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–$20,706 (25th–75th percentile) across 526 hospitals · 462 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 |
|---|---|---|---|---|---|---|---|
| ADVENTHEALTH AVISTA OutpatientFacility | Bcbs | 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 | 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 ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | BCBS - TX | PPO | $19.27 | — | — | 2026-01-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | DVACO Other Commercial Plan | $20.00 | — | — | 2025-07-01 | MRF ↗ |
| WILMINGTON VA MEDICAL CENTER OutpatientFacility | Ibc | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER OutpatientFacility | Blue Cross | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Private Healthcare Systems | Other | — | — | — | 2026-07-19 | MRF ↗ |
| NS/LIJ HS SOUTHSIDE HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PUTNAM HOSPITAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Triwest Healthcare | Government | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | 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 ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | United Healthcare | Medicaid Managed Care Plan | $130.50 | — | — | 2025-01-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | United Healthcare Select Plus | Managed Care Plan | $150.00 | — | — | 2025-11-01 | 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 ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $865.20 | $432.60 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $865.20 | $432.60 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $865.20 | $432.60 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $865.20 | $432.60 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $865.20 | $432.60 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $865.20 | $432.60 | 2026-05-13 | 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 | $275.00 | — | — | 2025-07-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | $300.00 | — | — | 2025-11-01 | MRF ↗ |
| ORLANDO HEALTH MELBOURNE HOSPITAL OutpatientFacility | Devoted Health | Medicare Managed Care Plan | $300.00 | — | — | 2025-11-01 | MRF ↗ |
| HOUSTON METHODIST SUGARLAND HOSPITAL OutpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL OutpatientFacility | Cigna | Commercial | — | — | — | 2026-07-01 | 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 ↗ |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH OutpatientFacility | Wellsense Health Plan | Medicaid 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 ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL OutpatientFacility | Employers Health Network | All Commercial Plans | $500.00 | — | — | 2025-11-01 | MRF ↗ |
| ORLANDO HEALTH MELBOURNE HOSPITAL OutpatientFacility | Employers Health Network | All Commercial Plans | $500.00 | — | — | 2025-11-01 | MRF ↗ |
| ADVENTHEALTH TAMPA OutpatientFacility | Aetna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT AUBURN HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Commonwealth Care Alliance | Managed Medicare Plan - Dual (D-Snp) | $691.03 | — | — | 2025-01-01 | MRF ↗ |
| SWEDISH EDMONDS HOSPITAL OutpatientFacility | Blue Shield | Uniform Medical Plan Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL OutpatientFacility | Simply Healthcare | Medicaid Managed Care Plan | $729.60 | — | — | 2025-11-01 | MRF ↗ |
| ORLANDO HEALTH MELBOURNE HOSPITAL OutpatientFacility | Simply Healthcare | Medicaid Managed Care Plan | $729.60 | — | — | 2025-11-01 | MRF ↗ |
| CHESAPEAKE GENERAL HOSPITAL OutpatientFacility | BCBS | Anthem PPO | — | — | — | 2026-07-01 | 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 | $853.60 | — | — | 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 ↗ |
| 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 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 | $1,887.28 | — | — | 2025-10-31 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC OutpatientFacility | Community Care | Select Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Upmc | For You Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL 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-ORANGE 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-LAKEWOOD OutpatientFacility | Caloptima | Monarch Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIN LINE HOSPITAL LANKENAU OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS BROOKVILLE OutpatientFacility | Upmc For You | All Plans | $2,610.85 | — | — | 2025-08-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $2,618.65 | — | — | 2026-03-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIDDLE MEMORIAL HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ANNA JAQUES HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | Fully Insured Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | ASO GIC Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Blue Cross | PPA | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | Fully Insured Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Tufts | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Health New England | ASO GIC Other Commercial Plan | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Blue Cross | PPA | — | — | — | 2025-10-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL OutpatientFacility | Tufts | All Commercial Plans | — | — | — | 2025-10-15 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MIDLAND MEMORIAL HOSPITAL OutpatientFacility | Bcbs Ppo | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital OutpatientFacility | Bcbs | Network Blue Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | United Healthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | United Healthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL MEDICAL CENTER OutpatientFacility | Health Plan Of San Joaquin | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST SUGARLAND HOSPITAL OutpatientFacility | Us Family Health Plan | Government | — | — | — | 2026-04-01 | MRF ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Neighborhood Health Plan - Ri | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN OutpatientFacility | Aetna | Commercial - Ppo | $3,691.55 | — | — | 2025-07-01 | MRF ↗ |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BLOUNT MEMORIAL HOSPITAL OutpatientFacility | Unitedhealthcare | Tenncare - Community Plan Medicaid Managed Care Plan | $3,976.68 | — | — | 2025-07-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | CareSource | Medicaid Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | CareSource | Medicaid Managed Care Plan | $4,093.16 | — | — | 2025-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Complete Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | BCBS | Anthem Pathway HMOX Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Employee | — | — | — | 2025-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Humana | Gold Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | BCBS | Anthem - Blue Access/Blue Preferred HMO/PPO | — | — | — | 2025-01-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Aetna | SC Preferred Other Commercial Plan | — | — | — | 2024-07-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Molina Healthcare | Exchange | — | — | — | 2024-07-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Select Health | Medicaid Managed Care Plan | $4,301.07 | — | — | 2024-07-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2024-07-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Absolute Total Care/Wellcare | Medicare Managed Care Plan | — | — | — | 2024-07-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2024-07-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | BCBS | Medicare Managed Care Plan | — | — | — | 2024-07-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2024-07-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | BCBS | Blue Preferred Exchange | — | — | — | 2024-07-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2024-07-01 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Partnership | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH TAMPA OutpatientFacility | Cigna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| BRYN MAWR HOSPITAL OutpatientFacility | Keystone First | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| SWEDISH MEDICAL CENTER OutpatientFacility | Community Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| TAMPA GENERAL HOSPITAL BROOKSVILLE OutpatientFacility | Centene/Sunshine | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALTA BATES SUMMIT MEDICAL CENTER OutpatientFacility | Alameda Alliance | Medi-Cal | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Amerihealth Ma | — | $5,055.36 | $30,569.00 | $8,959.77 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Gateway Ma | — | $5,055.36 | $30,569.00 | $8,959.77 | 2026-07-05 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL OutpatientFacility | Kaiser | HMO | — | — | — | 2025-09-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL OutpatientFacility | Kaiser | Medicare Managed Care Plan | — | — | — | 2025-09-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL OutpatientFacility | Aetna | HMO/POS | — | — | — | 2025-09-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL OutpatientFacility | BCBS | PPO | — | — | — | 2025-09-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma | — | $5,233.78 | $30,569.00 | $8,959.77 | 2026-07-05 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Peachstate | Medicaid Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | PPO | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | UnitedHealthCare | All Commercial Plans | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | HMO/POS/PPO | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | SHBP Other Commercial Plan | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | HMO/POS | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | Individual Family Plan Exchange | — | — | — | 2025-08-01 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | $5,304.19 | — | — | 2026-01-01 | MRF ↗ |
| PAOLI HOSPITAL OutpatientFacility | Blue Cross | Ibc Administrators Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Cigna | HMO/POS | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | UnitedHealthCare | HMO | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Aetna | HMO/POS | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Peach State Health Plan | Exchange | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Humana | HMO/POS | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | BCBS | PPO | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | BCBS | Blue Value Secure Medicare Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | BCBS | HMO | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | — | — | — | 2024-09-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Ma | — | $5,352.73 | $30,569.00 | $8,959.77 | 2026-07-05 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | BCBS | Medicaid Managed Care Plan | $5,412.38 | — | — | 2025-07-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | CareSource | Medicaid Managed Care Plan | $5,423.51 | — | — | 2025-01-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Medicaid Hmo | Caresource Medicaid | — | — | — | 2026-04-01 | MRF ↗ |
| CANDLER HOSPITAL OutpatientFacility | Medicaid | Medicaid Managed Care Plan | $5,531.37 | — | — | 2025-07-01 | MRF ↗ |
| BROOKWOOD BAPTIST MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Iex Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Anthem | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| STANFORD HEALTH CARE TRI-VALLEY OutpatientFacility | Alameda Alliance | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Caresource | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | $5,725.73 | — | — | 2025-07-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| CANDLER HOSPITAL OutpatientFacility | Peach State | Medicaid Managed Care Plan | $5,834.85 | — | — | 2025-07-01 | 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 ↗ |
| UCSF MEDICAL CENTER OutpatientFacility | San Francisco Health Plan | Medi-Cal Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Healthy Indiana Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Caresource | Healthy Indiana Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Highmark Medicare | — | $5,888.01 | $30,569.00 | $8,959.77 | 2026-07-05 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | UnitedHealthCare | HMO | — | — | — | 2024-09-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL OutpatientFacility | BCBS | HMO | — | — | — | 2024-09-01 | 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.