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 $101–$899 (25th–75th percentile) across 2,510 hospitals · 7,574 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
$101
$408 typical
$899
The middle 50% of negotiated facility rates for this procedure, measured across 2,510 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. | $408 |
| Surgeon (professional fee) Estimate national typical Medicare $22 × 1.22 commercial. | $27 |
| Likely subtotal | $435 |
Surgical episode (typical)
~$435
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 |
|---|---|---|---|---|---|---|---|
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $779.00 | $270.31 | 2025-09-09 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | ENVOLVE VISION PLAN [303009] | — | $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 | HUMANA MEDICAID [3509] | HUMANA HEALTHY HORIZON [350900] | — | $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 | UNITED HEALTH [1006] | UNITED HEALTHCARE LA EXCHANGE ONEX [100611] | — | $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 | UNITED HEALTH [1006] | HERITAGE PLUS [100615] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $779.00 | $270.31 | 2025-09-09 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | CORE SOURCE [100104] | — | $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 | MEDICAID [3000] | MEDICAID FORM 18 PE [300001] | — | $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 ↗ |
| CHILDRENS HOSPITAL Outpatient | MEDICAID [3000] | MEDICAID SPENDDOWN [300015] | — | $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 | 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] | GOLDEN RULE INS CO [100605] | — | $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 | UNITED HEALTH CARE (MGD MCD) [3505] | UNITED HEALTH COMMUNITY-PSYCH [350501] | — | $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 | AETNA [1001] | ASSURANT HEALTH [100105] | — | $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 | UNITED HEALTH [1006] | UNITED HEALTHCARE SHARED SERVICES [100614] | — | $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 | AETNA [1001] | AETNA SENIOR SUPPLEMENTAL INSURANCE [100110] | — | $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 | CIGNA [1002] | CIGNA STARBRIDGE AZ [100206] | — | $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 MANAGED CARE [3300] | LA HEALTHCARE CONNECTIONS [330003] | — | $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 | HUMANA [1005] | HUMANA HMOX [100506] | — | $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 | MEDICARE [2000] | MEDICARE PART B ONLY [200002] | — | $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 | UMR [1070] | PREMIER HEALTH [107002] | — | $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 | UMR [1070] | UNITED MED RESOURCES (UMR) [107001] | — | $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 | CIGNA [1002] | CIGNA/GILSBAR INC [100208] | — | $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 | UNITED HEALTH [1006] | CITY OF NEW ORLEANS [100604] | — | $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 | TRICARE [8002] | TRICARE EAST REGION [800205] | — | $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 | MEDICAID [3000] | MEDICAID PSYCH-MAGELLAN [300014] | — | $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 | AETNA [1001] | EBMS AETNA [1100024] | — | $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 MANAGED CARE [3300] | AETNA BETTER HEALTH [330004] | — | $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 | TRICARE [8002] | TRIWEST WPS VACAA [800203] | — | $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 | HUMANA MEDICAID [3509] | HUMANA HEALTHY HORIZON - PSYCH [350901] | — | $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 | UNITED HEALTH [1006] | NEXUSACO OA [100607] | — | $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 | MEDICAID [3000] | MEDICAID TAKE CHARGE [300003] | — | $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 | FIRST HEALTH NETWORK [1073] | FIRST HEALTH [107300] | — | $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 | HUMANA [1005] | HUMANA PPO [100500] | — | $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 | AETNA [1001] | AETNA LIFE MEDICARE SUP [100107] | — | $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 | AETNA [1001] | AETNA COMMERCIAL [100112] | — | $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 | AETNA [1001] | SRC AETNA COMPANY [100101] | — | $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 | UMR [1070] | LCMC HEALTH NETWORK (UMR) [107000] | — | $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 | AETNA [1001] | AMERICAN CONTINENTAL [100111] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | AETNA [1001] | AETNA [100100] | — | $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 | MEDICAID MANAGED CARE [3300] | HEALTHY BLUE [330006] | — | $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 | LA HEALTHCARE CONNECTIONS [3504] | LA HEALTHCARE CONNECTIONS [350400] | — | $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 | AMERIHEALTH [3503] | AMERIHEALTH CARITAS LA [350300] | — | $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 | CIGNA [1002] | NATIONAL ASSOCIATION OF LETTER CARRIERS [100211] | — | $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 | CIGNA [1002] | CIGNA NEW ORLEANS ELECTRIC H&W FUND [100202] | — | $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 | 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 | MEDICAID PSYCH MANAGED CARE [3400] | AMERI GROUP LA-PSYCH [340001] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA GENERIC [100502] | — | $867.00 | $234.09 | 2026-03-25 | MRF ↗ |
| ST BERNARD PARISH HOSPITAL Outpatient | None | — | — | — | — | 2026-04-01 | MRF ↗ |
| CHILDRENS HOSPITAL Outpatient | HUMANA [1005] | HUMANA HMO [100501] | — | $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 | CIGNA [1002] | THE HEALTH PLAN [100210] | — | $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 | LA HEALTHCARE CONNECTIONS [3504] | ENVOLVE VISION (LHC) [350403] | — | $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 | FIRST HEALTH NETWORK [1066] | MAIL HANDLERS BEN PLA [106600] | — | $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 | LA HEALTHCARE CONNECTIONS [3504] | AMBETTER COMMERCIAL [350405] | — | $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 | TRICARE [8002] | TRICARE OVERSEAS [800206] | — | $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 | TRICARE [8002] | TRICARE WEST REGION [800202] | — | $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 | UNITED HEALTH [1006] | UNITED HEALTHCARE COMPASS [100602] | — | $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 | TRICARE [8002] | TRICARE FEDERAL HEALTH NET [800207] | — | $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 MANAGED CARE [3300] | AMERIHEALTH CARITAS LA [330002] | — | $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 | AETNA MEDICARE [9002] | AETNA MEDICARE [900200] | — | $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 ↗ |
| HOMESTEAD HOSPITAL Outpatient | BLUE CROSS | MY BLUE EX | — | — | — | 2026-03-30 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.17 | $348.00 | $261.00 | 2025-03-07 | MRF ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Healthsmart | 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 | Cigna | Commercial | — | $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 OutpatientFacility | Wellpoint (Formerly Known as Amerigroup) | Managed Medicaid/CHIP | — | $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 | 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 InpatientFacility | Superior Health Plan | 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 ↗ |
| HENDRICK MEDICAL CENTER InpatientFacility | Cigna | 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 InpatientFacility | Wellpoint (Formerly Known as Amerigroup) | 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 ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $626.00 | $185.30 | 2026-02-28 | MRF ↗ |
| HENDRICK MEDICAL CENTER BROWNWOOD InpatientFacility | Wellpoint | Managed Medicaid/CHIP | — | $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 | FirstCare Star | Managed Medicaid | — | $1.57 | $1.57 | 2025-12-08 | 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 ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.75 | $71.70 | $71.70 | 2026-04-24 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $0.77 | $53.00 | $53.00 | 2026-03-09 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.77 | $61.00 | $11.59 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $0.85 | $82.00 | $53.30 | 2026-05-07 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.89 | $1,131.99 | $679.19 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $0.89 | $1,131.99 | $679.19 | 2025-08-11 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners Community Health Plan | — | $1,004.00 | $672.68 | 2024-12-10 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners Commercial | — | $1,004.00 | $672.68 | 2024-12-10 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $1,142.00 | $936.44 | 2025-11-26 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Optum | UBH Optum | — | $1,004.00 | $672.68 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners MSHO HMO | — | $1,004.00 | $672.68 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Sanford | Sanford Health Plan | — | $1,004.00 | $672.68 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | Cigna APWU | — | $1,004.00 | $672.68 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica Commercial | — | $1,004.00 | $672.68 | 2024-12-10 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $1,142.00 | $936.44 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $1,142.00 | $936.44 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $1,142.00 | $936.44 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $1,142.00 | $936.44 | 2025-11-26 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial | — | $1,004.00 | $672.68 | 2024-12-10 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica IFB | — | $1,004.00 | $672.68 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | America's PPO | HealthEz - America's PPO | — | $1,004.00 | $672.68 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica Community Health Plan | — | $1,004.00 | $672.68 | 2024-12-10 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $1,142.00 | $936.44 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MA [1600701] | $1.10 | $3,069.00 | $1,503.81 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MN CARE [1600702] | $1.10 | $3,069.00 | $1,503.81 | 2026-01-01 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $1.54 | $103.00 | $103.00 | 2026-02-13 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MN CARE [1600702] | $1.65 | $8,715.00 | $4,270.35 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MA [1600701] | $1.65 | $8,715.00 | $4,270.35 | 2026-01-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $1.71 | $85.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $1.71 | $85.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $1.71 | $85.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $1.71 | $85.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $1.71 | $85.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $1.71 | $85.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $1.71 | $85.50 | — | 2026-03-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.91 | $1,063.00 | — | 2024-12-31 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | BLUE CROSS BLUE SHIELD [16006] | BCBS FEDERAL [1600603] | $2.00 | $3,069.00 | $1,503.81 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | BLUE CROSS BLUE SHIELD [16006] | BCBS OUT OF STATE [1600605] | $2.04 | $3,069.00 | $1,503.81 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | BLUE CROSS BLUE SHIELD [16006] | BCBS BLUE PLUS [1600601] | $2.04 | $3,069.00 | $1,503.81 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | BLUE CROSS BLUE SHIELD [16006] | BCBS MN [1600604] | $2.04 | $3,069.00 | $1,503.81 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | BLUE CROSS BLUE SHIELD [16006] | CCS COMPREHENSIVE CARE SERVICES [1600602] | $2.04 | $3,069.00 | $1,503.81 | 2026-01-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC IP | $2.09 | $27.50 | $8.25 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC OP | $2.09 | $27.50 | $8.25 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC REHAB IP | $2.09 | $27.50 | $8.25 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC 2ND OP | $2.09 | $27.50 | $8.25 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC PSYCH | $2.09 | $27.50 | $8.25 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC REHAB OP | $2.09 | $27.50 | $8.25 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC NB | $2.09 | $27.50 | $8.25 | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MCD UNITED HC LA | MCD UHC 2ND IP | $2.09 | $27.50 | $8.25 | 2025-12-04 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | BLUE CROSS BLUE SHIELD [16006] | BCBS FEDERAL [1600603] | $3.00 | $8,715.00 | $4,270.35 | 2026-01-01 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Humana | Medicare | — | $1,050.00 | $840.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $3.04 | $12.17 | $12.17 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $3.04 | $12.17 | $12.17 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $3.04 | $12.17 | $12.17 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $3.04 | $12.17 | $12.17 | 2026-03-27 | 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.