15273 — Skin Sub Grft T/arm/lg Child
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Skin sub grft t/arm/lg child (OTHER 15273) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/15273?code_type=OTHER
MLA (9th ed.)
“Skin sub grft t/arm/lg child (OTHER 15273) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/15273?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Skin sub grft t/arm/lg child (OTHER 15273) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/15273?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $401–$4,121 (25th–75th percentile) across 271 hospitals · 821 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 15273 — 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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $9.36 | — | — | 2026-05-27 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Unitedhealthcare Insurance Company (Contracting On Behalf Of Itself, Unitedhealthcare Of Alabama, Inc. And United'S Affiliates) | Commercial All Payer | — | $6,169.31 | $5,243.91 | 2026-05-23 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Allegiance | Cigna Sclhs Employees | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Allegiance | Cigna Sclhs Employees | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Allegiance | Cigna Sclhs Employees | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | — | — | — | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Hmo | $18.51 | $5,270.00 | $3,689.00 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Ppo | $18.51 | $5,270.00 | $3,689.00 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Ppo | $18.51 | $5,270.00 | $3,689.00 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Hmo | $18.51 | $5,270.00 | $3,689.00 | 2026-05-22 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $27.49 | — | — | 2026-05-27 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $658.25 | $460.78 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $658.25 | $460.78 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $658.25 | $460.78 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $658.25 | $460.78 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $54.59 | $658.25 | $460.78 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $54.59 | $658.25 | $460.78 | 2026-05-22 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $58.56 | — | — | 2026-05-08 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Wayne County Jail | Commercial | $79.00 | $158.00 | $74.26 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $88.75 | — | — | 2026-05-27 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $113.34 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $113.34 | — | — | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $114.20 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $114.20 | — | — | 2026-05-24 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Marshall County Jail | Commercial | $118.50 | $158.00 | $74.26 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Lewis County Jail | Commercial | $118.50 | $158.00 | $74.26 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Lawrence County Jail | Commercial | $118.50 | $158.00 | $74.26 | 2026-05-06 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $119.01 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $123.33 | $607.00 | $303.50 | 2026-05-23 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $123.33 | $607.00 | $303.50 | 2026-05-09 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $123.33 | $607.00 | $303.50 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $123.33 | $607.00 | $303.50 | 2026-05-09 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $123.33 | $607.00 | $303.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $123.33 | $607.00 | $303.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $123.33 | $607.00 | $303.50 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Healthplus Partners | Healthplus Partners Cshcs | $123.54 | $317.00 | $317.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Mclaren Health Plan Inc | Medicaid Plans | $123.54 | $317.00 | $317.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Meridian Health Plan | Medicaid Plans | $123.54 | $317.00 | $317.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Priority Health | Priority Health Medicaid | $123.54 | $317.00 | $317.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | United Healthcare | All Medicaid Plans | $123.54 | $317.00 | $317.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Molina Healthcare | Molina Medicaid | $123.54 | $317.00 | $317.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna Better Health Of Michigan | All Medicaid Plans | $123.54 | $317.00 | $317.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Midwest Health Plan | Midwest Health Plan Cshcs | $123.54 | $317.00 | $317.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Blue Cross Blue Shield Of Michigan | Blue Cross Complete | $123.54 | $317.00 | $317.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Healthpartners | Healthpartners Pmap Professional | $125.42 | $703.00 | $703.00 | 2026-05-14 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Molina | — | $126.08 | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Multiplan | — | — | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Supplental Product | — | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | United Healthcare | — | — | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Rental Network | — | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Meridian Health Plan | — | $126.08 | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Interplan Health Group | — | — | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Medicaid | $126.08 | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Dentaquest | — | $126.08 | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Triwest | Healthcare Alliance | $126.08 | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Quanex Employees | — | — | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Prime Health Services | — | — | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | — | — | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Siho Network Llc | — | — | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Blue Cross Community Health Plan | Medicaid | $126.08 | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Three Rivers | — | — | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Workers Compensation | — | $1,822.00 | $1,822.00 | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Multiplan | Commercial | $126.40 | $158.00 | $74.26 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Phcs | Commercial | $126.40 | $158.00 | $74.26 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Beech Street | Commercial Ppo | $126.40 | $158.00 | $74.26 | 2026-05-06 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Ucare | Ucare Pmap Professional | $129.34 | $703.00 | $703.00 | 2026-05-14 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $130.12 | — | — | 2026-05-13 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Ghi | Commercial Ppo/Hmo | $131.00 | $1,003.00 | $1,003.00 | 2026-05-17 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $131.40 | — | — | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Cdphp | Medicaid/Chp/Essential | $131.40 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $131.40 | — | — | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cdphp | Medicaid | $131.40 | — | — | 2026-05-09 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $134.66 | $658.25 | $460.78 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $134.66 | $658.25 | $460.78 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $134.66 | $658.25 | $460.78 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $134.66 | $658.25 | $460.78 | 2026-05-22 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Pmap Professional | $136.01 | $703.00 | $703.00 | 2026-05-14 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Blue Cross And Blue Shield Of Alabama | All Payor | $136.23 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Primewest Professional | Primewest Professional | $137.12 | $703.00 | $703.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Minnesota Medicaid | Minnesota Medicaid Professional | $137.12 | $703.00 | $703.00 | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $138.31 | — | — | 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 | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $138.31 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $138.31 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $138.31 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $138.31 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $138.31 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $138.31 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $138.31 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $138.31 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $138.31 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $139.36 | — | — | 2026-05-08 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | South Country | South Country Professional | $141.23 | $703.00 | $703.00 | 2026-05-14 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Aetna | Commercial Hmo & Ppo - Inpatient | $142.20 | $158.00 | $74.26 | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Mlp | $142.64 | $1,759.00 | — | 2026-05-06 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid Out Of State | Medicaid Out Of State | $142.88 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Hlthnet | Bmc Hlthnet | $142.88 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid | Medicaid | $142.88 | — | — | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $143.96 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $143.96 | $600.00 | $210.00 | 2026-05-09 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $143.96 | $600.00 | $414.00 | 2026-05-08 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $143.96 | $600.00 | $402.00 | 2026-05-09 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Hennepin Health | Hennepin Health Professional | $146.57 | $703.00 | $703.00 | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $146.73 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $146.73 | — | — | 2026-05-23 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Neighborhood Health Medicaid | Neighborhood Health Medicaid | $147.28 | — | — | 2026-05-13 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Pmap Professional | $147.83 | $703.00 | $703.00 | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $148.16 | — | — | 2026-05-23 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Child 0-20 Mlp | $149.77 | $1,759.00 | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $150.31 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $150.31 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $150.31 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $150.31 | — | — | 2026-05-14 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Firsthealth | Commercial | $151.68 | $158.00 | $74.26 | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Md | $155.04 | $1,759.00 | — | 2026-05-06 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Superior | Medicaid | $155.57 | $10,255.00 | $4,102.00 | 2026-05-14 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Superior | Medicaid | $155.57 | $10,255.00 | $4,102.00 | 2026-05-23 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medicare Professional | Medicare Professional | $155.65 | $703.00 | $703.00 | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | Fidelis | Child Health Plus | $156.86 | — | — | 2026-05-09 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $157.15 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $157.15 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $157.15 | $600.00 | $402.00 | 2026-05-09 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $157.15 | $600.00 | $402.00 | 2026-05-09 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $157.15 | $600.00 | $414.00 | 2026-05-08 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $157.15 | $600.00 | $414.00 | 2026-05-08 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $157.15 | $600.00 | $210.00 | 2026-05-09 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $157.15 | $600.00 | $210.00 | 2026-05-09 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Child 0-20 Md | $162.79 | $1,759.00 | — | 2026-05-06 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Molina | Medicaid | $163.35 | $10,255.00 | $4,102.00 | 2026-05-14 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Molina | Medicaid | $163.35 | $10,255.00 | $4,102.00 | 2026-05-23 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Molina Chips | Molina Chips | $163.64 | $748.00 | $748.00 | 2026-05-13 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Mscan Uhc | Mscan Uhc | $163.64 | $748.00 | $748.00 | 2026-05-13 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Mscan Magnolia Health | Mscan Magnolia Health | $163.64 | $748.00 | $748.00 | 2026-05-13 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Mscan Molina Healthcare | Mscan Molina Healthcare | $163.64 | $748.00 | $748.00 | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Truecare� Mississippi Managed Medicaid | All Payor | $165.01 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Truecare� Mississippi Managed Medicaid | All Payor | $165.01 | $600.00 | $414.00 | 2026-05-08 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Truecare� Mississippi Managed Medicaid | All Payor | $165.01 | $600.00 | $402.00 | 2026-05-09 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Truecare� Mississippi Managed Medicaid | All Payor | $165.01 | $600.00 | $210.00 | 2026-05-09 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Soonercare | Managed Medicaid | $166.31 | $2,204.21 | $2,204.21 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Soonercare | Managed Medicaid | $166.31 | $3,527.87 | $3,527.87 | 2026-05-14 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Tricare | Professional Mlp | $167.76 | $1,759.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Ut Care & Texas A&M 65 Plus Medicare Advantage Professional Mlp Rate | — | $167.76 | $1,759.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Vacare | Professional Mlp | $167.76 | $1,759.00 | — | 2026-05-06 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $168.00 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Humana Choicecare | Medicare | $169.95 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $170.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $170.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $170.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $170.93 | — | — | 2026-05-23 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $4,743.00 | $2,371.50 | 2026-05-13 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | United Healthcare - Medicare Advantage | All Payor | $171.59 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Cigna Healthcare � Cigna Healthspring � Medicare Advantage Product(S) | All Payor | $171.59 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Medicare Advantage | All Payor | $171.59 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Optum Va Ccn | All Payor | $171.59 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Primewell Health Services � Medicare Advantage | All Payor | $171.59 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Magnolia Health Plan � Wellcare By All Well Of Mississippi | All Payor | $171.59 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Medicare Advantage | $171.59 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Commercial | $171.59 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $171.59 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $171.59 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Cigna | Commercial | $171.59 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Aetna | Commercial | $171.59 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $171.59 | — | — | 2026-05-06 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $171.92 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $171.92 | — | — | 2026-05-23 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Heritage | Medicaid | $171.97 | $7,554.00 | $3,022.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $171.97 | $7,554.00 | $3,022.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Freedom Blue Mcr Adv | $172.75 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $172.75 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $172.75 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $173.14 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $173.14 | — | — | 2026-05-14 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Molina Healthcare Of Mississippi � Medicare Advantage Product(S) | All Payor | $173.31 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Simpra Medicare Advantage | All Payor | $173.31 | $600.00 | $456.00 | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Medicare | $173.35 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $173.35 | — | — | 2026-05-09 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $173.89 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $173.89 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $173.89 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $173.89 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $173.89 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $173.89 | — | — | 2026-05-13 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Aetna | Ppo Professional Md | $174.00 | $1,759.00 | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Aetna | Hmo Professional Md | $174.00 | $1,759.00 | — | 2026-05-06 | 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.