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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11900 — Inject Skin Lesions </w 7

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 $231

Usually $140–$404 (25th–75th percentile) across 2,277 hospitals · 7,277 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 11900 — 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
$140 $231 typical $404

The middle 50% of negotiated facility rates for this procedure, measured across 2,277 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. $231
Surgeon (professional fee) Estimate national typical Medicare $24 × 1.22 commercial. $29
Likely subtotal $260
Surgical episode (typical) ~$260
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
FIELD HEALTH SYSTEM Both United Healthcare Default $0.31 $104.00 $78.00 2025-03-07 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.38 $104.00 $98.80 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.38 $104.00 $98.80 2026-02-20 MRF ↗
HANCOCK COUNTY HEALTH SYSTEM Outpatient WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $0.43 $36.00 $27.00 2026-03-26 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.50 $104.00 $98.80 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.50 $104.00 $98.80 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.51 $104.00 $98.80 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $0.51 $104.00 $98.80 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.51 $104.00 $98.80 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $0.52 $104.00 $98.80 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $0.54 $104.00 $98.80 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $0.56 $104.00 $98.80 2026-02-20 MRF ↗
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 $732.00 $216.68 2026-02-28 MRF ↗
OTTAWA COUNTY HEALTH CENTER Outpatient CHOICECARE MCR ADV - ALL PLANS CHOICECARE MCR ADV - ALL PLANS $0.87 $85.00 $85.00 2026-03-09 MRF ↗
Ventura County Medical Center - Santa Paula Hospital Outpatient UHC MCR ADV UHC MCR ADV $0.87 $751.00 $375.50 2026-03-23 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $1,562.80 $1,015.82 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $1,280.00 $1,049.60 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage $1,280.00 $1,049.60 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage $1,280.00 $1,049.60 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage $1,280.00 $1,049.60 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage $1,562.80 $1,015.82 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. HMO $1,280.00 $1,049.60 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage $1,280.00 $1,049.60 2025-11-26 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $1.41 $135.10 $135.10 2026-04-24 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient CIGNA [40005] UVAMC - Cigna (New Business) $1.49 $166.61 $99.97 2026-03-24 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $1.55 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $1.56 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $1.56 2026-03-18 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient CIGNA [40005] UVAMC - Cigna (OAP) $1.65 $166.61 $99.97 2026-03-24 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $1.74 $582.00 $582.00 2026-02-13 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $1.78 2026-03-18 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient CIGNA [40005] UVAMC - Cigna (PPO) $1.87 $166.61 $99.97 2026-03-24 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $1.94 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $2.02 $31.00 $20.15 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.02 $31.00 $20.15 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.02 $31.00 $20.15 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $2.02 $31.00 $20.15 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $2.02 $31.00 $20.15 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $2.02 $31.00 $20.15 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.02 $31.00 $20.15 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.02 $31.00 $20.15 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.02 $31.00 $20.15 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.02 $31.00 $20.15 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $2.02 $31.00 $20.15 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Medicare A Ms Jh Default $2.03 $3.00 $2.40 2026-05-08 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Medicare A MS JH Default $2.12 $3.00 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Medicare A MS JH Default $2.12 $3.00 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $2.34 $36.00 $23.40 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.34 $36.00 $23.40 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.34 $36.00 $23.40 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $2.34 $36.00 $23.40 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $2.34 $36.00 $23.40 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.34 $36.00 $23.40 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.34 $36.00 $23.40 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.34 $36.00 $23.40 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $2.34 $36.00 $23.40 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $2.34 $36.00 $23.40 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $2.34 $36.00 $23.40 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Blue Cross Blue Shield of MS INST Default $2.40 $3.00 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Blue Cross Blue Shield Of Ms Prof Default $2.40 $3.00 $2.40 2026-05-08 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Blue Cross Blue Shield of MS INST Default $2.40 $3.00 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Blue Cross Blue Shield Of Ms Inst Default $2.40 $3.00 $2.40 2026-05-08 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Medicaid Mississippi Default $3.00 $3.00 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Magnolia Health Plan MCD Rep Medicaid Replacement $3.00 $3.00 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Medicaid Mississippi Default $3.00 $3.00 $2.40 2026-05-08 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Medicaid Mississippi Default $3.00 $3.00 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Molina Healthcare Of Ms Mcd Adv Default $3.00 $3.00 $2.40 2026-05-08 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both UHC Community Plan MS Default $3.00 $3.00 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Uhc Community Plan Ms Default $3.00 $3.00 $2.40 2026-05-08 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Molina Healthcare of MS MCD Rep Default $3.00 $3.00 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both UHC Community Plan MS Default $3.00 $3.00 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Magnolia Health Plan MCD Rep Medicaid Replacement $3.00 $3.00 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Both Molina Healthcare of MS MCD Rep Default $3.00 $3.00 2026-03-12 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $3.60 $346.20 $346.20 2026-04-24 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $4.00 $142.00 $142.00 2025-10-04 MRF ↗
Ventura County Medical Center - Santa Paula Hospital Outpatient MEDI-CAL MEDI-CAL $4.00 $751.00 $375.50 2026-03-23 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient COMMUNITY ELDERCARE [1027] MEDI-CAL $4.00 $710.67 $390.87 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE CROSS [1013] MEDI-CAL $4.00 $710.67 $390.87 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MEDI-CAL [2001] MEDI-CAL $4.00 $710.67 $390.87 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient XIMED [2016] MEDI-CAL $4.00 $710.67 $390.87 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BRAND NEW DAY [1089] MEDI-CAL $4.00 $710.67 $390.87 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient BLUE CROSS [1013] BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] $4.00 $710.67 $390.87 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient AETNA [1003] AETNA MEDI-CAL $4.00 $710.67 $390.87 2026-04-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient BLUE CROSS MCAL BLUE CROSS MCAL $4.00 $142.00 $142.00 2025-10-04 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient CAREMORE [2028] MEDI-CAL $4.00 $710.67 $390.87 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MEDI-CAL [1048] MEDI-CAL $4.00 $710.67 $390.87 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) $4.00 $710.67 $390.87 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient VANTAGE [1092] PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL $4.00 $710.67 $390.87 2026-04-01 MRF ↗
TAHOE FOREST HOSPITAL Outpatient MEDI-CAL MEDI-CAL $4.00 $142.00 $142.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient MEDI-CAL MEDI-CAL $4.00 $142.00 $142.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient CA HEALTH AND WELLNESS-ALL PLANS CA HEALTH AND WELLNESS-ALL PLANS $4.08 $142.00 $142.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient CA HEALTH AND WELLNESS-ALL PLANS CA HEALTH AND WELLNESS-ALL PLANS $4.08 $142.00 $142.00 2025-10-04 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $4.65 $31.00 $20.15 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $4.65 $31.00 $20.15 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $4.65 $31.00 $20.15 2026-03-18 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $4.65 $31.00 $20.15 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $4.65 $31.00 $20.15 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 $4.65 $31.00 $20.15 2026-03-12 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $4.96 $552.00 $331.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH 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 $4.96 $412.00 $247.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $4.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $4.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $4.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $4.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $4.96 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 KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $4.96 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $4.96 $868.00 $520.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $4.96 $868.00 $520.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $4.96 $868.00 $520.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient UNIFIED GROUP SERVICES 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 2026-01-01 MRF ↗
RIVERSIDE COMMUNITY HOSPITAL Outpatient LA Care Health Medi-cal $5.00 2024-10-01 MRF ↗
RIVERSIDE COMMUNITY HOSPITAL Outpatient Molina MCD $5.00 2024-10-01 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $5.00 $32.00 $20.80 2026-03-12 MRF ↗
GOOD SAMARITAN HOSPITAL Outpatient Physicians Medical Group MCD $5.00 2024-10-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL [10550002] $5.04 $710.67 $390.87 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL COMMUNITY CARE [10550015] $5.04 $710.67 $390.87 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MOLINA [1240] MOLINA MEDI-CAL [12400001] $5.04 $710.67 $390.87 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient ALTERNATE MOLINA [1240] MOLINA MEDI-CAL $5.04 $710.67 $390.87 2026-04-01 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Martins Point Default $5.04 $14.00 $10.50 2026-05-18 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient MOLINA [1055] MOLINA MEDI-CAL $5.04 $710.67 $390.87 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient COMMUNITY HEALTH GROUP [1022] COMMUNITY HEALTH GROUP (MEDI-CAL) $5.16 $710.67 $390.87 2026-04-01 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Ppo $5.19 $14.00 $10.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Federal $5.19 $14.00 $10.50 2026-05-18 MRF ↗
NORTHEASTERN VERMONT REGIONAL HOSPITAL Both Blue Cross Blue Shield Of Vt Default $5.19 $14.00 $10.50 2026-05-18 MRF ↗
TAHOE FOREST HOSPITAL Outpatient PARTNERSHIP HEALTH PLAN- ALL PLANS PARTNERSHIP HEALTH PLAN- ALL PLANS $5.20 $142.00 $142.00 2025-10-04 MRF ↗
TAHOE FOREST HOSPITAL Outpatient PARTNERSHIP HEALTH PLAN- ALL PLANS PARTNERSHIP HEALTH PLAN- ALL PLANS $5.20 $142.00 $142.00 2025-10-04 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 $552.00 $331.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 $552.00 $331.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 $412.00 $247.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 $371.00 $222.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 $412.00 $247.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 $371.00 $222.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 $371.00 $222.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 $868.00 $520.80 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 CARMEL Both ANTHEM HEALTHSYNC HMO 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 $371.00 $222.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 $868.00 $520.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 $868.00 $520.80 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $5.23 $868.00 $520.80 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $5.23 2026-01-01 MRF ↗
Ventura County Medical Center - Santa Paula Hospital Outpatient GOLD COAST MEDI-CAL-ALL PLANS GOLD COAST MEDI-CAL-ALL PLANS $5.40 $751.00 $375.50 2026-03-23 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $5.40 $36.00 $23.40 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 $5.40 $36.00 $23.40 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $5.40 $36.00 $23.40 2026-03-12 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient HEALTH NET [1039] HEALTH NET MEDI-CAL $5.40 $710.67 $390.87 2026-04-01 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $5.40 $36.00 $23.40 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $5.40 $36.00 $23.40 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $5.40 $36.00 $23.40 2026-03-18 MRF ↗
GOOD SAMARITAN HOSPITAL Outpatient Anthem Medi-Cal $5.50 2024-10-01 MRF ↗
LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient Gold Coast Health Plan MCD $5.50 2024-10-01 MRF ↗
RIVERSIDE COMMUNITY HOSPITAL Outpatient Brand New Day MCD $5.50 2024-10-01 MRF ↗
LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient Brand New Day MCD $5.50 2024-10-01 MRF ↗
Riverside Community Hospital Outpatient Molina MCD $5.74 2026-03-01 MRF ↗
Riverside Community Hospital Outpatient LA Care Health Medi-cal $5.74 2026-03-01 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $6.00 $48.00 $24.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - United Medicaid - United $6.00 $48.00 $24.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $6.00 $48.00 $24.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $6.00 $48.00 $24.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $6.00 $48.00 $24.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $6.00 $48.00 $24.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Meridian Medicaid - Meridian $6.00 $48.00 $24.00 2025-02-03 MRF ↗
Riverside Community Hospital Outpatient Brand New Day MCD $6.31 2026-03-01 MRF ↗
Thousand Oaks Surgical Hospital Outpatient Gold Coast Health Plan MCD $6.31 2026-03-01 MRF ↗
Thousand Oaks Surgical Hospital Outpatient Brand New Day MCD $6.31 2026-03-01 MRF ↗
MCLAREN OAKLAND Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $7.00 $48.00 $24.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - United Medicaid - United $7.00 $48.00 $24.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $7.00 $48.00 $24.00 2025-02-03 MRF ↗
RIVERSIDE COMMUNITY HOSPITAL Outpatient Inland Empire Health Plan MGMCD $7.25 2024-10-01 MRF ↗
FAMILY HEALTH WEST HOSPITAL Outpatient Rocky Mountain Commercial 2026-05-18 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE CONTRACTED [320213] HB JOPL AETNA BETTER HEALTH (KANCARE) $8.00 $32.00 $20.80 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE [20213] HB JOPL AETNA BETTER HEALTH (KANCARE) $8.00 $32.00 $20.80 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE [20213] HB CTHG KANCARE UHC MEDICAID $8.00 $32.00 $20.80 2026-03-12 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Molina Medicaid - Molina $8.00 $48.00 $24.00 2025-02-03 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE CONTRACTED [320213] HB SPRG AETNA BETTER HEALTH (KANCARE) $8.00 $32.00 $20.80 2026-03-12 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Tricare Tricare $8.00 $48.00 $24.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Molina Medicaid - Molina $8.00 $48.00 $24.00 2025-02-03 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE CONTRACTED [320213] HB CTHG KANCARE UHC MEDICAID $8.00 $32.00 $20.80 2026-03-12 MRF ↗

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