15110 — Epidrm Agrft T/a/l 1st 100
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EPIDRM AGRFT T/A/L 1ST 100 (HCPCS 15110) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/15110?code_type=HCPCS
MLA (9th ed.)
“EPIDRM AGRFT T/A/L 1ST 100 (HCPCS 15110) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/15110?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“EPIDRM AGRFT T/A/L 1ST 100 (HCPCS 15110) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/15110?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,580–$3,452 (25th–75th percentile) across 1,804 hospitals · 4,121 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 15110 — 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 surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,580
$2,187 typical
$3,452
The middle 50% of negotiated facility rates for this procedure, measured across 1,804 hospitals. The surgeon and anesthesia fees 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. | $2,187 |
| Surgeon (professional fee) Estimate national typical Medicare $671 × 1.22 commercial. | $819 |
| Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $708 |
| Likely subtotal | $3,714 |
Surgical episode (typical)
~$3,714
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$7,499
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
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
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk
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 |
|---|---|---|---|---|---|---|---|
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $2.47 | $2,471.00 | $741.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $2.47 | $2,471.00 | $741.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $2.47 | $2,471.00 | $741.30 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.79 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.85 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.85 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $10.07 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $10.14 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $10.14 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.97 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $11.04 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $11.04 | — | — | 2026-03-18 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $11.57 | $6,426.00 | $1,894.86 | 2024-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| GREAT PLAINS OF SABETHA Outpatient | BCBS BLUE CHOICE | BCBS BLUE CHOICE | $36.10 | $3,245.00 | $2,920.50 | 2026-03-10 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | BCBS PPO - ALL PLANS | BCBS PPO - ALL PLANS | $38.00 | $1,413.53 | $1,201.50 | 2026-03-02 | MRF ↗ |
| GREAT PLAINS OF SABETHA Outpatient | BCBS KS CAP-ALL OTHER PLANS | BCBS KS CAP-ALL OTHER PLANS | $38.00 | $3,245.00 | $2,920.50 | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $57.97 | — | — | 2026-04-14 | MRF ↗ |
| MCLAREN BAY REGION Both | McLaren Commercial Ins | McLaren Commercial Ins | $58.00 | $209.00 | $104.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | WC - Workers Compensation | WC - Workers Compensation | $65.00 | $209.00 | $104.00 | 2025-02-03 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Inpatient | ILLINICARE/MERIDIAN MEDICAID [6509] | YOUTHCARE IL [650908] | $69.00 | $4,151.00 | $1,105.00 | 2024-05-13 | MRF ↗ |
| RIVERSIDE MEDICAL CENTER Inpatient | ILLINICARE/MERIDIAN MEDICAID [6509] | ILLINICARE BH [650909] | $69.00 | $4,151.00 | $1,105.00 | 2024-05-13 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Care Improvement Plus | Medicare Advantage | — | $228.83 | $192.22 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Aetna | Medicare Advantage | — | $228.83 | $192.22 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Anthem | Ppo Hmo Exchange | — | $228.83 | $192.22 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Consumer Life | Commercial | — | $228.83 | $192.22 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Coventry | Commercial | — | $228.83 | $192.22 | 2026-05-09 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS Blue Advantage | Blue Advantage | $69.92 | $875.00 | $612.50 | 2026-01-13 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $70.10 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $70.10 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $70.39 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $70.39 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $70.39 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $70.39 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $70.39 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $70.39 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $70.39 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $70.39 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $70.39 | — | — | 2026-04-14 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | UHC Commercial | PPO | $74.50 | $875.00 | $612.50 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Outpatient | Baylor Scott And White Commercial | UNKNOWN | $75.00 | $875.00 | $612.50 | 2026-01-13 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS HMO | HMO | $76.00 | $875.00 | $612.50 | 2026-01-13 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $76.47 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $76.47 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $76.47 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $76.47 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $76.47 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $76.47 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $76.47 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $76.47 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $76.47 | — | — | 2026-04-14 | MRF ↗ |
| St Anthony Regional Hospital & Nursing Home Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $76.98 | $2,077.00 | $2,077.00 | 2026-02-09 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $78.44 | $3,866.00 | — | 2026-03-04 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS PPO | PPO | $82.00 | $875.00 | $612.50 | 2026-01-13 | MRF ↗ |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER OutpatientFacility | United Healthcare Charter | Commercial | $84.00 | $5,110.00 | $2,555.00 | 2025-11-04 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $85.28 | $2,471.00 | $741.30 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $85.28 | $2,471.00 | $741.30 | 2026-04-01 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | Multiplan | PPO | $88.00 | $875.00 | $612.50 | 2026-01-13 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $90.50 | $3,364.00 | $2,220.24 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | UNITED HEALTHCARE | UHC ONEIDA NATION | $90.50 | $3,364.00 | $2,220.24 | 2026-01-15 | MRF ↗ |
| HSHS ST CLARE MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $90.50 | $3,364.00 | $2,220.24 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $90.50 | $3,364.00 | $2,220.24 | 2026-01-15 | MRF ↗ |
| HSHS ST CLARE MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $90.50 | $3,364.00 | $2,220.24 | 2026-01-15 | MRF ↗ |
| HSHS ST CLARE MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UHC ONEIDA NATION | $90.50 | $3,364.00 | $2,220.24 | 2026-01-15 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN BAY REGION Both | HAP - HMO | HAP - HMO | $96.00 | $209.00 | $104.00 | 2025-02-03 | MRF ↗ |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER OutpatientFacility | United Healthcare Nexus | Commercial | $98.00 | $5,110.00 | $2,555.00 | 2025-11-04 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | BCBS Pathway/HMO | HMO | $100.00 | $5,267.42 | — | 2026-03-24 | MRF ↗ |
| DODGE COUNTY HOSPITAL Outpatient | BCBS Pathway/HMO | HMO | $100.00 | $5,267.42 | — | 2026-05-14 | MRF ↗ |
| S E LACKEY MEMORIAL HOSPITAL Outpatient | BCBS AHS | BCBS AHS | $100.00 | $2,121.00 | $2,121.00 | 2026-02-10 | MRF ↗ |
| MCLAREN BAY REGION Both | Cofinity group 15892 & 15893 | Cofinity group 15892 & 15893 | $100.00 | $209.00 | $104.00 | 2025-02-03 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $105.40 | — | — | 2025-01-31 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | COMMERCIAL GENERIC [4463] | DRUG MANUFACTURER COPAY ASSISTANCE PROGRAM [6381] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE OF IL [6108] | MOLINA HEALTHCARE OF IL MEDICAID [6725] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICARE [4372] | MEDICARE PART A ONLY [4881] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UHC MANAGED MEDICARE ADV [4854] | UHC STATE RETIREES MEDICARE ADV [6016] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | VALUE OPTIONS [4353] | BMH CARELON/FORMERLY BEACON HEALTH [5278] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MERIDIAN HEALTH PLAN OF IL [4860] | MERIDIAN HEALTH PLAN OF IL MEDICAID [5992] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MOLINA MEDICARE DUAL ADV IL [6136] | MOLINA DUAL OPTIONS MCARE MCAID ADV PLAN [6812] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | COMMERCIAL GENERIC [4463] | HOME HEALTH GENERIC [6253] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEMS [4251] | MCA ADMINISTRATORS INC.(PHCS) [6408] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | COMMERCIAL GENERIC [4463] | COMPANY GENERIC [6773] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HUMANA [4153] | HUMANA CHOICE CARE PPO [5185] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MUTUAL OF OMAHA [4203] | MUTUAL OF OMAHA BSC [4180] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | COMMERCIAL GENERIC [4463] | PBS COMMERCIAL CLEARING ACCOUNTS [6018] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEMS [4251] | PHCS PPO [4209] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | VALUE OPTIONS [4353] | BEACON HEALTH OPTIONS/FORMERLY VALUE OPTIONS [5329] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WC PAYOR GENERIC [4472] | WC GENERIC [5503] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | PHYSICIANS MUTUAL [4236] | PHYSICIANS MUTUAL MEDICARE SUPP [4701] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEMS [4251] | FREEDOM LIFE PHCS [6734] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | PPO PLUS [4241] | PHCS MEDI-SHARE [6849] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | OON BLUE CROSS COMMUNITY MMAI [6142] | BLUE CROSS COMMUNITY MMAI [6869] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | TRUSTMARK [4333] | TRUSTMARK SMALL BUSINESS [6717] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | TRANSAMERICA LIFE MEDICARE SUPPLEMENT [4330] | TRANSAMERICA LIFE MEDICARE SUPPLEMENT [4614] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | RESERVE NATIONAL INS CO [4260] | RESERVE NATIONAL [4221] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | USAA LIFE INSURANCE COMPANY [4350] | USAA LIFE INSURANCE COMPANY [4286] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UMWA [4334] | UMWA HEALTH & RETIREMENT FUNDS [4247] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UPREHS [4349] | UPREHS PPO [4285] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UNITED AMERICAN [4339] | UNITED AMERICAN COMMERCIA [4251] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HFN (DPA) [4151] | HFN PPO [4374] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HUMANA [4153] | HUMANA MEDICARE ADV [4376] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | SENTINEL SECURITY LIFE MEDICARE SUPPLEMENT [6113] | SENTINEL SECURITY LIFE MEDICARE SUPPLEM [6739] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MULTIPLAN [4202] | MULTIPLAN PPO [4385] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICAID - ILLINOIS [4367] | MEDICAID - ILLINOIS PUBLIC AID [4942] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | LASSO HEALTHCARE MEDICARE ADVANTAGE [6126] | LASSO HEALTHCARE MEDICARE ADVANTAGE [6777] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | ALLIANCE COAL GROUP HEALTH PLAN [6145] | ALLIANCE COAL HEALTH PLAN [6846] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | CHAMPVA [4375] | VHA OFFICE OF COMMUNITY CARE [5346] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICA [6253] | MEDICA SSM HEALTH [6911] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HOPETRUST [6112] | TRUSTMARK [6733] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICAID - ILLINOIS [4367] | ILLINOIS MEDICAID PENDING [6369] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UMR GENERIC [5122] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WELLCARE MEDICARE MANAGED CARE MEDICARE ADV [6130] | WELLCARE OF ILLINOIS MEDICARE ADV [6808] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | DEACONESS ONECARE HEALTH PLAN [6166] | DEACONESS ONECARE HEALTH PLAN [6939] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICARE [6333] | HUMANA MEDICARE ADV D-SNP & C-SNP [6891] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICARE [6333] | HUMANA MEDICARE ADV HMO & PPO [6892] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WC PAYOR GENERIC [4472] | WC TRISTAR RISK MANAGEMENT [6419] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | IL BREAST & CERVICAL CANCER PROGRAM [4386] | IL BREAST & CERVICAL CANCER PROGRAM [4339] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICA [6253] | MEDICA IFB [6913] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE OF IL [4858] | MOLINA ILLINOIS [5973] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | D.S.C.C IN STATE [4379] | DSCC IN STATE BSC PLAN [4427] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICA [6253] | MEDICA EMPLOYEES (NOT SSMHEALTH EES) [6912] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WELLCARE MEDICARE MANAGED CARE MEDICARE ADV [6130] | WELLCARE BY ALLWELL MEDICARE ADV [6794] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UHC HMO/PPO [6883] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | GOLDEN RULE PPO [5117] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICARE MANAGED CARE PLAN GENERIC MEDICARE ADV [6115] | MERIDIAN COMPLETE MEDICARE ADV OUT OF NE [6793] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICARE [4372] | MEDICARE IME ONLY [5991] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HUMANA [4153] | HUMANA MEDICARE SUPPLEMENT [6015] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICARE [6333] | HUMANA MEDICARE ADV PFFS [6890] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | ILLINICARE HEALTH [6039] | ILLINICARE HEALTH [6439] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WC AIG [4402] | WC AIG WORKERS COMP BASIC [4415] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UHC ALL SAVERS [6267] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WELLFIRST [6074] | SSM WELLFIRST [6544] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | CONSOCIATE HEALTH [6152] | CONSOCIATE HEALTH [6879] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | TRICARE [4398] | TRICARE EAST REGION [4403] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | TRICARE [4398] | TRICARE FOR LIFE [4243] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICARE SUPPLEMENT PAYOR GENERIC [6015] | MEDICARE SUPPLEMENT PLAN GENERIC [6321] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | TRICARE [4398] | TRICARE WEST [5111] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | BHM UBH [5489] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICAID MANAGED CARE GENERIC PAYOR [6094] | MANAGED CARE GENERIC PLAN MEDICAID [6700] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICAID AETNA BETTER HEALTH ILLNOIS [6104] | AETNA BETTER HEALTH OF ILLINOIS MEDICAID [6718] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WEXFORD HEALTH SOURCE [4397] | WEXFORD HEALTH SOURCES [5279] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | COMMERCIAL GENERIC [4463] | COMMERCIAL PLAN GENERIC [5500] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UNITED HEALTHCARE PPO [5257] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | YOUTH CARE [6097] | YOUTH CARE HLTH CHOICE IL MEDICAID [6703] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | TRICARE [4398] | TRICARE OVERSEAS REGION [4401] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH PREMIER MEDICARE ADV [6137] | AETNA BETTER HEALTH PREMIER MEDICARE ADV [6813] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICARE [6333] | HUMANA GOLD PLUS INTEGRATED [6870] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICARE [4372] | MEDICARE IME ONLY [5990] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UHC INTEGRATED (GEHA) [5123] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WC BROADSPIRE NATIONAL SERVICES [4404] | WC BROADSPIRE [5616] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UHC CHOICE/SELECT/CHOICE PLUS/ALL PAYORS [4410] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | AETNA MEDICARE ADV [6331] | AETNA PREMIER ELITE MEDICARE ADV PPO [6657] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICAID - ILLINOIS [4367] | ILLINOIS MANAGED MEDICAID GENERIC [6629] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | AMERICAN REPUBLIC [4031] | AMERICAN REPUBLIC MEDICARE SUPPLEMENT [4345] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | AETNA [4008] | AETNA MEDICARE ADV HMO [4016] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | CONTINENTAL GENERAL INSURANCE COMPANY [4085] | CIGNA MEDICARE SUPPLEMENT [4528] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | BLUE CROSS BLUE SHIELD OF ILLINOIS [4048] | BLUE CROSS BLUE SHIELD PPO [4712] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WC GALLAGHER BASSETT SERV INC [4428] | WC GALLAGHER BASSETT SERV INC [4304] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICAID - ILLINOIS [4367] | TRANS -INTERLINK IL MGD MEDICAID [6696] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | MEDICARE [4372] | MEDICARE RAILROAD [5071] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | AARP [4000] | AARP MEDICARE SUPPLEMENT [4000] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | AETNA MEDICARE ADV [6331] | AETNA MEDICARE ADV HMO/PPO/PFFS [6655] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | AETNA [4008] | MERITAIN HEALTH PPO [5989] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | AETNA MEDICARE ADV [6331] | AETNA MEDICARE ADV HMO/POS [6654] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | BC COMMUNITY IL MEDICAID [6038] | BC COMMUNITY IL MEDICAID [6438] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | AETNA [4008] | AETNA MEDICARE SUPPLEMENT [5865] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HOPETRUST [6112] | HOPETRUST [6871] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | VETERANS ADMINISTRATION [4396] | VETERANS AFFAIRS COMMUNITY CARE NETWORK [6550] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WELLCARE [4360] | WELLCARE HMO POS MEDICARE ADV [4929] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UNITED HEALTHCARE PPO [4278] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | AETNA MEDICARE ADV [6331] | AETNA PRIME MEDICARE ADV HMO/PPO [6656] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UMR PPO [4258] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | AETNA [4008] | ALLIED BENEFIT SYSTEMS [6671] | — | $152.25 | $152.25 | 2024-12-20 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.