Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV

11044 — Pr Debridement Bone <= 20 Sq Cm

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $1,747

Usually $1,093–$2,804 (25th–75th percentile) across 2,820 hospitals · 9,453 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11044 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$1,093 $1,747 typical $2,804

The middle 50% of negotiated facility rates for this procedure, measured across 2,820 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. $1,747
Surgeon (professional fee) Estimate national typical Medicare PFS $201 × 1.22 commercial. $245
Likely subtotal $1,992
Surgical episode (typical) ~$1,992

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.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$5,777
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 Inpatient HealthNet of California, Inc. HMO $14,916.20 $9,695.53 2025-11-26 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 $4,151.00 $1,228.70 2026-02-28 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO $6,251.00 $5,125.82 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage $6,251.00 $5,125.82 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage $6,251.00 $5,125.82 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient SCAN Health Plan Medicare Advantage $14,916.20 $9,695.53 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $6,251.00 $5,125.82 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $14,916.20 $9,695.53 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage $6,251.00 $5,125.82 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage $6,251.00 $5,125.82 2025-11-26 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $1.99 $648.00 $486.00 2025-03-07 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.18 $588.00 $558.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.18 $588.00 $558.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $2.18 $588.00 $558.60 2026-02-20 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $2.20 $3,976.32 $2,385.79 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $2.20 $3,976.32 $2,385.79 2025-08-11 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.23 $588.00 $558.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.29 $588.00 $558.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $2.35 $588.00 $558.60 2026-02-20 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL UNITED HEALTHCARE CARE [300609] $2.72 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL UNITED HEALTHCARE LABS [106809] $2.72 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL UNITED HEALTHCARE CARE [700909] $2.72 $19,622.42 $19,622.42 2026-03-23 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.82 $588.00 $558.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.82 $588.00 $558.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $2.88 $588.00 $558.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.88 $588.00 $558.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.88 $588.00 $558.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.88 $588.00 $558.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.94 $588.00 $558.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $3.00 $588.00 $558.60 2026-02-20 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL AETNA BETTER HEALTH MEDICAID [300612] $3.05 $19,622.42 $19,622.42 2026-03-23 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $3.06 $588.00 $558.60 2026-02-20 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Anthem Medicare 105187 Anthem Medicare 105187 $3.17 $4,599.00 $2,759.40 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Bcbs Of Michigan Medicare Plus $3.17 $4,599.00 $2,759.40 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Bcbs Blue Advantage Administrators Of Arkansas $3.17 $4,599.00 $2,759.40 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Anthem - Tertiary $3.17 $4,599.00 $2,759.40 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Anthem Medicare Supplement $3.17 $4,599.00 $2,759.40 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Medicare Anthem Mediblue Greater Dayton $3.17 $4,599.00 $2,759.40 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Medicare Anthem Medicare Preferred $3.17 $4,599.00 $2,759.40 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Medicare Anthem Medicare $3.17 $4,599.00 $2,759.40 2026-05-08 MRF ↗
OHIO VALLEY SURGICAL HOSPITAL Inpatient Bcbs Anthem - Secondary $3.17 $4,599.00 $2,759.40 2026-05-08 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $3.18 $588.00 $558.60 2026-02-20 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL AETNA CARE [700912] $3.45 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL MERIDIAN CAID [300605] $4.23 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL BLUE CROSS COMPLETE [300610] $5.08 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL MED PLUS BLUE CARE [700903] $5.18 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL WELLCARE CARE [700920] $5.18 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL MIDWEST HEALTH CAID [300607] $5.19 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICAID LABS [3006] JVHL HAP EMPOWERED [300613] $5.19 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL AETNA LABS [106802] $5.57 $19,622.42 $19,622.42 2026-03-23 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient XIMED [2016] MEDI-CAL $6.00 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient VANTAGE [1092] PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL $6.00 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BRAND NEW DAY [1089] MEDI-CAL $6.00 $5,286.00 $2,907.30 2026-04-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient MEDI-CAL MEDI-CAL $6.00 $1,001.00 $1,001.00 2025-10-04 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE SHIELD PROMISE [1017] BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) $6.00 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE CROSS [1013] MEDI-CAL $6.00 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient CAREMORE [2028] MEDI-CAL $6.00 $5,286.00 $2,907.30 2026-04-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient MEDI-CAL MEDI-CAL $6.00 $1,001.00 $1,001.00 2025-10-04 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MEDI-CAL [2001] MEDI-CAL $6.00 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient AETNA [1003] AETNA MEDI-CAL $6.00 $5,286.00 $2,907.30 2026-04-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $6.00 $1,001.00 $1,001.00 2025-10-04 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE CROSS [1013] BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] $6.00 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient COMMUNITY ELDERCARE [1027] MEDI-CAL $6.00 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MEDI-CAL [1048] MEDI-CAL $6.00 $5,286.00 $2,907.30 2026-04-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $6.00 $1,001.00 $1,001.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient CA HEALTH AND WELLNESS-ALL PLANS CA HEALTH AND WELLNESS-ALL PLANS $6.12 $1,001.00 $1,001.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient CA HEALTH AND WELLNESS-ALL PLANS CA HEALTH AND WELLNESS-ALL PLANS $6.12 $1,001.00 $1,001.00 2025-10-04 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL HAP LABS [106805] $6.19 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL CIGNA LABS [106804] $6.19 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL HAP PPO PLAN [106821] $6.19 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] OMNICARE CARE [700906] $6.47 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL GENERIC MEDICARE [700914] $6.47 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL HAP CARE [700904] $6.47 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL MIDWEST HEALTHCARE CARE [700907] $6.47 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL AMERIHEALTH CARITAS VIP [700921] $6.47 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL LABS [1068] JVHL VACCN [106827] $6.47 $19,622.42 $19,622.42 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER Outpatient JVHL MEDICARE LABS [7009] JVHL PRIORITY HEALTH CARE [700911] $6.47 $19,622.42 $19,622.42 2026-03-23 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $6.56 $555.00 $105.45 2026-01-25 MRF ↗
OTTAWA COUNTY HEALTH CENTER Outpatient CHOICECARE MCR ADV - ALL PLANS CHOICECARE MCR ADV - ALL PLANS $6.56 $370.00 $370.00 2026-03-09 MRF ↗
COMANCHE COUNTY MEDICAL CENTER Outpatient MPI - ALL PLANS MPI - ALL PLANS $7.22 $745.00 $484.25 2026-05-07 MRF ↗
COMANCHE COUNTY MEDICAL CENTER Outpatient MPI - ALL PLANS MPI - ALL PLANS $7.22 $454.00 $295.10 2026-05-07 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MOLINA [1240] MOLINA MEDI-CAL $7.56 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MOLINA [1240] MOLINA MEDI-CAL [12400001] $7.56 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL COMMUNITY CARE [10550015] $7.56 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL [10550002] $7.56 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL $7.56 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient COMMUNITY HEALTH GROUP [1022] COMMUNITY HEALTH GROUP (MEDI-CAL) $7.74 $5,286.00 $2,907.30 2026-04-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient PARTNERSHIP HEALTH PLAN- ALL PLANS PARTNERSHIP HEALTH PLAN- ALL PLANS $7.80 $1,001.00 $1,001.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient PARTNERSHIP HEALTH PLAN- ALL PLANS PARTNERSHIP HEALTH PLAN- ALL PLANS $7.80 $1,001.00 $1,001.00 2025-10-04 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient HEALTH NET [1039] HEALTH NET MEDI-CAL $8.10 $5,286.00 $2,907.30 2026-04-01 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO UM [212] Plans $8.35 $5,795.31 $5,795.31 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO UM [222] Plans $8.35 $5,795.31 $5,795.31 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON ACO UM [130] Plans $8.35 $5,795.31 $5,795.31 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient FALLON MEDICAID [10904] All FALLON MCO UM [104] Plans $8.35 $5,795.31 $5,795.31 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER UM [121] Plans $8.35 $5,795.31 $5,795.31 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans $8.35 $5,795.31 $5,795.31 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient MASSHEALTH [20302] All MASSHEALTH UM [10] Plans $8.35 $5,795.31 $5,795.31 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient INSTITUTION [10406] All WORCESTER RECOVERY UM [233] Plans $8.35 $5,795.31 $5,795.31 2026-03-26 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $8.91 $4,950.00 $1,646.39 2024-12-31 MRF ↗
CHRIST HOSPITAL Outpatient UHC COMMUNITY MEDICAID [2175] HB XR UHC INDIANA PATHWAYS MEDICAID $8.91 $2,677.00 $1,606.20 2025-12-19 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY $9.47 $7,110.33 $4,621.71 2024-12-30 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility CIGNA MCR HMO/PPO [250525] MEDICARE REPLACEMENT [25052501] $9.94 $43,280.05 $8,656.01 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility WELLCARE HEALTH PLAN [250516] MEDICARE REPLACEMENT [25051601] $9.94 $43,280.05 $8,656.01 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility BCBS MEDICARE [250503] BCBS MEDICARE REPLACEMENT [25050301] $9.94 $43,280.05 $8,656.01 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility UNITED HEALTH MCR HMO/PPO [250515] UHC MEDICARE REPLACEMENT [25051501] $10.12 $43,280.05 $8,656.01 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility AETNA COVENTRY MCR REPLACEMENT [250518] AETNA MEDICARE [25051801] $10.12 $43,280.05 $8,656.01 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility HUMANA GOLD [250508] PFFS MEDICARE REPLACEMENT [25050801] $10.12 $43,280.05 $8,656.01 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility ALIGN SENIOR CARE [250524] ALIGN MEDICARE REPLACEMENT [25052401] $10.13 $43,280.05 $8,656.01 2026-03-26 MRF ↗
LEE MEMORIAL HOSPITAL OutpatientFacility FREEDOM HEALTH [250505] FREEDOM HLTH MEDICARE REPLACEMENT [25050501] $10.13 $43,280.05 $8,656.01 2026-03-26 MRF ↗
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans $10.44 $5,795.31 $5,795.31 2026-03-26 MRF ↗
FAIRCHILD MEDICAL CENTER Outpatient MEDI-CAL MEDI-CAL $11.00 $598.00 $598.00 2025-12-03 MRF ↗
RIVERSIDE COMMUNITY HOSPITAL Outpatient Inland Empire Health Plan MGMCD $11.60 2024-10-01 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $11.72 $3,976.32 $2,385.79 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $11.72 $3,976.32 $2,385.79 2025-08-11 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $12.34 $23,924.36 $14,354.62 2026-03-24 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $13.12 $5,938.00 $5,938.00 2026-02-13 MRF ↗
THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC BothFacility HUMANA INC. - Medicare-HMO Medicare Advantage $13.67 $2,661.80 $1,490.61 2025-01-01 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $14.64 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $14.73 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $14.73 2026-03-18 MRF ↗
TITUSVILLE AREA HOSPITAL Outpatient United Healthcare Medicare Medicare Advantage $14.78 $534.00 $320.40 2026-02-12 MRF ↗
TITUSVILLE AREA HOSPITAL Outpatient United Healthcare Medicare Medicare Advantage $14.78 $534.00 $320.40 2026-02-12 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $16.77 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $16.88 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $16.88 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $18.26 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $18.38 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $18.38 2026-03-18 MRF ↗
Southwest Healthcare System-wildomar Both Anthem Blue Cross Blue Shield Medicaid $20.00 $5,673.00 $2,269.20 2026-05-06 MRF ↗
ALLEGHENY GENERAL HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $20.18 $630.00 $151.20 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Medicaid CHC $20.18 $630.00 $138.60 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Medicaid HC $20.18 $630.00 $138.60 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $20.18 $630.00 $138.60 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $20.18 $630.00 $151.20 2026-04-14 MRF ↗
FORBES HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $20.18 $630.00 $138.60 2026-04-14 MRF ↗
AHN WEXFORD HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $20.18 $630.00 $163.80 2026-04-14 MRF ↗
AHN WEXFORD HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $20.18 $630.00 $163.80 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $20.18 $630.00 $144.90 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $20.18 $630.00 $144.90 2026-04-14 MRF ↗
WEST PENN HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $20.18 $630.00 $170.10 2026-04-14 MRF ↗
WEST PENN HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $20.18 $630.00 $170.10 2026-04-14 MRF ↗
FORBES HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $20.18 $630.00 $138.60 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $20.18 $630.00 $113.40 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Outpatient Amerihealth Amerihealth Medicaid HC $20.18 $630.00 $144.90 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $20.18 $630.00 $113.40 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $20.18 $630.00 $119.70 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $20.18 $630.00 $119.70 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Medicaid HC $20.18 $630.00 $138.60 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Outpatient Amerihealth Amerihealth Medicaid CHC $20.18 $630.00 $144.90 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Medicaid CHC $20.18 $630.00 $138.60 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $20.18 $630.00 $138.60 2026-04-14 MRF ↗
The Burdett Care Center OutpatientFacility ALBANY COUNTY CORRECTIONAL FACILITY ALBANY CORRECTIONAL FACILITY $20.20 $3,175.90 2026-03-31 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $1,588.00 $1,032.20 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $1,588.00 $1,032.20 2025-01-01 MRF ↗
LOURDES MEDICAL CENTER Outpatient AETNA POS $21.39 $3,869.96 $1,547.98 2025-09-24 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE EMPIRE MEDICAID $21.41 $3,175.90 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE EMPIRE MEDICAID $21.41 $3,175.90 2026-03-31 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Anthem Blue Cross Blue Shield Medicaid $22.00 $5,570.00 $2,228.00 2026-05-14 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Anthem Blue Cross Blue Shield Medicaid $22.00 $5,570.00 $2,228.00 2026-05-23 MRF ↗
CHERRY COUNTY HOSPITAL Both AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $23.61 $2,270.05 $2,270.05 2026-04-24 MRF ↗
KERN VALLEY HEALTHCARE DISTRICT Outpatient HEALTHNET MCAL HEALTHNET MCAL $25.00 $766.29 $199.68 2026-02-25 MRF ↗
KERN VALLEY HEALTHCARE DISTRICT Outpatient MEDI-CAL MEDI-CAL $25.00 $766.29 $199.68 2026-02-25 MRF ↗
KERN VALLEY HEALTHCARE DISTRICT Outpatient HEALTHNET (AIM) HEALTHNET (AIM) $25.00 $766.29 $199.68 2026-02-25 MRF ↗
The Burdett Care Center OutpatientFacility FIDELIS CARE MEDICAID ADVANTAGE FIDELIS MEDICAID ESS PLAN 3 &4 $27.27 $3,175.90 2026-03-31 MRF ↗
The Burdett Care Center OutpatientFacility FIDELIS CARE MEDICAID ADVANTAGE FIDELIS MEDICAID EPP 1 & 2 QHP $27.27 $3,175.90 2026-03-31 MRF ↗
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility Wellpoint NJ Family Care $28.04 $6,465.00 2026-03-04 MRF ↗
LIFECARE MEDICAL CENTER Outpatient BCBS MHCP BCBS MHCP $28.25 $77.00 $67.76 2026-02-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient WELLSENSE MEDICAID [10901] All WELLSENSE MEDICAID (FORMERLY BMC) HR [40] Plans $28.52 $3,379.23 $3,379.23 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient TUFTS MEDICAID [10908] All TUFTS TOGETHER HR [124] Plans $28.52 $3,379.23 $3,379.23 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient HNE MEDICAID [10905] All HEALTH NEW ENGLAND/MINUTEMAN MCO HR [303] Plans $28.52 $3,379.23 $3,379.23 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient MASSHEALTH [20302] All MASSHEALTH HR [91] Plans $28.52 $3,379.23 $3,379.23 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient MGB MEDICAID [10906] All MGB (FORMERLY AHP) ACO HR [307] Plans $28.52 $3,379.23 $3,379.23 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON MCO HR [305] Plans $28.52 $3,379.23 $3,379.23 2026-04-03 MRF ↗
UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Outpatient FALLON MEDICAID [10904] All FALLON ACO HR [304] Plans $28.52 $3,379.23 $3,379.23 2026-04-03 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 $6,041.25 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 $6,041.25 2024-12-08 MRF ↗
MERCY MEDICAL CTR OutpatientFacility CARELON HEALTH MEDICAID CARELON MEDICAID $31.61 $4,850.98 2026-03-31 MRF ↗
Heritage Valley Kennedy Hospital Both AETNA HEALTH INC AETNA BETTER HEALTH MEDICAID $33.00 $3,143.00 $848.61 2024-12-30 MRF ↗
HERITAGE VALLEY SEWICKLEY Both AETNA HEALTH INC AETNA BETTER HEALTH MEDICAID $33.00 $3,624.00 $978.48 2026-03-27 MRF ↗
HERITAGE VALLEY BEAVER Both AETNA HEALTH INC AETNA BETTER HEALTH MEDICAID $33.00 $3,143.00 $848.61 2024-12-30 MRF ↗
Heritage Valley Kennedy Hospital Both AETNA HEALTH INC AETNA BETTER HEALTH MEDICAID $33.00 $3,143.00 $848.61 2024-12-30 MRF ↗
MEADVILLE MEDICAL CENTER Outpatient Geisinger Managed Medicaid $33.00 $4,350.00 $2,610.00 2025-02-18 MRF ↗
HERITAGE VALLEY SEWICKLEY Both AETNA HEALTH INC AETNA BETTER HEALTH MEDICAID $33.00 $3,624.00 $978.48 2026-03-27 MRF ↗
HERITAGE VALLEY SEWICKLEY Both AETNA HEALTH INC AETNA BETTER HEALTH MEDICAID $33.00 $3,624.00 $978.48 2026-03-27 MRF ↗
OSS ORTHOPAEDIC HOSPITAL OutpatientFacility Upmc F8120_Upmc Health Plan - Medicaid $33.00 2026-04-01 MRF ↗
ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility Keystone First Medicaid $33.00 $3,311.00 $2,979.90 2026-02-26 MRF ↗
GEISINGER MEDICAL CENTER Outpatient Medicaid Medicaid $33.00 $3,830.00 $2,374.60 2025-07-01 MRF ↗
OSS ORTHOPAEDIC HOSPITAL OutpatientFacility Geisinger Health Plan F8109_Geisinger Health Plan - Medicaid Chip $33.00 2026-04-01 MRF ↗
ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility Keystone First Medicaid $33.00 $3,232.00 $2,682.56 2026-02-27 MRF ↗
UPMC ALTOONA OutpatientFacility Aetna Medicaid $33.00 $2,760.00 $1,656.00 2026-03-06 MRF ↗
HERITAGE VALLEY BEAVER Both AETNA HEALTH INC AETNA BETTER HEALTH MEDICAID $33.00 $3,143.00 $848.61 2024-12-30 MRF ↗
SURGICAL INSTITUTE OF READING BothFacility Unison Med Plus $33.00 $7,626.00 $2,382.69 2026-04-08 MRF ↗
ARNOT OGDEN MEDICAL CENTER OutpatientFacility AmeriHealth All Products $33.00 $1,446.90 $289.38 2026-03-27 MRF ↗
Heritage Valley Kennedy Hospital Both AETNA HEALTH INC AETNA BETTER HEALTH MEDICAID $33.00 $3,143.00 $848.61 2024-12-30 MRF ↗
MEADVILLE MEDICAL CENTER Outpatient Health Partners Managed Medicaid $33.00 $4,350.00 $2,610.00 2025-02-18 MRF ↗
HERITAGE VALLEY SEWICKLEY Both AETNA HEALTH INC AETNA BETTER HEALTH MEDICAID $33.00 $3,624.00 $978.48 2026-03-27 MRF ↗
HERITAGE VALLEY BEAVER Both AETNA HEALTH INC AETNA BETTER HEALTH MEDICAID $33.00 $3,143.00 $848.61 2025-01-14 MRF ↗
HERITAGE VALLEY BEAVER Both AETNA HEALTH INC AETNA BETTER HEALTH MEDICAID $33.00 $3,143.00 $848.61 2025-01-14 MRF ↗
MEADVILLE MEDICAL CENTER Outpatient Geisinger Managed Medicaid $33.00 $4,350.00 $2,610.00 2025-02-18 MRF ↗
MEADVILLE MEDICAL CENTER Outpatient Health Partners Managed Medicaid $33.00 $4,350.00 $2,610.00 2025-02-18 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.