19125 — Excision Breast Lesion
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Excision breast lesion (OTHER 19125) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/19125?code_type=OTHER
MLA (9th ed.)
“Excision breast lesion (OTHER 19125) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/19125?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Excision breast lesion (OTHER 19125) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/19125?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $837–$5,294 (25th–75th percentile) across 257 hospitals · 807 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 19125 — 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 |
|---|---|---|---|---|---|---|---|
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Healthplan Medicaid | Medicaid | $7.60 | $38.00 | $26.60 | 2026-05-06 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Medicaid | Medicaid | $7.60 | $38.00 | $26.60 | 2026-05-06 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $7.60 | $38.00 | $26.60 | 2026-05-06 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Home State Healthplan Medicaid | Medicaid | $7.75 | $38.00 | $26.60 | 2026-05-06 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Healthyblue Medicaid | Medicaid | $7.75 | $38.00 | $26.60 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $16.89 | — | — | 2026-05-27 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $19.00 | $38.00 | $26.60 | 2026-05-06 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Healthscope | Medicare | $22.80 | $38.00 | $26.60 | 2026-05-06 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Consociate | Medicare | $24.70 | $38.00 | $26.60 | 2026-05-06 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Bcbs Other | Commercial | $25.84 | $38.00 | $26.60 | 2026-05-06 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | First Health | Commercial | $28.50 | $38.00 | $26.60 | 2026-05-06 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Traditional | Commercial | $28.88 | $38.00 | $26.60 | 2026-05-06 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Mvp | Vt Commercial/Vt Exchange | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Aetna | Ppo | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Allegiance | Swvt Employee Only | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Uhc | Commercial | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Mvp | Ny Exchange Individual Plans | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Mvp | Ny Commercial/ Exchange Group Plans | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Mvp | Ny Commercial/ Exchange Group Plans | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Cdphp | Commercial/Exchange | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Aetna | Ppo | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Cdphp | Medicaid/Chp | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Health New England | Commercial | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Blue Cross | All Vermont Plans | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Cigna | Commercial | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Harvard Pilgrim | Commercial | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Harvard Pilgrim | Commercial | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Tufts | Commercial | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Tufts | Commercial | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Allegiance | Swvt Employee Only | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Cigna | Commercial | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Uhc | Commercial | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Blue Cross | All Vermont Plans | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Cdphp | Commercial/Exchange | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Mvp | Ny Exchange Individual Plans | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Cdphp | Medicaid/Chp | — | $72.28 | $50.60 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Mvp | Vt Commercial/Vt Exchange | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Both | Health New England | Commercial | — | $72.28 | $50.60 | 2026-05-13 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $5,208.00 | $1,562.40 | 2026-05-08 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Cross] | [Hmo,Ppo] | $50.30 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $53.34 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $53.96 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Humana Medicare Facility | Humana Medicare Facility | $55.66 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $56.09 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $58.33 | — | — | 2026-05-09 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $59.06 | — | — | 2026-05-27 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Outpatient | United Healthcare Hmo | Commercial | — | $20,782.00 | $12,469.20 | 2026-05-24 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Outpatient | United Healthcare Hmo | Commercial | — | $20,782.00 | $12,469.20 | 2026-05-15 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $63.45 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $65.68 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Uhc United Health Care] | [Hmo,Ppo] | $68.31 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $68.89 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $68.89 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $68.89 | — | — | 2026-05-06 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Eskenazi Health | Anthem Facility Exchange | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Siho Commercial Facility | Siho Commercial Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Medicare Advantage Facility | Aetna Medicare Advantage Facility | $69.30 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Cross] | [Federal] | $69.86 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Cross] | [Federal] | $69.86 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $73.02 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $74.40 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $74.40 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $74.40 | — | — | 2026-05-09 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $74.58 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $75.78 | — | — | 2026-05-09 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Umr] | [Hmo,Ppo] | $76.07 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Humana] | [Hmo,Ppo] | $77.62 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Detroit Medical Center | — | $78.00 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Galaxy | Galaxy | — | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Claim Doc | Claimdoc | — | — | — | 2026-05-27 | MRF ↗ |
| KARMANOS CANCER CENTER | Mclaren Health | — | $80.03 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Plus] | [Pmap] | $80.72 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Prime West] | [Hmo,Ppo] | $83.83 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $86.11 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $86.11 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $86.11 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $86.11 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $86.11 | — | — | 2026-05-09 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Plus] | [Non Pmap] | $88.49 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $89.56 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $89.56 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $89.56 | — | — | 2026-05-09 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Cigna] | [Hmo,Ppo] | $93.14 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Medica Non Pmap] | [Hmo,Ppo] | $93.14 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Aetna| Negotiated_Percentage | — | $95.00 | $5,208.00 | $1,562.40 | 2026-05-08 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $96.45 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $96.45 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $96.45 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $96.45 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $96.45 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $96.45 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $96.45 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $96.45 | — | — | 2026-05-09 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Ucare] | [Hmo,Ppo] | $97.80 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $99.89 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $99.89 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $99.89 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $99.89 | — | — | 2026-05-14 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $100.77 | $1,093.25 | $765.28 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $1,093.25 | $765.28 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $1,093.25 | $765.28 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $100.77 | $1,093.25 | $765.28 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $1,093.25 | $765.28 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $1,093.25 | $765.28 | 2026-05-13 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Health Partners] | [Hmo,Ppo] | $104.01 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $104.36 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $105.40 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $105.40 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $105.40 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $105.40 | — | — | 2026-05-09 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $107.12 | — | — | 2026-05-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $107.18 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $107.18 | — | — | 2026-05-14 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Aetna] | [Aetna Hmo,Ppo] | $111.77 | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Plus] | [Nonpmap] | — | $155.24 | $131.95 | 2026-05-06 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $114.33 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $114.33 | — | — | 2026-05-14 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $118.28 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $118.28 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $118.28 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $118.50 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $123.24 | — | — | 2026-05-09 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $125.24 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| KARMANOS CANCER CENTER | Hap Hmo | — | $125.86 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Cigna Lifesource | — | $126.83 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Priority Health | — | $128.56 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | — | $2,216.00 | $1,883.60 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | — | $2,216.00 | $1,883.60 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | — | $2,216.00 | $1,883.60 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | — | $2,216.00 | $1,883.60 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | — | $2,216.00 | $1,883.60 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Ambetter | Hmo | $130.00 | $2,216.00 | $1,883.60 | 2026-05-08 | MRF ↗ |
| KARMANOS CANCER CENTER | Hap Ahl | — | $136.66 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Hap Preferred | — | $136.66 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $139.15 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $139.15 | $139.15 | $139.15 | 2026-05-27 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Alliant Health Plans | Default | $140.00 | $2,216.00 | $1,883.60 | 2026-05-08 | MRF ↗ |
| KARMANOS CANCER CENTER | Uhc | — | $145.22 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Health Plus Hmo | — | $151.14 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $156.85 | — | — | 2026-05-08 | MRF ↗ |
| KARMANOS CANCER CENTER | Cofinity Aetna | — | $166.36 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Cofinity Ppom | — | $166.36 | $211.38 | $105.69 | 2026-05-06 | 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 | $4,976.00 | $2,488.00 | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $190.37 | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $196.36 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $196.36 | — | — | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $198.13 | — | — | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $200.13 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $200.13 | — | — | 2026-05-08 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $206.05 | — | — | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $210.14 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | United Healthcare | Commercial | $210.43 | — | — | 2026-05-08 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Wayne County Jail | Commercial | $211.00 | $422.00 | $198.34 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Bcbs Ppo | — | $211.38 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Bsbs Bcn | — | $211.38 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Bcbs Pha | — | $211.38 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Medicare Humana | — | $211.38 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $214.67 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $214.67 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $216.76 | — | — | 2026-05-23 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Medicaid Hmo | Generic | — | $2,286.00 | $1,143.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Workers Compensation | — | $2,286.00 | $1,143.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Rocky Mountain | Medicare Advantage | — | $2,286.00 | $1,143.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Rocky Mountain | Private/Self Insured | — | $2,286.00 | $1,143.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Commercial Plans | — | $2,286.00 | $1,143.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Cigna | All Plans | — | $2,286.00 | $1,143.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Medicare | Traditional | — | $2,286.00 | $1,143.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Medicaid | Co | $236.55 | $2,286.00 | $1,143.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Rocky Mountain | Medicare | — | $2,286.00 | $1,143.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Aetna | Medicare | — | $2,286.00 | $1,143.00 | 2026-05-22 | MRF ↗ |
| GRAND RIVER HOSPITAL DISTRICT Outpatient | Aetna | Commercial | — | $2,286.00 | $1,143.00 | 2026-05-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $237.25 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $237.25 | — | — | 2026-05-06 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $237.25 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $237.25 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $237.25 | — | — | 2026-05-06 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $237.25 | — | — | 2026-05-06 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $237.70 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $237.70 | — | — | 2026-05-14 | MRF ↗ |
| FISHER-TITUS HOSPITAL Both | Humana | Humanamedicaid | $238.61 | — | — | 2026-05-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $250.00 | — | — | 2026-05-09 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $22,242.00 | $15,569.40 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $9,915.00 | $6,940.50 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $9,915.00 | $6,940.50 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $22,510.00 | $15,757.00 | 2026-05-08 | 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.