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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11307 — 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 $224

Usually $146–$415 (25th–75th percentile) across 2,038 hospitals · 5,883 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11307 — 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
HANCOCK COUNTY HEALTH SYSTEM Outpatient WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $0.43 $96.00 $72.00 2026-03-26 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 2026-02-28 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $0.99 $268.00 $254.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.99 $268.00 $254.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.99 $268.00 $254.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.02 $268.00 $254.60 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.07 $268.00 $254.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.29 $268.00 $254.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.29 $268.00 $254.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.31 $268.00 $254.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $1.31 $268.00 $254.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.31 $268.00 $254.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.31 $268.00 $254.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.34 $268.00 $254.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.37 $268.00 $254.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.39 $268.00 $254.60 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.45 $268.00 $254.60 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 ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $1.78 2026-03-18 MRF ↗
OTTAWA COUNTY HEALTH CENTER Outpatient CHOICECARE MCR ADV - ALL PLANS CHOICECARE MCR ADV - ALL PLANS $1.87 $205.00 $205.00 2026-03-09 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 $2.03 $195.05 $195.05 2026-04-24 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $3.74 $233.00 $233.00 2026-02-13 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $5.85 $90.00 $58.50 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.85 $90.00 $58.50 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.85 $90.00 $58.50 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.85 $90.00 $58.50 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.85 $90.00 $58.50 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $5.85 $90.00 $58.50 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 $5.85 $90.00 $58.50 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $5.85 $90.00 $58.50 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $5.85 $90.00 $58.50 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $5.85 $90.00 $58.50 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $5.85 $90.00 $58.50 2026-03-18 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient COMMUNITY ELDERCARE [1027] MEDI-CAL $8.00 $841.00 $462.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient AETNA [1003] AETNA MEDI-CAL $8.00 $841.00 $462.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient VANTAGE [1092] PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL $8.00 $841.00 $462.55 2026-04-01 MRF ↗
Southwest Healthcare System-wildomar Both Anthem Blue Cross Blue Shield Medicaid $8.00 2026-05-06 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BRAND NEW DAY [1089] MEDI-CAL $8.00 $841.00 $462.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient XIMED [2016] MEDI-CAL $8.00 $841.00 $462.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient CAREMORE [2028] MEDI-CAL $8.00 $841.00 $462.55 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 $841.00 $462.55 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 $841.00 $462.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MEDI-CAL [1048] MEDI-CAL $8.00 $841.00 $462.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE CROSS [1013] MEDI-CAL $8.00 $841.00 $462.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MEDI-CAL [2001] MEDI-CAL $8.00 $841.00 $462.55 2026-04-01 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility MagnaCare All Products $8.39 2025-12-31 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Martins Point Default $9.00 $25.00 $18.75 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Default $9.27 $25.00 $18.75 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Federal $9.27 $25.00 $18.75 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Ppo $9.27 $25.00 $18.75 2026-05-18 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL [10550002] $10.08 $841.00 $462.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MOLINA [1240] MOLINA MEDI-CAL $10.08 $841.00 $462.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MOLINA [1240] MOLINA MEDI-CAL [12400001] $10.08 $841.00 $462.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL $10.08 $841.00 $462.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL COMMUNITY CARE [10550015] $10.08 $841.00 $462.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient COMMUNITY HEALTH GROUP [1022] COMMUNITY HEALTH GROUP (MEDI-CAL) $10.32 $841.00 $462.55 2026-04-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $10.62 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 KOKOMO 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 $10.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $10.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $10.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $10.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $10.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $10.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $10.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Inpatient SMARTHEALTH PPO 8842_SMARTHEALTH PPO 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $10.62 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $10.62 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 CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $10.62 2026-01-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient HEALTH NET [1039] HEALTH NET MEDI-CAL $10.80 $841.00 $462.55 2026-04-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 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 HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 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 Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 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 CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $11.40 2026-01-01 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Blue Cross Blue Shield of Minnesota Managed Medicaid $11.45 $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility PrimeWest Managed Medicaid $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility United Healthcare Medicare Advantage/VACCN $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility UCare Commercial $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Aetna-Allina Medicare Advantage $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Blue Cross Blue Shield of Minnesota Medicare Advantage $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility PrimeWest Medicare Advantage $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Humana Medicare Advantage $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Health Partners Medicare Advantage $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Medica Medicare Advantage $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Sanford Health Medicare Advantage $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Triwest Healthcare Alliance Tricare/Champus $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Medica Managed Medicaid $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility UCare Medicare Advantage $53.00 $33.66 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility UCare Managed Medicaid $53.00 $33.66 2026-03-17 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Medicaid CHC $13.00 $173.00 $38.06 2026-04-14 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BC MEDI-CAL BC MEDI-CAL $13.00 $221.00 $39.78 2026-01-30 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Medicaid HC $13.00 $173.00 $38.06 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $13.00 $173.00 $38.06 2026-04-14 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ACCESS MEDI-CAL ACCESS MEDI-CAL $13.00 $221.00 $39.78 2026-01-30 MRF ↗
ALLEGHENY VALLEY HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $13.00 $173.00 $39.79 2026-04-14 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PREFERRED MEDI-CAL PREFERRED MEDI-CAL $13.00 $221.00 $39.78 2026-01-30 MRF ↗
CANONSBURG GENERAL HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $13.00 $173.00 $38.06 2026-04-14 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - United Medicaid - United $13.00 $103.00 $51.00 2025-02-03 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $13.00 $221.00 $39.78 2026-01-30 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient MEDI-CAL MEDI-CAL $13.00 $210.00 $56.70 2026-01-31 MRF ↗
JEFFERSON HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $13.00 $173.00 $32.87 2026-04-14 MRF ↗
WEST PENN HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $13.00 $173.00 $46.71 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $13.00 $173.00 $32.87 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $13.00 $173.00 $41.52 2026-04-14 MRF ↗
ALLEGHENY GENERAL HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $13.00 $173.00 $41.52 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Medicaid HC $13.00 $173.00 $38.06 2026-04-14 MRF ↗
FORBES HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $13.00 $173.00 $38.06 2026-04-14 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $13.00 $221.00 $39.78 2026-01-30 MRF ↗
ALLEGHENY VALLEY HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $13.00 $173.00 $39.79 2026-04-14 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MEDI-CAL MEDI-CAL $13.00 $221.00 $39.78 2026-01-30 MRF ↗
WEST PENN HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $13.00 $173.00 $46.71 2026-04-14 MRF ↗
AHN WEXFORD HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $13.00 $173.00 $44.98 2026-04-14 MRF ↗
AHN WEXFORD HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $13.00 $173.00 $44.98 2026-04-14 MRF ↗
FORBES HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $13.00 $173.00 $38.06 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Outpatient Amerihealth Amerihealth Medicaid HC $13.00 $173.00 $39.79 2026-04-14 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $13.00 $221.00 $39.78 2026-01-30 MRF ↗
SAINT VINCENT HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $13.00 $173.00 $31.14 2026-04-14 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient UNIVERSAL IPA MCAL OP/PROFEE ONLY UNIVERSAL IPA MCAL OP/PROFEE ONLY $13.00 $210.00 $56.70 2026-01-31 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $13.00 $103.00 $51.00 2025-02-03 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $13.00 $221.00 $39.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $13.00 $221.00 $39.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $13.00 $221.00 $39.78 2026-01-30 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Medicaid CHC $13.00 $173.00 $38.06 2026-04-14 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $13.00 $221.00 $39.78 2026-01-30 MRF ↗
GROVE CITY MEDICAL CENTER Outpatient Amerihealth Amerihealth Medicaid CHC $13.00 $173.00 $39.79 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $13.00 $173.00 $31.14 2026-04-14 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $13.50 $90.00 $58.50 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $13.50 $90.00 $58.50 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 $13.50 $90.00 $58.50 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $13.50 $90.00 $58.50 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $13.50 $90.00 $58.50 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $13.50 $90.00 $58.50 2026-03-18 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $14.00 $103.00 $51.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Meridian Medicaid - Meridian $14.00 $103.00 $51.00 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 ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $14.18 $105.00 $78.75 2026-01-16 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - United Medicaid - United $15.00 $103.00 $51.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $15.00 $103.00 $51.00 2025-02-03 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHNET MCAL HEALTHNET MCAL $15.48 $221.00 $39.78 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 $221.00 $39.78 2026-01-30 MRF ↗
RIVERSIDE COMMUNITY HOSPITAL Outpatient Inland Empire Health Plan MGMCD $15.95 2024-10-01 MRF ↗
MCLAREN OAKLAND Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $16.00 $103.00 $51.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $16.00 $103.00 $51.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $17.00 $103.00 $51.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Molina Medicaid - Molina $18.00 $103.00 $51.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Tricare Tricare $18.00 $103.00 $51.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - United Medicaid - United $18.00 $103.00 $51.00 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 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 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 ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient GLOBAL CARE MCAL PROFEE ONLY GLOBAL CARE MCAL PROFEE ONLY $18.20 $221.00 $39.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HCLA MCAL PROFEE ONLY HCLA MCAL PROFEE ONLY $18.20 $221.00 $39.78 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 $221.00 $39.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient AHP MEDI-CAL AHP MEDI-CAL $18.20 $221.00 $39.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient EL PROYECTO MCAL PROFEE ONLY EL PROYECTO MCAL PROFEE ONLY $18.20 $221.00 $39.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $18.20 $221.00 $39.78 2026-01-30 MRF ↗
RINGGOLD COUNTY HOSPITAL Outpatient Wellmark Medicare $18.81 $33.00 $29.70 2026-05-08 MRF ↗
RINGGOLD COUNTY HOSPITAL Outpatient Aetna Ppo $18.81 $33.00 $29.70 2026-05-09 MRF ↗
RINGGOLD COUNTY HOSPITAL Outpatient Aetna Ppo $18.81 $33.00 $29.70 2026-05-08 MRF ↗
RINGGOLD COUNTY HOSPITAL Outpatient Humana Medicare $18.81 $33.00 $29.70 2026-05-08 MRF ↗

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