19125 — Excision Breast Lesion
Cite this view
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
“Excision breast lesion (OTHER 19125) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/19125?code_type=OTHER. Accessed .
“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 $866–$4,052 (25th–75th percentile) across 74 hospitals · 274 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 |
|---|---|---|---|---|---|---|---|
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $5,208.00 | $1,562.40 | 2026-05-08 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Behavioral_Health_Ppo_100101206 | — | $40.00 | $4,471.00 | $2,682.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Behavioral_Health_Ppo_100101206 | — | $40.00 | $4,471.00 | $2,682.60 | 2026-07-30 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE | Hcra | — | $41.06 | $4,146.23 | $2,487.74 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Ppoposepo_100100302 | — | $43.71 | $4,471.00 | $2,682.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Hmo_100100301 | — | $43.71 | $4,471.00 | $2,682.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Hmo_100100301 | — | $43.71 | $4,471.00 | $2,682.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Ppoposepo_100100302 | — | $43.71 | $4,471.00 | $2,682.60 | 2026-07-31 | MRF ↗ |
| KARMANOS CANCER CENTER | Detroit Medical Center | — | $78.00 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Mclaren Health | — | $80.03 | $211.38 | $105.69 | 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 ↗ |
| JOHNSON MEMORIAL HOSPITAL | — | — | — | $155.24 | $131.95 | 2024-05-27 | 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 ↗ |
| KARMANOS CANCER CENTER | Hap Preferred | — | $136.66 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Hap Ahl | — | $136.66 | $211.38 | $105.69 | 2026-05-06 | 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 ↗ |
| 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 ↗ |
| TRI-CITY MEDICAL CENTER | Phn / Oscar | — | $178.52 | — | — | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $196.36 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $196.36 | — | — | 2026-05-24 | MRF ↗ |
| KARMANOS CANCER CENTER | Bsbs Bcn | — | $211.38 | $211.38 | $105.69 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Bcbs Ppo | — | $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 ↗ |
| KARMANOS CANCER CENTER | Bcbs Pha | — | $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 ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $237.70 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $237.70 | — | — | 2026-05-24 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Arkansas Medicaid | — | $250.00 | $1,455.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | All Commercial Plans | — | $1,455.00 | — | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | All Commercial Plans | — | $1,455.00 | — | 2026-07-15 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $265.20 | $680.00 | $476.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $265.20 | $680.00 | $476.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $265.20 | $680.00 | $476.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $265.20 | $680.00 | $476.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $272.00 | $680.00 | $476.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $272.00 | $680.00 | $476.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $272.00 | $680.00 | $476.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $272.00 | $680.00 | $476.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $272.00 | $680.00 | $476.00 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $285.60 | $680.00 | $476.00 | 2026-07-30 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $286.97 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $286.97 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $290.23 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $290.23 | — | — | 2026-05-14 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $292.40 | $680.00 | $476.00 | 2026-07-30 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $292.84 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $292.84 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $292.84 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $292.84 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $295.43 | $916.00 | $458.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $295.43 | $916.00 | $458.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $295.96 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $295.96 | — | — | 2026-05-14 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $299.60 | $1,070.00 | $267.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $299.60 | $1,070.00 | $267.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $299.60 | $1,070.00 | $267.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $299.60 | $1,070.00 | $267.50 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $299.60 | $1,070.00 | $267.50 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $299.60 | $1,070.00 | $267.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $299.60 | $1,070.00 | $267.50 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Humana Medicare Advantage Op | — | $299.60 | $1,070.00 | $267.50 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcn Medicare Advantage Op | — | $299.60 | $1,070.00 | $267.50 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Medicare Advantage Op | — | $299.60 | $1,070.00 | $267.50 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Php Medicare Advantage Op | — | $299.60 | $1,070.00 | $267.50 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicare Op | — | $299.60 | $1,070.00 | $267.50 | 2026-08-01 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $299.96 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $299.96 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $299.96 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $299.96 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $300.54 | $1,158.00 | $579.00 | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $311.53 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $311.53 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $311.53 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $311.53 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $311.53 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $311.53 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $311.53 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $311.53 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $311.53 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $311.53 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $311.53 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $311.53 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $311.53 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $311.53 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $317.76 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $317.76 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $317.76 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $317.76 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $317.87 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $317.87 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $320.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $320.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $320.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $320.88 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $320.88 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $320.88 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $324.56 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $327.26 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $327.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $327.26 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $327.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $327.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $327.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $327.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $327.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $327.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $327.26 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $327.26 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $327.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $327.26 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $327.26 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $327.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $327.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $327.26 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $327.26 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $327.26 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $327.26 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $327.26 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $327.26 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $336.46 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $336.46 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $339.57 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $339.57 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $344.44 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $344.44 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $346.47 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $346.47 | — | — | 2026-05-14 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL | Group Health Cooperative Of Eau Claire Medicaid Hmo-Badgercare Plus/Ssi | — | $347.51 | $3,638.00 | $2,364.70 | 2026-07-31 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $348.72 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Medicaid | $348.72 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $358.68 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $358.68 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $358.68 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $358.68 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $362.50 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $362.50 | — | — | 2026-05-23 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $364.83 | $1,320.00 | $924.00 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $364.83 | $1,320.00 | $924.00 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $364.83 | $1,320.00 | $924.00 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $364.83 | $1,320.00 | $924.00 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $365.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $365.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $365.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $365.72 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $370.62 | $1,158.00 | $579.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $371.50 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $371.50 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $381.58 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $381.58 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $381.58 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $381.58 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $381.58 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $381.58 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $381.58 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $381.58 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $381.58 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $381.58 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $381.58 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $381.58 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $381.58 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $381.58 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $389.21 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $389.21 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $389.21 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $389.21 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $393.02 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $393.02 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $393.02 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $393.02 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $393.02 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $393.02 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $396.17 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $396.17 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $396.17 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $396.17 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $396.17 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $396.17 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $396.17 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $396.17 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $396.17 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $396.17 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $396.17 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $396.17 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $396.17 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $396.17 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $396.17 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $396.17 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $396.17 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $396.17 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $396.17 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $396.17 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $396.17 | — | — | 2026-05-14 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.