19120 — Removal Of Breast Lesion
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HANK Price Transparency. (n.d.). Removal of breast lesion (OTHER 19120) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/19120?code_type=OTHER
“Removal of breast lesion (OTHER 19120) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/19120?code_type=OTHER. Accessed .
“Removal of breast lesion (OTHER 19120) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/19120?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $964–$5,294 (25th–75th percentile) across 313 hospitals · 1,039 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 19120 — 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 |
|---|---|---|---|---|---|---|---|
| FRANKLIN HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Health Alliance Medical Plans Mcr Adv | Medicare Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Alliance Coal Health Plan | Default | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Medicaid Illinois | Medicaid Replacement | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Molina Healthcare Of Il | Medicaid Replacement | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Medicare A Il J6 | Default | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Health Alliance Medical Plans Mcr Adv | Medicare Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Alliance Coal Health Plan | Default | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Aetna Better Health Of Il Illinicare | Medicaid Replacement | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Molina Healthcare Of Il | Medicaid Replacement | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Meridian Health Plan Of Il Mcd Dos Gt 06302021 | Medicaid Replacement | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Il | Medicaid Replacement | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Cigna | Medicare Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Medicaid Illinois | Medicaid Replacement | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Medicare A Il J6 | Default | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Il | Medicaid Replacement | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Cigna | Medicare Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Aetna Better Health Of Il Illinicare | Medicaid Replacement | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Meridian Health Plan Of Il Mcd Dos Gt 06302021 | Medicaid Replacement | — | — | — | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Outpatient | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Hospital Both | Whc Anthem Commercial | 7170910 | — | $12,419.73 | $9,314.80 | 2026-05-14 | MRF ↗ |
| Wayne Hospital Both | Whc Anthem Commercial | 7170910 | — | $12,419.73 | $9,314.80 | 2026-05-22 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $15.32 | — | — | 2026-05-27 | MRF ↗ |
| Wayne Hospital Both | Whc Aetna Commercial | 6555910 | — | $7,332.78 | $5,499.59 | 2026-05-14 | MRF ↗ |
| Wayne Hospital Both | Whc Aetna Commercial | 6555910 | — | $7,332.78 | $5,499.59 | 2026-05-22 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Wesley Preferred Network | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Open Network Plan | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Open Network | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Ambetter | Medicare Advantage | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Medicare Advantage | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Preferred Health Systems | Commercial | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Hospice | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Individual Exchange | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | All Payer | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Medicaid | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Centurion Of Kansas | Commercial | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Preferred Health Systems | Commercial | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | First Health | Commercial | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Open Network Plan | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Providrs | Care Network | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Wppa | Commercial | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Providrs | Chambers Plan | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Wesley Preferred Network | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | All Payer | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Medicaid | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $38.38 | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Veterans Affairs Program | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Corizon | Commercial | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Medicare Advantage | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Veterans Affairs Program | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Centurion Of Kansas | Commercial | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Commercial Exchange | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Workers Comp/Automobile Insurance | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Medica | Medicare Advantage | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Medicaid | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Sunflower | Commercial Exchange | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Local Best Plan | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | First Health | Commercial | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Providrs | Care Network | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Open Network | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Multiplan | Workers Compensation/Auto Medical | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Coventry | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Health Partners Of Kansas | Commercial | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Commercial | $38.38 | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ks | Medicare | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Sunflower | Commercial Exchange | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Medicare | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Coventry | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Medicare | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Hospice | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Wisconsin Physicians Service Insurance Corporation | Wisconsin Physicians Service Insurance Corporation | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Medicare | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Corizon | Commercial | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Coventry | Workers Comp/Automobile Insurance | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna | Local Best Plan | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Health Partners Of Kansas | Commercial | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Medicaid | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Ambetter | Commercial Exchange | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Providrs | Chambers Plan | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Individual Exchange | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Wppa | Commercial | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | United Healthcare | Medicare | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Ambetter | Commercial Exchange | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Ambetter | Medicare Advantage | — | $557.00 | $557.00 | 2026-05-23 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Medica | Medicare Advantage | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| HAYS MEDICAL CENTER Outpatient | Celtic | Commercial Exchange | — | $557.00 | $557.00 | 2026-05-14 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $40.50 | $81.00 | $56.70 | 2026-05-06 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $42.21 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $42.70 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Humana Medicare Facility | Humana Medicare Facility | $44.04 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $50.21 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $51.08 | — | — | 2026-05-09 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $51.97 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $53.12 | — | — | 2026-05-09 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Eskenazi Health | Anthem Facility Exchange | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Medicare Advantage Facility | Aetna Medicare Advantage Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Siho Commercial Facility | Siho Commercial Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $54.83 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Bcbs Other | Commercial | $55.08 | $81.00 | $56.70 | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Healthreach | — | $57.00 | — | — | 2026-05-06 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $59.02 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Traditional | Commercial | $61.56 | $81.00 | $56.70 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $67.85 | — | — | 2026-05-27 | MRF ↗ |
| Mclaren St Luke's | Humana Commercial | — | $76.00 | — | — | 2026-05-06 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Ppo | $79.74 | $1,182.00 | $827.40 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Outpatient | Aetna | Hmo | $79.74 | $1,182.00 | $827.40 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Hmo | $79.74 | $1,182.00 | $827.40 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Outpatient | Aetna | Ppo | $79.74 | $1,182.00 | $827.40 | 2026-05-14 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $82.40 | — | — | 2026-05-08 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $82.58 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| Mclaren St Luke's | Cofinity | — | $88.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Coventry | — | $90.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | First Health Network | — | $90.00 | — | — | 2026-05-06 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $93.59 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $93.59 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $93.59 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $96.00 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $96.00 | — | — | 2026-05-23 | MRF ↗ |
| Mclaren St Luke's | United Healthcare Medicaid Ip Rate Type | — | $99.00 | — | — | 2026-05-06 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $99.10 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| Mclaren St Luke's | Paramount Elite | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Caresource Medicaid Ip Rate Type | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Aarp Medicare Complete Ip Rate Type | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Aetna Medicare Ip Rate Type | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Medical Mutual Medicare Ip Rate Type | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Anthem Medicare Ip Rate Type | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Humana Medicare Ip Rate Type | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $102.40 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $102.40 | — | — | 2026-05-23 | MRF ↗ |
| Mclaren St Luke's | Buckeye Mycareoh Medicare Ip Rate Type | — | $103.00 | — | — | 2026-05-06 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $107.91 | — | — | 2026-05-09 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $110.11 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $110.11 | $110.11 | $110.11 | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $112.23 | — | — | 2026-05-09 | MRF ↗ |
| Mclaren St Luke's | Caresource Just4Me | — | $123.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Immergrun | — | $150.00 | — | — | 2026-05-06 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | $165.00 | $9,395.00 | $9,395.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | $165.00 | $9,395.00 | $9,395.00 | 2026-05-22 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $3,275.00 | $1,637.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $1,637.00 | $818.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $2,141.00 | $1,070.50 | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $173.00 | — | — | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Upmc For You Medicaid | Upmc For You Medicaid | $173.00 | $10,534.00 | $5,267.00 | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $173.00 | — | — | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Upmc For You Medicaid | Upmc For You Medicaid | $173.00 | $10,534.00 | $5,267.00 | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $173.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $173.00 | — | — | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Pennsylvania Health And Wellness | Mgd Medicaid | $173.00 | $10,534.00 | $5,267.00 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Geisinger Pa Medicaid | Geisinger Pa Medicaid | $173.00 | $10,534.00 | $5,267.00 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Pennsylvania Health And Wellness | Mgd Medicaid | $173.00 | $10,534.00 | $5,267.00 | 2026-05-24 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Pennsylvania Health & Wellness | Medicaid | $173.00 | $1,014.00 | $507.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcd Advantage | $173.00 | — | — | 2026-05-09 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Upmc | Medicaid | $173.00 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $173.00 | — | — | 2026-05-23 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $173.00 | $1,014.00 | $507.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Amerihealth Caritas Pa | Medicaid | $173.00 | $1,014.00 | $507.00 | 2026-05-13 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Ghp | Medicaid | $173.00 | — | — | 2026-05-08 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Geisinger Pa Medicaid | Geisinger Pa Medicaid | $173.00 | $10,534.00 | $5,267.00 | 2026-05-24 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Amerihealth | Medicaid | $173.00 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicaid | Traditional Medicaid | $173.00 | — | — | 2026-05-09 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Upmc For You Medicaid | Upmc For You Medicaid | $173.00 | $1,014.00 | $507.00 | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Medicaid | Traditional Medicaid | $173.00 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $173.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $173.00 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $174.08 | — | — | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $176.97 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $176.97 | — | — | 2026-05-24 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $183.82 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $183.82 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $186.84 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $186.84 | — | — | 2026-05-23 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Rocky Mountain | Private/Self Insured | — | $2,061.00 | $1,030.50 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Rocky Mountain | Medicare Advantage | — | $2,061.00 | $1,030.50 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Workers Compensation | — | $2,061.00 | $1,030.50 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Medicaid Hmo | Generic | — | $2,061.00 | $1,030.50 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Rocky Mountain | Medicare | — | $2,061.00 | $1,030.50 | 2026-05-22 | 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.