11045 — Pr Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Debridement Subcutaneous Tissue Each Additional 20 Sq Cm (CPT 11045) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/11045?code_type=CPT
MLA (9th ed.)
“PR Debridement Subcutaneous Tissue Each Additional 20 Sq Cm (CPT 11045) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/11045?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Debridement Subcutaneous Tissue Each Additional 20 Sq Cm (CPT 11045) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/11045?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $80–$870 (25th–75th percentile) across 3,133 hospitals · 7,827 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11045 — 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
$80
$376 typical
$870
The middle 50% of negotiated facility rates for this procedure, measured across 3,133 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. | $376 |
| Surgeon (professional fee) Estimate national typical Medicare $22 × 1.22 commercial. | $27 |
| Likely subtotal | $402 |
Surgical episode (typical)
~$402
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $80–$870.
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 |
|---|---|---|---|---|---|---|---|
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA PPO [100500] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA NEW ORLEANS ELECTRIC H&W FUND [100202] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID PSYCH-MAGELLAN [300014] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA STARBRIDGE AZ [100206] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | RAILROAD MEDICARE [200004] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID TAKE CHARGE [300003] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | NEXUSACO OA [100607] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | AMBETTER COMMERCIAL [350405] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | MERITAIN HEALTH [100108] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | LA HEALTHCARE CONNECTIONS-PSYCH [340003] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA SENIOR SUPPLEMENTAL INSURANCE [100110] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | ENVOLVE VISION PLAN [303009] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | ASSURANT HEALTH [100105] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA POS [100503] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | MEDICARE PART A ONLY [200001] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA MEDSOLUTIONS [100213] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA BETTER HEALTH [3501] | AETNA BETTER HEALTH [350100] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $779.00 | $270.31 | 2025-09-09 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA [100100] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID FORM 18 PE [300001] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UHC UT [100610] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | UNITED MED RESOURCES (UMR) [107001] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA LIFE MEDICARE SUP [100107] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | GOLDEN RULE INS CO [100605] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA MEDICAID [3509] | HUMANA HEALTHY HORIZON - PSYCH [350901] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA ENVOY [100212] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA MEDICAID [3509] | HUMANA HEALTHY HORIZON [350900] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | CITY OF NEW ORLEANS [100604] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE GRI [100612] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA MEDICARE [9002] | AETNA MEDICARE DUAL PREFERRED [900201] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | MEDICARE PART B ONLY [200002] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | NEXUSACO R - REFERRAL REQUIRED [100608] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | FIRST HEALTH NETWORK [1066] | MAIL HANDLERS BEN PLA [106600] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA MEDICARE SUPPLEMENT [100209] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | CORE SOURCE [100104] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | LA HEALTHCARE CONNECTIONS [330003] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | THE HEALTH PLAN [100210] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AMERIHEALTH CARITAS LA-PSYCH [340002] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | OXFORD HEALTH PLAN [100609] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE OVERSEAS [800206] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRIWEST WPS VACAA [800203] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE LA EXCHANGE ONEX [100611] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | ENVOLVE VISION (LHC) [350403] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA MEDICARE [9002] | AETNA MEDICARE [900200] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH CARE [1078] | OPTUM HEALTH (TRANSPLANT) [107800] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID [300000] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA BETTER HEALTH [3501] | AETNA BETTER HEALTH-PSYCH [350101] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | CHRISTIAN BROTHERS [100106] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTH INTEGRATED [100606] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | FIRST HEALTH NETWORK [1073] | FIRST HEALTH [107300] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AMERICAN CONTINENTAL [100111] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA-PSYCH [350301] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA GENERIC [100103] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | PREMIER HEALTH [107002] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | GNOCHC [300005] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH CARE (MGD MCD) [3505] | UNITED HEALTH COMMUNITY-PSYCH [350501] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | LA HEALTHCARE CONNECTIONS [350400] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UHC GLOBAL [100616] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HEALTHY BLUE LOUISIANA [3502] | HEALTHY BLUE-PSYCH [350201] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID INPATIENT ONLY [300012] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA/GILSBAR INC [100208] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HEALTHY BLUE LOUISIANA [3502] | HEALTHY BLUE LOUISIANA [350200] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | GEHA [100603] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | VANTAGE [1071] | VANTAGE HEALTH COMMERCIAL [107100] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | AMERI GROUP LA [330001] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA GLOBAL BENEFITS [100109] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTH CHOICE PLUS [100601] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | UNITED HEALTH COMMUNITY [330005] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | LA MEDICAID EMERGENT (CONIFER USE ONLY) [300016] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA GENERIC [100502] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | EBMS AETNA [1100024] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | NATIONAL ASSOCIATION OF LETTER CARRIERS [100211] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA HMO [100501] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | LA HEALTHCARE CONNECTIONS [3504] | LA HEALTHCARE CONNECTIONS-PSYCH [350401] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | HEALTHY BLUE [330006] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE SHARED SERVICES [100614] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | AETNA BETTER HEALTH [330004] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AETNA BETTER HEALTH-PSYCH [340004] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTH CARE [100600] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID SPENDDOWN [300015] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $779.00 | $270.31 | 2025-09-09 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $779.00 | $270.31 | 2025-09-09 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE FEDERAL HEALTH NET [800207] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | AMERI GROUP LA-PSYCH [340001] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH CARE (MGD MCD) [3505] | MISSISSIPPI UHC MEDICAID [350502] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | WPS TRICARE FOR LIFE [800204] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA [350300] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | VERITY HEALTHNET [1072] | WEBTPA LSU FIRST [107201] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA HMOX [100506] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICARE [2000] | MEDICARE [200000] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA [100200] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE COMPASS [100602] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | LCMC HEALTH NETWORK (UMR) [107000] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH CARE (MGD MCD) [3505] | UNITED HEALTH COMMUNITY [350500] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE WEST REGION [800202] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA COMMERCIAL [100112] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID MANAGED CARE [3300] | AMERIHEALTH CARITAS LA [330002] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | ALLEGIANCE BENEFIT PAIN MANAGEMENT [100216] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA MEDICARE SUPPLEMENT [100508] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | SRC AETNA COMPANY [100101] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | PLAN MASTERS MATES & PILOTS [100215] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | TRICARE [8002] | TRICARE EAST REGION [800205] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | VERITY HEALTHNET [1072] | VERITY HEALTHNET [107200] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA GENERIC [100205] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | A P W U [100207] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | CIGNA [1002] | CIGNA STARBRIDGE TN [100201] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID PSYCH MANAGED CARE [3400] | UNITED HEALTH COMMUNITY-PSYCH [340005] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UMR [1070] | NORTH OAKS UMR [107003] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | SUREST [100613] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | UNITED HEALTH [1006] | HERITAGE PLUS [100615] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Ppo | All Payor | $0.03 | $370.00 | $162.80 | 2026-08-17 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.17 | $348.00 | $261.00 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.17 | $320.00 | $240.00 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | — | — | 2026-05-20 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.17 | $348.00 | $261.00 | 2025-03-07 | MRF ↗ |
| ROBERT PACKER HOSPITAL Both | Geisinger | Managed Medicaid | — | $90.41 | $72.33 | 2026-07-15 | MRF ↗ |
| HOMESTEAD HOSPITAL Outpatient | BLUE CROSS | MY BLUE EX | — | — | — | 2026-03-30 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | $0.18 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $0.19 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | $2,661.00 | $1,995.75 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Carolina Complete Health | Managed Medicaid | $0.28 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Carolina Complete Health | Managed Medicaid | $0.28 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Ohana Care | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | FirstCare Star | Managed Medicaid | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | FirstCare Star | Managed Medicaid | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | FirstCare Star | Managed Medicaid | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER OutpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $1.87 | $1.87 | 2025-12-08 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Compass | $0.35 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Compass | $0.35 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | $0.37 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Healthy Blue | Managed Medicaid | $0.37 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $0.37 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $0.37 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Healthy Blue | Managed Medicaid | $0.37 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | $0.37 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Pa Health And Wellness Medicaid | Pa Health And Wellness Medicaid | $0.45 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna Nc State Health Plan | Commercial | $0.48 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna Nc State Health Plan | Commercial | $0.48 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Horizon Nj Health | Horizon Nj Health | $0.51 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Horizon Nj Health | Horizon Nj Health | $0.53 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna New Business | Commerical | $0.58 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $0.58 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $0.58 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna New Business | Commerical | $0.58 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial | $0.60 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Keystone Mercy Health Plan | Keystone Mercy Health Plan | $0.60 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Medcost | Commercial | $0.60 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Medcost | Commercial | $0.60 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial | $0.60 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $164.00 | — | 2026-07-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Nc | Commercial | $0.64 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Nc | Commercial | $0.64 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $626.00 | $264.80 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $626.00 | $185.30 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $626.00 | $185.30 | 2026-02-28 | MRF ↗ |
| The Queen's Medical Center Outpatient | University Health Alliance | Commercial | $0.68 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | University Health Alliance | Commercial | $0.68 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | University Health Alliance | Commercial | $0.68 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Pgm - Regie De L'Assurance Maladie Quebec | Pgm - Regie De Lassurance Maladie Quebec | $0.69 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Multiplan | Commercial | $0.70 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | $0.70 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Evernorth Behavioral Health | Commercial | $0.70 | $1.00 | $39.90 | 2026-07-13 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Ambetter | Marketplace | — | $1.57 | $1.57 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | United Healthcare | Medicare Advantage | — | $1.57 | $1.57 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | FirstCare Star | Managed Medicaid | — | $1.57 | $1.57 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Superior Health Plan | Managed Medicaid/CHIP | — | $1.57 | $1.57 | 2025-12-08 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Wellpoint | Managed Medicaid/CHIP | — | $1.57 | $1.57 | 2025-12-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Western Management Group | Commercial | $0.72 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Western Management Group | Commercial | $0.72 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Western Management Group | Commercial | $0.72 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Mainland Administrators | Nontrust Local | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Community Health Alliance | Commercial | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hawaii Mainland Administrators | Ufcw | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.75 | $71.70 | $71.70 | 2026-04-24 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Mainland Administrators | Ufcw | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Highmark | Highmark | $0.75 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hawaii Mainland Administrators | Non Trust Local | $0.75 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hawaii Community Health Alliance | Commercial | $0.75 | $1.00 | $0.70 | 2026-07-15 | 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.