28103 — Remove/graft Foot Lesion
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REMOVE/GRAFT FOOT LESION (CPT 28103) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/28103?code_type=CPT
MLA (9th ed.)
“REMOVE/GRAFT FOOT LESION (CPT 28103) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/28103?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“REMOVE/GRAFT FOOT LESION (CPT 28103) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/28103?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,234–$9,129 (25th–75th percentile) across 1,606 hospitals · 2,739 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 28103 — 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 |
|---|---|---|---|---|---|---|---|
| MCBRIDE ORTHOPEDIC HOSPITAL Outpatient | Cigna | Commercial | $1.00 | $2.00 | $2.00 | 2025-02-06 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Aetna | Commercial | $2.00 | $2.00 | $2.00 | 2026-03-31 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $2.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| PENDER COMMUNITY HOSPITAL Outpatient | Coventry | Commercial | $2.00 | $2.00 | $2.00 | 2026-05-27 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | MultiPlan | Commercial | $2.00 | $3.00 | $2.00 | 2026-05-22 | MRF ↗ |
| PENDER COMMUNITY HOSPITAL Outpatient | Nebraska Total Care | Commercial | $2.00 | $2.00 | $2.00 | 2026-05-27 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Health Partners of Kansas | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | ChoiceCare | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $2.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $2.00 | $5.00 | $4.00 | 2026-05-05 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Medica | Commercial | $2.00 | $3.00 | $2.00 | 2026-05-22 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Oscar | Commercial | $2.00 | $10.00 | $7.00 | 2026-05-27 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Amerihealth | HMO | $2.00 | $2.00 | $2.00 | 2026-03-31 | MRF ↗ |
| CLAY COUNTY MEMORIAL HOSPITAL Outpatient | Healthsmart | Commercial | $2.00 | $11.00 | $8.00 | 2025-06-30 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $2.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| PENDER COMMUNITY HOSPITAL Outpatient | BCBS of Nebraska | Commercial | $2.00 | $2.00 | $2.00 | 2026-05-27 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Christian Health Aid | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $2.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| St Lawrence Rehabilitation Center Outpatient | Independence Keystone Health Plan | Commercial | $2.00 | $2.00 | $2.00 | 2026-03-31 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Wellpoint | Commercial | $2.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $2.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| PENDER COMMUNITY HOSPITAL Outpatient | United Healthcare | Commercial | $2.00 | $2.00 | $2.00 | 2026-05-27 | MRF ↗ |
| CLAY COUNTY MEMORIAL HOSPITAL Outpatient | Muti-Plan | Commercial | $2.00 | $11.00 | $8.00 | 2025-06-30 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $2.00 | $3.00 | $2.00 | 2026-05-22 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | NextBlue | Medicare Advantage | $3.00 | $7.00 | $6.00 | 2025-08-27 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Humana (Choice Care) | Medicare Advantage | $3.00 | $7.00 | $5.00 | 2026-04-03 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Amerigroup Texas | Medicare Advantage | $3.00 | $14.00 | $10.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Cigna | Medicare Advantage | $3.00 | $14.00 | $10.00 | 2026-05-15 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Health Spring | Commercial | $3.00 | $9.00 | $2.00 | 2026-01-28 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | Essentials | $3.00 | $5.00 | $4.00 | 2026-05-05 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Health Choice Network | Commercial | $3.00 | $3.00 | $2.00 | 2026-05-22 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | United Healthcare | Medicare Advantage | $3.00 | $7.00 | $6.00 | 2025-08-27 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Aetna | Commercial | $3.00 | $8.00 | $5.00 | 2026-05-22 | MRF ↗ |
| CLAY COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $3.00 | $11.00 | $8.00 | 2025-06-30 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $3.00 | $5.00 | $4.00 | 2026-05-05 | MRF ↗ |
| CLAY COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $3.00 | $11.00 | $8.00 | 2025-06-30 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Superior Health Plan | Commercial | $3.00 | $14.00 | $10.00 | 2026-05-15 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | OK Health Network | Commercial | $3.00 | $3.00 | $2.00 | 2026-05-22 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $3.00 | $5.00 | $4.00 | 2026-05-05 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Medica | Commercial | $3.00 | $6.00 | $5.00 | 2026-05-22 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Advantage HMO | $3.00 | $6.00 | $5.00 | 2025-04-15 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage HMO | $4.00 | $8.00 | $2.00 | 2026-03-26 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $4.00 | $5.00 | $4.00 | 2026-05-22 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $4.00 | $10.00 | $5.00 | 2025-06-11 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | FirstCare | Medicare Advantage | $4.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | HMO | $4.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO | $4.00 | $5.00 | $4.00 | 2026-05-05 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $4.00 | $8.00 | $6.00 | 2026-05-05 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | MultiPlan | Commercial | $4.00 | $5.00 | $4.00 | 2026-05-22 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield | HMO | $4.00 | $10.00 | $6.00 | 2025-09-19 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $4.00 | $9.00 | $2.00 | 2026-01-28 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield | PPO | $4.00 | $10.00 | $6.00 | 2025-09-19 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Medicare Advantage | Medicare Advantage | $4.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | FirstCare | Commercial | $4.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $4.00 | $5.00 | $4.00 | 2026-05-05 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $4.00 | $10.00 | $5.00 | 2025-06-11 | MRF ↗ |
| NMC HEALTH Outpatient | WPPA | Commercial | $4.00 | $8.00 | $6.00 | 2025-06-30 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | PPO | $4.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | VA PCCC | $4.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| CLAY COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield | Commercial | $4.00 | $11.00 | $8.00 | 2025-06-30 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Blue Cross of Blue Shield of Texas | HMO | $4.00 | $10.00 | $7.00 | 2026-05-27 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC Outpatient | Tricare | Commercial | $4.00 | $22.00 | $22.00 | 2025-11-07 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $4.00 | $10.00 | $5.00 | 2025-06-11 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Commercial | $5.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| NMC HEALTH Outpatient | Samaritan Ministries International | Commercial | $5.00 | $8.00 | $6.00 | 2025-06-30 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | Ambetter | Commercial | $5.00 | $10.00 | $8.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | PPO | $5.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| NMC HEALTH Outpatient | Occunet | Commercial | $5.00 | $8.00 | $6.00 | 2025-06-30 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | Essentials | $5.00 | $8.00 | $6.00 | 2026-05-05 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Blue Essentials | $5.00 | $6.00 | $5.00 | 2025-04-15 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Blue Cross Blue Shield | Traditional HMO | $5.00 | $8.00 | $6.00 | 2026-03-25 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield of Texas | Commercial | $5.00 | $7.00 | $5.00 | 2026-04-03 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Blue Cross of Blue Shield of Texas | Blue Essentials Network Participation | $5.00 | $10.00 | $7.00 | 2026-05-27 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | PPO | $5.00 | $8.00 | $5.00 | 2026-05-22 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Blue Cross of Blue Shield of Texas | Traditional Immidiate Bussiness | $5.00 | $10.00 | $7.00 | 2026-05-27 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Superior HealthPlan | Commercial | $5.00 | $7.00 | $5.00 | 2026-04-03 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | OK Health Network | Commercial | $5.00 | $6.00 | $5.00 | 2026-05-22 | MRF ↗ |
| NMC HEALTH Outpatient | MediNcrease Health Plan | Commercial | $5.00 | $8.00 | $6.00 | 2025-06-30 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | MultiPlan | Commercial | $5.00 | $6.00 | $5.00 | 2026-05-22 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | Aetna | Commercial | $5.00 | $7.00 | $6.00 | 2025-08-27 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $5.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Advantage | $5.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Health Choice Network | Commercial | $5.00 | $5.00 | $4.00 | 2026-05-22 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | DHHS | Medicaid Membership | $5.00 | $10.00 | $8.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Blue Essentials | $5.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | United Healthcare | Commercial | $5.00 | $10.00 | $6.00 | 2025-09-19 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $5.00 | $6.00 | $5.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | HMO | $5.00 | $8.00 | $5.00 | 2026-05-22 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | Traditional Indemnity | $5.00 | $6.00 | $5.00 | 2025-04-15 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | MedCost | Ultra | $5.00 | $10.00 | $6.00 | 2025-09-19 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $5.00 | $8.00 | $6.00 | 2026-05-05 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | MultiPlan | PPO | $5.00 | $5.00 | $4.00 | 2026-05-05 | MRF ↗ |
| TYLER COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO/POS Network Participation | $5.00 | $6.00 | $5.00 | 2025-04-15 | MRF ↗ |
| MUENSTER MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $5.00 | $7.00 | $5.00 | 2026-04-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | $5.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $5.00 | $8.00 | $6.00 | 2026-05-05 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | DirectNet | Commercial | $6.00 | $10.00 | $6.00 | 2025-09-19 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | United Healthcare | Midlands Choice | $6.00 | $10.00 | $8.00 | 2025-07-03 | MRF ↗ |
| NMC HEALTH Outpatient | Prime Health Services | Commercial | $6.00 | $8.00 | $6.00 | 2025-06-30 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | Molina | Commercial | $6.00 | $10.00 | $8.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Commercial | $6.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | United Healthcare | Commercial | $6.00 | $8.00 | $6.00 | 2026-03-25 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $6.00 | $8.00 | $6.00 | 2026-05-05 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | First Choice Health | Commercial | $6.00 | $7.00 | $6.00 | 2025-08-27 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial | $6.00 | $10.00 | $6.00 | 2025-09-19 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Medicare Advantage | $6.00 | $12.00 | $12.00 | 2025-07-09 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO | $6.00 | $8.00 | $6.00 | 2026-05-05 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Health Advantage Network | Commercial | $6.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | United Healthcare of Texas | Commercial | $6.00 | $8.00 | $5.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | HMO | $6.00 | $8.00 | $5.00 | 2026-05-22 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Blue Cross Blue Shield | Traditional PPO | $6.00 | $8.00 | $6.00 | 2026-03-25 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Aetna | Commercial | $6.00 | $8.00 | $6.00 | 2026-03-25 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | Commercial | $6.00 | $8.00 | $5.00 | 2026-05-22 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Humana | Commercial | $6.00 | $8.00 | $6.00 | 2026-03-25 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Health Choice Network | Commercial | $6.00 | $6.00 | $5.00 | 2026-05-22 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Texas | Blue Essentials | $6.00 | $8.00 | $5.00 | 2026-05-22 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | Provider Network of America | Commercial | $6.00 | $7.00 | $6.00 | 2025-08-27 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Texas Children's Health Plan | HMO | $6.00 | $8.00 | $2.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield of Texas | PPO | $6.00 | $8.00 | $2.00 | 2026-03-26 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Three Rivers Provider Network | Commercial | $6.00 | $7.00 | $7.00 | 2025-07-03 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $6.00 | $10.00 | $6.00 | 2025-09-19 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $6.00 | $8.00 | $2.00 | 2026-03-26 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Prime Health Services | Commercial | $6.00 | $8.00 | $2.00 | 2026-03-26 | MRF ↗ |
| JACKSON HEALTHCARE CENTER Outpatient | Cigna | Commercial | $7.00 | $8.00 | $6.00 | 2026-03-25 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Prime Health Services | Commercial | $7.00 | $10.00 | $7.00 | 2026-05-27 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $7.00 | $8.00 | $2.00 | 2026-03-26 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | Health Partners | Commercial | $7.00 | $7.00 | $6.00 | 2025-08-27 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | MedCost | Commercial | $7.00 | $10.00 | $6.00 | 2025-09-19 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | Humana | Choice Care | $7.00 | $7.00 | $6.00 | 2025-08-27 | MRF ↗ |
| PECOS COUNTY MEMORIAL HOSPITAL Outpatient | MultiPlan | PPO | $7.00 | $8.00 | $6.00 | 2026-05-05 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Scott and White | Commercial | $7.00 | $8.00 | $2.00 | 2026-03-26 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | Blue Cross Blue Shield | PPO | $7.00 | $7.00 | $6.00 | 2025-08-27 | MRF ↗ |
| MOUNTRAIL COUNTY MEDICAL CENTER INC Outpatient | Sanford Health Plan | Commercial | $7.00 | $7.00 | $6.00 | 2025-08-27 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Rockport | Commercial | $7.00 | $8.00 | $2.00 | 2026-03-26 | MRF ↗ |
| NMC HEALTH Outpatient | United Healthcare | Commercial | $7.00 | $8.00 | $6.00 | 2025-06-30 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Multiplan | Commercial | $7.00 | $8.00 | $2.00 | 2026-03-26 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $7.57 | — | $12,884.98 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $7.57 | — | $12,884.98 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $7.57 | — | $12,884.98 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $7.57 | — | $12,884.98 | 2026-03-31 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Advantage | $8.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $8.00 | $39.00 | $29.00 | 2025-10-01 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Humana | Commercial | $8.00 | $10.00 | $6.00 | 2025-09-19 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | Prime Health Service | Commercial | $8.00 | $10.00 | $6.00 | 2025-09-19 | MRF ↗ |
| CALAIS COMMUNITY HOSPITAL Outpatient | Anthem | Medicare Advantage | $8.00 | $39.00 | $29.00 | 2025-10-01 | MRF ↗ |
| NMC HEALTH Outpatient | Cigna | Commercial | $8.00 | $8.00 | $6.00 | 2025-06-30 | MRF ↗ |
| MULESHOE AREA MEDICAL CENTER Outpatient | Superior Health Plan | Commercial | $8.00 | $8.00 | $5.00 | 2026-05-22 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | HMO | $9.00 | $9.00 | $2.00 | 2026-01-28 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $9.00 | $11.00 | $11.00 | 2026-04-01 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $9.00 | $10.00 | $5.00 | 2025-06-11 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $9.00 | $11.00 | $11.00 | 2026-04-01 | MRF ↗ |
| ALTUS BAYTOWN HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $9.00 | $11.00 | $11.00 | 2026-04-01 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | HMO | $9.00 | $11.00 | $11.00 | 2025-03-24 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $9.00 | $11.00 | $11.00 | 2025-03-24 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $9.00 | $9.00 | $2.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | PPO | $9.00 | $9.00 | $2.00 | 2026-01-28 | MRF ↗ |
| CATAWBA VALLEY MEDICAL CENTER Outpatient | MultiPlan | Commercial | $9.00 | $10.00 | $6.00 | 2025-09-19 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Alabama | Medicare Advantage | $9.00 | $9.00 | $2.00 | 2026-01-28 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $9.00 | $10.00 | $8.00 | 2025-07-03 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | Medica | Commercial | $9.00 | $10.00 | $8.00 | 2025-07-03 | MRF ↗ |
| United Memorial Medical Center Outpatient | Blue Cross Blue Shield of Texas | PPO | $9.00 | $11.00 | $11.00 | 2025-03-24 | MRF ↗ |
| ALTUS HOUSTON HOSPITAL, LP Outpatient | Blue Cross and Blue Shield of Texas | HMO | $9.00 | $11.00 | $11.00 | 2026-05-28 | MRF ↗ |
| ALTUS HOUSTON HOSPITAL, LP Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage HMO | $9.00 | $11.00 | $11.00 | 2026-05-28 | MRF ↗ |
| ALTUS HOUSTON HOSPITAL, LP Outpatient | Blue Cross and Blue Shield of Texas | PPO | $9.00 | $11.00 | $11.00 | 2026-05-28 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Medica | Commercial | $10.00 | $19.00 | $15.00 | 2026-05-22 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Cigna Health Springs | Commercial | $10.00 | $10.00 | $7.00 | 2026-05-27 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Provider Network of America | Commercial | $10.00 | $10.00 | $5.00 | 2025-06-11 | MRF ↗ |
| HUNTSVILLE MEMORIAL HOSPITAL Outpatient | Cigna | Medicare Advantage | $10.00 | $8.00 | $2.00 | 2026-03-26 | MRF ↗ |
| WEST HOLT MEMORIAL HOSPITAL Outpatient | BCBS | PPO | $10.00 | $10.00 | $8.00 | 2025-07-03 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Health Choice Network | Commercial | $10.00 | $10.00 | $5.00 | 2025-06-11 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Midlands Choice | Commercial | $10.00 | $12.00 | $12.00 | 2025-07-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Medica | Commercial | $11.00 | $12.00 | $12.00 | 2025-07-09 | MRF ↗ |
| UNION COUNTY GENERAL HOSPITAL Outpatient | Aetna | Commercial | $11.00 | $12.00 | $8.00 | 2025-06-17 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Commercial | $11.00 | $12.00 | $12.00 | 2025-07-09 | MRF ↗ |
| UNION COUNTY GENERAL HOSPITAL Outpatient | Humana Inc. | Commercial | $11.00 | $12.00 | $8.00 | 2025-06-17 | MRF ↗ |
| UNION COUNTY GENERAL HOSPITAL Outpatient | Blue Cross and Blue Shield of New Mexico | Commercial | $11.00 | $12.00 | $8.00 | 2025-06-17 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Commercial | $11.00 | $12.00 | $12.00 | 2025-07-09 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Aetna | Commercial | $11.00 | $14.00 | $10.00 | 2026-05-15 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | HMO | $12.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $12.00 | $14.00 | $10.00 | 2026-05-15 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $12.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $12.00 | $14.00 | $10.00 | 2026-05-15 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER Outpatient | Friday Health Insurance Company | Commercial | $13.00 | $10.00 | $7.00 | 2026-05-27 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Christian Health Aid | Commercial | $13.00 | $17.00 | $12.00 | 2025-10-24 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | United Healthcare | Commercial | $13.00 | $14.00 | $10.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Traditional | $13.00 | $14.00 | $10.00 | 2026-05-15 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | CoreCare | Commercial | $14.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $14.00 | $19.00 | $15.00 | 2026-05-22 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | ChoiceCare | Commercial | $14.00 | $14.00 | $10.00 | 2026-05-15 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Health Partners of Kansas | Commercial | $14.00 | $17.00 | $12.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | $14.00 | $17.00 | $12.00 | 2025-10-24 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Humana | Commercial | $14.00 | $14.00 | $10.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | ChoiceCare | Medicare Advantage | $14.00 | $14.00 | $10.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Humana | Medicare Advantage | $14.00 | $14.00 | $10.00 | 2026-05-15 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | PPO | $14.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Commercial | $14.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| WARD MEMORIAL HOSPITAL Outpatient | Texas True Choice | Commercial | $15.00 | $20.00 | $14.00 | 2025-06-13 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $15.00 | $17.00 | $12.00 | 2025-10-24 | 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.