11100 — Biopsy Skin Lesion
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BIOPSY SKIN LESION (HCPCS 11100) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/11100?code_type=HCPCS
MLA (9th ed.)
“BIOPSY SKIN LESION (HCPCS 11100) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/11100?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“BIOPSY SKIN LESION (HCPCS 11100) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/11100?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $119–$884 (25th–75th percentile) across 749 hospitals · 1,371 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11100 — 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 |
|---|---|---|---|---|---|---|---|
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $677.00 | $234.92 | 2025-09-09 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $677.00 | $234.92 | 2025-09-09 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $677.00 | $234.92 | 2025-09-09 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.85 | $274.25 | $274.25 | 2026-04-24 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID | CARESOURCE MCAID | $10.56 | $93.41 | $46.71 | 2026-05-05 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $12.25 | $49.00 | $29.40 | 2026-05-05 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | Multiplan | Medicare/VA | $12.45 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare | $13.11 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | Government Employees Health Association (GEHA) | Medicare | $13.11 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | TriWest | Veterans Administration | $13.11 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Multiplan | Medicare/VA | $13.33 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Government Employees Health Association (GEHA) | Medicare | $14.03 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare | $14.03 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | TriWest | Veterans Administration | $14.03 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Aetna | Medicare | $14.67 | $81.50 | $65.20 | 2026-03-06 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $14.70 | $49.00 | $29.40 | 2026-05-05 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Aetna of WY | Medicare | $14.72 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | Aetna of WY | Medicare | $15.18 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Medicare | $15.38 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Medicare | $15.38 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Ppo | $15.38 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Humana | Medicare | $15.38 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellmark | Medicare | $15.38 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Everstep | Commercial | $15.38 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Hmo | $15.38 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Ppo | $15.39 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Hmo | $15.39 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Medicare | $15.39 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Medicare | $15.39 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Everstep | Commercial | $15.39 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Humana | Medicare | $15.39 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellmark | Medicare | $15.39 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| MONROE COUNTY MEDICAL CENTER Outpatient | UNITED HEALTHCARE-ALL PLANS | UNITED HEALTHCARE-ALL PLANS | $15.66 | $102.50 | $85.08 | 2026-02-04 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | UPMC Work Partners | Workers Comp | — | $89.00 | $53.40 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Aetna | Medicare | $16.02 | $89.00 | $53.40 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $16.30 | $81.50 | $65.20 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Highmark BCBS of PA | Medicare | $16.30 | $81.50 | $65.20 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $16.35 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | UPMC Work Partners | Workers Comp | — | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | United Healthcare | Commercial | — | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | United Healthcare | Medicare | $16.52 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | AmeriHealth Caritas | Medicare | $16.52 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | UPMC Health Plan | Managed Medicare | $16.52 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | UPMC Health Plan | Managed Medicare | $16.63 | $81.50 | $65.20 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | Humana | Medicare | $16.69 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | AmeriHealth Caritas | Community HealthChoices (CHC) | $16.93 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | AmeriHealth Caritas | Medicaid | $16.93 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $17.00 | $68.00 | $68.00 | 2026-03-25 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $17.00 | $68.00 | $68.00 | 2026-03-25 | MRF ↗ |
| UPMC COLE OutpatientFacility | UPMC Health Plan | Managed Medicaid | $17.11 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Cigna | Medicare | $17.11 | $81.50 | $65.20 | 2026-03-06 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $17.15 | $127.00 | $95.25 | 2026-01-16 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Three Rivers | PPO | $17.25 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $17.25 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| UPMC COLE OutpatientFacility | Cigna | Medicare | $17.35 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | United Healthcare | Medicare | $17.44 | $81.50 | $65.20 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $17.60 | $81.50 | $65.20 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $17.80 | $89.00 | $53.40 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Highmark BCBS of PA | Medicare | $17.80 | $89.00 | $53.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | PA Health & Wellness | Allwell Medicare Advantage DSNP | $17.84 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $17.84 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | Aetna | Medicare | $18.00 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | UPMC Health Plan | Managed Medicare | $18.16 | $89.00 | $53.40 | 2026-03-06 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $18.27 | $135.31 | $101.48 | 2026-01-16 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Cigna | Medicare | $18.69 | $89.00 | $53.40 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | United Healthcare | Medicare | $19.05 | $89.00 | $53.40 | 2026-03-06 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Iowa Total Care | Medicaid | $19.16 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellpoint | Medicaid | $19.16 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Iowa Total Care | Medicaid | $19.17 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellpoint | Medicaid | $19.17 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19.22 | $89.00 | $53.40 | 2026-03-06 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | PacificSource | Commercial | $20.70 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | First Choice Health | Commercial | $21.85 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | WINHealth Partners | Commercial | $21.85 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Government Employees Health Association (GEHA) | Commercial | $21.85 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Entrust | Commercial | $21.85 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Wise Provider Network | Commercial | $21.85 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $21.96 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Altius | Commercial | $22.08 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $141.23 | $52.69 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $141.23 | $52.69 | 2025-01-19 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Idaho Integrated Healthcare | Commercial | $22.31 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Wyoming | Commercial | $22.31 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | ChoiceCare Network | Commercial | $22.31 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | One Health Plan of WY | PPO | $22.54 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | WINHealth Partners | Commercial | $22.54 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Aetna of WY | Commercial/Medical Rental | $22.54 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Cigna of WY | Commercial | $22.54 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | PHCS | PPO | $22.54 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Beech Street | Commercial | $22.54 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE [105801] | $23.00 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | SUREST [105805] | $23.00 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 740810 [105803] | $23.00 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | HealthUtah | PPO | $23.00 | $23.00 | $16.10 | 2024-11-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE LIFE INS CO [1075] | UNITED HEALTH CARE LIFE INS CO [107501] | $23.00 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALL SAVERS INSURANCE [1073] | ALL SAVERS INSURANCE [107301] | $23.00 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE STUDENT RESOURCES [105808] | $23.00 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 31374 [105807] | $23.00 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 30555 [105802] | $23.00 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $141.23 | $52.69 | 2025-01-19 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $23.50 | $94.00 | — | 2026-01-01 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $23.50 | $94.00 | — | 2026-01-01 | MRF ↗ |
| UPMC COLE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $23.60 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | BCBS | ALL PRODUCTS | $23.75 | $25.00 | $24.00 | 2025-12-28 | MRF ↗ |
| ELECTRA MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $23.80 | $85.00 | $59.50 | 2026-03-11 | MRF ↗ |
| TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN Outpatient | BCBS BAV | BCBS BAV | $24.00 | $157.00 | $157.00 | 2026-02-09 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | Aetna | — | $24.00 | $24.00 | $18.00 | 2026-05-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | Cigna | — | $24.00 | $24.00 | $18.00 | 2026-05-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | Community Health | — | $24.00 | $24.00 | $18.00 | 2026-05-08 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | UHC | ALL PRODUCTS | $24.00 | $25.00 | $24.00 | 2025-12-28 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | First Health | — | $24.00 | $24.00 | $18.00 | 2026-05-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | Meritain | — | $24.00 | $24.00 | $18.00 | 2026-05-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | Tricare | — | $24.00 | $24.00 | $18.00 | 2026-05-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | Harvard Pilgrim | — | $24.00 | $24.00 | $18.00 | 2026-05-08 | MRF ↗ |
| LEXINGTON REGIONAL HEALTH CENTER OutpatientFacility | MIDLANDS CHOICE | ALL PRODUCTS | $25.00 | $25.00 | $24.00 | 2025-12-28 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Hmo | $25.11 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Hmo | $25.11 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $25.25 | $101.00 | $101.00 | 2026-02-10 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1402 | NY MEDICAID EMERGENCY ROOM | $25.44 | $141.23 | $52.69 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1402 | FIDELIS EMERGENCY ROOM | $25.44 | $141.23 | $52.69 | 2025-01-19 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH ADVANTAGE [103801] | $25.47 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MCLAREN HEALTH ADVANTAGE [1038] | MCLAREN HEALTH PLAN COMMUNITY [103802] | $25.47 | $115.00 | $115.00 | 2026-03-23 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $25.75 | $103.00 | $53.56 | 2026-03-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $26.35 | $127.00 | $95.25 | 2026-01-16 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Ppo | $26.46 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Ppo | $26.46 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1402 | UNITED COMMUNITY EMERGENCY ROOM | $26.71 | $141.23 | $52.69 | 2025-01-19 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Inpatient | Iowa Total Care | Medicaid | $27.00 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Inpatient | Iowa Total Care | Medicaid | $27.00 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Inpatient | Wellpoint | Medicaid | $27.00 | $27.00 | $24.30 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Inpatient | Wellpoint | Medicaid | $27.00 | $27.00 | $24.30 | 2026-05-08 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $28.08 | $135.31 | $101.48 | 2026-01-16 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $28.49 | $133.00 | $113.05 | 2026-02-28 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $28.84 | $41.20 | $28.84 | 2026-02-02 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $29.05 | $133.00 | $113.05 | 2026-02-28 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | MOLINA MEDICAID - ALL OTHER PLANS | MOLINA MEDICAID - ALL OTHER PLANS | $29.25 | $330.00 | $237.60 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | CHPW APPLE HEALTH MCAID - ALL PLANS | CHPW APPLE HEALTH MCAID - ALL PLANS | $29.25 | $330.00 | $237.60 | 2026-05-04 | MRF ↗ |
| LAKE CHELAN COMMUNITY HOSPITAL Outpatient | AMERIGROUP OP ONLY - ALL PLANS | AMERIGROUP OP ONLY - ALL PLANS | $29.25 | $269.05 | $269.05 | 2026-03-12 | MRF ↗ |
| LAKE CHELAN COMMUNITY HOSPITAL Outpatient | COORDINATED CARE MCAID | COORDINATED CARE MCAID | $29.25 | $269.05 | $269.05 | 2026-03-12 | MRF ↗ |
| LAKE CHELAN COMMUNITY HOSPITAL Outpatient | UHC MCAID | UHC MCAID | $29.25 | $269.05 | $269.05 | 2026-03-12 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials | $29.79 | $372.11 | $243.36 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials Midlevels | $29.79 | $372.11 | $243.36 | 2026-04-01 | MRF ↗ |
| MORTON COUNTY HOSPITAL Outpatient | Humana (ChoiceCare Network) | Medicare Advantage | $30.00 | $104.00 | $94.00 | 2026-05-17 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $30.64 | $143.00 | $118.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $30.64 | $143.00 | $118.69 | 2026-02-28 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $30.71 | $330.00 | $237.60 | 2026-05-04 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | SELECT HEALTH COMM - ALL OTHER PLANS | SELECT HEALTH COMM - ALL OTHER PLANS | $30.90 | $41.20 | $28.84 | 2026-02-02 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | AMERIGROUP- ALL PLANS | AMERIGROUP- ALL PLANS | $31.01 | $330.00 | $237.60 | 2026-05-04 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $31.20 | $78.00 | $115.93 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MVP | MVP/CIGNA | $31.20 | $78.00 | $115.93 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $31.20 | $78.00 | $115.93 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MVP | MVP/CIGNA | $31.20 | $78.00 | $115.93 | 2026-05-14 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $31.24 | $143.00 | $118.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $31.24 | $143.00 | $118.69 | 2026-02-28 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Multiplan/PHCS | PPO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Commercial | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Multiplan/PHCS | PPO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Managed Medicaid | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $31.60 | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Cigna | PPO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Wellcare | Medicare Advantage HMO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | HMO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $31.60 | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna | Commercial | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Cigna | PPO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Managed Medicaid | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | United Healthcare (UHC) | PPO | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $316.00 | $316.00 | 2026-04-15 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | OPTUM MCR ADV-ALL PLANS | OPTUM MCR ADV-ALL PLANS | $31.75 | $127.00 | $101.60 | 2026-01-16 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | BLUE CARE NETWORK - ALL PLANS | BLUE CARE NETWORK - ALL PLANS | $31.85 | $49.00 | $29.40 | 2026-05-05 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | OPTUM MCR ADV-ALL PLANS | OPTUM MCR ADV-ALL PLANS | $32.25 | $129.00 | $103.20 | 2026-01-16 | MRF ↗ |
| UPMC COLE OutpatientFacility | PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $32.45 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | Geisinger | Medicaid | $32.45 | $59.00 | $35.40 | 2026-03-06 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $32.50 | $93.41 | $46.71 | 2026-05-05 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $33.14 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $33.14 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $33.14 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $33.14 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $33.14 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $33.14 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $33.14 | — | — | 2026-03-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.