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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11302 — Shave Skin Lesion 1.1-2.0 Cm

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 $239

Usually $167–$424 (25th–75th percentile) across 2,096 hospitals · 6,200 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11302 — 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
KEARNY COUNTY HOSPITAL Inpatient WPS GHA - MAC J5 PART A $0.01 2026-01-01 MRF ↗
KEARNY COUNTY HOSPITAL Inpatient AETNA $0.01 2026-01-01 MRF ↗
HANCOCK COUNTY HEALTH SYSTEM Outpatient WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $0.43 $95.00 $71.25 2026-03-26 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $0.62 $357.00 $267.75 2025-03-07 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 2026-02-28 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.97 $263.00 $249.85 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $0.97 $263.00 $249.85 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.97 $263.00 $249.85 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.00 $263.00 $249.85 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.03 $263.00 $249.85 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.05 $263.00 $249.85 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.26 $263.00 $249.85 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.26 $263.00 $249.85 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $1.29 $263.00 $249.85 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.29 $263.00 $249.85 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.29 $263.00 $249.85 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.29 $263.00 $249.85 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.31 $263.00 $249.85 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.34 $263.00 $249.85 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.37 $263.00 $249.85 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.42 $263.00 $249.85 2026-02-20 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $1.55 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $1.56 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $1.56 2026-03-18 MRF ↗
OTTAWA COUNTY HEALTH CENTER Outpatient CHOICECARE MCR ADV - ALL PLANS CHOICECARE MCR ADV - ALL PLANS $1.76 $200.00 $200.00 2026-03-09 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $1.78 2026-03-18 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $1.88 $180.85 $180.85 2026-04-24 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $1.94 2026-03-18 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $2.09 $201.25 $201.25 2026-04-24 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $3.52 $233.00 $233.00 2026-02-13 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Martins Point Default $3.60 $10.00 $7.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Default $3.71 $10.00 $7.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Ppo $3.71 $10.00 $7.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Federal $3.71 $10.00 $7.50 2026-05-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.53 $85.00 $55.25 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.53 $85.00 $55.25 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.53 $85.00 $55.25 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $5.53 $85.00 $55.25 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $5.53 $85.00 $55.25 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $5.53 $85.00 $55.25 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.53 $85.00 $55.25 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.53 $85.00 $55.25 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $5.53 $85.00 $55.25 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.53 $85.00 $55.25 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $5.53 $85.00 $55.25 2026-03-12 MRF ↗
MAYO CLINIC HEALTH SYSTEM - WASECA OutpatientFacility UCARE [91180041] UCARE ESSENTIA MEDICARE ADVANTAGE PLAN CAH [784] $7.21 2026-03-31 MRF ↗
MAYO CLINIC HEALTH SYSTEM - WASECA OutpatientFacility SECURITY HEALTH PLAN [91180039] SECURITY HEALTH MEDICARE ADVANTAGE PLAN CAH [634] $7.57 2026-03-31 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MEDI-CAL [2001] MEDI-CAL $8.00 $785.00 $431.75 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient COMMUNITY ELDERCARE [1027] MEDI-CAL $8.00 $785.00 $431.75 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient AETNA [1003] AETNA MEDI-CAL $8.00 $785.00 $431.75 2026-04-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient MEDI-CAL MEDI-CAL $8.00 $272.00 $272.00 2025-10-04 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE SHIELD PROMISE [1017] BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) $8.00 $785.00 $431.75 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient XIMED [2016] MEDI-CAL $8.00 $785.00 $431.75 2026-04-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $8.00 $272.00 $272.00 2025-10-04 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient VANTAGE [1092] PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL $8.00 $785.00 $431.75 2026-04-01 MRF ↗
CATALINA ISLAND MEDICAL CENTER Outpatient LA CARE MEDI-CAL-ALL OTHER PLANS LA CARE MEDI-CAL-ALL OTHER PLANS $8.00 $391.00 $273.70 2026-03-17 MRF ↗
JEFFERSON HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $8.00 $167.00 $31.73 2026-04-14 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient UNIVERSAL IPA MCAL OP/PROFEE ONLY UNIVERSAL IPA MCAL OP/PROFEE ONLY $8.00 $205.00 $55.35 2026-01-31 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE CROSS [1013] BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] $8.00 $785.00 $431.75 2026-04-01 MRF ↗
CATALINA ISLAND MEDICAL CENTER Outpatient MEDI-CAL MEDI-CAL $8.00 $391.00 $273.70 2026-03-17 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient MEDI-CAL MEDI-CAL $8.00 $205.00 $55.35 2026-01-31 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $8.00 $272.00 $272.00 2025-10-04 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BRAND NEW DAY [1089] MEDI-CAL $8.00 $785.00 $431.75 2026-04-01 MRF ↗
JEFFERSON HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $8.00 $167.00 $31.73 2026-04-14 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE CROSS [1013] MEDI-CAL $8.00 $785.00 $431.75 2026-04-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient MEDI-CAL MEDI-CAL $8.00 $272.00 $272.00 2025-10-04 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient CAREMORE [2028] MEDI-CAL $8.00 $785.00 $431.75 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MEDI-CAL [1048] MEDI-CAL $8.00 $785.00 $431.75 2026-04-01 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Anthem Blue Cross Blue Shield Medicaid $8.80 $730.00 $292.00 2026-05-14 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Anthem Blue Cross Blue Shield Medicaid $8.80 $730.00 $292.00 2026-05-23 MRF ↗
CATALINA ISLAND MEDICAL CENTER Outpatient MOLINA MEDICAID-ALL OTHER PLANS MOLINA MEDICAID-ALL OTHER PLANS $9.20 $391.00 $273.70 2026-03-17 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Harvard Pilgrim Healthcare Pos $9.30 $10.00 $7.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Harvard Pilgrim Healthcare Default $9.30 $10.00 $7.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both United Healthcare Default $9.50 $10.00 $7.50 2026-05-18 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $9.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $9.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $9.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $9.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $9.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $9.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $9.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $9.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $9.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $9.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $9.96 2026-01-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL $10.08 $785.00 $431.75 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MOLINA [1240] MOLINA MEDI-CAL $10.08 $785.00 $431.75 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL COMMUNITY CARE [10550015] $10.08 $785.00 $431.75 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL [10550002] $10.08 $785.00 $431.75 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MOLINA [1240] MOLINA MEDI-CAL [12400001] $10.08 $785.00 $431.75 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient COMMUNITY HEALTH GROUP [1022] COMMUNITY HEALTH GROUP (MEDI-CAL) $10.32 $785.00 $431.75 2026-04-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient PARTNERSHIP HEALTH PLAN- ALL PLANS PARTNERSHIP HEALTH PLAN- ALL PLANS $10.40 $272.00 $272.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient PARTNERSHIP HEALTH PLAN- ALL PLANS PARTNERSHIP HEALTH PLAN- ALL PLANS $10.40 $272.00 $272.00 2025-10-04 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 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 KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM PATHWAY X 9231_ANTHEM PATHWAY X VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $10.59 2026-01-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient HEALTH NET [1039] HEALTH NET MEDI-CAL $10.80 $785.00 $431.75 2026-04-01 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $12.00 $97.00 $48.00 2025-02-03 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $12.75 $85.00 $55.25 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $12.75 $85.00 $55.25 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $12.75 $85.00 $55.25 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $12.75 $85.00 $55.25 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $12.75 $85.00 $55.25 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $12.75 $85.00 $55.25 2026-03-12 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $13.00 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $13.00 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MEDI-CAL MEDI-CAL $13.00 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PREFERRED MEDI-CAL PREFERRED MEDI-CAL $13.00 $217.00 $39.06 2026-01-30 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - United Medicaid - United $13.00 $97.00 $48.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $13.00 $97.00 $48.00 2025-02-03 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $13.00 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $13.00 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BC MEDI-CAL BC MEDI-CAL $13.00 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $13.00 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $13.00 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ACCESS MEDI-CAL ACCESS MEDI-CAL $13.00 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $13.00 $217.00 $39.06 2026-01-30 MRF ↗
TAHOE FOREST HOSPITAL Outpatient CA HEALTH AND WELLNESS-ALL PLANS CA HEALTH AND WELLNESS-ALL PLANS $13.26 $272.00 $272.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient CA HEALTH AND WELLNESS-ALL PLANS CA HEALTH AND WELLNESS-ALL PLANS $13.26 $272.00 $272.00 2025-10-04 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $14.00 $97.00 $48.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - United Medicaid - United $14.00 $97.00 $48.00 2025-02-03 MRF ↗
BOONE MEMORIAL HOSPITAL Both Medicaid West Virginia UNISYS Default $14.10 $47.00 $32.90 2025-07-14 MRF ↗
BOONE MEMORIAL HOSPITAL Both Medicaid West Virginia UNISYS Default $14.10 $47.00 $32.90 2026-04-07 MRF ↗
MCLAREN OAKLAND Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $15.00 $97.00 $48.00 2025-02-03 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHNET MCAL HEALTHNET MCAL $15.48 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $15.60 $217.00 $39.06 2026-01-30 MRF ↗
RIVERSIDE COMMUNITY HOSPITAL Outpatient Inland Empire Health Plan MGMCD $15.95 2024-10-01 MRF ↗
MCLAREN MACOMB Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $16.00 $97.00 $48.00 2025-02-03 MRF ↗
GREENWICH HOSPITAL ASSOCIATION - Outpatient Medicare Advantage - Aetna All Plans $16.77 $162.08 $84.28 2026-01-01 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Molina Medicaid - Molina $17.00 $97.00 $48.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Tricare Tricare $17.00 $97.00 $48.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - Molina Medicaid - Molina $18.00 $97.00 $48.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Molina Medicaid - Molina $18.00 $97.00 $48.00 2025-02-03 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $18.01 $277.00 $180.05 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $18.01 $277.00 $180.05 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $18.01 $277.00 $180.05 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $18.01 $277.00 $180.05 2026-03-18 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $18.14 $279.00 $181.35 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $18.14 $279.00 $181.35 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $18.14 $279.00 $181.35 2026-03-12 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient AHP MEDI-CAL AHP MEDI-CAL $18.20 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient GLOBAL CARE MCAL PROFEE ONLY GLOBAL CARE MCAL PROFEE ONLY $18.20 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $18.20 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $18.20 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HCLA MCAL PROFEE ONLY HCLA MCAL PROFEE ONLY $18.20 $217.00 $39.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient EL PROYECTO MCAL PROFEE ONLY EL PROYECTO MCAL PROFEE ONLY $18.20 $217.00 $39.06 2026-01-30 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Meridian Medicaid - Meridian $19.00 $97.00 $48.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Tricare Tricare $19.00 $97.00 $48.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Medicare - Molina Medicare - Molina $19.00 $97.00 $48.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient WC - Workers Compensation WC - Workers Compensation $19.00 $97.00 $48.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Traditional Medicare HMO PPO Traditional Medicare HMO PPO $19.00 $97.00 $48.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient HAP - HMO HAP - HMO $19.00 $97.00 $48.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicare - Humana Medicare - Humana $19.00 $97.00 $48.00 2025-02-03 MRF ↗
HURLEY MEDICAL CENTER Both UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] UNITED HEALTH CARE MEDICAID [900401] $19.07 $94.00 $94.00 2026-03-23 MRF ↗
OLIVIA HOSPITAL & CLINIC BothFacility UCARE MEDICAID REPLACEMENT [950289] UCARE PMAP [50283] $19.68 $156.00 $95.16 2026-03-31 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $19.71 $146.00 $109.50 2026-01-16 MRF ↗
MCCONE COUNTY HEALTH CENTER OutpatientFacility United Healthcare Commercial $20.00 $50.00 2026-01-01 MRF ↗
MCCONE COUNTY HEALTH CENTER OutpatientFacility United Healthcare Commercial $20.00 $50.00 2026-01-01 MRF ↗
MCLAREN OAKLAND Outpatient Medicare - United Medicare - United $20.00 $97.00 $48.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicare - Priority Health Medicare - Priority Health $20.00 $97.00 $48.00 2025-02-03 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $20.15 $310.00 $201.50 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $20.15 $310.00 $201.50 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $20.15 $310.00 $201.50 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $20.15 $310.00 $201.50 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $20.15 $310.00 $201.50 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $20.15 $310.00 $201.50 2026-03-12 MRF ↗

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