19120 — Removal Of Breast Lesion
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REMOVAL OF BREAST LESION (CPT 19120) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/19120?code_type=CPT
MLA (9th ed.)
“REMOVAL OF BREAST LESION (CPT 19120) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/19120?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“REMOVAL OF BREAST LESION (CPT 19120) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/19120?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,509–$5,136 (25th–75th percentile) across 2,942 hospitals · 7,812 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 19120 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,509
$3,667 typical
$5,136
The middle 50% of negotiated facility rates for this procedure, measured across 2,942 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,667 |
| Surgeon (professional fee) Estimate national typical Medicare $408 × 1.22 commercial. | $498 |
| Anesthesia Estimate national typical 00400, ~90 min typical. Medicare $184 × 3.14 commercial. | $579 |
| Likely subtotal | $4,744 |
Surgical episode (typical)
~$4,744
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $1,509–$5,136.
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$8,528
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Highsmith Rainey Memorial Hospital Outpatient | Cigna | Commercial | — | $1,149.00 | $689.40 | 2026-07-15 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $1.00 | $0.60 | 2026-07-15 | MRF ↗ |
| Wayne Hospital Both | Whc Anthem Commercial | 7170910 | — | $12,419.73 | $9,314.80 | 2026-07-15 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $5.38 | $2,999.00 | $2,249.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $5.38 | $2,999.00 | $2,249.25 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $12.00 | $1,438.00 | $273.22 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $12.00 | $1,047.00 | $198.93 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $12.00 | $1,047.00 | $198.93 | 2026-01-25 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $12.00 | $710.00 | $710.00 | 2026-03-09 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $12.00 | $1,047.00 | $198.93 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $12.00 | $1,047.00 | $198.93 | 2026-01-25 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $12.63 | $7,014.00 | $3,774.43 | 2024-12-31 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Sunflower | Medicaid | — | $1,178.00 | $765.70 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Phcs/Multiplan | Commercial | — | $1,178.00 | $765.70 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Aetna | Commercial | — | $1,178.00 | $765.70 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $1,178.00 | $765.70 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Healthy Blue | Medicaid | — | $1,178.00 | $765.70 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Hpk (Incl. Cigna) | Commercial | — | $1,178.00 | $765.70 | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wppa/Providrscare | Commercial | — | $1,178.00 | $765.70 | 2026-08-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $16.03 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $17.44 | $1,397.00 | $1,397.00 | 2026-07-09 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $17.88 | $1,883.00 | $1,883.00 | 2026-07-16 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $20.84 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $22.44 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $22.80 | $834.00 | $583.80 | 2026-07-15 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $24.00 | $1,644.00 | $1,644.00 | 2026-06-03 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $24.00 | $1,644.00 | $1,644.00 | 2026-02-13 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $24.54 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $24.70 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $24.70 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Cigna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $26.77 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $27.25 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $27.51 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $27.51 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | $28.01 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $29.22 | $2,809.20 | $2,809.20 | 2026-04-24 | MRF ↗ |
| ADVENTIST HEALTH CASTLE Outpatient | PACIFIC ADMIN PPO - ALL PLANS | PACIFIC ADMIN PPO - ALL PLANS | $29.27 | $1,048.00 | $335.36 | 2026-05-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $1,214.00 | $910.50 | 2026-03-18 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | $31.31 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | $31.31 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | $31.31 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $31.42 | $3,206.40 | $3,206.40 | 2026-06-05 | MRF ↗ |
| Wayne Hospital Both | Whc Aetna Commercial | 6555910 | — | $7,332.78 | $5,499.59 | 2026-07-15 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | BCBS -ALL PLANS | BCBS -ALL PLANS | $38.00 | $3,830.00 | $2,681.00 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | BCBS -ALL PLANS | BCBS -ALL PLANS | $38.00 | $3,830.00 | $2,681.00 | 2026-04-06 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Coventry | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Three Rivers Provider Networks | Workers Comp | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Medica | Medicare Advantage | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Workers Comp/Automobile Insurance | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Centurion Of Kansas | Commercial | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Commercial/Self Insured | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicare | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Compalliance | Compresults Workers Comp | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Wesley Preferred Network | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Medica | Medicare Advantage | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Corizon | Commercial | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Commercial Exchange | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Celtic | Medicaid | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Open Network Plan | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Local Best Plan | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Wppa | Commercial | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Ambetter | Medicare Advantage | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Individual Exchange | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | All Payer | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | First Health | Commercial | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Health Partners Of Kansas | Commercial | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | First Health | Commercial | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Individual Exchange | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Aetna Better Health | Medicaid | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Veterans Affairs Program | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Multiplan | Commercial | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Coventry | Workers Compensation | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Veterans Affairs Program | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Medicaid | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Preferred Health Systems | Commercial | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicaid | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Medicare Advantage | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Commercial Exchange | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Ambetter | Commercial Exchange | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Health Partners Of Kansas | Commercial | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Corizon | Commercial | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Medicare | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Providrs | Chambers Plan | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Sunflower | Commercial Exchange | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Providrs | Care Network | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Providrs | Care Network | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Wppa | Commercial | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Ambetter | Medicare Advantage | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Medicaid | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| PAWNEE VALLEY COMMUNITY HOSPITAL Outpatient | Centurion Of Kansas | Commercial | — | $557.00 | $222.80 | 2026-08-01 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Hospice | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | All Payer | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Medicare | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Commercial Exchange | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Open Network | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Sunflower | Commercial Exchange | — | $557.00 | $557.00 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCAL | BC MCAL | $40.00 | $1,438.00 | $244.46 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE MCAL | CENTRAL CA ALLIANCE MCAL | $40.00 | $1,438.00 | $244.46 | 2026-05-23 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $40.00 | $1,873.00 | $408.55 | 2026-02-25 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CELTIC CA HLTH WELL MCAL - ALL PLANS | CELTIC CA HLTH WELL MCAL - ALL PLANS | $40.00 | $1,438.00 | $244.46 | 2026-05-23 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $1,340.00 | $1,340.00 | 2025-03-18 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $40.00 | $1,873.00 | $408.55 | 2026-02-25 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $40.00 | $696.00 | $696.00 | 2025-03-18 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $40.00 | $1,438.00 | $244.46 | 2026-05-23 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | MEDI-CAL | MEDI-CAL | $40.00 | $217.00 | $32.55 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | MEDI-CAL | MEDI-CAL | $40.00 | $1,438.00 | $244.46 | 2026-05-23 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | MEDI-CAL | MEDI-CAL | $40.00 | $1,873.00 | $408.55 | 2026-02-25 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | BCBS BLUE CHOICE/SELECT - ALL OTHER PLANS | BCBS BLUE CHOICE/SELECT - ALL OTHER PLANS | $40.16 | $3,830.00 | $2,681.00 | 2026-01-12 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | BCBS - ALL PLANS | BCBS - ALL PLANS | $40.59 | $3,830.00 | $3,830.00 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | BCBS - ALL PLANS | BCBS - ALL PLANS | $40.59 | $3,830.00 | $3,830.00 | 2026-07-08 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $41.02 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $41.02 | — | — | 2026-04-01 | MRF ↗ |
| STOUGHTON HOSPITAL Outpatient | DEAN HEALTH INSURANCE COMM - ALL OTHER PLANS | DEAN HEALTH INSURANCE COMM - ALL OTHER PLANS | $42.05 | $1,904.28 | $1,047.35 | 2026-01-19 | MRF ↗ |
| STOUGHTON HOSPITAL Outpatient | DEAN HEALTH INSURANCE EPO | DEAN HEALTH INSURANCE EPO | $42.05 | $1,904.28 | $1,047.35 | 2026-01-19 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | BCBS CAP | BCBS CAP | $42.28 | $3,830.00 | $2,681.00 | 2026-01-12 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | MEDI-CAL | MEDI-CAL | $45.00 | $1,438.00 | $273.22 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | KAISER MCAL | KAISER MCAL | $45.00 | $1,438.00 | $273.22 | 2026-05-19 | MRF ↗ |
| FAIRCHILD MEDICAL CENTER Outpatient | MEDI-CAL | MEDI-CAL | $45.00 | $1,040.00 | $1,040.00 | 2026-09-24 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | BC MCAL | BC MCAL | $45.00 | $1,438.00 | $273.22 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | UNIVERSAL HC MCAL PROFEE | UNIVERSAL HC MCAL PROFEE | $45.00 | $1,438.00 | $273.22 | 2026-05-19 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $45.00 | $1,438.00 | $273.22 | 2026-05-19 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $45.22 | $119.00 | $61.88 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $45.67 | $119.00 | $61.88 | 2026-03-03 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ACA PPO - ALL OTHER PLANS | AVERA ACA PPO - ALL OTHER PLANS | $46.00 | $2,464.50 | $1,478.70 | 2025-12-20 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA HMO | AVERA HMO | $46.00 | $2,464.50 | $1,478.70 | 2025-12-20 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA ASO PPO | AVERA ASO PPO | $48.00 | $2,464.50 | $1,478.70 | 2025-12-20 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $49.30 | $1,104.00 | $662.40 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $49.30 | $1,104.00 | $662.40 | 2026-02-12 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS CARE | REGENCE BS CARE | $51.00 | $1,641.00 | $1,181.52 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PAR | REGENCE BS PAR | $51.00 | $1,641.00 | $1,181.52 | 2026-05-04 | MRF ↗ |
| SKYLINE HOSPITAL Outpatient | REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | $1,641.00 | $1,181.52 | 2026-05-04 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $51.17 | $119.00 | $61.88 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $51.17 | $119.00 | $61.88 | 2026-03-03 | MRF ↗ |
| FRANCES MAHON DEACONESS HOSPITAL Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $53.00 | $2,167.00 | $1,950.30 | 2026-06-09 | MRF ↗ |
| HURON REGIONAL MEDICAL CENTER Outpatient | AVERA NONACA PPO | AVERA NONACA PPO | $54.00 | $2,464.50 | $1,478.70 | 2025-12-20 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $54.45 | $1,838.00 | $1,378.50 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $54.45 | $1,838.00 | $1,378.50 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $54.45 | $1,838.00 | $1,378.50 | 2026-10-01 | MRF ↗ |
| EDGERTON HOSPITAL AND HEALTH SERVICES Both | — | — | — | $1,946.00 | $1,420.58 | 2025-03-05 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | CENTRAL CA ALLIANCE COMM PROFEE ONLY-ALL OTHER PLA | $60.00 | $1,438.00 | $244.46 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | CENTRAL CA ALLIANCE CCS MCAL | CENTRAL CA ALLIANCE CCS MCAL | $60.00 | $1,438.00 | $244.46 | 2026-05-23 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | BCBS OREGON NON-PAR - ALL OTHER PLANS | BCBS OREGON NON-PAR - ALL OTHER PLANS | $60.61 | $1,397.00 | $1,397.00 | 2026-07-09 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | BCBS OREGON PAR | BCBS OREGON PAR | $60.61 | $1,397.00 | $1,397.00 | 2026-07-09 | MRF ↗ |
| MADISON COUNTY HEALTH CARE SYSTEM Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $63.50 | $1,459.00 | $1,167.20 | 2026-06-05 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | HEALTH NET | HEALTH NET | $63.71 | $127.41 | $95.56 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $63.71 | $127.41 | $95.56 | 2026-04-27 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS MCS-ALL OTHER PLANS | BLUE CROSS MCS-ALL OTHER PLANS | $66.41 | $1,438.00 | $287.60 | 2026-05-24 | MRF ↗ |
| ADVENTIST HEALTH UKIAH VALLEY Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $66.41 | $1,438.00 | $287.60 | 2026-05-24 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $2,114.06 | $2,114.06 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | FIDELIS EXCHANGE [157] | FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 | — | $1,057.03 | $687.07 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH|NOVA HEALTHCARE MEDICARE | — | $1,057.03 | $687.07 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $180.32 | $180.32 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $1,057.03 | $1,057.03 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $211.41 | $211.41 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR | — | $1,057.03 | $687.07 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $422.81 | $422.81 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $1,057.03 | $1,057.03 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $211.41 | $211.41 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EMBLEM GHI [113] | EMBLEM GHI|GHI ALT | — | $1,057.03 | $687.07 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $211.41 | $211.41 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|UNIVERA ESSENTIAL 1&2 | — | $1,057.03 | $687.07 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $211.41 | $211.41 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $211.41 | $211.41 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MULTIPLAN [141] | COMMERCIAL|MULTIPLAN|MULTIPLAN/PHCS GENERIC|CDPHP COMMERCIAL | — | $1,057.03 | $687.07 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $422.81 | $422.81 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $2,114.06 | $2,114.06 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $422.81 | $422.81 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $180.32 | $180.32 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $1,057.03 | $1,057.03 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4 | — | $1,057.03 | $687.07 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $211.41 | $211.41 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $1,057.03 | $1,057.03 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $422.81 | $422.81 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $1,057.03 | $1,057.03 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $1,057.03 | $1,057.03 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $180.32 | $180.32 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH ASSOC [13801] | — | $1,057.03 | $1,057.03 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $211.41 | $211.41 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | — | $1,057.03 | $687.07 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | MEDICARE HMO INDEPENDENT HLTH [13802] | — | $1,057.03 | $1,057.03 | 2024-12-30 | 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.