15277 — Skn Sub Grft F/n/hf/g Child
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Skn sub grft f/n/hf/g child (OTHER 15277) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/15277?code_type=OTHER
MLA (9th ed.)
“Skn sub grft f/n/hf/g child (OTHER 15277) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/15277?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Skn sub grft f/n/hf/g child (OTHER 15277) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/15277?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $453–$2,437 (25th–75th percentile) across 261 hospitals · 852 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 15277 — 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 | $10.23 | — | — | 2026-05-27 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Ppo | $27.25 | $5,270.00 | $3,689.00 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Hmo | $27.25 | $5,270.00 | $3,689.00 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Ppo | $27.25 | $5,270.00 | $3,689.00 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Hmo | $27.25 | $5,270.00 | $3,689.00 | 2026-05-14 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Amerihealth Caritas | — | $38.27 | $445.00 | $89.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd | — | $38.27 | $445.00 | $89.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Wellcare- Centene | — | $38.27 | $445.00 | $89.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Healthy Blue | — | $38.27 | $445.00 | $89.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Cchn-Centene | — | $39.04 | $445.00 | $89.00 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $44.64 | — | — | 2026-05-27 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Amerihealth Ma | — | $45.02 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Gateway Ma | — | $45.02 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma | — | $46.61 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Ma | — | $47.67 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Highmark Medicare | — | $52.44 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Amerihealth Mc Adv | — | $52.97 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cbc Medicare | — | $52.97 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Medicare | — | $52.97 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Medicare | — | $52.97 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Medicare | — | $52.97 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Vibra Medicare | — | $54.03 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Humana Medicare | — | $54.03 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Gateway Medicare | — | $56.68 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Bcbs | — | $61.32 | $445.00 | $89.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Uhc | — | $62.75 | $445.00 | $89.00 | 2026-05-06 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $663.50 | $464.45 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $663.50 | $464.45 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $63.15 | $663.50 | $464.45 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $663.50 | $464.45 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $663.50 | $464.45 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $63.15 | $663.50 | $464.45 | 2026-05-13 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $71.19 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $73.33 | — | — | 2026-05-08 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Nc Dept Of Public Safety | — | $76.54 | $445.00 | $89.00 | 2026-05-06 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $81.69 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $81.69 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $85.77 | — | — | 2026-05-08 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Wayne County Jail | Commercial | $89.00 | $178.00 | $83.66 | 2026-05-06 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $97.05 | $663.50 | $464.45 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $97.05 | $663.50 | $464.45 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $97.05 | $663.50 | $464.45 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $97.05 | $663.50 | $464.45 | 2026-05-22 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $105.29 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Highmark Choice Blue | — | $111.19 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $113.29 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $123.90 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene | Care 1St Health Plan Az | $125.88 | $13,672.29 | $13,672.29 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene | Az Complete Health | $125.88 | $13,672.29 | $13,672.29 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Rental Network | — | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Blue Cross Community Health Plan | Medicaid | $130.46 | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Interplan Health Group | — | — | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Triwest | Healthcare Alliance | $130.46 | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Prime Health Services | — | — | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Meridian Health Plan | — | $130.46 | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Supplental Product | — | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Workers Compensation | — | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Siho Network Llc | — | — | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Quanex Employees | — | — | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Molina | — | $130.46 | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | — | — | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Dentaquest | — | $130.46 | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | United Healthcare | — | — | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Multiplan | — | — | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Three Rivers | — | — | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Medicaid | $130.46 | $2,441.00 | $2,441.00 | 2026-05-23 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $130.57 | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $131.35 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $131.35 | — | — | 2026-05-24 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Lewis County Jail | Commercial | $133.50 | $178.00 | $83.66 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Marshall County Jail | Commercial | $133.50 | $178.00 | $83.66 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Lawrence County Jail | Commercial | $133.50 | $178.00 | $83.66 | 2026-05-06 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 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 | $138.79 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $138.79 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $138.79 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 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 | $138.79 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $138.79 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $138.79 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $138.79 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $138.79 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $138.79 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $138.79 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Highmark Comm | — | $138.99 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $139.19 | $7,248.00 | $724.80 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $139.19 | $7,248.00 | $724.80 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $139.19 | $7,248.00 | $724.80 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $139.19 | $7,248.00 | $724.80 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $139.19 | $7,248.00 | $724.80 | 2026-05-27 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $142.07 | $679.00 | $339.50 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $142.07 | $679.00 | $339.50 | 2026-05-23 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $142.07 | $679.00 | $339.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $142.07 | $679.00 | $339.50 | 2026-05-09 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $142.07 | $679.00 | $339.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $142.07 | $679.00 | $339.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $142.07 | $679.00 | $339.50 | 2026-05-14 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Blue Cross And Blue Shield Of Alabama | All Payor | $142.09 | $550.00 | $418.00 | 2026-05-27 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Phcs | Commercial | $142.40 | $178.00 | $83.66 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Multiplan | Commercial | $142.40 | $178.00 | $83.66 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Beech Street | Commercial Ppo | $142.40 | $178.00 | $83.66 | 2026-05-06 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $143.76 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $143.76 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Medicaid North Carolina | Default | $144.05 | $456.00 | $228.00 | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $147.24 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $147.24 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $148.67 | — | — | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cdphp | Medicaid | $149.75 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $149.75 | — | — | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Cdphp | Medicaid/Chp/Essential | $149.75 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $149.75 | — | — | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Aetna | Commercial Hmo & Ppo - Inpatient | $160.20 | $178.00 | $83.66 | 2026-05-06 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $160.54 | — | — | 2026-05-08 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Mlp | $162.55 | $1,932.00 | — | 2026-05-06 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid Out Of State | Medicaid Out Of State | $164.03 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Hlthnet | Bmc Hlthnet | $164.03 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid | Medicaid | $164.03 | — | — | 2026-05-13 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $164.13 | $550.00 | $379.50 | 2026-05-08 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $164.13 | $550.00 | $192.50 | 2026-05-09 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $164.13 | $550.00 | $368.50 | 2026-05-09 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $164.13 | $550.00 | $418.00 | 2026-05-27 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Neighborhood Health Medicaid | Neighborhood Health Medicaid | $164.17 | — | — | 2026-05-13 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $166.20 | $277.00 | $81.19 | 2026-05-31 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $169.52 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $169.52 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $169.52 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $169.52 | — | — | 2026-05-24 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Child 0-20 Mlp | $170.68 | $1,932.00 | — | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Firsthealth | Commercial | $170.88 | $178.00 | $83.66 | 2026-05-06 | 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 ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Superior | Medicaid | $176.42 | $1,999.00 | $799.60 | 2026-05-14 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Superior | Medicaid | $176.42 | $1,999.00 | $799.60 | 2026-05-23 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Md | $176.69 | $1,932.00 | — | 2026-05-06 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $177.15 | $5,125.00 | $2,050.00 | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Heritage | Medicaid | $177.15 | $5,125.00 | $2,050.00 | 2026-05-13 | MRF ↗ |
| SARATOGA HOSPITAL Both | Fidelis | Child Health Plus | $178.84 | — | — | 2026-05-09 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Kaiser | Medicaid | $180.69 | $5,125.00 | $2,050.00 | 2026-05-13 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $180.94 | $550.00 | $192.50 | 2026-05-09 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $180.94 | $550.00 | $368.50 | 2026-05-09 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $180.94 | $550.00 | $192.50 | 2026-05-09 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $180.94 | $550.00 | $368.50 | 2026-05-09 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $180.94 | $550.00 | $379.50 | 2026-05-08 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $180.94 | $550.00 | $379.50 | 2026-05-08 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Molina Healthcare Of Mississippi � Managed Medicaid | All Payor | $180.94 | $550.00 | $418.00 | 2026-05-27 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Magnolia Health Plan � Mississippi Managed Medicaid | All Payor | $180.94 | $550.00 | $418.00 | 2026-05-27 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $10,055.02 | $10,055.02 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Providence Health Plan | Commercial | — | $10,055.02 | $10,055.02 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Capital District Health Plan | Commercial | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Blue Cross Blue Shield Of Sc | Hix | — | $10,055.02 | $10,055.02 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Coal Health Plan | Commercial | — | $10,055.02 | $10,055.02 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Home State Health Plan | Mngd Medicaid | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Cigna | Commercial | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerihealth Caritas Nc | Managed Medicaid | — | $10,055.02 | $10,055.02 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Amerigroup Georgia | Managed Medicaid | — | $10,055.02 | $10,055.02 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | United Healthcare | Nat | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Sentara Health Administration | Commercial | — | $10,055.02 | $10,055.02 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Stratose | Commercial | — | $10,055.02 | $10,055.02 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Buckeye Community Health Plan | Mgd Mcaid | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Multiplan | Commercial | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna National | Commercial | — | $10,055.02 | $10,055.02 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Health Tailored Plan | Medicaid | — | $10,055.02 | $10,055.02 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Caresource Of Ga | Managed Medicaid | $183.08 | $10,055.02 | $10,055.02 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Aetna National | Commercial | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Carolina Complete Health | Managed Medicai | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Humana | Tricare | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Sentara Health Administration | Commercial | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Cigna | Commercial | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Stratose | Commercial | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Managed Health Services | Mgd. Medicaid | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Peach State Health | Managed Medicaid | $183.08 | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Independence Blue Cross | Commercial | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Humana Ky | Managed Medicaid | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Prime Health Services | Commercial | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Aetna Better Health Kentucky-Cin | Mngd Medicaid | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Health Smart | Preferred Care | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Providence Health Plan | Managed Medicaid | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Wellcare Of Ky | Managed Medicaid | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Molina Healthcare Of Ky | Managed Medicaid | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Providence Health Plan | Commercial | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Multiplan | Commercial | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Caresource Of Ga | Managed Medicaid | $183.08 | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | United Healthcare Community Plan Ky | Mgd Medicaid | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Carolina Complete Health | Mgd Medicaid | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Alliance Coal Health Plan | Commercial | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Outpatient | Centene Arkansas Total Care | Managed Medicaid | — | $11,114.27 | $11,114.27 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Anthem Ohio | Commercial | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Alliance Coal Health Plan | Commercial | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Fidelis Care New York | Managed Medicaid | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Sentara Health Administration | Commercial | — | $9,940.13 | $9,940.13 | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Outpatient | Centene Managed Health Services | Mngd Medicaid | — | $9,940.13 | $9,940.13 | 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.