A2006 — Novosorb Synpath Per Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NOVOSORB SYNPATH PER SQ CM (HCPCS A2006) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A2006?code_type=HCPCS
MLA (9th ed.)
“NOVOSORB SYNPATH PER SQ CM (HCPCS A2006) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A2006?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“NOVOSORB SYNPATH PER SQ CM (HCPCS A2006) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A2006?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $94–$5,200 (25th–75th percentile) across 567 hospitals · 1,280 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A2006 — 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 this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$94
$1,474 typical
$5,200
The middle 50% of negotiated facility rates for this procedure, measured across 567 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,474 |
| Likely subtotal | $1,474 |
Facility charge (no separate professional fee)
$1,474
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
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 | None | — | — | $87.75 | $43.88 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $87.75 | $43.88 | 2024-12-15 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $170.72 | $110.97 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $170.72 | $110.97 | 2025-11-26 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - OMH | $4.56 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $4.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.58 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $4.58 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $4.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.58 | — | — | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE PREFERRED | $4.91 | $30.67 | $21.47 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS SELECT | $4.91 | $30.67 | $21.47 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS | $4.91 | $30.67 | $21.47 | 2026-04-01 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $5.29 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $5.29 | $66.07 | $39.64 | 2026-02-21 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB BLUES EXCHANGE OCONEE | $5.43 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BLUECHOICE [810] | PHU HB BLUES EXCHANGE OCONEE | $5.43 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Detroit Medical Center | Detroit Medical Center | $5.54 | $15.00 | $7.50 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Detroit Medical Center | Detroit Medical Center | $5.54 | $15.00 | $7.50 | 2025-12-31 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | BCBS [800] | PHM HB BLUES EXCHANGE - TUOMEY | $5.74 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | BLUECHOICE [810] | PHM HB BLUES EXCHANGE - TUOMEY | $5.74 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | PH CIGNA ALTERNATIVE | $5.74 | $30.67 | $21.47 | 2026-04-01 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | UHC | ALL PRODUCTS | $5.75 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $5.75 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $5.75 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $5.75 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| ST CLAIRE REGIONAL MEDICAL CENTER Outpatient | WELLCARE MCAID | WELLCARE MCAID | $5.75 | $25.00 | $18.75 | 2026-02-02 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $5.75 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $5.75 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $5.85 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS PPO | $5.89 | $30.67 | $21.47 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | PH BCBS PPO | $5.89 | $30.67 | $21.47 | 2026-04-01 | MRF ↗ |
| MCLAREN THUMB REGION Both | Tricare | Tricare | $5.99 | $15.00 | $7.50 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Tricare | Tricare | $5.99 | $15.00 | $7.50 | 2025-12-31 | MRF ↗ |
| ST CLAIRE REGIONAL MEDICAL CENTER Outpatient | PASSPORT MEDICAID - ALL PLANS | PASSPORT MEDICAID - ALL PLANS | $6.04 | $25.00 | $18.75 | 2026-02-02 | MRF ↗ |
| RUSH OAK PARK HOSPITAL Outpatient | CIGNA ONE HEALTH | CIGNA ONE HEALTH | $6.09 | $29.00 | $14.50 | 2026-05-13 | MRF ↗ |
| RUSH OAK PARK HOSPITAL Outpatient | CIGNA ONE HEALTH | CIGNA ONE HEALTH | $6.09 | $29.00 | $14.50 | 2026-05-13 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $6.44 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | QUEST - NON-ABD | $6.46 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | QUEST - NON-ABD | $6.46 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | NON-ABD | $6.51 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | NON-ABD | $6.51 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $6.54 | $81.80 | $49.08 | 2026-02-21 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | PH AETNA NM EMPLOYEES | $6.59 | $30.67 | $21.47 | 2026-04-01 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $6.62 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $6.62 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $6.62 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $6.62 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - NON-ABD | $6.72 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | NON-ABD | $6.72 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | ABD | $6.72 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | ALOHACARE | MEDICAID | $6.72 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $6.72 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - ADULT | $6.75 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - PEDIATRIC | $6.75 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | OHANA | ABD | $6.81 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | OHANA | QUEST - NON-ABD | $6.81 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | OHANA | QUEST - ABD | $6.81 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | OHANA | NON-ABD | $6.81 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | OHANA | QUEST - NON-ABD | $6.85 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | OHANA | NON-ABD | $6.85 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Detroit Medical Center | Detroit Medical Center | $6.90 | $18.70 | $9.35 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Detroit Medical Center | Detroit Medical Center | $6.90 | $18.70 | $9.35 | 2025-12-31 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $6.90 | $23.00 | $13.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $7.00 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $7.00 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $7.00 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $7.00 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | UHC | ALL PRODUCTS | $7.00 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $7.00 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| ST CLAIRE REGIONAL MEDICAL CENTER Outpatient | COVENTRY MEDICAID-ALL PLANS | COVENTRY MEDICAID-ALL PLANS | $7.02 | $25.00 | $18.75 | 2026-02-02 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Both | BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - LMH | $7.26 | $38.00 | $24.70 | 2026-03-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | Superior Health Plan | Medicaid | $7.27 | $66.07 | $39.64 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $7.27 | $66.07 | $39.64 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | Superior Health Plan | Medicaid | $7.27 | $66.07 | $39.64 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $7.27 | $66.07 | $39.64 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $7.27 | $66.07 | $39.64 | 2026-02-20 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK OutpatientFacility | Sanford Health Plan | SD Exchange True | $7.67 | $24.20 | $19.36 | 2026-03-04 | MRF ↗ |
| RUSH OAK PARK HOSPITAL Outpatient | BCBS EXCH/BCE | BCBS EXCH/BCE | $7.83 | $29.00 | $14.50 | 2026-05-13 | MRF ↗ |
| RUSH OAK PARK HOSPITAL Outpatient | BCBS EXCH/BCE | BCBS EXCH/BCE | $7.83 | $29.00 | $14.50 | 2026-05-13 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | QUEST - NON-ABD | $7.87 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | QUEST - NON-ABD | $7.87 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| SAINT LUKE'S EAST HOSPITAL Both | COMMERCIAL-CONTRACTED [8000] | MEDICA EXCHANGE [80075] | $7.88 | $31.50 | $18.90 | 2025-12-31 | MRF ↗ |
| St Luke's Hospital Of Kansas City Both | COMMERCIAL-CONTRACTED [8000] | MEDICA EXCHANGE [80075] | $7.88 | $31.50 | $18.90 | 2025-12-31 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | NON-ABD | $7.92 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | OHANA | NON-ABD | $7.92 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $7.93 | $66.07 | $39.64 | 2026-02-19 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $8.06 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $8.06 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $8.06 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $8.06 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $8.16 | $66.07 | $39.64 | 2026-02-21 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | ALOHACARE | MEDICAID | $8.18 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $8.18 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - NON-ABD | $8.18 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | ABD | $8.18 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | NON-ABD | $8.18 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - PEDIATRIC | $8.21 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | NON-ABD - ADULT | $8.21 | $28.00 | $16.80 | 2026-02-12 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD [4000] | BC OUT OF AREA BLUE SELECT PLUS [40032] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | MEDICAID MANAGED CARE (KS) [2252] | SUNFLOWER STATE HEALTH [22505] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | MEDICAID MANAGED CARE (KS) [2252] | SUNFLOWER BEHAVIORAL HEALTH [22503] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | MEDICAID MANAGED CARE (KS) [2252] | UHC COMMUNITY PLAN OF KS [22508] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | MEDICAID MANAGED CARE (KS) [2252] | HEALTHY BLUE KANSAS [22577] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Outpatient | MEDICAID MANAGED CARE (KS) [2252] | AETNA BETTER HEALTH OF KANSAS [22571] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | MEDICAID MANAGED CARE (KS) [2252] | AETNA BETTER HEALTH OF KANSAS [22571] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Outpatient | MEDICAID MANAGED CARE (KS) [2252] | UHC COMMUNITY PLAN OF KS [22508] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | AETNA [5000] | AETNA I35 MERITAIN NAP [50018] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | AETNA [5000] | AETNA CARELINK EXCHANGE [50016] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | AETNA [5000] | AETNA INDEMNITY [50009] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | AETNA [5000] | AETNA SIGNATURES LUMINARE POB 2920 [50000] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | AETNA [5000] | AETNA MERITAIN LOCAL [50015] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | AETNA [5000] | AETNA LOCAL [50005] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | AETNA [5000] | AETNA SIGNATURES LUMINARE POB 2905 [50002] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | AETNA [5000] | AETNA NAP [50014] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | AETNA [5000] | AETNA SIGNATURE MISC PPO [50010] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Outpatient | UNITED HEALTHCARE [3000] | UHC CORE ESSENTIAL [30018] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | AETNA [5000] | AETNA NATIONAL [50006] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD [4000] | BC OUT OF AREA HPN [40034] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD [4000] | BC OUT OF AREA PREF CARE [40010] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD [4000] | BC OUT OF AREA PREF CARE BLUE PPO [40011] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Inpatient | AETNA [5000] | AETNA MERITAIN NATIONAL [50001] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Outpatient | MEDICAID MANAGED CARE (KS) [2252] | SUNFLOWER STATE HEALTH [22505] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Outpatient | MEDICAID MANAGED CARE (KS) [2252] | SUNFLOWER BEHAVIORAL HEALTH [22503] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Outpatient | MEDICAID MANAGED CARE (KS) [2252] | HEALTHY BLUE KANSAS [22577] | — | $37.50 | $22.50 | 2025-12-01 | MRF ↗ |
| SAINT LUKES NORTH HOSPITAL Both | MEDICAID MANAGED CARE (MO) [2250] | HOME STATE BEHAVIORAL HEALTH [22504] | $8.25 | $37.50 | $22.50 | 2025-12-31 | 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.