87 | $121.73 | $91.30 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | HEALTH NET | HEALTH NET | $60.87 | $121.73 | $91.30 | 2026-04-27 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | HealthNet | Commercial | $63.70 | $98.00 | $88.20 | 2026-04-05 | MRF ↗ |
| Seymour Hospital Outpatient | Wellmed | Medicare Advantage | $65.00 | $906.00 | $634.20 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Humana Medicare Advantage | Medicare Advantage | $65.00 | $906.00 | $634.20 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | United Medicare Advantage | Medicare Advantage | $65.00 | $906.00 | $634.20 | 2026-01-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | HealthLink | All Plans | $66.03 | $71.00 | $40.47 | 2024-11-12 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $66.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $66.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $66.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $66.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $66.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $66.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $66.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $66.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $66.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $66.90 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $66.90 | — | — | 2026-01-01 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Cigna_HealthCare | HMO_PPO | $68.00 | $13,326.09 | $6,663.04 | 2024-12-15 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | Tribute Health Plan | Medicaid | $68.01 | $3,793.00 | $568.95 | 2026-02-27 | MRF ↗ |
| Seymour Hospital Inpatient | Aetna - HMO/PPO | HMO/PPO/POS | $70.00 | $906.00 | $634.20 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Inpatient | Aetna - Meritain | UNKNOWN | $70.00 | $906.00 | $634.20 | 2026-01-12 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Molina | Managed Medicaid | $75.38 | $958.95 | $479.48 | 2025-12-04 | MRF ↗ |
| CAROLINAS MEDICAL CENTER/BEHAV HEALTH OutpatientFacility | Molina | Managed Medicaid | $75.38 | $958.95 | $479.48 | 2025-12-04 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | Commercial | $76.24 | $98.00 | $88.20 | 2026-04-05 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $76.69 | $1,836.00 | $1,836.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $76.69 | $1,836.00 | $1,836.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $76.69 | $1,836.00 | $1,836.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $76.69 | $1,836.00 | $1,836.00 | 2025-10-04 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $76.98 | $1,777.00 | $1,777.00 | 2026-02-09 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $77.06 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $77.06 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $77.06 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $77.06 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $77.06 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $77.06 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $77.06 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $77.06 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 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 SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $77.06 | — | — | 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 | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $77.06 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $77.06 | — | — | 2026-01-01 | 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.