5055 — Level 5 Skin Procedures
Cite this view
HANK Price Transparency. (n.d.). Level 5 Skin Procedures (OTHER 5055) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5055?code_type=OTHER
“Level 5 Skin Procedures (OTHER 5055) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5055?code_type=OTHER. Accessed .
“Level 5 Skin Procedures (OTHER 5055) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5055?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,430–$5,134 (25th–75th percentile) across 570 hospitals · 551 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5055 — 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 |
|---|---|---|---|---|---|---|---|
| PRESBYTERIAN HOSPITAL OutpatientFacility | Presbyterian Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $1.33 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $1.33 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $1.33 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $1.36 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $1.37 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $1.40 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $2.39 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $2.39 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $2.39 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $2.66 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Cross | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $3.92 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $4.47 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $4.62 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $5.50 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $6.88 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $6.88 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $6.88 | $6.88 | $4.89 | 2026-05-08 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS OutpatientFacility | Ambetter Health | Peach State Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL SOUTH, LLC OutpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Cross] | [Hmo,Ppo] | $15.05 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Aetna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Aetna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Uhc United Health Care] | [Hmo,Ppo] | $20.44 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Cross] | [Federal] | $20.91 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Umr] | [Hmo,Ppo] | $22.77 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Humana] | [Hmo,Ppo] | $23.23 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Blue Shield | Uniform Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Plus] | [Pmap] | $24.16 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Harvard Pilgrim | Fully Insured Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Prime West] | [Hmo,Ppo] | $25.09 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Plus] | [Non Pmap] | $26.48 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Oklahoma Complete Health | Sooner Care Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST OutpatientFacility | Oklahoma Complete Health | Sooner Care Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Medica Non Pmap] | [Hmo,Ppo] | $27.88 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Cigna] | [Hmo,Ppo] | $27.88 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Ucare] | [Hmo,Ppo] | $29.27 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Health Partners] | [Hmo,Ppo] | $31.13 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Aetna] | [Aetna Hmo,Ppo] | $33.45 | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | [Blue Plus] | [Nonpmap] | — | $46.46 | $39.49 | 2026-05-06 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Sentara Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Bcbs - Wchob | Healthnow Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs - Wchob | Healthnow Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Cigna | Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Cigna | Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST WEST HOSPITAL OutpatientFacility | Wellpoint | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OVERLAKE HOSPITAL MEDICAL CENTER OutpatientFacility | Kaiser | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| OVERLAKE HOSPITAL MEDICAL CENTER OutpatientFacility | Kaiser | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| TAMPA GENERAL HOSPITAL BROOKSVILLE OutpatientFacility | Bcbs - Spring Hill | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $119.04 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $119.04 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Inland Empire Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Inland Empire Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $158.09 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $160.22 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $162.10 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Humana Medicare Facility | Humana Medicare Facility | $167.20 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $190.61 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Healthnet | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $197.30 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| JPS HEALTH NETWORK OutpatientFacility | Superior Health Plan | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Zing Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - PLACENTIA LINDA OutpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL OutpatientFacility | Humana | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Siho Commercial Facility | Siho Commercial Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Medicare Advantage Facility | Aetna Medicare Advantage Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Eskenazi Health | Anthem Facility Exchange | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $208.16 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $216.26 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $216.26 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $216.26 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $216.26 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $216.26 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $216.26 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $216.26 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $216.26 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $216.26 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $224.05 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Anthem Pathways X Transition | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $249.77 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $249.77 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Bcbs | Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $254.99 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| SUTTER SANTA ROSA REGIONAL HOSPITAL OutpatientFacility | Aetna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $313.50 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| STANFORD HEALTH CARE OutpatientFacility | Health Plan Of San Mateo | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| STANFORD HEALTH CARE OutpatientFacility | Health Plan Of San Mateo | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | BCBS | Anthem Advantage Medicare Managed Care - HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Aultcare | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Aultcare | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | BCBS | Anthem Advantage Medicare Managed Care - HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $355.30 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $355.30 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $355.30 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $376.20 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS OutpatientFacility | Bcbs | Anthem Senior Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Springfield Health | Commercial | $406.72 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Springfield Health | Commercial | $406.72 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $418.00 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $418.00 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Aetna Commercial Facility | Aetna Commercial Facility | $418.00 | $418.00 | $418.00 | 2026-05-27 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Trilogy | Commercial | $421.60 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare Current | Commercial | $421.60 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Commercial | $421.60 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Consociate | Commercial | $421.60 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Commercial | $421.60 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Trilogy | Commercial | $421.60 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Consociate | Commercial | $421.60 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare Current | Commercial | $421.60 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $423.30 | $470.33 | $352.75 | 2026-05-08 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $441.44 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $441.44 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | Aetna | HMO/POS | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | Peach State Health Plan | Exchange | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | Cigna | HMO/POS | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | UnitedHealthCare | HMO | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | BCBS | HMO | — | — | — | 2024-09-01 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Blue Choice | Commercial | $446.40 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Hfn | Commercial | $446.40 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Healthlink | Commercial | $446.40 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Current Health | Commercial | $446.40 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Hfn | Commercial | $446.40 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Healthlink | Commercial | $446.40 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | United Healthcare | Commercial | $446.40 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Blue Choice | Commercial | $446.40 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Humana | Commercial | $446.40 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | United Healthcare | Commercial | $446.40 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Humana | Commercial | $446.40 | $496.00 | $297.60 | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Current Health | Commercial | $446.40 | $496.00 | $297.60 | 2026-05-14 | MRF ↗ |
| NorthBay VacaValley Hospital OutpatientFacility | Partnership | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Partnership Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AVITA ONTARIO Outpatient | Buckeye | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Outpatient | United Healthcare | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Outpatient | Molina | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Outpatient | Anthem | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Ohiorise | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Outpatient | Caresource | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Traditional Medicaid | Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Outpatient | Traditional Medicaid | Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Molina | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Outpatient | Humana Horizons | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | United Healthcare | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Anthem | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Buckeye | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Caresource | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Humana Horizons | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Traditional Medicaid | Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Molina | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Anthem | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Buckeye | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Humana Horizons | Medicaid Outpatient | $449.81 | $27,386.38 | $23,278.42 | 2026-05-23 | 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.