11606 — Exc Tr-ext Mal+marg >4 Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EXC TR-EXT MAL+MARG >4 CM (HCPCS 11606) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/11606?code_type=HCPCS
MLA (9th ed.)
“EXC TR-EXT MAL+MARG >4 CM (HCPCS 11606) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/11606?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“EXC TR-EXT MAL+MARG >4 CM (HCPCS 11606) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/11606?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $948–$2,869 (25th–75th percentile) across 3,023 hospitals · 8,028 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11606 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
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.
What hospitals actually negotiate
Measured
$948
$1,802 typical
$2,869
The middle 50% of negotiated facility rates for this procedure, measured across 3,023 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. | $1,802 |
| Surgeon (professional fee) Estimate national typical Medicare $275 × 1.22 commercial. | $336 |
| Likely subtotal | $2,138 |
Surgical episode (typical)
~$2,138
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $948–$2,869.
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 |
|---|---|---|---|---|---|---|---|
| VIDANT CHOWAN HOSPITAL Both | LONGEVITY HEALTH [1411] | LONGEVITY HEALTH MEDICARE ADVANTAGE PLAN [399] | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MEDCOST [1067] | MEDCOST - ECU HEALTH [1247] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | AETNA [1015] | AETNA NC PREFERRED [403] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MEDCOST [1067] | MEDCOST ULTRA [1467] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | AETNA [1015] | AETNA [1016] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MEDCOST [1067] | MEDCOST - CITY OF HAVELOCK [387] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MEDCOST [1067] | MEDCOST -UPPER COASTAL PLAIN COG [1357] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MEDCOST [1067] | MEDCOST [1207] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MEDCOST [1067] | MEDCOST -PHYSICIANS EAST [368] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MEDCOST [1067] | MEDCOST -NC LEAGUE OF MUNICIPALITIES [1420] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MEDCOST [1067] | MEDCOST -ORTHOPEDICS EAST [369] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MEDCOST [1067] | MEDCOST -CONTINUUM OF CRAVEN [1294] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MEDCOST [1067] | MEDCOST - ECAA [389] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MEDCOST [1067] | MEDCOST -EDWARDS [383] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MEDCOST [1067] | MEDCOST -EASTERN DERMATOLOGY [1464] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | AETNA [1015] | AETNA CONNECTED CVS [402] | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | — | — | 2026-05-20 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Ohana Care | Medicaid | $0.18 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | — | — | 2026-09-02 | MRF ↗ |
| The Queen's Medical Center Outpatient | Ohana Care | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Ohana Care | Medicaid | $0.28 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $4,130.00 | — | 2026-07-01 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Multiplan | Commercial | $0.70 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Multiplan | Commercial | $0.70 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | First Health | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | First Health | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | First Health | Commercial | $0.80 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $0.80 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Fidelis | Medicaid | $0.80 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Fidelis Exchange | Commercial | $0.84 | — | — | 2026-10-12 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Humana | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Humana | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Humana | Commercial | $0.90 | $1.00 | $0.70 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR KIDS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR PLUS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR KIDS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE HEALTH PLAN MEDICAID STAR KIDS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $4,321.00 | $2,160.50 | 2026-07-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE HEALTH PLAN MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE HEALTH PLAN MEDICAID STAR PLUS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID NON UHRIP | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR PLUS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| METROWEST MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | SCOTT AND WHITE HEALTH PLAN | SCOTT AND WHITE HEALTH PLAN MEDICAID STAR | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE - MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM NON UHRIP | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID STAR | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $4,321.00 | $2,160.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $4,321.00 | $2,160.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $4,321.00 | $2,160.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $4,321.00 | $2,160.50 | 2026-07-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $4,321.00 | $2,160.50 | 2026-07-01 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Ebs | Commercial | $2.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Ebs | Commercial | $2.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $4,321.00 | $2,160.50 | 2026-07-01 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $2.80 | $633.00 | $443.10 | 2026-07-15 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Molina | Medicare | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Phcs Nippon Life Benefits | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Aetna | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Aetna | Medicare | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Phcs Nippon Life Benefits | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Molina | Medicaid | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Blue Cross | Medicare | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Uhc | Medicare | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Uhc | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Trustmark | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Blue Cross | Medicare | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Securehorizons Direct | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Physicians Mutual | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Uhc | Medicare | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Uhc | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Coventry | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Medico | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Golden Rule | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Securehorizons Direct | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Medico | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Iowa Total Care | Medicaid | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Wellpoint | Medicaid | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Golden Rule | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Aetna | Medicare | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Mutual Of Omaha | Medicare | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Molina | Medicare | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Geha | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Wellpoint | Medicaid | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Trustmark | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Aetna | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Health Partners | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Iowa Total Care | Medicaid | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Health Partners | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Geha | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Health Partners | Medicare | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Midlands | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Molina | Medicaid | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Health Partners | Medicare | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Mutual Of Omaha | Medicare | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Coventry | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Physicians Mutual | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Midlands | Commercial | $3.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.10 | $838.00 | $796.10 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $3.10 | $838.00 | $796.10 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.10 | $838.00 | $796.10 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.18 | $838.00 | $796.10 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.27 | $838.00 | $796.10 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.35 | $838.00 | $796.10 | 2026-02-20 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bluechoice | Bluechoice Blue Option Exchange | $3.39 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Bcbs Of South Carolina | Bcbs Blue Essentials-Exchange | $3.39 | $10.00 | $6.00 | 2026-07-18 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.63 | $763.00 | $572.25 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.63 | $763.00 | $572.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.63 | $763.00 | $572.25 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.63 | $1,484.00 | $1,113.00 | 2026-07-01 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Auxiant | Commercial | $4.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Humana | Commercial | $4.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Humana | Medicare | $4.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Humana | Medicare | $4.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Auxiant | Commercial | $4.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| LUCAS COUNTY HEALTH CENTER Outpatient | Humana | Commercial | $4.00 | $5.00 | $4.50 | 2026-07-17 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.11 | $838.00 | $796.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.11 | $838.00 | $796.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.19 | $838.00 | $796.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.36 | $838.00 | $796.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $4.53 | $838.00 | $796.10 | 2026-02-20 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.