Price Transparencybeta 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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11305 — Shave Skin Lesion 0.5 Cm/<

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

Typical negotiated price $215

Usually $131–$397 (25th–75th percentile) across 2,182 hospitals · 6,506 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11305 — 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 the surgeon's fee are estimated 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
$131 $215 typical $397

The middle 50% of negotiated facility rates for this procedure, measured across 2,182 hospitals. The the surgeon's fee 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. $215
Surgeon (professional fee) Estimate national typical Medicare $33 × 1.22 commercial. $40
Likely subtotal $254
Surgical episode (typical) ~$254
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 WPS GHA - MAC J5 PART A $0.01 2026-01-01 MRF ↗
HANCOCK COUNTY HEALTH SYSTEM Outpatient WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $0.43 $66.00 $49.50 2026-03-26 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 $0.69 $186.00 $176.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $0.69 $186.00 $176.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.69 $186.00 $176.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $0.71 $186.00 $176.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $0.73 $186.00 $176.70 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $0.74 $186.00 $176.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.89 $186.00 $176.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.89 $186.00 $176.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.91 $186.00 $176.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $0.91 $186.00 $176.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.91 $186.00 $176.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $0.95 $186.00 $176.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $0.97 $186.00 $176.70 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.00 $186.00 $176.70 2026-02-20 MRF ↗
OTTAWA COUNTY HEALTH CENTER Outpatient CHOICECARE MCR ADV - ALL PLANS CHOICECARE MCR ADV - ALL PLANS $1.13 $155.00 $155.00 2026-03-09 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient PREF COMMUNITY CHOICE PPO-ALL PLANS PREF COMMUNITY CHOICE PPO-ALL PLANS $1.35 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient PREF COMMUNITY CHOICE PPO-ALL PLANS PREF COMMUNITY CHOICE PPO-ALL PLANS $1.35 $9.00 $7.20 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $1.55 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 ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $1.56 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $1.78 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $1.94 2026-03-18 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $2.26 $233.00 $233.00 2026-02-13 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $2.54 $127.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $2.54 $127.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $2.54 $127.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $2.54 $127.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $2.54 $127.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $2.54 $127.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $2.54 $127.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $2.64 $132.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $2.64 $132.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $2.64 $132.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $2.64 $132.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $2.64 $132.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $2.64 $132.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $2.64 $132.00 2026-03-31 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $2.99 $46.00 $29.90 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.99 $46.00 $29.90 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $2.99 $46.00 $29.90 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $2.99 $46.00 $29.90 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.99 $46.00 $29.90 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $2.99 $46.00 $29.90 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.99 $46.00 $29.90 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $2.99 $46.00 $29.90 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.99 $46.00 $29.90 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 $2.99 $46.00 $29.90 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.99 $46.00 $29.90 2026-03-18 MRF ↗
CHERRY COUNTY HOSPITAL Both AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $3.16 $304.30 $304.30 2026-04-24 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $3.17 $304.80 $304.80 2026-04-24 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 Federal $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 ↗
OKEENE MUNICIPAL HOSPITAL Outpatient MEDICA MEDICARE MEDICA MEDICARE $5.13 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient UHC MCR ADV UHC MCR ADV $5.13 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient UHC MCR ADV UHC MCR ADV $5.13 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient HUMANA MCR ADV HUMANA MCR ADV $5.13 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient TRIWEST/TRICARE BCBS TRIWEST/TRICARE BCBS $5.13 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient HUMANA MCR ADV HUMANA MCR ADV $5.13 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient COVENTRY MCR ADV COVENTRY MCR ADV $5.13 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient COVENTRY MCR ADV COVENTRY MCR ADV $5.13 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient GLOBAL HEALTH MCR ADV GLOBAL HEALTH MCR ADV $5.13 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient TRIWEST/TRICARE BCBS TRIWEST/TRICARE BCBS $5.13 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient GLOBAL HEALTH MCR ADV GLOBAL HEALTH MCR ADV $5.13 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient MEDICA MEDICARE MEDICA MEDICARE $5.13 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient CIGNA-ALL PLANS CIGNA-ALL PLANS $5.51 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient CIGNA-ALL PLANS CIGNA-ALL PLANS $5.51 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient IHS-ALL PLANS IHS-ALL PLANS $5.83 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient IHS-ALL PLANS IHS-ALL PLANS $5.83 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient HUMANA-ALL OTHER PLANS HUMANA-ALL OTHER PLANS $5.85 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient HUMANA-ALL OTHER PLANS HUMANA-ALL OTHER PLANS $5.85 $9.00 $7.20 2026-03-18 MRF ↗
WASHINGTON COUNTY HOSPITAL Outpatient Alabama Medicaid PPO $6.00 $6.00 $2.40 2025-05-21 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient OK COMPLETE HEALTH COMM-ALL OTHER PLANS OK COMPLETE HEALTH COMM-ALL OTHER PLANS $6.26 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient OK COMPLETE HEALTH COMM-ALL OTHER PLANS OK COMPLETE HEALTH COMM-ALL OTHER PLANS $6.26 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient COVENTRY HEALTH AETNA-ALL OTHER PLANS COVENTRY HEALTH AETNA-ALL OTHER PLANS $6.30 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient HEALTHCHOICE IP ONLY-ALL PLANS HEALTHCHOICE IP ONLY-ALL PLANS $6.30 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient COVENTRY HEALTH AETNA-ALL OTHER PLANS COVENTRY HEALTH AETNA-ALL OTHER PLANS $6.30 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient HEALTHCHOICE IP ONLY-ALL PLANS HEALTHCHOICE IP ONLY-ALL PLANS $6.30 $9.00 $7.20 2026-03-18 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $6.32 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $6.32 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $6.32 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $6.32 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $6.32 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $6.32 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $6.32 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $6.32 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON 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 $6.32 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $6.32 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient UNIFIED GROUP SERVICES 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $6.32 2026-01-01 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $6.40 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $6.40 $9.00 $7.20 2026-03-18 MRF ↗
UNITED HOSPITAL DISTRICT InpatientFacility Medica Medicare Advantage $196.00 $166.60 2026-02-12 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM HEALTHSYNC HMO 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM HMO/POS 9229_ANTHEM HMO POS VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 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 HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 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 FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM PPO PREFERRED 9232_ANTHEM PREFERRED VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE 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 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 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 MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM TRADITIONAL 9233_ANTHEM TRADITIONAL VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 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 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $6.61 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $6.61 2026-01-01 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient GLOBAL HEALTH-ALL OTHER PLANS GLOBAL HEALTH-ALL OTHER PLANS $6.67 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient GLOBAL HEALTH-ALL OTHER PLANS GLOBAL HEALTH-ALL OTHER PLANS $6.67 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient HEALTHCARE HIGHWAYS-ALL PLANS HEALTHCARE HIGHWAYS-ALL PLANS $6.75 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient FIRST HEALTH AETNA-ALL PLANS FIRST HEALTH AETNA-ALL PLANS $6.75 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient PHCS SAVILITY/MULTIPLAN - ALL PLANS PHCS SAVILITY/MULTIPLAN - ALL PLANS $6.75 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient PHCS SAVILITY/MULTIPLAN - ALL PLANS PHCS SAVILITY/MULTIPLAN - ALL PLANS $6.75 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient FIRST HEALTH AETNA-ALL PLANS FIRST HEALTH AETNA-ALL PLANS $6.75 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient HEALTHCARE HIGHWAYS-ALL PLANS HEALTHCARE HIGHWAYS-ALL PLANS $6.75 $9.00 $7.20 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $6.90 $46.00 $29.90 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $6.90 $46.00 $29.90 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $6.90 $46.00 $29.90 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 $6.90 $46.00 $29.90 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $6.90 $46.00 $29.90 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $6.90 $46.00 $29.90 2026-03-12 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient MEDICA COMMERCIAL-ALL OTHER PLANS MEDICA COMMERCIAL-ALL OTHER PLANS $6.93 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient MEDICA COMMERCIAL-ALL OTHER PLANS MEDICA COMMERCIAL-ALL OTHER PLANS $6.93 $9.00 $7.20 2026-03-18 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $7.00 $59.00 $29.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $7.00 $59.00 $29.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $7.00 $59.00 $29.00 2025-02-03 MRF ↗
ADVENTIST HEALTH TULARE Outpatient CCIPA MEDI-CAL - ALL PLANS CCIPA MEDI-CAL - ALL PLANS $8.00 $127.00 $24.13 2026-01-31 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient CAREMORE [2028] MEDI-CAL $8.00 $637.70 $350.74 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient VANTAGE [1092] PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL $8.00 $637.70 $350.74 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient AETNA [1003] AETNA MEDI-CAL $8.00 $637.70 $350.74 2026-04-01 MRF ↗
ADVENTIST HEALTH TULARE Outpatient HEALTHNET MEDI-CAL HEALTHNET MEDI-CAL $8.00 $127.00 $24.13 2026-01-31 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient COMMUNITY ELDERCARE [1027] MEDI-CAL $8.00 $637.70 $350.74 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BRAND NEW DAY [1089] MEDI-CAL $8.00 $637.70 $350.74 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE CROSS [1013] BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] $8.00 $637.70 $350.74 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MEDI-CAL [2001] MEDI-CAL $8.00 $637.70 $350.74 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE CROSS [1013] MEDI-CAL $8.00 $637.70 $350.74 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE SHIELD PROMISE [1017] BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) $8.00 $637.70 $350.74 2026-04-01 MRF ↗
ADVENTIST HEALTH TULARE Outpatient MEDI-CAL MEDI-CAL $8.00 $127.00 $24.13 2026-01-31 MRF ↗
ADVENTIST HEALTH TULARE Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $8.00 $127.00 $24.13 2026-01-31 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MEDI-CAL [1048] MEDI-CAL $8.00 $637.70 $350.74 2026-04-01 MRF ↗
ADVENTIST HEALTH TULARE Outpatient UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY $8.00 $127.00 $24.13 2026-01-31 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient XIMED [2016] MEDI-CAL $8.00 $637.70 $350.74 2026-04-01 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient AETNA-ALL OTHER PLANS AETNA-ALL OTHER PLANS $8.10 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient AETNA-ALL OTHER PLANS AETNA-ALL OTHER PLANS $8.10 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient COMMUNITY CARE HMO-ALL PLANS COMMUNITY CARE HMO-ALL PLANS $8.10 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient COMMUNITY CARE HMO-ALL PLANS COMMUNITY CARE HMO-ALL PLANS $8.10 $9.00 $7.20 2026-03-18 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Triwest Healthcare Alliance Tricare/Champus $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Blue Cross Blue Shield of Minnesota Medicare Advantage $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility United Healthcare Medicare Advantage/VACCN $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility UCare Medicare Advantage $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Humana Medicare Advantage $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility UCare Commercial $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility UCare Managed Medicaid $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Blue Cross Blue Shield of Minnesota Managed Medicaid $8.86 $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Sanford Health Medicare Advantage $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility PrimeWest Managed Medicaid $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility PrimeWest Medicare Advantage $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Health Partners Medicare Advantage $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Aetna-Allina Medicare Advantage $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Medica Managed Medicaid $41.00 $26.04 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Medica Medicare Advantage $41.00 $26.04 2026-03-17 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient AETNA BETTER HEALTH MCAID AETNA BETTER HEALTH MCAID $9.00 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient HUMANA CHOICECARE MCAID HUMANA CHOICECARE MCAID $9.00 $9.00 $7.20 2026-03-18 MRF ↗
MCLAREN OAKLAND Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $9.00 $59.00 $29.00 2025-02-03 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient AETNA BETTER HEALTH MCAID AETNA BETTER HEALTH MCAID $9.00 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient HUMANA CHOICECARE MCAID HUMANA CHOICECARE MCAID $9.00 $9.00 $7.20 2026-03-18 MRF ↗
OKEENE MUNICIPAL HOSPITAL Outpatient OK COMPLETE HEALTH MCAID OK COMPLETE HEALTH MCAID $9.00 $9.00 $7.20 2026-03-18 MRF ↗

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