11752 — Pr Remove Nail Bed/finger Tip
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR REMOVE NAIL BED/FINGER TIP (CPT 11752) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/11752?code_type=CPT
MLA (9th ed.)
“PR REMOVE NAIL BED/FINGER TIP (CPT 11752) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/11752?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR REMOVE NAIL BED/FINGER TIP (CPT 11752) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/11752?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $710–$5,652 (25th–75th percentile) across 468 hospitals · 644 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11752 — 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 |
|---|---|---|---|---|---|---|---|
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Coventry | Commercial | — | $6.90 | $5.80 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Encore | Ppo | — | $6.90 | $5.80 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Anthem | Ppo Hmo Exchange | — | $6.90 | $5.80 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Humana Healthnet | Tricare | — | $6.90 | $5.80 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Consumer Life | Commercial | — | $6.90 | $5.80 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Aetna | Medicare Advantage | — | $6.90 | $5.80 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Care Improvement Plus | Medicare Advantage | — | $6.90 | $5.80 | 2026-05-09 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Tricare | Federal | $20.44 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | St. Luke's - Medicare Advantage | Medicare Advantage | $20.44 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Saint Alphonsus - Regence Medicare Advantage | Medicare Advantage | $20.44 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | AARP-UHC Replacement | Medicare Advantage | $20.44 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Triwest | Federal | $20.44 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | BC of Idaho - True Blue Medicare Advantage | Medicare Advantage | $20.64 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Aetna - Medicare Advantage | Medicare Advantage | $20.64 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | MODA - Medicare Advantage | Medicare Advantage | $20.85 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Cigna | PPO | $26.60 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | St. Luke's - Connected Care BC of Idaho | PPO | $26.60 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | BC of Idaho - Exchange/State Employer Plan | PPO | $26.60 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Saint Alphonsus - Connected Care BC of Idaho | PPO | $26.60 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Regence - Traditional/PPO | PPO/Traditional | $26.60 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Saint Alphonsus - Micron | PPO | $26.60 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Aetna - PPO/POS/HMO | PPO/POS/HMO | $26.88 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | St. Luke's - Pacific Source | PPO | $27.44 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | St. Luke's - SelectHealth | PPO | $27.44 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | BC of Idaho - PPO/Traditional/Federal | PPO/Traditional | $27.44 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Aetna Trinity | PPO | $27.44 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | St. Lukes Mountain Health Coop | PPO | $27.44 | $28.00 | $21.00 | 2026-01-22 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL OutpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $43.47 | $322.00 | $241.50 | 2026-01-16 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $57.38 | $151.00 | $78.52 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $57.95 | $151.00 | $78.52 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $64.93 | $151.00 | $78.52 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $64.93 | $151.00 | $78.52 | 2026-03-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $66.82 | $322.00 | $241.50 | 2026-01-16 | MRF ↗ |
| RICE MEDICAL CENTER Outpatient | UnitedHealthcare Commercial | PPO | — | $514.80 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Outpatient | TML Intergovernmental Employee Benefits | Unknown | — | $514.80 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Outpatient | Aetna Commercial | PPO/HMO | — | $514.80 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Outpatient | Cigna Commercial | PPO/HMO | — | $514.80 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Outpatient | Superior | Medicaid | — | $514.80 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Outpatient | National Healthcare Alliance | Unknown | — | $514.80 | — | 2025-06-27 | MRF ↗ |
| RICE MEDICAL CENTER Outpatient | UHC Medicaid | Medicaid | — | $514.80 | — | 2025-06-27 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | SIMPLY HEALTHCARE HEALTHY KIDS | ALL PRODUCTS | $86.31 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $86.31 | — | — | 2025-12-23 | MRF ↗ |
| SCK HEALTH Outpatient | AMBETTER COMM OP ONLY - ALL OTHER PLANS | AMBETTER COMM OP ONLY - ALL OTHER PLANS | $93.75 | $375.00 | $375.00 | 2026-05-04 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| WAYNE COUNTY HOSPITAL Outpatient | WELLMARK BCBS PPO-ALL OTHER PLANS | WELLMARK BCBS PPO-ALL OTHER PLANS | $100.00 | $1,026.00 | $1,026.00 | 2026-03-03 | MRF ↗ |
| WAYNE COUNTY HOSPITAL Outpatient | WELLMARK BCBS HMO | WELLMARK BCBS HMO | $100.00 | $1,026.00 | $1,026.00 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | $104.95 | $151.00 | $78.52 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS BRIDGES NTWRK | HLTH PARTNERS BRIDGES NTWRK | $104.95 | $151.00 | $78.52 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $105.85 | $151.00 | $78.52 | 2026-03-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $124.00 | $516.00 | $516.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $124.00 | $516.00 | $516.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $124.00 | $516.00 | $516.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $124.00 | $516.00 | $516.00 | 2025-07-03 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $127.09 | — | — | 2026-01-25 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $128.35 | $151.00 | $78.52 | 2026-03-03 | MRF ↗ |
| SEDGWICK COUNTY MEMORIAL HOSPITAL Outpatient | Molina | Medicare Advantage | $135.00 | $450.00 | $450.00 | 2025-10-21 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HEALTH ALLIANCE-ALL PLANS | HEALTH ALLIANCE-ALL PLANS | $135.90 | $151.00 | $78.52 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $135.90 | $151.00 | $78.52 | 2026-03-03 | MRF ↗ |
| KELL WEST REGIONAL HOSPITAL Outpatient | UHC | UNITED HEALTHCARE | $136.00 | $2,809.00 | $484.80 | 2025-01-21 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $143.00 | $409.00 | $205.00 | 2025-06-11 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $144.90 | $322.00 | $241.50 | 2026-01-16 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Medica | Commercial | $151.00 | $278.00 | $222.00 | 2026-05-22 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | JIB | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Preferred | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $151.50 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Centivo | Centivo Network | — | — | — | 2026-04-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $151.76 | — | — | 2026-02-12 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $156.10 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $156.10 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $156.10 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $156.10 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $156.10 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $156.10 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $156.10 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $156.10 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $156.10 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $156.10 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $156.10 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $156.10 | — | — | 2026-03-01 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $160.00 | $409.00 | $205.00 | 2025-06-11 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $160.76 | $272.47 | $272.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $160.76 | $272.47 | $272.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellmark | Commercial | — | $272.47 | $272.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $160.76 | $272.47 | $272.47 | 2025-05-01 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $164.00 | $409.00 | $205.00 | 2025-06-11 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $167.00 | $516.00 | $516.00 | 2025-07-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $167.50 | $670.00 | $348.40 | 2026-03-03 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Private Healthcare Systems PHCS | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare B MS JH | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | UHC Community Plan MS | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Connecticut General Cigna | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicaid Mississippi | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Select Health Care | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Magnolia Health Plan MCD Rep | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Blue Cross Blue Shield of MS INST | Default | $170.00 | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Advanced Health | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Multiplan Inc. for American Family | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | GEHA Multiplan Network | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | First Choice Health Network | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Mississippi Physicians Care Network | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Primewell Vantage Health Plan | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | Medicare A MS JH | Default | — | $1,965.00 | $1,473.75 | 2025-03-07 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicaid - Molina | Medicaid - Molina | $180.00 | $1,486.00 | $743.00 | 2025-02-03 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Blue Cross Medicare Blue | Medicare Advantage | $182.55 | $272.47 | $272.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Medicare Advantage | $182.55 | $272.47 | $272.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Humana Choice | Medicare Advantage | $182.55 | $272.47 | $272.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | United Healthcare Medicare Solutions | Medicare Advantage | $182.55 | $272.47 | $272.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $182.55 | $272.47 | $272.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Health Partners | Medicare Advantage | $182.55 | $272.47 | $272.47 | 2025-05-01 | MRF ↗ |
| SEDGWICK COUNTY MEMORIAL HOSPITAL Outpatient | TriWest VA | TriWest VA | $185.00 | $450.00 | $450.00 | 2025-10-21 | MRF ↗ |
| SEDGWICK COUNTY MEMORIAL HOSPITAL Outpatient | Rocky Mountain Health | Commercial | $185.00 | $450.00 | $450.00 | 2025-10-21 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $192.40 | $481.00 | $829.63 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $192.40 | $481.00 | $829.63 | 2026-05-23 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $195.69 | — | — | 2026-05-06 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | St. Luke's - Medicare Advantage | Medicare Advantage | $199.29 | $273.00 | $204.75 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | AARP-UHC Replacement | Medicare Advantage | $199.29 | $273.00 | $204.75 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Saint Alphonsus - Regence Medicare Advantage | Medicare Advantage | $199.29 | $273.00 | $204.75 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Tricare | Federal | $199.29 | $273.00 | $204.75 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Triwest | Federal | $199.29 | $273.00 | $204.75 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | BC of Idaho - True Blue Medicare Advantage | Medicare Advantage | $201.20 | $273.00 | $204.75 | 2026-01-22 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | Aetna - Medicare Advantage | Medicare Advantage | $201.20 | $273.00 | $204.75 | 2026-01-22 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $202.00 | — | — | 2025-08-06 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $202.00 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $202.00 | — | — | 2026-04-01 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $202.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | $202.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $202.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Bi | $202.00 | — | — | 2026-04-01 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | 1199 | 1199 | $202.00 | $1,178.39 | $770.67 | 2026-04-01 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $202.00 | — | — | 2026-04-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $202.00 | — | — | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $202.00 | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $202.00 | — | — | 2025-09-05 | MRF ↗ |
| CASCADE MEDICAL CENTER Outpatient | MODA - Medicare Advantage | Medicare Advantage | $203.28 | $273.00 | $204.75 | 2026-01-22 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $209.00 | $278.00 | $222.00 | 2026-05-22 | MRF ↗ |
| COVENANT CHILDRENS HOSPITAL OutpatientFacility | Scott And White | Individual Bsw Premier Exchange | $216.87 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | 1199 | 1199 | $219.00 | $5,027.39 | $3,267.80 | 2026-04-01 | MRF ↗ |
| SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL Outpatient | BLUE SHIELD VA | BLUE SHIELD VA | $219.42 | $2,486.00 | $1,864.50 | 2025-12-23 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Baylor Scott And White | Individual Bsw Premier Exchange | $220.54 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Scott And White | Individual Bsw Premier Exchange | $220.54 | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL OutpatientFacility | Baylor Scott And White | Individual Bsw Premier Exchange | $220.54 | — | — | 2026-04-01 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | MultiPlan | Commercial | $222.00 | $278.00 | $222.00 | 2026-05-22 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $222.11 | — | — | 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 CLAY Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $222.11 | — | — | 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 HOSPITAL Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $222.11 | — | — | 2026-01-01 | MRF ↗ |
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