97597 — Removal Of Tissue From Wound, 20.0 Sq Cm Or Less
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Removal of tissue from wound, 20.0 sq cm or less (CPT 97597) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97597?code_type=CPT
MLA (9th ed.)
“Removal of tissue from wound, 20.0 sq cm or less (CPT 97597) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97597?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Removal of tissue from wound, 20.0 sq cm or less (CPT 97597) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97597?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $131–$396 (25th–75th percentile) across 3,926 hospitals · 11,284 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 97597 — 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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$131
$234 typical
$396
The middle 50% of negotiated facility rates for this procedure, measured across 3,926 hospitals. The physician 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. | $234 |
| Physician fee Estimate national typical Medicare $31 × 1.22 commercial. | $38 |
| Likely subtotal | $272 |
Complete-episode estimate (typical)
~$272
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $131–$396.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,091.46 | $545.73 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $1,562.80 | $1,015.82 | 2025-11-26 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $1,091.46 | $545.73 | 2024-12-15 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Cigna | Cigna/Fuji | $0.03 | $316.93 | $190.16 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Cigna | Cigna Hmo Ppo Oa Netwk Pos Epo Indem | $0.03 | $316.93 | $190.16 | 2026-07-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $861.00 | $645.75 | 2026-09-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.23 | $290.00 | $217.50 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.23 | $93.00 | $69.75 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.23 | $184.00 | $138.00 | 2025-03-07 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.24 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.24 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.24 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.25 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.25 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.26 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $861.00 | $645.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.32 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.32 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $861.00 | $645.75 | 2026-09-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.34 | $65.00 | $61.75 | 2026-02-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY MCR ADV | COVENTRY MCR ADV | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY MCR ADV | COVENTRY MCR ADV | $0.52 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE MCR ADV - ALL PLANS | HUMANA CHOICE CARE MCR ADV - ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | TRICARE HNFS-ALL PLANS | TRICARE HNFS-ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-07-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE MCR ADV - ALL PLANS | HUMANA CHOICE CARE MCR ADV - ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-07-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | TRICARE HNFS-ALL PLANS | TRICARE HNFS-ALL PLANS | $0.55 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY MEDICARE ADV | COVENTRY MEDICARE ADV | $0.56 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY MEDICARE ADV | COVENTRY MEDICARE ADV | $0.56 | $1.10 | $1.10 | 2026-07-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | AMBETTER COMML EXCH-ALL PLANS | AMBETTER COMML EXCH-ALL PLANS | $0.61 | $1.10 | $1.10 | 2026-07-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | AMBETTER COMML EXCH-ALL PLANS | AMBETTER COMML EXCH-ALL PLANS | $0.61 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| PEMISCOT COUNTY MEMORIAL HOSPITAL Outpatient | Anthem Traditional | Commercial | $0.61 | $99.00 | $69.30 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $624.00 | — | 2026-07-01 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PREFERRED PHSIC | PREFERRED PHSIC | $0.66 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.82 | $748.00 | $748.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.82 | $374.00 | $374.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.82 | $748.00 | $748.00 | 2026-07-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.84 | $139.00 | $104.25 | 2026-03-26 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PREFERRED HEALTHCARE - ALL OTHER PLANS | PREFERRED HEALTHCARE - ALL OTHER PLANS | $0.89 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.94 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.94 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | AETNA HMO | AETNA HMO | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY COMM-ALL OTHER PLANS | COVENTRY COMM-ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | AETNA PPO - ALL OTHER PLANS | AETNA PPO - ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY - ALL OTHER PLANS | COVENTRY - ALL OTHER PLANS | $0.99 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY COMM-ALL OTHER PLANS | COVENTRY COMM-ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | MULTIPLAN (MPI)-ALL PLANS | MULTIPLAN (MPI)-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | AETNA/COVENTRY-ALL OTHER PLANS | AETNA/COVENTRY-ALL OTHER PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | PROVIDERS CARE (WPPA)-ALL PLANS | PROVIDERS CARE (WPPA)-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| SALINA REGIONAL HEALTH CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-01-12 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $0.99 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | COVENTRY - ALL OTHER PLANS | COVENTRY - ALL OTHER PLANS | $0.99 | $1.10 | $1.10 | 2026-07-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $1,041.00 | $780.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $865.00 | $648.75 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | $411.00 | $308.25 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $441.00 | $361.62 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $1,554.00 | $1,165.50 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $865.00 | $648.75 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | POS | — | $441.00 | $361.62 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,554.00 | $1,165.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $411.00 | $308.25 | 2026-09-01 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $684.00 | $513.00 | 2024-12-11 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $1,315.00 | $986.25 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,031.63 | $1,320.56 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $1,554.00 | $1,165.50 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $1,554.00 | $1,165.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,041.00 | $780.75 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $441.00 | $361.62 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $1,315.00 | $986.25 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $441.00 | $361.62 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $1,554.00 | $1,165.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $1,041.00 | $780.75 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE - MEDICAID | $1.00 | $411.00 | $308.25 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $339.00 | $254.25 | 2026-06-05 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $865.00 | $648.75 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,315.00 | $986.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $1,041.00 | $780.75 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $441.00 | $361.62 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $865.00 | $648.75 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICAID | $1.00 | $411.00 | $308.25 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $2,031.63 | $1,320.56 | 2025-11-26 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $951.00 | $713.25 | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $951.00 | $713.25 | 2024-12-11 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $865.00 | $648.75 | 2026-09-02 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $714.00 | $535.50 | 2024-12-11 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | $861.00 | $645.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $865.00 | $648.75 | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $861.00 | $645.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $1,315.00 | $986.25 | 2026-09-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | $714.00 | $535.50 | 2024-12-11 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,315.00 | $986.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $1.00 | $861.00 | $645.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $1,554.00 | $1,165.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.00 | $1,041.00 | $780.75 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $339.00 | $254.25 | 2026-06-05 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $865.00 | $648.75 | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,041.00 | $780.75 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $441.00 | $361.62 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $865.00 | $648.75 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $1,315.00 | $986.25 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $441.00 | $361.62 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $441.00 | $361.62 | 2025-11-26 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA BothFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE | $1.00 | $1,610.00 | $1,207.50 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $1,041.00 | $780.75 | 2026-05-20 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | $684.00 | $513.00 | 2024-12-11 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $441.00 | $361.62 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | $411.00 | $308.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $1,041.00 | $780.75 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $1,041.00 | $780.75 | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | $861.00 | $645.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $865.00 | $648.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,041.00 | $780.75 | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | $411.00 | $308.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,554.00 | $1,165.50 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $441.00 | $361.62 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $865.00 | $648.75 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $1,315.00 | $986.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $865.00 | $648.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,041.00 | $780.75 | 2026-05-20 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | PHCS PREFERRED-ALL PLANS | PHCS PREFERRED-ALL PLANS | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | AETNA/COVENTRY PPO | AETNA/COVENTRY PPO | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | PHCS PREFERRED-ALL PLANS | PHCS PREFERRED-ALL PLANS | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1.02 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $1.02 | $97.70 | $97.70 | 2026-04-24 | MRF ↗ |
| MOBRIDGE REGIONAL HOSPITAL - CAH Outpatient | SANFORD HEALTHPLAN-ALL PLANS | SANFORD HEALTHPLAN-ALL PLANS | $1.02 | $191.00 | $191.00 | 2026-07-16 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | PREFERRED HEALTHCARE-ALL PLANS | PREFERRED HEALTHCARE-ALL PLANS | $1.05 | $1.10 | $1.10 | 2026-07-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HEALTH PARTNERS OF KANSAS - ALL PLANS | HEALTH PARTNERS OF KANSAS - ALL PLANS | $1.05 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY WC | COVENTRY WC | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| WALLOWA MEMORIAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $1.05 | $259.00 | $259.00 | 2026-07-09 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $1.05 | $140.00 | $140.00 | 2026-03-09 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | HEALTH PARTNERS OF KANSAS - ALL PLANS | HEALTH PARTNERS OF KANSAS - ALL PLANS | $1.05 | $1.10 | $1.10 | 2026-07-08 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CENTURY HEALTH-ALL PLANS | CENTURY HEALTH-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | HEALTH PARTNERS -ALL PLANS | HEALTH PARTNERS -ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | CENTURY HEALTH-ALL PLANS | CENTURY HEALTH-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | WPPA-ALL PLANS | WPPA-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | PREFERRED HEALTHCARE-ALL PLANS | PREFERRED HEALTHCARE-ALL PLANS | $1.05 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | PPONEXT-ALL PLANS | PPONEXT-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | COVENTRY WC | COVENTRY WC | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | HEALTH PARTNERS -ALL PLANS | HEALTH PARTNERS -ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.05 | $86.00 | $16.34 | 2026-05-20 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.05 | $88.00 | $16.72 | 2026-01-25 | MRF ↗ |
| LINDSBORG COMMUNITY HOSPITAL Outpatient | WPPA-ALL PLANS | WPPA-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| CLOUD COUNTY HEALTH CENTER Outpatient | MPI-ALL PLANS | MPI-ALL PLANS | $1.05 | $1.10 | $0.77 | 2026-04-06 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.15 | $235.00 | $223.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.15 | $235.00 | $223.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.15 | $235.00 | $223.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.15 | $235.00 | $223.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.18 | $235.00 | $223.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.18 | $235.00 | $223.25 | 2026-02-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.22 | $235.00 | $223.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.22 | $235.00 | $223.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.27 | $235.00 | $223.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.27 | $235.00 | $223.25 | 2026-02-20 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $1.42 | $136.75 | $136.75 | 2026-04-24 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $663.00 | $331.50 | 2026-07-01 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | WPPA/PROVIDERS CARE-ALL PLANS | WPPA/PROVIDERS CARE-ALL PLANS | $1.54 | $1.10 | $1.10 | 2026-07-08 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | WPPA/PROVIDERS CARE-ALL PLANS | WPPA/PROVIDERS CARE-ALL PLANS | $1.54 | $1.10 | $1.10 | 2026-02-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.58 | $529.47 | $317.68 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $1.58 | $529.47 | $317.68 | 2025-08-11 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.76 | $477.00 | $453.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.76 | $477.00 | $453.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.76 | $477.00 | $453.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.76 | $477.00 | $453.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.76 | $477.00 | $453.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.76 | $477.00 | $453.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.81 | $477.00 | $453.15 | 2026-02-20 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $1.81 | $90.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $1.81 | $90.50 | — | 2026-03-31 | 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.