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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11312 — Shave Skin Lesion 1.1-2.0 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 $409

Usually $214–$617 (25th–75th percentile) across 1,998 hospitals · 5,748 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11312 — 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
$214 $409 typical $617

The middle 50% of negotiated facility rates for this procedure, measured across 1,998 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. $409
Surgeon (professional fee) Estimate national typical Medicare $60 × 1.22 commercial. $74
Likely subtotal $483
Surgical episode (typical) ~$483
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
HANCOCK COUNTY HEALTH SYSTEM Outpatient WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $0.43 $108.00 $81.00 2026-03-26 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 2026-02-28 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $0.78 $900.00 $675.00 2025-03-07 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.11 $299.00 $284.05 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.11 $299.00 $284.05 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.11 $299.00 $284.05 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.14 $299.00 $284.05 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.17 $299.00 $284.05 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.20 $299.00 $284.05 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.44 $299.00 $284.05 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.44 $299.00 $284.05 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $1.47 $299.00 $284.05 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.47 $299.00 $284.05 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.47 $299.00 $284.05 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.47 $299.00 $284.05 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.50 $299.00 $284.05 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.52 $299.00 $284.05 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.55 $299.00 $284.05 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.61 $299.00 $284.05 2026-02-20 MRF ↗
OTTAWA COUNTY HEALTH CENTER Outpatient CHOICECARE MCR ADV - ALL PLANS CHOICECARE MCR ADV - ALL PLANS $2.17 $220.00 $220.00 2026-03-09 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $2.35 $225.70 $225.70 2026-04-24 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $3.33 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $3.33 2026-03-18 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $4.34 $468.00 $468.00 2026-02-13 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $4.86 $243.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $4.86 $243.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $4.86 $243.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $4.86 $243.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $4.86 $243.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $4.86 $243.00 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $4.86 $243.00 2026-03-31 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 ↗
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 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 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 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 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 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 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 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 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 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 ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient VANTAGE [1092] PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL $8.00 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BRAND NEW DAY [1089] MEDI-CAL $8.00 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient AETNA [1003] AETNA MEDI-CAL $8.00 $1,141.00 $627.55 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 $1,141.00 $627.55 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 $1,141.00 $627.55 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 BLUE CROSS [1013] MEDI-CAL $8.00 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient COMMUNITY ELDERCARE [1027] MEDI-CAL $8.00 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient CAREMORE [2028] MEDI-CAL $8.00 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MEDI-CAL [1048] MEDI-CAL $8.00 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MEDI-CAL [2001] MEDI-CAL $8.00 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient XIMED [2016] MEDI-CAL $8.00 $1,141.00 $627.55 2026-04-01 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Martins Point Default $8.64 $24.00 $18.00 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Federal $8.90 $24.00 $18.00 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Ppo $8.90 $24.00 $18.00 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Default $8.90 $24.00 $18.00 2026-05-18 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MOLINA [1240] MOLINA MEDI-CAL [12400001] $10.08 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MOLINA [1240] MOLINA MEDI-CAL $10.08 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL $10.08 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL COMMUNITY CARE [10550015] $10.08 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL [10550002] $10.08 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient COMMUNITY HEALTH GROUP [1022] COMMUNITY HEALTH GROUP (MEDI-CAL) $10.32 $1,141.00 $627.55 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient HEALTH NET [1039] HEALTH NET MEDI-CAL $10.80 $1,141.00 $627.55 2026-04-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 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 FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 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 WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both ANTHEM SHORT TERM LIMITED DURATION 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 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 Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $12.27 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 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 CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $12.27 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 9397_UNITED HEALTHCARE VWIN 20250101 $12.37 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $12.37 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $12.37 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $12.37 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $12.37 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $12.37 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $12.37 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $12.37 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $12.37 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $12.37 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $12.37 2026-01-01 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Blue Cross Blue Shield of Minnesota Managed Medicaid $12.96 $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility PrimeWest Medicare Advantage $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Blue Cross Blue Shield of Minnesota Medicare Advantage $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Medica Medicare Advantage $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Humana Medicare Advantage $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility UCare Managed Medicaid $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Medica Managed Medicaid $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Health Partners Medicare Advantage $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Sanford Health Medicare Advantage $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility United Healthcare Medicare Advantage/VACCN $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility UCare Commercial $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility UCare Medicare Advantage $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Triwest Healthcare Alliance Tricare/Champus $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility Aetna-Allina Medicare Advantage $60.00 $38.10 2026-03-17 MRF ↗
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility PrimeWest Managed Medicaid $60.00 $38.10 2026-03-17 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $13.00 $271.00 $48.78 2026-01-30 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $13.00 $316.00 $316.00 2025-10-04 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MEDI-CAL MEDI-CAL $13.00 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BC MEDI-CAL BC MEDI-CAL $13.00 $271.00 $48.78 2026-01-30 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $13.00 $316.00 $316.00 2025-10-04 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $13.00 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $13.00 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $13.00 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $13.00 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $13.00 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient PREFERRED MEDI-CAL PREFERRED MEDI-CAL $13.00 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ACCESS MEDI-CAL ACCESS MEDI-CAL $13.00 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $13.00 $271.00 $48.78 2026-01-30 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 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 SOUTHEAST OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $13.50 $90.00 $58.50 2026-03-18 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 ↗
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 ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HEALTHNET MCAL HEALTHNET MCAL $15.48 $271.00 $48.78 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 $271.00 $48.78 2026-01-30 MRF ↗
RIVERSIDE COMMUNITY HOSPITAL Outpatient Inland Empire Health Plan MGMCD $15.95 2024-10-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient PARTNERSHIP HEALTH PLAN- ALL PLANS PARTNERSHIP HEALTH PLAN- ALL PLANS $16.90 $316.00 $316.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient PARTNERSHIP HEALTH PLAN- ALL PLANS PARTNERSHIP HEALTH PLAN- ALL PLANS $16.90 $316.00 $316.00 2025-10-04 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - United Medicaid - United $17.00 $122.00 $61.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $17.00 $122.00 $61.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $17.00 $122.00 $61.00 2025-02-03 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $18.20 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient EL PROYECTO MCAL PROFEE ONLY EL PROYECTO MCAL PROFEE ONLY $18.20 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient HCLA MCAL PROFEE ONLY HCLA MCAL PROFEE ONLY $18.20 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient GLOBAL CARE MCAL PROFEE ONLY GLOBAL CARE MCAL PROFEE ONLY $18.20 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $18.20 $271.00 $48.78 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient AHP MEDI-CAL AHP MEDI-CAL $18.20 $271.00 $48.78 2026-01-30 MRF ↗
MCLAREN OAKLAND Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $19.00 $122.00 $61.00 2025-02-03 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL BothFacility Humana Medicare Advantage $19.41 $383.00 $383.00 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL BothFacility Tricare All $19.41 $383.00 $383.00 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL BothFacility UHC Medicare Advantage $19.41 $383.00 $383.00 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL BothFacility Blue Cross Blue Shield Medicare Advantage $19.41 $383.00 $383.00 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL BothFacility VA Health All $19.41 $383.00 $383.00 2026-03-28 MRF ↗
UPMC COLE OutpatientFacility Highmark BCBS of PA Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage $20.51 $74.00 $44.40 2026-03-06 MRF ↗
UPMC COLE OutpatientFacility United Healthcare Medicare $20.72 $74.00 $44.40 2026-03-06 MRF ↗
UPMC COLE OutpatientFacility AmeriHealth Caritas Medicare $20.72 $74.00 $44.40 2026-03-06 MRF ↗
UPMC COLE OutpatientFacility UPMC Health Plan Managed Medicare $20.72 $74.00 $44.40 2026-03-06 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient MOLINA MEDI-CAL MOLINA MEDI-CAL $20.80 $271.00 $48.78 2026-01-30 MRF ↗
UPMC COLE OutpatientFacility Humana Medicare $20.93 $74.00 $44.40 2026-03-06 MRF ↗
MCLAREN MACOMB Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $21.00 $122.00 $61.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Molina Medicaid - Molina $21.00 $122.00 $61.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - United Medicaid - United $21.00 $122.00 $61.00 2025-02-03 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $21.06 $156.00 $117.00 2026-01-16 MRF ↗
UPMC COLE OutpatientFacility AmeriHealth Caritas Medicaid $21.24 $74.00 $44.40 2026-03-06 MRF ↗
UPMC COLE OutpatientFacility AmeriHealth Caritas Community HealthChoices (CHC) $21.24 $74.00 $44.40 2026-03-06 MRF ↗
UPMC COLE OutpatientFacility UPMC Health Plan Managed Medicaid $21.46 $74.00 $44.40 2026-03-06 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $21.58 $332.00 $215.80 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $21.58 $332.00 $215.80 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility FIRST HEALTH CONTRACTED [320128] HB STLO WASH JEFN PHCS PRIMARY $332.00 $215.80 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] HB STLO WASH JEFN PHCS PRIMARY $332.00 $215.80 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MULTIPLAN CONTRACTED [320270] HB STLO WASH JEFN PHCS PRIMARY $332.00 $215.80 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB STLO WASH JEFN PHCS PRIMARY $332.00 $215.80 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 $21.58 $332.00 $215.80 2026-03-12 MRF ↗
CANONSBURG GENERAL HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $21.69 $208.00 $45.76 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $21.69 $208.00 $45.76 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Outpatient Amerihealth Amerihealth Medicaid CHC $21.69 $208.00 $39.52 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Outpatient Amerihealth Amerihealth Medicaid HC $21.69 $208.00 $39.52 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Outpatient Amerihealth Amerihealth Medicaid HC $21.69 $208.00 $47.84 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Medicaid HC $21.69 $208.00 $45.76 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Medicaid CHC $21.69 $208.00 $45.76 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Outpatient Amerihealth Amerihealth Medicaid CHC $21.69 $208.00 $47.84 2026-04-14 MRF ↗

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