15275 — Skin Sub Graft Face/nk/hf/g
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Skin sub graft face/nk/hf/g (OTHER 15275) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/15275?code_type=OTHER
MLA (9th ed.)
“Skin sub graft face/nk/hf/g (OTHER 15275) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/15275?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Skin sub graft face/nk/hf/g (OTHER 15275) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/15275?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $399–$2,267 (25th–75th percentile) across 334 hospitals · 1,166 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 15275 — 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 |
|---|---|---|---|---|---|---|---|
| Arkansas Children's Hospital Outpatient | United Healthcare | All Plans | — | $12,390.46 | $11,151.41 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | United Healthcare | All Plans | — | $12,390.46 | $11,151.41 | 2026-05-23 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL, INC Outpatient | Ambetter Health | Commercial | — | $1.01 | $0.96 | 2026-05-23 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL, INC Outpatient | Ambetter Health | Commercial | — | $1.01 | $0.96 | 2026-05-18 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Champus | All Plans | $1.22 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oscar | All Plans | $1.44 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Optum | All Plans | $1.54 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Tufts | All Plans | $1.73 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oxford | All Plans | $1.88 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magnacare | All Plans | $1.90 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Champus | All Plans | $1.95 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magellan | All Plans | $1.96 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | UHC | All Plans | $2.00 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Anthem | All Plans | $2.01 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Create Alliance | All Plans | $2.01 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | CtCare | All Plans | $2.07 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Aetna | All Plans | $2.12 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Cigna | All Plans | $2.16 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Multiplan | All Plans | $2.37 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Harvard Pilgrim | All Plans | $2.40 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Oxford | All Plans | $2.53 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Cigna | All Plans | $2.56 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Aetna | All Plans | $2.56 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | UHC | All Plans | $2.66 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Anthem | All Plans | $2.67 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Claimdoc | All Plans | $2.77 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | AMPS | All Plans | $2.77 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Create | All Plans | $2.92 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Multiplan | All Plans | $2.92 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | MagnaCare | All Plans | $3.03 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Great West | All Plans | $3.05 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | First Choice | All Plans | $3.13 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | ClaimDoc | All Plans | $3.55 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | AMPS | All Plans | $3.55 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | HIP | All Plans | $3.87 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Great West | All Plans | $3.92 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Optum | All Plans | $4.18 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Magellan | All Plans | $4.28 | $5.30 | $2.70 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | First Health | All Plans | $4.51 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $4.70 | — | — | 2026-05-27 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | TRPN | All Plans | $4.77 | $5.30 | $3.13 | 2025-01-10 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Unitedhealthcare Insurance Company (Contracting On Behalf Of Itself, Unitedhealthcare Of Alabama, Inc. And United'S Affiliates) | Commercial All Payer | — | $3,454.66 | $2,936.46 | 2026-05-23 | MRF ↗ |
| OPTIM MEDICAL CENTER - TATTNALL Outpatient | Centene Peach State | Managed Medicaid | — | $10,586.89 | $10,586.89 | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $13.37 | — | — | 2026-05-27 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $21.37 | $344.25 | $240.98 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $344.25 | $240.98 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $344.25 | $240.98 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $344.25 | $240.98 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $344.25 | $240.98 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $21.37 | $344.25 | $240.98 | 2026-05-22 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $33.21 | — | — | 2026-05-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Humana | Humanamedicaid | $47.41 | — | — | 2026-05-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $49.50 | $66.00 | $33.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $49.50 | $66.00 | $33.00 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $52.80 | $66.00 | $33.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $52.80 | $66.00 | $33.00 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna Health Management, Llc | Aetna Commercial - Complete Rate Data (Hmo/Ppo/Pos) | — | $3,454.66 | $2,936.46 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna Health Management, Llc | Medicare Advantage Hmo/Ppo/Pos | — | $3,454.66 | $2,936.46 | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $54.32 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $54.32 | — | — | 2026-05-24 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $56.10 | $66.00 | $33.00 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $56.10 | $66.00 | $33.00 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $56.10 | $66.00 | $33.00 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $56.10 | $66.00 | $33.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $56.10 | $66.00 | $33.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $56.10 | $66.00 | $33.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $56.10 | $66.00 | $33.00 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $56.10 | $66.00 | $33.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $56.10 | $66.00 | $33.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $58.58 | $182.00 | $91.00 | 2026-05-13 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Medicaid | Professional | $58.58 | $182.00 | $91.00 | 2026-05-08 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicaid | Professional | $58.58 | $182.00 | $91.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $58.58 | $182.00 | $91.00 | 2026-05-08 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | United Healthcare | All Medicaid Plans | $59.00 | $210.00 | $210.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Priority Health | Priority Health Medicaid | $59.00 | $210.00 | $210.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Molina Healthcare | Molina Medicaid | $59.00 | $210.00 | $210.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Blue Cross Blue Shield Of Michigan | Blue Cross Complete | $59.00 | $210.00 | $210.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna Better Health Of Michigan | All Medicaid Plans | $59.00 | $210.00 | $210.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Meridian Health Plan | Medicaid Plans | $59.00 | $210.00 | $210.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Healthplus Partners | Healthplus Partners Cshcs | $59.00 | $210.00 | $210.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Mclaren Health Plan Inc | Medicaid Plans | $59.00 | $210.00 | $210.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Midwest Health Plan | Midwest Health Plan Cshcs | $59.00 | $210.00 | $210.00 | 2026-05-14 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $59.21 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $59.21 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $59.64 | $317.00 | $158.50 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $59.64 | $317.00 | $158.50 | 2026-05-09 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $59.64 | $317.00 | $158.50 | 2026-05-09 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $59.64 | $317.00 | $158.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $59.64 | $317.00 | $158.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $59.64 | $317.00 | $158.50 | 2026-05-14 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $59.64 | $317.00 | $158.50 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Meridian Health Plan | — | $61.61 | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Molina | — | $61.61 | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Supplental Product | — | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Dentaquest | — | $61.61 | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | — | — | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Triwest | Healthcare Alliance | $61.61 | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Siho Network Llc | — | — | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Interplan Health Group | — | — | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Workers Compensation | — | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Rental Network | — | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Prime Health Services | — | — | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Quanex Employees | — | — | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | United Healthcare | — | — | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Multiplan | — | — | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Three Rivers | — | — | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Blue Cross Community Health Plan | Medicaid | $61.61 | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Medicaid | $61.61 | $632.00 | $632.00 | 2026-05-23 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $62.17 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Cdphp | Medicaid/Chp/Essential | $62.56 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cdphp | Medicaid | $62.56 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $62.56 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $62.56 | — | — | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Healthpartners | Healthpartners Pmap Professional | $62.59 | $346.00 | $346.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Ucare | Ucare Pmap Professional | $63.59 | $346.00 | $346.00 | 2026-05-14 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Ghi | Commercial Ppo/Hmo | $64.00 | $1,898.00 | $1,898.00 | 2026-05-17 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Minnesota Medicaid | Minnesota Medicaid Professional | $66.03 | $346.00 | $346.00 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Primewest Professional | Primewest Professional | $66.03 | $346.00 | $346.00 | 2026-05-14 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Blue Cross And Blue Shield Of Alabama | All Payor | $66.45 | $450.00 | $342.00 | 2026-05-27 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Blue Cross | Blue Cross Pmap Professional | $66.87 | $346.00 | $346.00 | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 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 | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $67.39 | — | — | 2026-05-08 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | South Country | South Country Professional | $68.01 | $346.00 | $346.00 | 2026-05-14 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $68.01 | — | — | 2026-05-13 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Mlp | $68.12 | $884.00 | — | 2026-05-06 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid | Medicaid | $68.16 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid Out Of State | Medicaid Out Of State | $68.16 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Hlthnet | Bmc Hlthnet | $68.16 | — | — | 2026-05-13 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $69.64 | $450.00 | $301.50 | 2026-05-09 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $69.64 | $450.00 | $342.00 | 2026-05-27 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $69.64 | $450.00 | $310.50 | 2026-05-08 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $69.64 | $450.00 | $157.50 | 2026-05-09 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene | Az Complete Health | $69.74 | $11,864.39 | $11,864.39 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene | Care 1St Health Plan Az | $69.74 | $11,864.39 | $11,864.39 | 2026-05-23 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $69.83 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $69.83 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $69.83 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $69.83 | — | — | 2026-05-24 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $70.34 | $344.25 | $240.98 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $70.34 | $344.25 | $240.98 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $70.34 | $344.25 | $240.98 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $70.34 | $344.25 | $240.98 | 2026-05-22 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Neighborhood Health Medicaid | Neighborhood Health Medicaid | $70.43 | — | — | 2026-05-13 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Hennepin Health | Hennepin Health Professional | $70.58 | $346.00 | $346.00 | 2026-05-14 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Outpatient | Point Comfort Underwriters | Medicaid | $71.16 | — | — | 2026-05-23 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Outpatient | Superior | Medicaid | $71.16 | — | — | 2026-05-23 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Outpatient | Amerigroup Tx | Medicaid | $71.16 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Amerigroup Tx | Medicaid | $71.16 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Medicaid | Medicaid | $71.16 | — | — | 2026-05-06 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Superior Tx | Medicaid | $71.16 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Amerigroup Tx | Medicaid | $71.16 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Medicaid | Medicaid | $71.16 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Superior Tx | Medicaid | $71.16 | — | — | 2026-05-06 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Child 0-20 Mlp | $71.53 | $884.00 | — | 2026-05-06 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Palmetto Gba | Standard | — | $3,454.66 | $2,936.46 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $72.29 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $72.29 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $72.29 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $72.29 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $72.29 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $72.29 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $72.29 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $72.29 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $72.29 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $72.29 | — | — | 2026-05-23 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Outpatient | El Paso Health Plans | Medicaid | $72.58 | — | — | 2026-05-23 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Uhc Comm Care | Medicaid | $72.58 | — | — | 2026-05-17 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | El Paso Health | Medicaid | $72.58 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | El Paso Health | Medicaid | $72.58 | — | — | 2026-05-06 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $73.34 | $2,619.00 | $1,964.25 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $73.34 | $2,619.00 | $1,964.25 | 2026-05-24 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Superior | Medicaid | $73.51 | $7,629.00 | $3,051.60 | 2026-05-23 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Superior | Medicaid | $73.51 | $7,629.00 | $3,051.60 | 2026-05-14 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Pmap Professional | $73.77 | $346.00 | $346.00 | 2026-05-14 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Md | $74.04 | $884.00 | — | 2026-05-06 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Martin'S Point | Martin'Spointnon-Physician | $75.21 | — | — | 2026-05-27 | MRF ↗ |
| SARATOGA HOSPITAL Both | Fidelis | Child Health Plus | $75.85 | — | — | 2026-05-09 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $76.69 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $76.69 | — | — | 2026-05-23 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $76.90 | $450.00 | $301.50 | 2026-05-09 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $76.90 | $450.00 | $301.50 | 2026-05-09 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $76.90 | $450.00 | $310.50 | 2026-05-08 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $76.90 | $450.00 | $342.00 | 2026-05-27 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $76.90 | $450.00 | $157.50 | 2026-05-09 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $76.90 | $450.00 | $157.50 | 2026-05-09 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $76.90 | $450.00 | $342.00 | 2026-05-27 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $76.90 | $450.00 | $310.50 | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $77.00 | $110.00 | $55.00 | 2026-05-09 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Molina | Medicaid | $77.19 | $7,629.00 | $3,051.60 | 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.