12011 — Pr Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm (HCPCS 12011) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/12011?code_type=HCPCS
MLA (9th ed.)
“PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm (HCPCS 12011) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/12011?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm (HCPCS 12011) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/12011?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $190–$525 (25th–75th percentile) across 2,916 hospitals · 9,864 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 12011 — 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
$190
$310 typical
$525
The middle 50% of negotiated facility rates for this procedure, measured across 2,916 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. | $310 |
| Surgeon (professional fee) Estimate national typical Medicare $54 × 1.22 commercial. | $66 |
| Likely subtotal | $376 |
Surgical episode (typical)
~$376
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 |
|---|---|---|---|---|---|---|---|
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.39 | $275.00 | $206.25 | 2025-03-07 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY MCR ADV | COVENTRY MCR ADV | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE MCR ADV - ALL PLANS | HUMANA CHOICE CARE MCR ADV - ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | TRICARE HNFS-ALL PLANS | TRICARE HNFS-ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY MEDICARE ADV | COVENTRY MEDICARE ADV | $0.56 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | AMBETTER COMML EXCH-ALL PLANS | AMBETTER COMML EXCH-ALL PLANS | $0.61 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PREFERRED PHSIC | PREFERRED PHSIC | $0.66 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Indian Health Council | Indian Health Council | $0.67 | $2,214.00 | $1,660.50 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.75 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.75 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.75 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.82 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.84 | $98.00 | $73.50 | 2026-03-26 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PREFERRED HEALTHCARE - ALL OTHER PLANS | PREFERRED HEALTHCARE - ALL OTHER PLANS | $0.89 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.94 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.98 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.98 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | AETNA/COVENTRY-ALL OTHER PLANS | AETNA/COVENTRY-ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY COMM-ALL OTHER PLANS | COVENTRY COMM-ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | MULTIPLAN (MPI)-ALL PLANS | MULTIPLAN (MPI)-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | AETNA HMO | AETNA HMO | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PROVIDERS CARE (WPPA)-ALL PLANS | PROVIDERS CARE (WPPA)-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY - ALL OTHER PLANS | COVENTRY - ALL OTHER PLANS | $0.99 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | AETNA PPO - ALL OTHER PLANS | AETNA PPO - ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,031.63 | $1,320.56 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.00 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $455.00 | $373.10 | 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 Inpatient | Health Net of California, Inc. | HMO | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.00 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.00 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $455.00 | $373.10 | 2025-11-26 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | AETNA/COVENTRY PPO | AETNA/COVENTRY PPO | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.02 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | PHCS PREFERRED-ALL PLANS | PHCS PREFERRED-ALL PLANS | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | WPPA-ALL PLANS | WPPA-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY WC | COVENTRY WC | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | MPI-ALL PLANS | MPI-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | PREFERRED HEALTHCARE-ALL PLANS | PREFERRED HEALTHCARE-ALL PLANS | $1.05 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HEALTH PARTNERS OF KANSAS - ALL PLANS | HEALTH PARTNERS OF KANSAS - ALL PLANS | $1.05 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | HEALTH PARTNERS -ALL PLANS | HEALTH PARTNERS -ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CENTURY HEALTH-ALL PLANS | CENTURY HEALTH-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | PPONEXT-ALL PLANS | PPONEXT-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.06 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.10 | $204.00 | $193.80 | 2026-02-20 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.28 | $660.09 | $396.05 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.28 | $660.09 | $396.05 | 2025-08-11 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | WPPA/PROVIDERS CARE-ALL PLANS | WPPA/PROVIDERS CARE-ALL PLANS | $1.54 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $1.63 | $160.00 | $160.00 | 2026-03-09 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.79 | $208.00 | $135.20 | 2026-05-07 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.79 | $146.00 | $94.90 | 2026-05-07 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.11 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.13 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.13 | — | — | 2026-03-18 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Medicaid | Traditional | — | $491.64 | $294.98 | 2026-03-23 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $2.42 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $2.44 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $2.44 | — | — | 2026-03-18 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.47 | $237.05 | $237.05 | 2026-04-24 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Cross | Blue Cross - MCS | $2.54 | $2,214.00 | $1,660.50 | 2026-04-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.57 | $660.09 | $396.05 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $2.57 | $660.09 | $396.05 | 2025-08-11 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.64 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.65 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.65 | — | — | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $3.26 | $556.00 | $556.00 | 2026-02-13 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $3.28 | $460.00 | $170.20 | 2026-03-31 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.30 | $316.90 | $316.90 | 2026-04-24 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.02 | $660.09 | $396.05 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.02 | $660.09 | $396.05 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.94 | $660.09 | $396.05 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $4.94 | $660.09 | $396.05 | 2025-08-11 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | TriWest | Healthcare Alliance | $5.00 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | TriWest | Healthcare Alliance | $5.00 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $7.92 | $396.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $7.92 | $396.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $7.92 | $396.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $7.92 | $396.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $7.92 | $396.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $7.92 | $396.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $7.92 | $396.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $8.16 | $408.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $8.16 | $408.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $8.16 | $408.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $8.16 | $408.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $8.16 | $408.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $8.16 | $408.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $8.16 | $408.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $8.20 | $82.00 | $53.30 | 2026-04-17 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $8.64 | $64.00 | $48.00 | 2026-01-16 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $8.73 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $8.73 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $8.73 | — | — | 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 KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $8.73 | — | — | 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 WARRICK Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $8.73 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $8.73 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $8.73 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $8.73 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $8.73 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $8.73 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON 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 | $8.73 | — | — | 2026-01-01 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Alabama | Commercial | — | $269.00 | $269.00 | 2026-04-30 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $9.69 | $484.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $9.69 | $484.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $9.69 | $484.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $9.69 | $484.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $9.69 | $484.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $9.69 | $484.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $9.69 | $484.50 | — | 2026-03-31 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | LA-DHH-MEDICAID | LA-DHH-MEDICAID | $10.48 | $104.00 | — | 2026-03-26 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | OMAHA INSURANCE COMPANY | OMAHA INSURANCE COMPANY | $10.48 | $104.00 | — | 2026-03-26 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | LA-DHH-MEDICAID | LA-DHH-MEDICAID | $10.48 | $104.00 | — | 2026-03-26 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | OMAHA INSURANCE COMPANY | OMAHA INSURANCE COMPANY | $10.48 | $104.00 | — | 2026-03-26 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $10.54 | $460.00 | $276.00 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $10.54 | $460.00 | $276.00 | 2026-02-12 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $10.70 | $107.00 | $69.55 | 2026-04-17 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | VA CCN-ALL PLANS | VA CCN-ALL PLANS | $10.73 | $29.80 | $23.84 | 2026-01-05 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $10.97 | $548.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $10.97 | $548.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $10.97 | $548.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $10.97 | $548.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $10.97 | $548.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $10.97 | $548.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $10.97 | $548.50 | — | 2026-03-31 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Aetna-Allina | Medicare Advantage | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | PrimeWest | Managed Medicaid | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Humana | Medicare Advantage | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Sanford Health | Medicare Advantage | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Commercial | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Medica | Medicare Advantage | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Triwest Healthcare Alliance | Tricare/Champus | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Health Partners | Medicare Advantage | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Medica | Managed Medicaid | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Managed Medicaid | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | PrimeWest | Medicare Advantage | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | United Healthcare | Medicare Advantage/VACCN | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Blue Cross Blue Shield of Minnesota | Managed Medicaid | $11.02 | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | UCare | Medicare Advantage | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES InpatientFacility | Blue Cross Blue Shield of Minnesota | Medicare Advantage | — | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES OutpatientFacility | Blue Cross Blue Shield of Minnesota | Managed Medicaid | $11.02 | $51.00 | $32.39 | 2026-03-17 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Outpatient | Medicare | Part B | $12.00 | $108.00 | $54.00 | 2025-06-12 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $12.00 | $88.00 | $44.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $12.00 | $88.00 | $44.00 | 2025-02-03 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $12.00 | $80.00 | $12.00 | 2025-12-23 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS InpatientFacility | Integrated Health Plan | Commercial (All Contracted Plans) | $12.30 | $82.00 | $53.30 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Integrated Health Plan | Commercial (PPO) | $12.30 | $82.00 | $53.30 | 2026-04-17 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | GULF GUARANTY HEALTH | GULF GUARANTY HEALTH | $12.87 | $104.00 | — | 2026-03-26 | MRF ↗ |
| WEST CARROLL MEMORIAL HOSPITAL Inpatient | GULF GUARANTY HEALTH | GULF GUARANTY HEALTH | $12.87 | $104.00 | — | 2026-03-26 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $13.28 | $64.00 | $48.00 | 2026-01-16 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | — | $402.18 | $261.42 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI|GHI ALT | — | $402.18 | $261.42 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH|MH OPTUM COMMERCIAL | — | $1,192.74 | $775.28 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | CDPHP [187] | CDPHP COMMERCIAL | — | $1,192.74 | $775.28 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $13.36 | $402.18 | $261.42 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | GENERIC CARRIER [107] | ST REGIS MOHAWK [10724] | — | $402.18 | $261.42 | 2024-12-30 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC - GENERIC|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UHC STUDENT RESOURCES|UNITED HEALTHCARE SHARED SERVICES | — | $1,192.74 | $775.28 | 2024-12-30 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | AARP Medicare | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Humana | Gold Choice | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | WellCare by Allwell Medicare | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Humana | Choice Care Network | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | Ambetter Exchange PPO | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | WPPA | Medica Prime Medicare Cost | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | Ambetter Exchange PPO | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | MCR ADV | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | AARP Medicare | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | BCBS - KS | Medicare Advantage | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | MCR ADV | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | WPPA | Medica Prime Medicare Cost | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | BCBS - KS | Medicare Advantage | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Humana | Gold Choice | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Centene | WellCare by Allwell Medicare | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Humana | Choice Care Network | $13.80 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $13.86 | $430.00 | $172.00 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $13.86 | $430.00 | $172.00 | 2026-05-22 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | OK COMPLETE HLTH COMM-ALL OTHER PLANS | OK COMPLETE HLTH COMM-ALL OTHER PLANS | $13.95 | $29.80 | $23.84 | 2026-01-05 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | AblePay Health | All Plans | $14.00 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $14.00 | $88.00 | $44.00 | 2025-02-03 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | AblePay Health | All Plans | $14.00 | $20.00 | $17.00 | 2026-03-06 | MRF ↗ |
| BUCHANAN COUNTY HEALTH CENTER Outpatient | Blue Cross | Medicare | $14.05 | $39.03 | $33.17 | 2026-05-09 | MRF ↗ |
| BUCHANAN COUNTY HEALTH CENTER Outpatient | Champus | Medicare | $14.05 | $39.03 | $33.17 | 2026-05-09 | 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.