Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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11104 — Punch Bx Skin Single Lesion

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $403

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.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$240 $403 typical $644

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
Surgical episode (typical) ~$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.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$4,234
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 ↗

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