15002 — Wound Prep Trk/arm/leg
Cite this view
HANK Price Transparency. (n.d.). Wound prep trk/arm/leg (OTHER 15002) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/15002?code_type=OTHER
“Wound prep trk/arm/leg (OTHER 15002) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/15002?code_type=OTHER. Accessed .
“Wound prep trk/arm/leg (OTHER 15002) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/15002?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $591–$2,223 (25th–75th percentile) across 276 hospitals · 891 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 15002 — 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 |
|---|---|---|---|---|---|---|---|
| SPRINGHILL MEDICAL CENTER Outpatient | Unitedhealthcare Insurance Company (Contracting On Behalf Of Itself, Unitedhealthcare Of Alabama, Inc. And United'S Affiliates) | Commercial All Payer | — | $4,406.46 | $3,745.49 | 2026-05-23 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $10.45 | — | — | 2026-05-27 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $736.50 | $515.55 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $736.50 | $515.55 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $45.50 | $736.50 | $515.55 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $45.50 | $736.50 | $515.55 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $736.50 | $515.55 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $736.50 | $515.55 | 2026-05-13 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $47.23 | $1,470.88 | $750.15 | 2025-01-10 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $54.81 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $54.81 | — | — | 2026-05-14 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $56.82 | $1,470.88 | $529.52 | 2026-01-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $58.46 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $58.46 | — | — | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $59.35 | — | — | 2026-05-08 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $66.83 | $1,470.88 | $529.52 | 2026-01-01 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $77.43 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $77.43 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $77.43 | — | — | 2026-05-06 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $79.01 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $82.08 | — | — | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $82.17 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $83.62 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $83.62 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $83.62 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $85.17 | — | — | 2026-05-09 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Prime Health Services | — | — | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Workers Compensation | — | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Blue Cross Community Health Plan | Medicaid | $87.85 | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Supplental Product | — | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Quanex Employees | — | — | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Interplan Health Group | — | — | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Molina | — | $87.85 | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | United Healthcare | — | — | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Siho Network Llc | — | — | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | — | — | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Triwest | Healthcare Alliance | $87.85 | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Medicaid | $87.85 | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Three Rivers | — | — | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Multiplan | — | — | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Dentaquest | — | $87.85 | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Meridian Health Plan | — | $87.85 | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Rental Network | — | $1,597.00 | $1,597.00 | 2026-05-23 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $96.79 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $96.79 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $96.79 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $96.79 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $96.79 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $100.66 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $100.66 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $100.66 | — | — | 2026-05-06 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $106.88 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $106.88 | — | — | 2026-05-08 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Empire | Healthplus Medicaid/Chp/Mltc | — | $925.68 | $925.68 | 2026-05-17 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $108.40 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $108.40 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $108.40 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $108.40 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $108.40 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $108.40 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $108.40 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $108.40 | — | — | 2026-05-06 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $112.22 | — | — | 2026-05-08 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $112.27 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $112.27 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $112.27 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $112.27 | — | — | 2026-05-06 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $115.94 | — | — | 2026-05-13 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $118.47 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $118.47 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $118.47 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $118.47 | — | — | 2026-05-09 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Ip | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Ip | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Cigna | Hmo Ppo Healthpartners Plans | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Ip | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $123.13 | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $123.13 | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Ip Plans | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Op Plans | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Ip | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare Comm. | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Op | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Op | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare Comm. | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Op | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $123.13 | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Op | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | All Sentara Comm. Plans | — | — | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $123.13 | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $123.24 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $123.24 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $123.24 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $123.24 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $123.24 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $123.24 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $123.24 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $123.24 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $123.24 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $123.24 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $124.36 | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $124.36 | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $125.59 | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $125.59 | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $126.82 | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $126.82 | $7,400.00 | $2,442.00 | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $128.97 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $128.97 | — | — | 2026-05-24 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $130.75 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $130.75 | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene | Care 1St Health Plan Az | $131.25 | $3,440.11 | $3,440.11 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene | Az Complete Health | $131.25 | $3,440.11 | $3,440.11 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $132.02 | — | — | 2026-05-23 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicaid | Professional | $138.45 | $429.00 | $214.50 | 2026-05-09 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Medicaid | Professional | $138.45 | $429.00 | $214.50 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $138.45 | $429.00 | $214.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $138.45 | $429.00 | $214.50 | 2026-05-08 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $140.58 | $682.00 | $341.00 | 2026-05-09 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $140.58 | $682.00 | $341.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $140.58 | $682.00 | $341.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $140.58 | $682.00 | $341.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $140.58 | $682.00 | $341.00 | 2026-05-09 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $140.58 | $682.00 | $341.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $140.58 | $682.00 | $341.00 | 2026-05-14 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv Aetna | All Plans | $141.94 | $1,470.88 | $750.15 | 2025-01-10 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Healthpartners | Healthpartners Pmap Professional | $144.34 | $793.00 | $793.00 | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cdphp | Medicaid | $145.71 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Cdphp | Medicaid/Chp/Essential | $145.71 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $145.71 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $145.71 | — | — | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Ucare | Ucare Pmap Professional | $146.85 | $793.00 | $793.00 | 2026-05-14 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | TRPN | All Plans | $147.09 | $1,470.88 | $750.15 | 2025-01-10 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Primewest Professional | Primewest Professional | $153.06 | $793.00 | $793.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Minnesota Medicaid | Minnesota Medicaid Professional | $153.06 | $793.00 | $793.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Pmap Professional | $154.44 | $793.00 | $793.00 | 2026-05-14 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv Aetna | All Plans | $157.35 | $1,470.88 | $867.82 | 2025-01-10 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | South Country | South Country Professional | $157.65 | $793.00 | $793.00 | 2026-05-14 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Blue Cross And Blue Shield Of Alabama | All Payor | $158.67 | $875.00 | $665.00 | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $158.86 | — | — | 2026-05-08 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Mlp | $160.59 | $1,871.00 | — | 2026-05-06 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $161.07 | $875.00 | $603.75 | 2026-05-08 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $161.07 | $875.00 | $586.25 | 2026-05-09 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $161.07 | $875.00 | $306.25 | 2026-05-09 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $161.07 | $875.00 | $665.00 | 2026-05-27 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Hlthnet | Bmc Hlthnet | $161.29 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid | Medicaid | $161.29 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid Out Of State | Medicaid Out Of State | $161.29 | — | — | 2026-05-13 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Hennepin Health | Hennepin Health Professional | $163.61 | $793.00 | $793.00 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $164.85 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $164.85 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $164.85 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $164.85 | — | — | 2026-05-14 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | $165.00 | $2,324.00 | $2,324.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | $165.00 | $2,324.00 | $2,324.00 | 2026-05-18 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicare Advantage | — | $4,406.46 | $3,745.49 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Palmetto Gba | Standard | — | $4,406.46 | $3,745.49 | 2026-05-23 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Neighborhood Health Medicaid | Neighborhood Health Medicaid | $166.56 | — | — | 2026-05-13 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Child 0-20 Mlp | $168.62 | $1,871.00 | — | 2026-05-06 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Pmap Professional | $170.13 | $793.00 | $793.00 | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $172.10 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $172.10 | — | — | 2026-05-13 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Superior | Medicaid | $172.41 | $2,264.00 | $905.60 | 2026-05-23 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Superior | Medicaid | $172.41 | $2,264.00 | $905.60 | 2026-05-14 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | First Choice | Medicaid Advantage | $174.06 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Choice Medicaid Advantage | $174.06 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Select Health | Medicaid Advantage | $174.06 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Ambetter | Medicaid Advantage | $174.06 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Molina | Medicaid Advantage | $174.06 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Atc | Medicaid Advantage | $174.06 | — | — | 2026-05-06 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Wellcare | Medicaid | $174.06 | $3,774.00 | $1,509.60 | 2026-05-06 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Select Health Of Sc | Medicaid | $174.06 | $3,774.00 | $1,509.60 | 2026-05-06 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Molina | Medicaid | $174.06 | $3,774.00 | $1,509.60 | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Md | $174.55 | $1,871.00 | — | 2026-05-06 | MRF ↗ |
| SARATOGA HOSPITAL Both | Fidelis | Child Health Plus | $176.55 | — | — | 2026-05-09 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $177.84 | $875.00 | $306.25 | 2026-05-09 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $177.84 | $875.00 | $586.25 | 2026-05-09 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $177.84 | $875.00 | $603.75 | 2026-05-08 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $177.84 | $875.00 | $603.75 | 2026-05-08 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $177.84 | $875.00 | $665.00 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $177.84 | $875.00 | $586.25 | 2026-05-09 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $177.84 | $875.00 | $306.25 | 2026-05-09 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $177.84 | $875.00 | $665.00 | 2026-05-27 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Anthem | All Plans | $179.76 | $1,470.88 | $529.52 | 2026-01-01 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medicare Professional | Medicare Professional | $180.49 | $793.00 | $793.00 | 2026-05-14 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Molina | Medicaid | $181.03 | $2,264.00 | $905.60 | 2026-05-23 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Molina | Medicaid | $181.03 | $2,264.00 | $905.60 | 2026-05-14 | 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.