19103 — Bx Breast Percut W/device
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BX BREAST PERCUT W/DEVICE (HCPCS 19103) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/19103?code_type=HCPCS
MLA (9th ed.)
“BX BREAST PERCUT W/DEVICE (HCPCS 19103) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/19103?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“BX BREAST PERCUT W/DEVICE (HCPCS 19103) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/19103?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $841–$4,571 (25th–75th percentile) across 476 hospitals · 458 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 19103 — 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 |
|---|---|---|---|---|---|---|---|
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $4.53 | $2,072.00 | $1,036.00 | 2026-04-02 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $2,269.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $2,269.00 | $24.67 | 2026-03-22 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $1,480.76 | $447.57 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $1,480.76 | $447.57 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $1,480.76 | $447.57 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1402 | NY MEDICAID EMERGENCY ROOM | $25.44 | $1,480.76 | $447.57 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1402 | FIDELIS EMERGENCY ROOM | $25.44 | $1,480.76 | $447.57 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1402 | UNITED COMMUNITY EMERGENCY ROOM | $26.71 | $1,480.76 | $447.57 | 2025-01-19 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $34.00 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $34.00 | — | — | 2026-03-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | LA Care Health | Medi-cal | $34.00 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Molina | MCD | $34.00 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Physicians Medical Group | MCD | $34.00 | — | — | 2024-10-01 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | LAW ENFORCEMENT | MANAGED MEDICAID | $35.16 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NEBRASKA TOTAL CARE | MANAGED MEDICAID | $35.16 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC COMMUNITY PLAN NE | MANAGED MEDICAID | $35.16 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | UHC COMMUNITY PLAN NE | MANAGED MEDICAID | $35.16 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | HEALTHY BLUE | MANAGED MEDICAID | $35.16 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NEBRASKA TOTAL CARE | MANAGED MEDICAID | $35.16 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | LAW ENFORCEMENT | MANAGED MEDICAID | $35.16 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | HEALTHY BLUE | MANAGED MEDICAID | $35.16 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Src | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Nap | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha-Asa | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Other | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | — | — | — | 2026-07-15 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $37.40 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $37.40 | — | — | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Gold Coast Health Plan | MCD | $37.40 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Brand New Day | MCD | $37.40 | — | — | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $37.40 | — | — | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medi-Cal | $37.40 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Brand New Day | MCD | $37.40 | — | — | 2024-10-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $49.30 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $49.30 | — | — | 2026-03-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS-EP_1402 | FIDELIS ESSENTIAL PLAN 1-2 EMERGENCY ROOM | $57.24 | $1,480.76 | $447.57 | 2025-01-19 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | BLUE CROSS | PPO | $64.24 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | BLUE CROSS | PPO | $64.24 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | UHC | PPO | $64.92 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | MIDLANDS CHOICE | PPO | $64.92 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | MIDLANDS CHOICE | PPO | $64.92 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | NE WORKERS COMP | NE WORKERS COMP | $64.92 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | AETNA | PPO | $64.92 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | AETNA | PPO | $64.92 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | NE WORKERS COMP | NE WORKERS COMP | $64.92 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| COMMUNITY HOSPITAL BothFacility | UHC | PPO | $64.92 | $67.62 | $60.86 | 2025-12-27 | MRF ↗ |
| KANSAS MEDICAL CENTER LLC Outpatient | UNITED | UNITED HEALTHCARE COMMERCIAL PLAN | $84.00 | $1,566.00 | $939.60 | 2026-03-31 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | WASHINGTON STATE DSHS - Medicaid | WASHINGTON STATE DSHS - Medicaid | $93.33 | $610.00 | $488.00 | 2026-01-05 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Both | Direct Health | Direct Health | $97.86 | $420.00 | $252.00 | 2026-07-17 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1401 | NY MEDICAID AMBULATORY SURGERY | $108.48 | $1,480.76 | $447.57 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1401 | FIDELIS AMBULATORY SURGERY | $108.48 | $1,480.76 | $447.57 | 2025-01-19 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1401 | NY MEDICAID AMBULATORY SURGERY | $108.99 | $2,269.00 | $24.67 | 2026-03-22 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | BLUE-SP_1401 | BC SPEC PROGRAMS AMBULATORY SURGERY | $108.99 | $2,269.00 | $24.67 | 2026-03-22 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1401 | UNITED COMMUNITY AMBULATORY SURGERY | $113.90 | $1,480.76 | $447.57 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED-EP/CHP_1401 | UNITED ESSENTIAL-CHIP AMBULATORY SURGERY | $113.90 | $1,480.76 | $447.57 | 2025-01-19 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $117.99 | $430.00 | $301.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicare B WV JM | Default | — | $430.00 | $301.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicare A WV JM | Default | $117.99 | $430.00 | $301.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicare A WV JM | Default | $117.99 | $430.00 | $301.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $117.99 | $430.00 | $301.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Aetna Medicare Advantage | Default | $120.40 | $430.00 | $301.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Aetna Medicare Advantage | Medicare Advantage | $120.40 | $430.00 | $301.00 | 2025-07-14 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Blue Cross Blue Shield of WV Highmark | Default | $120.40 | $430.00 | $301.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $129.00 | $430.00 | $301.00 | 2026-04-07 | MRF ↗ |
| BOONE MEMORIAL HOSPITAL Both | Medicaid West Virginia UNISYS | Default | $129.00 | $430.00 | $301.00 | 2025-07-14 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Managed Health Services | Medicaid | $134.40 | $3,353.01 | $2,816.53 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Mdwise | Excel And Hoosier Healthwise | $134.40 | $3,353.01 | $2,816.53 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | United Healthcare | Medicaid | $134.40 | $3,353.01 | $2,816.53 | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | WASHINGTON STATE DSHS - Medicaid | WASHINGTON STATE DSHS - Medicaid | $140.00 | $915.00 | $732.00 | 2026-01-05 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Humana | Medicare | $151.03 | $787.00 | $629.60 | 2026-07-15 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | JIB | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $156.75 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Centivo | Centivo Network | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Preferred | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HEALTH PARTNERS | $169.98 | — | — | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HPI | $169.98 | — | — | 2025-12-28 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $171.98 | $2,072.00 | $1,036.00 | 2026-04-02 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Health Spring | Commercial | $178.00 | $509.00 | $122.00 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO Outpatient | BLUE SHIELD EPN IFP | BLUE SHIELD EPN IFP | $192.77 | $750.07 | — | 2025-11-07 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $193.85 | $492.00 | $246.00 | 2026-10-17 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO Outpatient | HEALTHCARE PARTNERS-ALL PLANS | HEALTHCARE PARTNERS-ALL PLANS | $197.00 | $750.07 | — | 2025-11-07 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Peachstate | Medicaid | $197.72 | $492.00 | $246.00 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Caresource | Medicaid | $203.54 | $492.00 | $246.00 | 2026-10-17 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Care Oregon | Medicaid | $207.40 | $610.00 | $488.00 | 2026-01-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $209.00 | — | — | 2026-04-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $209.00 | — | — | 2025-08-06 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | 1199 SEIU | Commercial | $209.00 | — | — | 2026-04-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $209.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $209.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $209.00 | — | — | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | 1199 SEIU | Commercial | $209.00 | — | — | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $209.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2026-09-05 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $209.00 | — | — | 2026-04-01 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $209.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Magnacare | Standard | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | 1199 SEIU | Commercial | $209.00 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Emblem | GHI Access Network | — | — | — | 2026-04-01 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | UPMC Health Plan | Managed Medicare | $210.36 | $618.70 | $185.61 | 2025-08-06 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | MOLINA MA - Medicare Advantage | MOLINA MA - Medicare Advantage | $219.60 | $610.00 | $488.00 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Regence BCBS | Medicare | $219.60 | $610.00 | $488.00 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Medicare of OR | Medicare | $219.60 | $610.00 | $488.00 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | UnitedHealthcare | Medicare | $219.60 | $610.00 | $488.00 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | Tricare West | Military | $219.60 | $610.00 | $488.00 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | STERLING - Medicare Advantage | STERLING - Medicare Advantage | $219.60 | $610.00 | $488.00 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | CARE OREGON - Medicare Advantage | CARE OREGON - Medicare Advantage | $219.60 | $610.00 | $488.00 | 2026-01-05 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Ambetter | Managed Care | $223.88 | $645.00 | $419.25 | 2025-02-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $223.88 | $645.00 | $580.50 | 2026-07-15 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Ambetter | Managed Care | $223.88 | $645.00 | $419.25 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Ambetter | Managed Care | $223.88 | $645.00 | $419.25 | 2025-06-11 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $223.88 | $645.00 | $580.50 | 2026-07-15 | MRF ↗ |
| GREAT PLAINS REGIONAL MEDICAL CENTER Both | — | — | — | $2,013.75 | $1,308.94 | 2026-03-26 | MRF ↗ |
| GREAT PLAINS REGIONAL MEDICAL CENTER Both | — | — | — | $2,013.75 | $1,308.94 | 2025-02-03 | MRF ↗ |
| GREAT PLAINS REGIONAL MEDICAL CENTER Both | — | — | — | $2,013.75 | — | 2026-07-31 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | AETNA MEDICARE ADVANTAGE - Medicare Advantage | AETNA MEDICARE ADVANTAGE - Medicare Advantage | $225.70 | $610.00 | $488.00 | 2026-01-05 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Wellcare | Medicare | $226.32 | $492.00 | $246.00 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Uhc | Medicare | $226.32 | $492.00 | $246.00 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Humana | Medicare | $226.32 | $492.00 | $246.00 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Bcbs | Medicare | $226.32 | $492.00 | $246.00 | 2026-10-17 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Aetna | Medicare | $226.32 | $492.00 | $246.00 | 2026-10-17 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $228.00 | $950.00 | $950.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $228.00 | $950.00 | $950.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $228.00 | $950.00 | $950.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $228.00 | $950.00 | $950.00 | 2025-07-03 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | CIGNA MEDICARE ADVANTAGE - Medicare Advantage | CIGNA MEDICARE ADVANTAGE - Medicare Advantage | $230.58 | $610.00 | $488.00 | 2026-01-05 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $233.24 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $233.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $233.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $233.24 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $233.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $233.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $233.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN BROKEN ARROW Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $233.24 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $233.24 | — | — | 2026-01-01 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | WASHINGTON STATE DSHS - Medicaid | WASHINGTON STATE DSHS - Medicaid | $233.33 | $1,525.00 | $1,220.00 | 2026-01-05 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL BothFacility | WASHINGTON STATE DSHS - Medicaid | WASHINGTON STATE DSHS - Medicaid | $233.63 | $1,527.00 | $1,221.60 | 2026-01-05 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $234.00 | $509.00 | $122.00 | 2026-04-01 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Hospice And Community Care | Hospice And Community Care | $237.50 | $1,250.00 | $1,250.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Hospice And Community Care | Hospice And Community Care | $237.50 | $1,250.00 | $1,250.00 | 2026-10-30 | MRF ↗ |
| ASPIRE HOSPITAL Outpatient | Cigna | Commercial | $239.00 | $597.00 | $597.00 | 2026-04-27 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS-EP_1401 | FIDELIS ESSENTIAL PLAN 1-2 AMBULATORY SURGERY | $244.08 | $1,480.76 | $447.57 | 2025-01-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Both | Anthem | Exchange - Inpatient | $244.36 | $420.00 | $252.00 | 2026-07-17 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna | Advantra Washington Prime | $247.48 | $618.70 | $185.61 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $247.48 | $618.70 | $185.61 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $247.48 | $618.70 | $185.61 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Medicare | $247.48 | $618.70 | $185.61 | 2025-08-06 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | Home State Health Plan | Medicaid | $250.00 | $2,036.00 | $386.84 | 2026-02-27 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | United Healthcare | United Healthcare Medicaid Mco | $250.00 | $1,250.00 | $1,250.00 | 2026-10-30 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | United Healthcare | United Healthcare Medicaid Mco | $250.00 | $1,250.00 | $1,250.00 | 2026-07-15 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Curative | Commercial | $250.00 | $950.00 | $950.00 | 2025-07-03 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Peachstate | Medicaid | $257.11 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. OutpatientFacility | CareSource | Medicaid | $257.50 | $2,036.00 | $386.84 | 2026-02-27 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Outpatient | DEVOTED - ALL PLANS | DEVOTED - ALL PLANS | $258.00 | $645.00 | $516.00 | 2026-03-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Uhc | Medicare | $260.00 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Humana | Medicare | $260.00 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Cigna | Medicare | $260.00 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Bcbs | Commercial | $260.00 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Wellcare | Medicare | $260.00 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Wellcare | Medicare | $260.76 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Uhc | Medicare | $260.76 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Bcbs | Medicare | $260.76 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Cigna | Medicare | $260.76 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Aetna | Medicare | $260.76 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Humana | Medicare | $260.76 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Bcbs | Commercial | $260.76 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Bcbs | Commercial | $260.76 | $492.00 | $246.00 | 2026-10-17 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Managed Medicaid | $261.30 | — | — | 2026-07-15 | MRF ↗ |
| WARM SPRINGS MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $261.74 | $492.00 | $246.00 | 2026-07-18 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $262.32 | $655.80 | $459.06 | 2026-03-06 | 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.