5093 — Level 3 Breast/Lymphatic Surgery And Related Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 3 Breast/Lymphatic Surgery and Related Procedures (OTHER 5093) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5093?code_type=OTHER
MLA (9th ed.)
“Level 3 Breast/Lymphatic Surgery and Related Procedures (OTHER 5093) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5093?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 3 Breast/Lymphatic Surgery and Related Procedures (OTHER 5093) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5093?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,375–$11,791 (25th–75th percentile) across 478 hospitals · 493 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5093 — 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 |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Wellcare | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicare Blue Cross Advantage | Medicare Blue Cross Advantage | $0.89 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Humana Medicare Pffs/Hmo | Humana Medicare Pffs/Hmo | $0.89 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BUCKEYE | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BUCKEYE | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $1.12 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Of La Blue Connect | Blue Cross Of La Blue Connect | $1.23 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Hmo | $1.23 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Ppo | $1.23 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $1.80 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $5.74 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $5.74 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $5.74 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $5.86 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $5.92 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $6.03 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $6.92 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Bcbs | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $16.93 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $19.30 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $19.93 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| SALEM HOSPITAL OutpatientFacility | Providence Health Plan | Individual Epo | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL OutpatientFacility | Providence Health Plan | Individual Epo | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $23.76 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $29.69 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $29.69 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $29.69 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $29.69 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $29.69 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $29.69 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $29.69 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $29.69 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $29.69 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $29.70 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $29.70 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER OutpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $33.39 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $33.39 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $33.39 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $33.39 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $33.39 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $33.39 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $35.93 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $36.50 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $37.65 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $37.65 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Access Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera | Access Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $65.91 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $70.53 | $100.76 | $50.38 | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $71.53 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $74.70 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $75.57 | $100.76 | $50.38 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $75.57 | $100.76 | $50.38 | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $75.57 | $100.76 | $50.38 | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $79.09 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $79.09 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $79.09 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $80.61 | $100.76 | $50.38 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $80.61 | $100.76 | $50.38 | 2026-05-14 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $81.73 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $85.65 | $100.76 | $50.38 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $85.65 | $100.76 | $50.38 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $85.65 | $100.76 | $50.38 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $85.65 | $100.76 | $50.38 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $85.65 | $100.76 | $50.38 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $85.65 | $100.76 | $50.38 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $85.65 | $100.76 | $50.38 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $85.65 | $100.76 | $50.38 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $85.65 | $100.76 | $50.38 | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $90.68 | $100.76 | $50.38 | 2026-05-09 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | New Hampshire Healthy Families | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL SOUTH, LLC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROV SACRED HRT MED CTR & CHILDS HOSP. OutpatientFacility | Blue Cross | Premera Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| AULTMAN HOSPITAL OutpatientFacility | Prime Time Health Plan | Medicare 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 ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL OutpatientFacility | Unitedhealthcare | International Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL OutpatientFacility | Unitedhealthcare | International Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Aetna | First Health/Medical Rental Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST HOSPITAL CORPORATION OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Adventhealth Orlando OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Central California Alliance For Health | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $717.54 | $2,792.00 | $818.34 | 2026-05-31 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | First Choice | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | First Choice | All Commercial Plans | — | — | — | 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 ↗ |
| SALEM HOSPITAL OutpatientFacility | Providence Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL OutpatientFacility | Providence Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Molina Healthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ OutpatientFacility | Ccah | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| SUTTER ROSEVILLE MEDICAL CENTER OutpatientFacility | Cigna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Bcbs | Anthem Shop Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital OutpatientFacility | Bcbs | Ppc Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $1,061.24 | $2,792.00 | $818.34 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $1,141.93 | $2,792.00 | $818.34 | 2026-05-31 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL OutpatientFacility | Bcbs | Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Fidelis | Fidelis Ep 1 - 2 - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $1,248.86 | $2,792.00 | $818.34 | 2026-05-31 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Healthnet | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | Healthnet | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS OutpatientFacility | Healthnet | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Bcbs | Bluechoice Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $1,340.12 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $1,340.12 | — | — | 2026-03-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Essential Plan 1-2 | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | BCBS | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | BCBS | State Other Commercial Plan | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | BCBS | Preferred Blue PPO | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | BCBS | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | BCBS | State Other Commercial Plan | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN OutpatientFacility | BCBS | Preferred Blue PPO | — | — | — | 2025-07-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $1,449.05 | $2,792.00 | $818.34 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $1,449.05 | $2,792.00 | $818.34 | 2026-05-31 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Molina Healthcare | 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 ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $1,553.10 | — | — | 2026-03-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC OutpatientFacility | Auto | Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $1,675.20 | $2,792.00 | $818.34 | 2026-05-31 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Aetna | Whole Health Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Comm | — | $1,848.02 | $2,792.00 | $818.34 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Comm | — | $1,870.64 | $2,792.00 | $818.34 | 2026-05-31 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | DVACO Other Commercial Plan | — | — | — | 2025-07-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care - HMO | — | — | — | 2025-07-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2025-07-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | BCBS | Highmark All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | BCBS | Highmark ACA Exchange | — | — | — | 2025-07-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | UnitedHealthCare | Customer Specific Other Commercial Plan | — | — | — | 2025-07-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | IBC HMO | — | — | — | 2025-07-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Blue Cross | IBC PPO | — | — | — | 2025-07-01 | MRF ↗ |
| NorthBay VacaValley Hospital OutpatientFacility | Partnership | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Geisinger Health | Family Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Geisinger Health | Family Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | BCBS | HMO/POS | — | — | — | 2026-12-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Fidelis Care | Essential Plan 5 Government | — | — | — | 2026-12-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Fidelis Care | Medicaid Managed Care | — | — | — | 2026-12-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Magnacare | All Commercial Plans | — | — | — | 2026-12-01 | MRF ↗ |
| ERIE COUNTY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid Managed Care | — | — | — | 2026-12-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Comm | — | $2,094.00 | $2,792.00 | $818.34 | 2026-05-31 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Upmc | For You Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2025-07-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care - PPO | — | — | — | 2025-07-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | IBC Select 65 Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | IBC HMO | — | — | — | 2025-07-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | UPMC | For You Medicaid Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | BCBS | Highmark All Commercial Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | IBC PPO | — | — | — | 2025-07-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Amerihealth | Medicaid Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | Cigna | PPO | — | — | — | 2025-12-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | Cigna | C7 Other Commercial Plan | — | — | — | 2025-12-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access PPO | — | — | — | 2025-12-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | Medica | Exchange | — | — | — | 2025-12-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-12-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | Cigna | OAP Other Commercial Plan | — | — | — | 2025-12-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-12-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access Choice PPO | — | — | — | 2025-12-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | Medica | Employee | — | — | — | 2025-12-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | — | — | — | 2025-12-01 | 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.