11101 — Biopsy Skin Add-on
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BIOPSY SKIN ADD-ON (CPT 11101) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/11101?code_type=CPT
MLA (9th ed.)
“BIOPSY SKIN ADD-ON (CPT 11101) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/11101?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“BIOPSY SKIN ADD-ON (CPT 11101) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/11101?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $59–$664 (25th–75th percentile) across 673 hospitals · 1,300 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11101 — 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 |
|---|---|---|---|---|---|---|---|
| CAPE CANAVERAL HOSPITAL Outpatient | Corizon Health | Yescare | $1.11 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $1.21 | $116.15 | $116.15 | 2026-04-24 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Nhp | $1.64 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Health First Health Plan | Hfhp Individual Ppo/Marketplace | $1.65 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Florida Healthcare Plans | Florida Healthcare Plans Bnn | $1.77 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Cigna | Cigna | $2.29 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 2 | $2.79 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 1 | $2.79 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Aetna | Aetna Commercial | $3.16 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Disney Cruise Line | Disney Cruise Line | $3.33 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Prime Heath Services, Inc. | Prime Heath Services Inc | $4.16 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Multiplan | Multiplan | $4.44 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Choicecare | Choicecare | $5.00 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Aetna | Aetna Coventry First Health Facility Rental | $5.27 | $5.55 | $1.39 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Humana | Medicare | $5.69 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Ppo | $5.69 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Medicare | $5.69 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Hmo | $5.69 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Everstep | Commercial | $5.69 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Medicare | $5.69 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellmark | Medicare | $5.69 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Hmo | $5.70 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Humana | Medicare | $5.70 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Medicare | $5.70 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Ppo | $5.70 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Everstep | Commercial | $5.70 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellmark | Medicare | $5.70 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Aetna | Medicare | $5.70 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| CHAMBERS MEMORIAL HOSPITAL Outpatient | AR TOTAL CARE MCAID - ALL PLANS | AR TOTAL CARE MCAID - ALL PLANS | $6.16 | $82.05 | $41.03 | 2026-05-05 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellpoint | Medicaid | $7.10 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Wellpoint | Medicaid | $7.10 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Iowa Total Care | Medicaid | $7.10 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Iowa Total Care | Medicaid | $7.10 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $7.22 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $7.29 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $7.56 | $56.00 | $42.00 | 2026-01-16 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $8.17 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $8.17 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| UPMC COLE OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $8.59 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | United Healthcare | Medicare | $8.68 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | AmeriHealth Caritas | Medicare | $8.68 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | UPMC Health Plan | Managed Medicare | $8.68 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | Humana | Medicare | $8.77 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | AmeriHealth Caritas | Medicaid | $8.90 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | AmeriHealth Caritas | Community HealthChoices (CHC) | $8.90 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | UPMC Health Plan | Managed Medicaid | $8.99 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | Cigna | Medicare | $9.11 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $9.12 | $24.00 | $12.48 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $9.21 | $24.00 | $12.48 | 2026-03-03 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Hmo | $9.30 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Hmo | $9.30 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| UPMC COLE OutpatientFacility | PA Health & Wellness | Allwell Medicare Advantage DSNP | $9.37 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $9.37 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | Aetna | Medicare | $9.46 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| ELECTRA MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $9.80 | $35.00 | $24.50 | 2026-03-11 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Ppo | $9.80 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Outpatient | Coventry | Ppo | $9.80 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Inpatient | Iowa Total Care | Medicaid | $10.00 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Inpatient | Wellpoint | Medicaid | $10.00 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Inpatient | Wellpoint | Medicaid | $10.00 | $10.00 | $9.00 | 2026-05-09 | MRF ↗ |
| MORTON COUNTY HOSPITAL Outpatient | Humana (ChoiceCare Network) | Medicare Advantage | $10.00 | $33.00 | $30.00 | 2026-05-17 | MRF ↗ |
| RINGGOLD COUNTY HOSPITAL Inpatient | Iowa Total Care | Medicaid | $10.00 | $10.00 | $9.00 | 2026-05-08 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $10.32 | $24.00 | $12.48 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $10.32 | $24.00 | $12.48 | 2026-03-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $11.62 | $56.00 | $42.00 | 2026-01-16 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | Multiplan | Medicare/VA | $11.91 | $22.00 | $15.40 | 2024-11-12 | MRF ↗ |
| UPMC COLE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $12.40 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $12.50 | $50.00 | $50.00 | 2026-02-10 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | Government Employees Health Association (GEHA) | Medicare | $12.54 | $22.00 | $15.40 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | TriWest | Veterans Administration | $12.54 | $22.00 | $15.40 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare | $12.54 | $22.00 | $15.40 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Multiplan | Medicare/VA | $12.75 | $22.00 | $15.40 | 2024-11-12 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $13.00 | $56.00 | $56.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $13.00 | $56.00 | $56.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $13.00 | $56.00 | $56.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $13.00 | $56.00 | $56.00 | 2025-07-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS BRIDGES NTWRK | HLTH PARTNERS BRIDGES NTWRK | $13.21 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | $13.21 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $13.30 | $22.54 | $22.54 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellmark | Commercial | — | $22.54 | $22.54 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $13.30 | $22.54 | $22.54 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $13.30 | $22.54 | $22.54 | 2025-05-01 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $13.32 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Government Employees Health Association (GEHA) | Medicare | $13.42 | $22.00 | $15.40 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | TriWest | Veterans Administration | $13.42 | $22.00 | $15.40 | 2024-11-12 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare | $13.42 | $22.00 | $15.40 | 2024-11-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | MOLINA MEDICARE [7006] | MOLINA MEDICARE COMPLETE CARE [700602] | $13.50 | $45.00 | $45.00 | 2026-03-23 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $13.50 | $54.00 | $32.40 | 2026-05-05 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $14.00 | $56.00 | $29.12 | 2026-03-03 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Aetna of WY | Medicare | $14.08 | $22.00 | $15.40 | 2024-11-12 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $14.11 | $48.00 | $28.80 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Medicare A Ky J15 | Default | $14.11 | $48.00 | $28.80 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $14.11 | $48.00 | $28.80 | 2026-05-22 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER OutpatientFacility | Aetna of WY | Medicare | $14.52 | $22.00 | $15.40 | 2024-11-12 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | United Healthcare Medicare Solutions | Medicare Advantage | $15.10 | $22.54 | $22.54 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Medicare Advantage | $15.10 | $22.54 | $22.54 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $15.10 | $22.54 | $22.54 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Health Partners | Medicare Advantage | $15.10 | $22.54 | $22.54 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Humana Choice | Medicare Advantage | $15.10 | $22.54 | $22.54 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Blue Cross Medicare Blue | Medicare Advantage | $15.10 | $22.54 | $22.54 | 2025-05-01 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $15.20 | $317.42 | — | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $15.20 | $317.42 | — | 2024-12-19 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Uhc Group Medicare Advantage | Medicare Advantage | $15.36 | $48.00 | $28.80 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Medicaid Kentucky | Default | $15.36 | $48.00 | $28.80 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Ky Anthem | Medicare Advantage | $15.36 | $48.00 | $28.80 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Wellcare Health Plan Mcd Rep | Medicaid Replacement | $15.36 | $48.00 | $28.80 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Ky Anthem | Medicaid Replacement | $15.36 | $48.00 | $28.80 | 2026-05-22 | MRF ↗ |
| MONROE COUNTY MEDICAL CENTER Outpatient | UNITED HEALTHCARE-ALL PLANS | UNITED HEALTHCARE-ALL PLANS | $15.66 | $51.60 | $42.83 | 2026-02-04 | MRF ↗ |
| HAMILTON COUNTY HOSPITAL Outpatient | BCBS KS VALUE BLUE | BCBS KS VALUE BLUE | $15.94 | $37.50 | $37.50 | 2026-01-07 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $16.00 | $317.42 | — | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $16.00 | $317.42 | — | 2024-12-19 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $16.15 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials Midlevels | $16.20 | $117.69 | $76.97 | 2026-04-01 | MRF ↗ |
| HOLLAND COMMUNITY HOSPITAL Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $16.20 | $54.00 | $32.40 | 2026-05-05 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials | $16.20 | $117.69 | $76.97 | 2026-04-01 | MRF ↗ |
| STAR VALLEY MEDICAL CENTER InpatientFacility | Three Rivers | PPO | $16.50 | $22.00 | $15.40 | 2024-11-12 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS BRIDGES NTWRK | HLTH PARTNERS BRIDGES NTWRK | $16.68 | $24.00 | $12.48 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | $16.68 | $24.00 | $12.48 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $16.82 | $24.00 | $12.48 | 2026-03-03 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | Cigna | — | $17.00 | $17.00 | $12.75 | 2026-05-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | Community Health | — | $17.00 | $17.00 | $12.75 | 2026-05-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | Tricare | — | $17.00 | $17.00 | $12.75 | 2026-05-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | First Health | — | $17.00 | $17.00 | $12.75 | 2026-05-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | Harvard Pilgrim | — | $17.00 | $17.00 | $12.75 | 2026-05-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | Aetna | — | $17.00 | $17.00 | $12.75 | 2026-05-08 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL Both | Meritain | — | $17.00 | $17.00 | $12.75 | 2026-05-08 | MRF ↗ |
| UPMC COLE OutpatientFacility | Geisinger | Medicaid | $17.05 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC COLE OutpatientFacility | PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17.05 | $31.00 | $18.60 | 2026-03-06 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HEALTH ALLIANCE-ALL PLANS | HEALTH ALLIANCE-ALL PLANS | $17.10 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| THE NEBRASKA MEDICAL CENTER Outpatient | BCBS-ALL PLANS | BCBS-ALL PLANS | $17.10 | $30.00 | $19.50 | 2026-01-05 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $17.10 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | BCBS-ALL PLANS | BCBS-ALL PLANS | $17.10 | $30.00 | $19.50 | 2025-12-29 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $17.35 | — | — | 2025-09-05 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $17.38 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $17.38 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $17.38 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $17.38 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $17.38 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $17.38 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $17.38 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $17.38 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $17.38 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $17.38 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $17.38 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $17.38 | — | — | 2026-03-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $17.92 | — | — | 2026-02-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 30555 [105802] | $18.00 | $45.00 | $45.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE LIFE INS CO [1075] | UNITED HEALTH CARE LIFE INS CO [107501] | $18.00 | $45.00 | $45.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE STUDENT RESOURCES [105808] | $18.00 | $45.00 | $45.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 31374 [105807] | $18.00 | $45.00 | $45.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE 740810 [105803] | $18.00 | $45.00 | $45.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | ALL SAVERS INSURANCE [1073] | ALL SAVERS INSURANCE [107301] | $18.00 | $45.00 | $45.00 | 2026-03-23 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $18.00 | $56.00 | $56.00 | 2025-07-03 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | UNITED HEALTH CARE [105801] | $18.00 | $45.00 | $45.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE [1058] | SUREST [105805] | $18.00 | $45.00 | $45.00 | 2026-03-23 | MRF ↗ |
| THE NEBRASKA MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $18.13 | $30.00 | $19.50 | 2026-01-05 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $18.13 | $30.00 | $19.50 | 2025-12-29 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $18.14 | — | — | 2026-05-06 | 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 ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $18.40 | $46.00 | $64.96 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MVP | MVP/CIGNA | $18.40 | $46.00 | $64.96 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MVP | MVP/CIGNA | $18.40 | $46.00 | $64.96 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $18.40 | $46.00 | $64.96 | 2026-05-14 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $18.56 | — | — | 2025-09-05 | MRF ↗ |
| UPMC COLE OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.85 | $68.00 | $40.80 | 2026-03-06 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Ibc Local | Ibc Local | $18.88 | $251.77 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Regence Blue Shield | Regence Blue Shield | $18.88 | $251.77 | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS CARE SURGICAL HOSPITAL Outpatient | Amerihealth Administrators | Amerihealth Administrators | $18.88 | $251.77 | — | 2026-05-08 | 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.