5091 — Level 1 Breast/Lymphatic Surgery And Related Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 1 Breast/Lymphatic Surgery and Related Procedures (OTHER 5091) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5091?code_type=OTHER
MLA (9th ed.)
“Level 1 Breast/Lymphatic Surgery and Related Procedures (OTHER 5091) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5091?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 1 Breast/Lymphatic Surgery and Related Procedures (OTHER 5091) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5091?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,755–$7,510 (25th–75th percentile) across 676 hospitals · 675 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5091 — 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 |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $0.24 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $0.24 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $0.24 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $0.24 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $0.25 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $0.25 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $0.43 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $0.43 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $0.43 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $0.48 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $0.71 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $0.81 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $0.83 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $0.99 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicare Blue Cross Advantage | Medicare Blue Cross Advantage | $1.22 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Humana Medicare Pffs/Hmo | Humana Medicare Pffs/Hmo | $1.22 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Ppo | $1.24 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Hmo | $1.24 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $1.24 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $1.24 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $1.24 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Of La Blue Connect | Blue Cross Of La Blue Connect | $1.24 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $1.24 | $1.24 | $0.88 | 2026-05-08 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Bcbs | Anthem Healthy Blue Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Aetna | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Aetna | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Molina Healthcare | Medicare/Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Bcbs | Hmo Blue | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Bcbs | Blue Preferred Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Wellpoint | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALTA BATES SUMMIT MEDICAL CENTER OutpatientFacility | Alameda Alliance | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $35.93 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| SUTTER TRACY COMMUNITY HOSPITAL OutpatientFacility | United | Hmo / Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $41.43 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $41.43 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $41.43 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $41.43 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $41.43 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $41.43 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $41.43 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $41.43 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $41.43 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| MEMORIAL HERMANN - TEXAS MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann Hospital OutpatientFacility | Wellpoint | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Bcbs | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs | Align - Healthnow Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Amida Care | Amida Care Medicaid - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $48.92 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-03-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Sentara Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Essential Plan 3-4 | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $57.42 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $57.42 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| Adventhealth Orlando OutpatientFacility | Humana | Careplus Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SPALDING MEDICAL CENTER OutpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $83.65 | $119.50 | $59.75 | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $88.59 | $98.43 | $73.82 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $89.62 | $119.50 | $59.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $89.62 | $119.50 | $59.75 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $89.62 | $119.50 | $59.75 | 2026-05-09 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $95.60 | $119.50 | $59.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $95.60 | $119.50 | $59.75 | 2026-05-23 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Blue Cross | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER OutpatientFacility | Blue Cross | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital OutpatientFacility | Avmed | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $101.58 | $119.50 | $59.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $101.58 | $119.50 | $59.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $101.58 | $119.50 | $59.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $101.58 | $119.50 | $59.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $101.58 | $119.50 | $59.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $101.58 | $119.50 | $59.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $101.58 | $119.50 | $59.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $101.58 | $119.50 | $59.75 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $101.58 | $119.50 | $59.75 | 2026-05-08 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $107.55 | $119.50 | $59.75 | 2026-05-09 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Fallon Health Community Care | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Bcbs | Blue Preferred Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST CLEAR LAKE HOSPITAL OutpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $142.36 | $158.18 | $118.64 | 2026-05-08 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Humana | Medicare Managed Care - Ppo | — | — | — | 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 ↗ |
| NORTHEAST HOSPITAL CORPORATION OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | Providence Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | Providence Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Bcbs | Blue Lincs Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Select Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center OutpatientFacility | Bcbs | Blue Advantage Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Monarch | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH MELBOURNE HOSPITAL OutpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Promise Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Blue Shield | Promise Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Humana | Humana Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Humana | Humana Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST JOSEPH HOSPITAL OutpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Aetna | Cincinnati Preferred | — | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Bcbs | Blue Preferred Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ OutpatientFacility | Ccah | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Oklahoma Complete Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Blue Cross Blue Shield | Bcbs Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Blue Cross Blue Shield | Bcbs Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| RADY CHILDREN'S HOSPITAL - SAN DIEGO OutpatientFacility | Blue Shield | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Healthnet | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BOONE HOSPITAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Clover | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Cigna Health Plan | Cigna Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Allwell | Allwell Medicare Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Ambetter | Ambetter Metallic | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Uhc Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | United Hlthcare Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Health Cost Sol | Ark Dept Of Correct | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Humana Mcr Adv | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Umr | Umr | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Hmo | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Jrmc | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Bc Metallic | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | Health Advantage | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Qualchoice | Qualchoice Mgd Care | — | — | — | 2025-01-01 | MRF ↗ |
| JEFFERSON REGIONAL MEDICAL CENTER OutpatientFacility | Aarp | Aarp Mcr Complete | — | — | — | 2025-01-01 | MRF ↗ |
| AVITA ONTARIO Outpatient | Amerihealth | Medicaid Outpatient | $383.23 | $7,476.06 | $6,354.65 | 2026-05-14 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Outpatient | Amerihealth | Medicaid Outpatient | $383.23 | $7,476.06 | $6,354.65 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Outpatient | Amerihealth | Medicaid Outpatient | $383.23 | $7,476.06 | $6,354.65 | 2026-05-23 | MRF ↗ |
| AFFILIATE OF VITRUVIAN HEALTH OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL OutpatientFacility | Health Net | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Tufts Health Plan | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ARCHBOLD MEMORIAL HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Bcbs | Highmark Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Heritage Provider Network | Medicaid 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 ↗ |
| STANFORD HEALTH CARE OutpatientFacility | Health Plan Of San Mateo | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicare Hmo | Medical Mutual Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Al Medicaid | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | Al Medicaid | All Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Bcbs | Ppa Plan Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER 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 LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | San Francisco Health Plan | Medi-Cal 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 - PLACENTIA LINDA 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 - LOS ALAMITOS 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 - LOS ALAMITOS 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 ↗ |
| PENINSULA MEDICAL CENTER OutpatientFacility | Cigna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Santa Clara Family Health Plan | Scfhp Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | SANTA CLARA FAMILY HEALTH PLAN | SCFHP MANAGED MEDI-CAL | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | Blue Cross Anthem | Blue Cross Anthem Managed Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| EL CAMINO HEALTH OutpatientFacility | BLUE CROSS ANTHEM | BLUE CROSS ANTHEM MANAGED MEDI-CAL | — | — | — | 2026-04-01 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Amerihealth | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | United Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Healthy Blue | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | 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.