5094 — Level 4 Breast/Lymphatic Surgery And Related Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Level 4 Breast/Lymphatic Surgery and Related Procedures (OTHER 5094) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5094?code_type=OTHER
MLA (9th ed.)
“Level 4 Breast/Lymphatic Surgery and Related Procedures (OTHER 5094) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5094?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Level 4 Breast/Lymphatic Surgery and Related Procedures (OTHER 5094) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5094?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14,536–$21,797 (25th–75th percentile) across 497 hospitals · 529 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5094 — 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 | 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 ↗ |
| 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 ↗ |
| 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 | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $5.74 | $29.70 | $21.09 | 2026-05-08 | 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 | 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 ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $6.92 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net | Health Net Medi-Cal | $15.60 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net | Health Net Medi-Cal | $15.60 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER OutpatientFacility | First Choice Health | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER OutpatientFacility | First Choice Health | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER OutpatientFacility | Providence Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER OutpatientFacility | Providence Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $16.93 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross | $18.13 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of California | Anthem Blue Cross Work Comp | $18.13 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $19.30 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of California | Anthem Blue Cross Work Comp | $19.42 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross | $19.42 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $19.93 | $29.70 | $21.09 | 2026-05-08 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| WILMINGTON VA MEDICAL CENTER OutpatientFacility | Ibc | All Commercial Plans | — | — | — | 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 ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Netcare Life And Health Insurance | Netcare Commercial/Senior | $26.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Netcare Life And Health Insurance | Netcare Commercial/Senior | $26.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $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 | Humana | Medicare Ppo | $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 | Cigna | Commercial | $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 ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | 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 ↗ |
| 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 ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net Community Care Commercial | $31.10 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Advance Clinical Research Institute | Advance Clinical Research Institute | $31.20 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Memorial Healthcare Ipa | Memorial Healthcare Ipa Ancillary Rates | $31.20 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Memorial Healthcare Ipa | Memorial Healthcare Ipa Ancillary Rates | $31.20 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Sr | $31.20 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Sr | $31.20 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Commercial | $31.20 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Commercial | $31.20 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net Community Care Commercial | $31.82 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net | $34.01 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net | $34.74 | $104.00 | $104.00 | 2026-05-09 | 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 ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Medical Acquisition Company | Medical Acquisition Company | $41.60 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Medical Acquisition Company | Medical Acquisition Company | $41.60 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Blue Cross | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Affiliated Doctors Of Orange County | Affiliated Doctors Of Orange County Ancillary | $46.80 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Affiliated Doctors Of Orange County | Affiliated Doctors Of Orange County Ancillary | $46.80 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc Hmo/Network Benefits Preferred | Uhc Hmo/Network Benefits Preferred | $52.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Arta Medicare Health Plan | Arta Medicare Health Plan | $52.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Covered California | $52.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc Hmo/Network Benefits Non Preferred | Uhc Hmo/Network Benefits Non Preferred | $52.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc West Ppo | Uhc Ppo-All Payor Appendix | $52.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Covered California | $52.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc Hmo/Network Benefits Preferred | Uhc Hmo/Network Benefits Preferred | $52.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Arta Medicare Health Plan | Arta Medicare Health Plan | $52.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc Hmo/Network Benefits Non Preferred | Uhc Hmo/Network Benefits Non Preferred | $52.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Uhc West Ppo | Uhc Ppo-All Payor Appendix | $52.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Cigna Healthcare Of California | Cigna Hmo/Ppo/Open Access/Network | $53.04 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Cigna Healthcare Of California | Cigna Hmo/Ppo/Open Access/Network | $53.04 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Non-Gatekeeper | $54.08 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Non-Gatekeeper | $54.08 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Gatekeeper | $54.08 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Gatekeeper | $54.08 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Healthcare Partners Commercial | Healthcare Partners Commercial | $56.16 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Healthcare Partners Commercial | Healthcare Partners Commercial | $56.16 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Davita Heatlhcare Partners Plan Inc | Davita Health Plan Of California, Inc Commercial | $56.16 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Huntington Memorial Hospital | Hcp/Huntington Memorial Hospital | $56.16 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Huntington Memorial Hospital | Hcp/Huntington Memorial Hospital | $56.16 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Davita Heatlhcare Partners Plan Inc | Davita Health Plan Of California, Inc Commercial | $56.16 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| PUTNAM HOSPITAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Commercial | $62.40 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Genesis Healthcare Ipa Ancillary | Genesis Healthcare Ipa Ancillary | $62.40 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Covered Ca | $62.40 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Commercial | $62.40 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Genesis Healthcare Ipa Ancillary | Genesis Healthcare Ipa Ancillary | $62.40 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Covered Ca | $62.40 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of California | Blue Cross Non-Mcs | $62.56 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of California | Blue Cross Non-Mcs | $62.56 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Scan Health Plan | Scan Healthplan Senior | $67.60 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Scan Health Plan | Scan Healthplan Senior | $67.60 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Private Healthcare Systems | Private Healthcare Systems | $72.80 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Care First | Blue Shield Promise Health Plan Senior | $72.80 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Interplan | Interplan Ppo | $72.80 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Orange County Preferred Provider Organization | Orange County Preferred Provider Organization Epo | $72.80 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Allnet Preferred Provider | Allnet Preferred Provider | $72.80 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Allnet Preferred Provider | Allnet Preferred Provider | $72.80 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Care First | Blue Shield Promise Heath Plan Commercial | $72.80 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Orange County Preferred Provider Organization | Orange County Preferred Provider Organization Epo | $72.80 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Care First | Blue Shield Promise Heath Plan Commercial | $72.80 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Interplan | Interplan Ppo | $72.80 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Private Healthcare Systems | Private Healthcare Systems | $72.80 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Affiliated Health Fund | Affiliated Health Fund | $72.80 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Hmo | $73.22 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Value Network | $74.05 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Triwest Healthcare | Government | — | — | — | 2026-04-01 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Orange County Preferred Provider Organization | Orange County Preferred Provider Organization | $78.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Capp Care | Beech St/Capp Care | $78.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Choicecare | Choicecare | $78.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Multiplan Inc | Multiplan | $78.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel Ppo | $78.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net Enhanced Ppo | $78.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Orange County Preferred Provider Organization | Orange County Preferred Provider Organization | $78.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Capp Care | Beech St/Capp Care | $78.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Multiplan Inc | Multiplan | $78.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel Ppo | $78.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel Workers Comp | $78.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel Workers Comp | $78.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $79.09 | $87.88 | $65.91 | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Health Net Enhanced Ppo | $79.87 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Ppo | $81.22 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Hmo | $81.22 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Value Network | $82.16 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | National Provider Network | National Provider Network | $83.20 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Three Rivers Providers Network | Three Rivers Providers Network | $83.20 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | National Provider Network | National Provider Network | $83.20 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Three Rivers Providers Network | Three Rivers Providers Network | $83.20 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Ppo | $83.51 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | First Health | First Health Ppo | $88.40 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | First Health | First Health Ppo | $88.40 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Health Payors Organization | Health Payors Organization | $93.60 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Health Payors Organization | Health Payors Organization | $93.60 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Onecare Connect | $104.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Tricare | Tricare | $104.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Onecare Connect | $104.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Non Contracted Commercial | Non Contracted Commercial | $104.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Tricare | Tricare | $104.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Non Contracted Commercial | Non Contracted Commercial | $104.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Sr | $104.00 | $104.00 | $104.00 | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Sr | $104.00 | $104.00 | $104.00 | 2026-05-09 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | City Of Midland Umr | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | City Of Midland Umr | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Devos Childrens Hospital - Transplant Unit OutpatientFacility | Cofinity | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN OutpatientFacility | Ambetter Health | Peach State Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER OutpatientFacility | Medcost | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | BCBS | Anthem Medicare Managed Care Plan | — | — | — | 2025-07-01 | MRF ↗ |
| NorthBay VacaValley Hospital OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST SUGARLAND HOSPITAL OutpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| Adventhealth Orlando OutpatientFacility | Aetna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH EDMONDS HOSPITAL OutpatientFacility | Blue Shield | Uniform Medical Plan Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| EXETER HOSPITAL INC OutpatientFacility | Bcbs | Anthem Nh Qhp Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER OutpatientFacility | Cigna | Individual Family Plan Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE PORTLAND MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS TYRONE OutpatientFacility | Upmc For You | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| PENN HIGHLANDS STATE COLLEGE OutpatientFacility | Upmc For You | All Plans | — | — | — | 2025-08-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL SOUTH, LLC OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE PORTLAND MEDICAL CENTER OutpatientFacility | Pacificsource | Behavioral Health Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | MEDICAL MUTUAL OF OHIO | SuperMed HMO/POS/PPO | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | MEDICAL MUTUAL OF OHIO | SuperMed HMO/POS/PPO | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 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 ↗ |
| Usc Kenneth Norris Jr Cancer Hospital OutpatientFacility | Blue Shield | Epn Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| Usc Kenneth Norris Jr Cancer Hospital OutpatientFacility | Blue Shield | Epn Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ OutpatientFacility | Ccah | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| ALTA BATES SUMMIT MEDICAL CENTER OutpatientFacility | Anthem | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Usc Kenneth Norris Jr Cancer Hospital OutpatientFacility | Gemcare Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Usc Kenneth Norris Jr Cancer Hospital OutpatientFacility | Gemcare Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Fidelis Care New York | Essential Plan Aliessa / Qhp Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 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 ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Select Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Upmc | For You Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Upmc | For You Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $2,259.54 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $2,259.54 | — | — | 2026-03-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL - SAVANNAH OutpatientFacility | Ambetter | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - FOUNTAIN VALLEY OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-ORANGE OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH-LAKEWOOD OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCI HEALTH - LOS ALAMITOS OutpatientFacility | Caloptima | Monarch 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.