11104 — Punch Bx Skin Single Lesion
Cite this view
HANK Price Transparency. (n.d.). PUNCH BX SKIN SINGLE LESION (CPT 11104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/11104?code_type=CPT
“PUNCH BX SKIN SINGLE LESION (CPT 11104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/11104?code_type=CPT. Accessed .
“PUNCH BX SKIN SINGLE LESION (CPT 11104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/11104?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $240–$644 (25th–75th percentile) across 2,820 hospitals · 9,417 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11104 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
The middle 50% of negotiated facility rates for this procedure, measured across 2,820 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $403 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $38 × 1.22 commercial. | $46 |
| Likely subtotal | $450 |
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
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 |
|---|---|---|---|---|---|---|---|
| KEARNY COUNTY HOSPITAL Inpatient | VYTALIZE HEALTH 9 ACO LLC | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.47 | $110.00 | $82.50 | 2025-03-07 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $873.00 | $258.41 | 2026-02-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.87 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.87 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.87 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.89 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.91 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.94 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $1,330.00 | $1,090.60 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $2,682.44 | $1,743.59 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $1,330.00 | $1,090.60 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,063.43 | $1,341.23 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $1,330.00 | $1,090.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $1,330.00 | $1,090.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $1,330.00 | $1,090.60 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $1,330.00 | $1,090.60 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.12 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.12 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.15 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.15 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.15 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.15 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $1.16 | $22.00 | $16.50 | 2026-03-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.17 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.19 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.22 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.26 | $234.00 | $222.30 | 2026-02-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.40 | $117.00 | $22.23 | 2026-01-25 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | UHC MCR ADV | UHC MCR ADV | $1.40 | $216.00 | $108.00 | 2026-03-23 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $1.40 | $180.00 | $180.00 | 2026-03-09 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.54 | $155.00 | $100.75 | 2026-05-07 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $1.95 | $187.45 | $187.45 | 2026-04-24 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Healthpartners | Uph Self Funded | $2.20 | $4.00 | $3.20 | 2026-05-08 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.31 | $1,285.00 | $409.60 | 2024-12-31 | MRF ↗ |
| GRUNDY COUNTY MEMORIAL HOSPITAL Outpatient | Healthpartners | Open Access | $2.41 | $4.00 | $3.20 | 2026-05-08 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $2.80 | $845.00 | $845.00 | 2026-02-13 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $3.12 | $48.00 | $31.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.12 | $48.00 | $31.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.12 | $48.00 | $31.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.12 | $48.00 | $31.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.12 | $48.00 | $31.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.12 | $48.00 | $31.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.12 | $48.00 | $31.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.12 | $48.00 | $31.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.12 | $48.00 | $31.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.12 | $48.00 | $31.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $3.12 | $48.00 | $31.20 | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.31 | $1,485.58 | $891.35 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.31 | $1,485.58 | $891.35 | 2025-08-11 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA PRIME SOLUTION | MEDICA PRIME SOLUTION | $3.41 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $3.41 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.71 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.71 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.71 | $57.00 | $37.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.71 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.71 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.71 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $3.71 | $57.00 | $37.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.71 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.71 | $57.00 | $37.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.71 | $57.00 | $37.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $3.71 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $3.76 | $649.00 | $240.13 | 2026-03-31 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Corizon Health | Yescare | $3.92 | $19.60 | $4.90 | 2026-05-08 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $4.16 | $6,968.65 | $2,787.46 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $4.16 | $6,968.65 | $2,787.46 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $4.16 | $6,968.65 | $2,787.46 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $4.16 | $6,968.65 | $2,787.46 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $4.16 | $6,968.65 | $2,787.46 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $4.16 | $6,968.65 | $2,787.46 | 2026-03-31 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $4.23 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $4.23 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | AETNA ADVANTRA MCR ADV | AETNA ADVANTRA MCR ADV | $4.42 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | GREAT PLAINS MCR ADV-ALL PLANS | GREAT PLAINS MCR ADV-ALL PLANS | $4.44 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.46 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.49 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.49 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $5.11 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $5.15 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $5.15 | — | — | 2026-03-18 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | BLUE CROSS BLUE SHIELD NY [1022] | BCBS INDIVIDUAL NETWORK [102218] | $5.56 | $649.00 | $649.00 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $5.57 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $5.60 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $5.60 | — | — | 2026-03-18 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA CHOICE | MEDICA CHOICE | $5.74 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA CHI HEALTH | MEDICA CHI HEALTH | $5.74 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA CHI ACO - ALL OTHER PLANS | MEDICA CHI ACO - ALL OTHER PLANS | $5.74 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Nhp | $5.78 | $19.60 | $4.90 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Health First Health Plan | Hfhp Individual Ppo/Marketplace | $5.84 | $19.60 | $4.90 | 2026-05-08 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | OHARA LLC WC- ALL PLANS | OHARA LLC WC- ALL PLANS | $5.99 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | BCBSNE BLUE PRINT - ALL OTHER PLANS | BCBSNE BLUE PRINT - ALL OTHER PLANS | $5.99 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $6.02 | $578.40 | $578.40 | 2026-04-24 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA IFB OPEN ACCESS | MEDICA IFB OPEN ACCESS | $6.06 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC ACO | UHC ACO | $6.06 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | BCBSNE NETWORK BLUE | BCBSNE NETWORK BLUE | $6.06 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA IFB ACO | MEDICA IFB ACO | $6.06 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $6.06 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | PHCS/MULTIPLAN-ALL PLANS | PHCS/MULTIPLAN-ALL PLANS | $6.18 | $6.31 | $5.05 | 2026-01-20 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Florida Healthcare Plans | Florida Healthcare Plans Bnn | $6.25 | $19.60 | $4.90 | 2026-05-08 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $7.20 | $48.00 | $31.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $7.20 | $48.00 | $31.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $7.20 | $48.00 | $31.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $7.20 | $48.00 | $31.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $7.20 | $48.00 | $31.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $7.20 | $48.00 | $31.20 | 2026-03-12 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $7.87 | $804.00 | $321.60 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $7.87 | $804.00 | $321.60 | 2026-05-13 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $7.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $7.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $7.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $7.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $7.88 | $815.00 | $489.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $7.88 | $761.00 | $456.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $7.88 | $765.00 | $459.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $7.88 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $7.88 | $761.00 | $456.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $7.88 | $761.00 | $456.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $7.88 | $727.00 | $436.20 | 2026-01-01 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | Cigna | Cigna | $8.08 | $19.60 | $4.90 | 2026-05-08 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Cigna | Cigna - HMO | $8.50 | $898.00 | $673.50 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $8.55 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $8.55 | $57.00 | $37.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $8.55 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $8.55 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $8.55 | $57.00 | $37.05 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $8.55 | $57.00 | $37.05 | 2026-03-12 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | HP | HEALTH PARTNERS | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | MEDICARE NGS | MEDICARE B | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | MEDICAID MN | MEDICAID OUTPATIENT | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UHC | UNITED HEALTHCARE | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | TRIWEST | CHAMPVA | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UHC | AETNA LIFE & CASUALTY | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UHC | CIGNA | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UMR | UMR | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | BCBSMN | BLUE CROSS OF MN | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | ADVANTRA FREEDOM | ADVANTRA FREEDOM MC ADVANTAGE | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UHC | AETNA MEDICARE ADVANTAGE | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | MEDICA | MEDICA PRIME SOLUTION | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | BCBSMN | BLUE CROSS MEDICARE ADVANTAGE | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | MEDICA | SELECTCARE | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | UHC | LABORCARE UNITED HEALTHCARE | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | BCBSMN | BLUE LINK | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | TRIWEST | TRICARE WEST | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | BCBSMN | BLUE CROSS PLATINUM BLUE CP | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL Both | MEDICA | MEDICA | — | $245.00 | $156.80 | 2026-04-01 | MRF ↗ |
| CHASE COUNTY COMMUNITY HOSPITAL Outpatient | Midlands Choice | Medicare Advantage | $9.00 | $26.00 | $26.00 | 2025-12-02 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $9.02 | $22.00 | $16.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $9.02 | $22.00 | $16.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MEDIGOLD MCR ADV - ALL PLANS | MEDIGOLD MCR ADV - ALL PLANS | $9.02 | $22.00 | $16.50 | 2026-03-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | MERCY ONE / HUMANA MCR ADV - ALL PLANS | MERCY ONE / HUMANA MCR ADV - ALL PLANS | $9.29 | $22.00 | $16.50 | 2026-03-26 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC OutpatientFacility | UCARE [91180041] | UCARE ESSENTIA CARE MEDICARE ADVANTAGE PLAN [777] | $9.52 | — | — | 2026-03-31 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 2 | $9.84 | $19.60 | $4.90 | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial Group 1 | $9.84 | $19.60 | $4.90 | 2026-05-08 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $10.34 | $22.00 | $15.40 | 2026-04-06 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | $632.00 | $379.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | $632.00 | $379.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | $765.00 | $459.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | $789.00 | $473.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | $761.00 | $456.60 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | $761.00 | $456.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | $761.00 | $456.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | $761.00 | $456.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | $765.00 | $459.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | $815.00 | $489.00 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | $727.00 | $436.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | $727.00 | $436.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | $789.00 | $473.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | $789.00 | $473.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | $761.00 | $456.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $10.38 | $761.00 | $456.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | $789.00 | $473.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $10.38 | $815.00 | $489.00 | 2026-01-01 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY MCR ADV | COVENTRY MCR ADV | $10.44 | $22.00 | $15.40 | 2026-04-06 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | United Healthcare | Medicare Advantage/VACCN | — | $49.00 | $31.12 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Humana | Medicare Advantage | — | $49.00 | $31.12 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Health Partners | Medicare Advantage | — | $49.00 | $31.12 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Blue Cross Blue Shield of Minnesota | Managed Medicaid | $10.58 | $49.00 | $31.12 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Medica | Managed Medicaid | — | $49.00 | $31.12 | 2026-03-17 | 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.