11042 — Pr Debridement Subcutaneous Tissue <= 20 Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Debridement Subcutaneous Tissue <= 20 Sq Cm (HCPCS 11042) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/11042?code_type=HCPCS
MLA (9th ed.)
“PR Debridement Subcutaneous Tissue <= 20 Sq Cm (HCPCS 11042) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/11042?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PR Debridement Subcutaneous Tissue <= 20 Sq Cm (HCPCS 11042) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/11042?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $347–$941 (25th–75th percentile) across 3,121 hospitals · 10,538 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11042 — 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $2,682.44 | $1,743.59 | 2025-11-26 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Inpatient | WPS GHA - MAC J5 PART A | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY MCR ADV | COVENTRY MCR ADV | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | TRICARE HNFS-ALL PLANS | TRICARE HNFS-ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE MCR ADV - ALL PLANS | HUMANA CHOICE CARE MCR ADV - ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY MEDICARE ADV | COVENTRY MEDICARE ADV | $0.56 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | AMBETTER COMML EXCH-ALL PLANS | AMBETTER COMML EXCH-ALL PLANS | $0.61 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $2,319.00 | $686.43 | 2026-02-28 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PREFERRED PHSIC | PREFERRED PHSIC | $0.66 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.68 | $194.00 | $145.50 | 2025-03-07 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $1.00 | $0.60 | 2026-05-22 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.81 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.81 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.83 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.87 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Molina | Molina - Exchange | $0.89 | $1,684.00 | $1,263.00 | 2026-04-01 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PREFERRED HEALTHCARE - ALL OTHER PLANS | PREFERRED HEALTHCARE - ALL OTHER PLANS | $0.89 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.94 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY COMM-ALL OTHER PLANS | COVENTRY COMM-ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | AETNA HMO | AETNA HMO | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | MULTIPLAN (MPI)-ALL PLANS | MULTIPLAN (MPI)-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY - ALL OTHER PLANS | COVENTRY - ALL OTHER PLANS | $0.99 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | AETNA/COVENTRY-ALL OTHER PLANS | AETNA/COVENTRY-ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PROVIDERS CARE (WPPA)-ALL PLANS | PROVIDERS CARE (WPPA)-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | AETNA PPO - ALL OTHER PLANS | AETNA PPO - ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | 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 Inpatient | Health Net of California, Inc. | HMO | — | $2,319.00 | $1,901.58 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $2,284.00 | $1,872.88 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $2,284.00 | $1,872.88 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $2,284.00 | $1,872.88 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $2,319.00 | $1,901.58 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $2,319.00 | $1,901.58 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $2,284.00 | $1,872.88 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $2,319.00 | $1,901.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $2,063.43 | $1,341.23 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $2,319.00 | $1,901.58 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $2,319.00 | $1,901.58 | 2025-11-26 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | PHCS PREFERRED-ALL PLANS | PHCS PREFERRED-ALL PLANS | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | AETNA/COVENTRY PPO | AETNA/COVENTRY PPO | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY WC | COVENTRY WC | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | MPI-ALL PLANS | MPI-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | WPPA-ALL PLANS | WPPA-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.05 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | PREFERRED HEALTHCARE-ALL PLANS | PREFERRED HEALTHCARE-ALL PLANS | $1.05 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | HEALTH PARTNERS -ALL PLANS | HEALTH PARTNERS -ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | PPONEXT-ALL PLANS | PPONEXT-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CENTURY HEALTH-ALL PLANS | CENTURY HEALTH-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.05 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HEALTH PARTNERS OF KANSAS - ALL PLANS | HEALTH PARTNERS OF KANSAS - ALL PLANS | $1.05 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.07 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.07 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.07 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.07 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.09 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.13 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.18 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.33 | $1,576.72 | $946.03 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.33 | $1,576.72 | $946.03 | 2025-08-11 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Mediblue Greater Dayton | $1.44 | $1,132.00 | $679.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Anthem Medicare 105187 | Anthem Medicare 105187 | $1.44 | $1,132.00 | $679.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem Medicare Supplement | $1.44 | $1,132.00 | $679.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Medicare | $1.44 | $1,132.00 | $679.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem - Tertiary | $1.44 | $1,132.00 | $679.20 | 2026-05-08 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $1.44 | $72.00 | $54.00 | 2026-03-26 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Bcbs Blue Advantage Administrators Of Arkansas | $1.44 | $1,132.00 | $679.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Bcbs Of Michigan Medicare Plus | $1.44 | $1,132.00 | $679.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Medicare Preferred | $1.44 | $1,132.00 | $679.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem - Secondary | $1.44 | $1,132.00 | $679.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | WPPA/PROVIDERS CARE-ALL PLANS | WPPA/PROVIDERS CARE-ALL PLANS | $1.54 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | UHC MCR ADV | UHC MCR ADV | $1.75 | $1,496.00 | $748.00 | 2026-03-23 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $1.75 | $159.00 | $159.00 | 2026-03-09 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.75 | $152.00 | $28.88 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.93 | $117.00 | $76.05 | 2026-05-07 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.97 | $1,576.72 | $946.03 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.97 | $1,576.72 | $946.03 | 2025-08-11 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $8.00 | $4.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $8.00 | $4.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $8.00 | $4.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $8.00 | $4.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $8.00 | $4.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $8.00 | $4.00 | 2026-05-13 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - FL | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NC | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CARE NETWORK | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NJ (HORIZON) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - DC (CAREFIRST) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK HMO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - SD (WELLMARK) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AL | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OH (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CA (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NV (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MT | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS DOMESTIC | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NE | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - LA | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VT | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - TN | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - FEDERAL | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ME (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AZ | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - UT (REGENCE) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - GA (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - CA | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NM | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CT (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - WA (REGENCE) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WV (HIGHMARK) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AR | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IA (WELLMARK) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OR (REGENCE) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BCN DOMESTIC | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MA | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | KAISER DOMESTIC | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ND | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - DE (HIGHMARK) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NH (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | PRE-EMPLOYMENT | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (CAREFIRST) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE DISTINCTION TRANSPLANT | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WI (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - RI | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IL ALTERNATE | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - PA (CAPITAL) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - SC | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WY | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - HI | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | WC DOMESTIC | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (EXCELLUS) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BCBS GENERIC | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MS | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MI | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AK (PREMERA) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - IN (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - PA (INDEPENDENCE) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MN | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ID | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OK | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CO (ANTHEM) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - TX | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE CROSS - KS | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - PA (HIGHMARK) | WELLMARK PPO | $2.62 | — | $10,204.64 | 2026-03-31 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.75 | $1,576.72 | $946.03 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.75 | $1,576.72 | $946.03 | 2025-08-11 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.83 | $272.35 | $272.35 | 2026-04-24 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.94 | $1,576.72 | $946.03 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.94 | $1,576.72 | $946.03 | 2025-08-11 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - FEDERAL | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OK | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NH (ANTHEM) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MA | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ND | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NC | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - CA | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AL | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MS | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CARE NETWORK | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - WI (ANTHEM) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - TX | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MT | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ID | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MI | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AZ | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OH (ANTHEM) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE SHIELD - WA (REGENCE) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - VA (ANTHEM) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - OR (REGENCE) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AK (PREMERA) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - ME (ANTHEM) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - FL | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - AR | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NJ (HORIZON) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - LA | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - CO (ANTHEM) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NY (ANTHEM) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - NV (ANTHEM) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER OutpatientFacility | BLUE CROSS - GA (ANTHEM) | WELLMARK PPO | $3.36 | — | $17,181.33 | 2026-03-31 | 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.