576 — Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC (OTHER 576) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/576?code_type=OTHER
MLA (9th ed.)
“SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC (OTHER 576) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/576?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC (OTHER 576) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/576?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $33,616–$66,333 (25th–75th percentile) across 531 hospitals · 1,551 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 576 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $6.72 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $6.72 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $6.72 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $6.86 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $6.92 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $7.06 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $12.06 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $12.06 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $12.06 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $13.42 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $19.81 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $20.86 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $22.59 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $23.32 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $27.81 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $29.20 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $34.76 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $34.76 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $34.76 | $34.76 | $24.69 | 2026-05-08 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Connecticut General Life Insurance Company | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | PRIVATE HEALTHCARE | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Anthem Medicaid | Mco Anthem | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Ghc Eau Claire Medicaid | Mco Ghc Eau Claire | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | United Healthcare Medicaid | Mco United Healthcare | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Il Medicaid | Mco Molina Il | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Molina Healthcare Of Wi Medicaid | Mco Molina Healthcare Of Wi | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Dean Health Plan Medicaid | Mco Deancare | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | My Choice Medicaid | Mco Hmo My Choice | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Managed Health Services Medicaid | Mco Managed Health/Network Health Plans | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Mercy Care Medicaid | Mco Mercycare | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Icare Medicaid | Mco Icare | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Community Care Medicaid | Mco Community Care Family Care | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Aetna Better Health Medicaid | Mco Aetna Better Health Il | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Meridian Medicaid | Mco Meridian Health Plan Il | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient | Chorus Community Health Plan Medicaid | Mco Chorus Community Health Plan | $93.35 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $109.67 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $109.67 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $109.67 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Essential Plan 1,2,5,6 | $109.67 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 1 & 2 | $109.67 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Essential Plan 3 & 4 | $109.67 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $109.67 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicaid | $109.67 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Essential Plan 1,2,5,6 | $109.67 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicaid | $109.67 | — | — | 2026-05-13 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $110.43 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $110.43 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $110.43 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $110.43 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $110.43 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $110.43 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Clear Alliance | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Simply Health Medicaid Advantage | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Medicaid Advantage | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Hmo | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid Advantage | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Traditional | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Florida Kid Care | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Healthy Kids | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Magellan | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Medicaid Advantage | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Lighthouse Medicaid Advantage | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Prestige Health Choice | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Youth Services | Medicaid | $122.48 | — | — | 2026-05-08 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $125.00 | — | — | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicaid | $125.35 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $125.35 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $125.35 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid | $125.35 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicaid | $125.35 | — | — | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $130.36 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Humana | Medicaid | $131.62 | — | — | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Staywell | Wellcare Medicaid | $131.62 | — | — | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Staywell | Wellcare Medicaid | $132.00 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Humana | Medicaid | $132.00 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Vivada | Medicaid | $134.00 | — | — | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Vivada | Medicaid | $134.12 | — | — | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicaid | $135.38 | — | — | 2026-05-07 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Aetna | Medicaid | $135.38 | — | — | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Aetna | Medicaid | $135.38 | — | — | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Sunshine State Health | Medicaid | $137.88 | — | — | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | $137.88 | — | — | 2026-05-07 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Sunshine State Health | Medicaid | $138.00 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Paramount Advantage Medicaid | Mco | $148.16 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Molina Medicaid | Mco | $148.16 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Humana Medicaid | Mco | $148.16 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Buckeye Community Health Plan Medicaid | Mco | $148.16 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Caresource Medicaid | Mco | $148.16 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Uhc Community Plan Medicaid | Mco | $148.16 | — | — | 2026-05-13 | MRF ↗ |
| GRAND LAKE HEALTH SYSTEM Outpatient | Amerihealth Caritas Medicaid | Mco | $148.16 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Simply | Medicaid | $150.00 | — | — | 2026-05-13 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Outpatient | Amerigroup | Medicaid | $150.00 | — | — | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $150.42 | — | — | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Outpatient | Simply | Medicaid | $150.42 | — | — | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Prestigehealth | Medicaid | $150.42 | — | — | 2026-05-07 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Caresource | Medicaid | $164.05 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Ohio Medicaid Ffs | Medicaid | $164.05 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Buckeye | Medicaid | $168.97 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $168.97 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Molina | Medicaid | $168.97 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Amerihealth Caritas | Medicaid | $170.61 | — | — | 2026-05-09 | MRF ↗ |
| EMERSON HOSPITAL - Both | Tufts Health Public Plan | Masshealth | $171.34 | — | — | 2026-05-08 | MRF ↗ |
| EMERSON HOSPITAL - Both | Medicaid | — | $171.34 | — | — | 2026-05-08 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | United Healthcare | Medicaid | $172.25 | — | — | 2026-05-09 | MRF ↗ |
| WOOD COUNTY HOSPITAL Outpatient | Humana | Medicaid | $172.25 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Lighthouse | Medicaid | $189.15 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Florida Community Care | Medicaid | $189.15 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Sunshine | Medicaid | $189.15 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Medicaid | Medicaid | $189.15 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Wellcare | Medicaid | $194.83 | — | — | 2026-05-09 | MRF ↗ |
| EMERSON HOSPITAL - Both | Wellsense | — | $205.61 | — | — | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $217.95 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Mgb | Mass Health | $220.27 | — | — | 2026-05-13 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Masshealth | — | $225.86 | — | — | 2026-05-13 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Fallon 365 / Wellforce | Medicaid | $225.86 | — | — | 2026-05-13 | MRF ↗ |
| MILFORD REGIONAL MEDICAL CENTER Outpatient | Tufts Health Together | Medicaid | $225.86 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bmc | Healthnet Plan | $232.66 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Hne | Medicaid | $232.66 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bmc | Healthnet Plan | $232.66 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Hne | Medicaid | $232.66 | — | — | 2026-05-22 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $236.55 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $247.01 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $247.01 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $261.54 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $261.54 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $261.54 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $270.26 | $290.60 | $217.95 | 2026-05-08 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Molina Healthcare Medicaid | All Plans | $292.97 | — | — | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medicaid | All Plans | $292.97 | — | — | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicaid | All Plans | $292.97 | — | — | 2026-05-06 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicaid | All Plans | $292.97 | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Medicaid | All Plans | $292.97 | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicaid | All Plans | $292.97 | — | — | 2026-05-23 | MRF ↗ |
| NORTHEAST ALABAMA REGIONAL MEDICAL CENTER Outpatient | Blue Cross Of Alabama | Commercial | $317.10 | — | — | 2026-05-08 | MRF ↗ |
| NORTHEAST ALABAMA REGIONAL MEDICAL CENTER Outpatient | Blue Cross All Kids | Medicaid | $317.10 | — | — | 2026-05-08 | MRF ↗ |
| NORTHEAST ALABAMA REGIONAL MEDICAL CENTER Outpatient | Blue Cross Pmd Rmc Employee | Commercial | $317.10 | — | — | 2026-05-08 | MRF ↗ |
| NORTHEAST ALABAMA REGIONAL MEDICAL CENTER Outpatient | Blue Cross Federal | Commercial | $317.10 | — | — | 2026-05-08 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross Lanier | Commercial | $330.01 | — | — | 2026-05-06 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | United | Medicaid | $330.78 | — | — | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | United | Medicaid | $330.78 | — | — | 2026-05-15 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Bcbs Managed Care | All Plans | $335.73 | — | — | 2026-05-06 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Bcbs Managed Care | All Plans | $335.73 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Meridian | Meridian Medicaid Managed Care Op) | $350.60 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Molina | Molina Medicaid Managed Care (Op) | $350.60 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid Managed Care (Op) | $350.60 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Meridian | Meridian Medicaid Managed Care Op) | $350.60 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Better Health Medicaid Managed Care (Op) | $350.60 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Outpatient | Molina | Molina Medicaid Managed Care (Op) | $350.60 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Commercial | $389.53 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Commercial | $389.53 | — | — | 2026-05-13 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Chorus | Medicaid | $392.88 | — | — | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Badgercare | Medicaid | $392.88 | — | — | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Chorus | Medicaid | $392.88 | — | — | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Badgercare | Medicaid | $392.88 | — | — | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Molina | Mychoice | $392.88 | — | — | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Medicaid | Medicaid | $392.88 | — | — | 2026-05-23 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Molina | Mychoice | $392.88 | — | — | 2026-05-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Medicaid | Medicaid | $392.88 | — | — | 2026-05-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Commercial | $408.40 | — | — | 2026-05-06 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Amerigroup | Medicaid | $499.02 | — | — | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Amerihealth | Alliance Medicaid | $499.02 | — | — | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Unison Healthy Families | Medicaid | $499.02 | — | — | 2026-05-23 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Outpatient | Trusted Health | Medicaid | $499.02 | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Trillium Community Health Plan | Mgd Mcd | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Silversummitt Healthplan | Medicare | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Coordinated Care | Managed Medicaid | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Western Sky Community Care | Mgd. Medicaid | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Aetna National | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Aetna Better Health Of Mi | Managed Medicaid | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Meridian Health Of Mi | Managed Medicaid | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Net Of Ca | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Sana Benefits | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Net Federal Services | Tricare | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Providence Health Plan | Managed Medicaid | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Alliance Coal Health Plan | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Prime Health Services | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Providence Health Plan | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Stratose | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Sutter Medical Foundation | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Multiplan | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Kaiser Permanente | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Blue Cross Blue Shield Of Ca | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | United Healthcare | Nat | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Anthem | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Northbay Healthcare | Medicare Advantage | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Triwest Healthcare Alliance | Triwest | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Smart | Preferred Care | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Uc Of Davis | Commercial | — | $16.38 | $16.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Ambttr Slvr Smmit Hlth Pln | Commercial | — | $16.38 | $16.38 | 2026-05-23 | 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.