56405 — Hc I&d Vulva/perineal Abscess
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC I&D VULVA/PERINEAL ABSCESS (CPT 56405) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/56405?code_type=CPT
MLA (9th ed.)
“HC I&D VULVA/PERINEAL ABSCESS (CPT 56405) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/56405?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HC I&D VULVA/PERINEAL ABSCESS (CPT 56405) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/56405?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $277–$755 (25th–75th percentile) across 2,716 hospitals · 9,336 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 56405 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$277
$420 typical
$755
The middle 50% of negotiated facility rates for this procedure, measured across 2,716 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $420 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $117 × 1.22 commercial. | $143 |
| Likely subtotal | $562 |
Surgical episode (typical)
~$562
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,347
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $1,850.78 | $1,203.01 | 2025-11-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.39 | $184.00 | $138.00 | 2026-03-26 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.81 | $220.00 | $209.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.81 | $220.00 | $209.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.84 | $220.00 | $209.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.88 | $220.00 | $209.00 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $3,133.00 | $2,569.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $3,133.00 | $2,569.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $3,133.00 | $2,569.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $3,133.00 | $2,569.06 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $2,405.99 | $1,563.89 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $3,133.00 | $2,569.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $3,133.00 | $2,569.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $3,133.00 | $2,569.06 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,405.99 | $1,563.89 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,133.00 | $2,569.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $3,133.00 | $2,569.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $3,133.00 | $2,569.06 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.06 | $220.00 | $209.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.06 | $220.00 | $209.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.08 | $220.00 | $209.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.08 | $220.00 | $209.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.08 | $220.00 | $209.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.08 | $220.00 | $209.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.10 | $220.00 | $209.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.19 | $220.00 | $209.00 | 2026-02-20 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Outpatient | Blue Cross Blue Shield Of Mn | Default | $1.52 | $2.06 | $2.06 | 2026-05-06 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Outpatient | Medica | Default | $1.53 | $2.06 | $2.06 | 2026-05-06 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Outpatient | Healthpartners | Default | $1.84 | $2.06 | $2.06 | 2026-05-06 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $2.09 | $248.00 | $186.00 | 2025-03-07 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.80 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.82 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.82 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $3.21 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $3.23 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $3.23 | — | — | 2026-03-18 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $3.43 | $210.00 | $210.00 | 2026-03-09 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.43 | $329.00 | $62.51 | 2026-01-25 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE CROSS COMM-ALL OTHER PLANS | BLUE CROSS COMM-ALL OTHER PLANS | $3.44 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.50 | — | — | 2026-03-18 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.51 | $337.05 | $337.05 | 2026-04-24 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | PROMINENCE HEALTHFIRST - ALL PLANS | PROMINENCE HEALTHFIRST - ALL PLANS | $3.52 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.52 | — | — | 2026-03-18 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PROMINENCE HEALTHFIRST - ALL PLANS | PROMINENCE HEALTHFIRST - ALL PLANS | $3.52 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $3.52 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $3.52 | — | — | 2026-03-18 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $3.52 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PHCS MUTLIPLAN-ALL PLANS | PHCS MUTLIPLAN-ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | PHCS - ALL PLANS | PHCS - ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | GREAT WEST/ONE HEALTH - ALL PLANS | GREAT WEST/ONE HEALTH - ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | UHC COMM-ALL PLANS | UHC COMM-ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | ADMAR MULTIPLAN - ALL PLANS | ADMAR MULTIPLAN - ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | HUMANA/CHOICECARE - ALL PLANS | HUMANA/CHOICECARE - ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | INTERPLAN-ALL PLANS | INTERPLAN-ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | ADMAR MULTIPLAN-ALL PLANS | ADMAR MULTIPLAN-ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | HOMETOWN HP-ALL PLANS | HOMETOWN HP-ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | HOMETOWN HP - ALL PLANS | HOMETOWN HP - ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | GREAT WEST/ONE HEALTH-ALL PLANS | GREAT WEST/ONE HEALTH-ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | HUMANA/CHOICECARE - ALL PLANS | HUMANA/CHOICECARE - ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | UHC COMM - ALL PLANS | UHC COMM - ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | BCBS OF NV - ALL PLANS | BCBS OF NV - ALL PLANS | $3.60 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CIGNA MCC-ALL PLANS | CIGNA MCC-ALL PLANS | $3.68 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | CIGNA MCC - ALL PLANS | CIGNA MCC - ALL PLANS | $3.68 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $3.77 | $283.00 | $183.95 | 2026-05-07 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | UHN - ALL PLANS | UHN - ALL PLANS | $3.80 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | BEECH STREET/CAPP CARE - ALL PLANS | BEECH STREET/CAPP CARE - ALL PLANS | $3.80 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | HEALTHNET - ALL PLANS | HEALTHNET - ALL PLANS | $3.80 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | UNIVERSAL HEALTH NETWORK -ALL PLANS | UNIVERSAL HEALTH NETWORK -ALL PLANS | $3.80 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | HEALTHNET-ALL PLANS | HEALTHNET-ALL PLANS | $3.80 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BLUE SHIELD COMM-ALL PLANS | BLUE SHIELD COMM-ALL PLANS | $3.80 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | BEECH STREET/CAPP CARE-ALL PLANS | BEECH STREET/CAPP CARE-ALL PLANS | $3.80 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | SIERRA HEALTH - ALL PLANS | SIERRA HEALTH - ALL PLANS | $3.88 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | SIERRA HEALTH-ALL PLANS | SIERRA HEALTH-ALL PLANS | $3.88 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | MEDI-CAL | MEDI-CAL | $4.00 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | CA HEALTH AND WELLNESS-ALL PLANS | CA HEALTH AND WELLNESS-ALL PLANS | $4.00 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| TAHOE FOREST HOSPITAL Outpatient | PARTNERSHIP HEALTH PLAN- ALL PLANS | PARTNERSHIP HEALTH PLAN- ALL PLANS | $4.00 | $4.00 | $4.00 | 2025-10-04 | MRF ↗ |
| INCLINE VILLAGE COMMUNITY HOSPITAL Outpatient | CA HLTH AND WELLNESS - ALL PLANS | CA HLTH AND WELLNESS - ALL PLANS | $4.08 | $4.00 | $4.00 | 2025-09-04 | MRF ↗ |
| CHEYENNE COUNTY HOSPITAL Outpatient | AETNA COVENTRY - ALL OTHER PLANS | AETNA COVENTRY - ALL OTHER PLANS | $4.12 | $180.50 | — | 2026-03-02 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $4.34 | $488.00 | $180.56 | 2026-03-31 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | MULTIPLAN | MULTIPLAN | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE | HEALTH ALLIANCE HMO & PPO | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA COMMERCIAL HMO, PPO, POS, EPO | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE HMO & PPO | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | MOLINA | MOLINA DUAL OPTIONS (MMAI) | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BLUE CROSS COMMUNITY (MMAI) | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH LINK | HEALTH LINK ALL PPO | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | CIGNA | CIGNA HMO & PPO PLANS | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA GOLD INTEGRATED PLUS (MMAI) | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH SMART | HEALTH SMART | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS TRADITIONAL | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HUMANA | HUMANA MEDICARE ADVANTAGE | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE | UNITED HEALTHCARE VA COMMUNITY CARE NETWORK | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | SIHO | SIHO COMMERCIAL PPO | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS BLUE CHOICE | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE | HEALTH ALLIANCE MEDICARE ADVANTAGE | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | SIHO | SIHO MEDICARE ADVANTAGE | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS PPO | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | ZELIS | ZELIS | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | BLUE CROSS | BCBS ILLINOIS MEDICARE ADVANTAGE | — | $13.20 | $5.71 | 2025-02-07 | MRF ↗ |
| Wise Health System Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY GREEN OAKS HOSPITAL Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | Humana | COMM | $4.79 | $1,137.05 | $1,137.05 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Humana | COMM | $4.79 | — | — | 2026-03-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $5.15 | $495.05 | $495.05 | 2026-04-24 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | Medicare | HMO | $5.41 | $13.20 | $9.90 | 2026-03-10 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL UNITED HEALTHCARE LABS [106809] | $5.56 | $16,427.14 | $16,427.14 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL UNITED HEALTHCARE CARE [300609] | $5.56 | $16,427.14 | $16,427.14 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL UNITED HEALTHCARE CARE [700909] | $5.56 | $16,427.14 | $16,427.14 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL AETNA BETTER HEALTH MEDICAID [300612] | $6.25 | $16,427.14 | $16,427.14 | 2026-03-23 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $6.86 | $762.00 | $762.00 | 2026-02-13 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $7.12 | $356.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $7.12 | $356.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $7.12 | $356.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $7.12 | $356.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $7.12 | $356.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $7.12 | $356.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $7.12 | $356.00 | — | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $7.24 | $2,086.42 | $834.57 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $7.24 | $2,086.42 | $834.57 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $7.24 | $2,086.42 | $834.57 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $7.24 | $2,086.42 | $834.57 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $7.24 | $2,086.42 | $834.57 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $7.24 | $2,086.42 | $834.57 | 2026-03-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL PRIORITY HEALTH PLAN [106814] | $7.28 | $16,427.14 | $16,427.14 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL CIGNA PRIORITY HEALTH [106826] | $7.28 | $16,427.14 | $16,427.14 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL LABS [1068] | JVHL HUMANA LABS [106813] | $7.94 | $16,427.14 | $16,427.14 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICARE LABS [7009] | JVHL HUMANA CARE LABS [700905] | $7.94 | $16,427.14 | $16,427.14 | 2026-03-23 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $8.26 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $8.26 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $8.26 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $8.26 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $8.26 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $8.26 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $8.26 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $8.26 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $8.26 | — | — | 2026-04-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $8.59 | $429.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $8.59 | $429.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $8.59 | $429.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $8.59 | $429.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $8.59 | $429.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $8.59 | $429.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $8.59 | $429.50 | — | 2026-03-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Outpatient | JVHL MEDICAID LABS [3006] | JVHL MERIDIAN CAID [300605] | $8.67 | $16,427.14 | $16,427.14 | 2026-03-23 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $8.74 | $437.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $9.96 | $498.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $9.96 | $498.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $9.96 | $498.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $9.96 | $498.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $9.96 | $498.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $9.96 | $498.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $9.96 | $498.00 | — | 2026-03-31 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $10.06 | $9,911.68 | $6,164.48 | 2025-12-19 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $10.40 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $10.40 | — | — | 2026-04-14 | 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.