Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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A2019 — Kerecis Marigen Shld Sq Cm

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $576

Usually $152–$1,420 (25th–75th percentile) across 740 hospitals · 888 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A2019 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$152 $576 typical $1,420

The middle 50% of negotiated facility rates for this procedure, measured across 740 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. $576
Surgeon (professional fee) Estimate national typical Medicare PFS $127 × 1.22 commercial. $155
Likely subtotal $732
Surgical episode (typical) ~$732

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.

After discharge
Recovery cost ~$3,785
With your recovery plan (typical) ~$4,516
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
ESSENTIA HEALTH DULUTH 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 OutpatientFacility BCBS PLUS PMAP PCC PRIME Medicaid $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 ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both BCBS [800] PHU HB UPSTATE BLUE EXCHANGE REEDY - OMH $12.12 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both BCBS [800] PHU HB BLUES EXCHANGE OCONEE $14.44 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both BLUECHOICE [810] PHU HB BLUES EXCHANGE OCONEE $14.44 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Both MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Both MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach Both MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Both MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach Both MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST Both MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Both MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST Both MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST Both MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach Both MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Both MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach Both MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Both MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Both MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Both MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Both MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Both MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach Both MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Both MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $15.55 $101.00 $31.31 2026-03-01 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Both MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach Both MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $15.55 $101.00 $31.31 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $15.55 $101.00 $31.31 2026-03-01 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Both MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Both MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Both MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST Both MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Both MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $15.55 $101.00 $31.31 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Both MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Both MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST Both MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Both MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $15.55 $101.00 $31.31 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST Both MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $15.55 $101.00 $31.31 2026-03-01 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Both MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Both MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Both MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Both MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Both MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $15.55 $101.00 $65.65 2026-03-01 MRF ↗
INTEGRIS GROVE HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $18.32 2026-04-01 MRF ↗
INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $18.32 2026-04-01 MRF ↗
INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $18.32 2026-04-01 MRF ↗
ALLIANCEHEALTH WOODWARD OutpatientFacility Healthchoice All Commercial Plans $18.32 2026-04-01 MRF ↗
INTEGRIS HEALTH PONCA CITY OutpatientFacility Healthchoice All Commercial Plans $18.32 2026-04-01 MRF ↗
INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $18.32 2026-04-01 MRF ↗
INTEGRIS MIAMI HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $18.32 2026-04-01 MRF ↗
INTEGRIS MIAMI HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $18.32 2026-04-01 MRF ↗
LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility Healthchoice All Commercial Plans $18.32 2026-04-01 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Both BCBS [800] PHU HB UPSTATE BLUE EXCHANGE REEDY - LMH $19.29 $101.00 $65.65 2026-03-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both UNLISTED MCAL HMO NON-CONTRACT [1049] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both ALTERNATE MOLINA [1240] MOLINA MEDI-CAL $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both FEDERAL PRISON [1031] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MEDICAID - OUT OF STATE [1047] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both REGAL MG 'HERITAGE PROVIDER NETWORK' [2019] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both ALTERNATE MEDI-CAL [2001] MEDI-CAL $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both SAN DIEGO COUNTY [1071] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both IMPERIAL HEALTH HOLDINGS [1132] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both STATE OF CALIFORNIA [1082] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both CAREMORE [2028] MEDI-CAL $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both BRAND NEW DAY [1089] MEDI-CAL $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both LA CARE HEALTH PLAN [2025] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both VANTAGE [1092] PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both HEMET COMMUNITY MED GRP - PROMISECARE [1040] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both SD PHYSICIANS MED GRP [1076] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both ALTERNATE MOLINA [1240] MOLINA MEDI-CAL [12400001] $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both FEDERAL PRISON [1031] FEDERAL PRISON [10310001] $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both COMMUNITY ELDERCARE [1027] MEDI-CAL $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both BLUE CROSS [1013] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both ALIGNMENT HEALTH PLAN [2020] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MEDI-CAL [1048] MEDI-CAL $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both ALAMEDA ALLIANCE FOR HEALTH [2027] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MOLINA [1055] MOLINA MEDI-CAL COMMUNITY CARE [10550015] $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both OPTUM CARE NETWORK - PRIMECARE MED GRP [1065] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both KERN HEALTH SYSTEMS [2033] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both BLUE CROSS [1013] MEDI-CAL $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both HEALTH PLAN OF SAN JOAQUIN [2032] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both XIMED [2016] MEDI-CAL $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both GOLD COAST HEALTH PLAN [2031] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both CALIFORNIA DEPARTMENT OF PUBLIC HEALTH [1237] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MOLINA [1055] MOLINA MEDI-CAL [10550002] $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MOLINA [1055] MOLINA MEDI-CAL $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both BLUE CROSS [1013] BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both BRAND NEW DAY [1089] UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE $20.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both CAL OPTIMA [1016] CalOptima Medi-Cal $20.02 $200.19 $110.10 2026-04-01 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Both BLUECHOICE [810] PHU HB BLUES EXCHANGE LAURENS $23.03 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Both BCBS [800] PHU HB BLUES EXCHANGE LAURENS $23.03 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Both PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Both PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach Both PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Both PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach Both PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Both PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST Both PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $23.43 $101.00 $31.31 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $23.43 $101.00 $31.31 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST Both PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Both PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Both PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Both PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Both PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $23.43 $101.00 $65.65 2026-03-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both UC AFF MC HUMANA GENERIC PAYOR [164027] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC ANTHEM BLUE CROSS GENERIC PAYOR [164009] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC HUMANA GENERIC PAYOR [164014] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC CIGNA HMO [164003] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both UC AFF ANTHEM/SDSM HMO [164024] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC UHC VEBA HMO [164033] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC BRAND NEW DAY HMO [164030] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC SCAN GENERIC PAYOR [164034] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC UNITED HEALTHCARE HMO [164005] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC CIGNA GENERIC PAYOR [164007] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC HEALTHNET GENERIC PAYOR [164010] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC UHC ALLIANCE HMO [164020] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC HNET BLUE&GOLD ACO [164017] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC UNITED HEALTHCARE GENERIC PAYOR [164011] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC UHC VEBA GENERIC HMO [164032] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both UC AFF HUMANA/SDSM [164025] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC HEALTHNET HMO [164004] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC UHC HARMONY HMO [164026] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC BLUE SHIELD GENERIC PAYOR [164016] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both UC AFF ANTHEM/XIMED HMO [164022] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC BRAND NEW DAY GENERIC PAYOR [164031] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC AETNA HMO [164001] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both UC AFF BLUE SHIELD SR/SDSM [164037] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC BLUE SHIELD HMO [164015] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC SCAN HMO [164035] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC ANTHEM BLUE CROSS HMO [164002] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC AETNA GENERIC PAYOR [164008] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both MC HUMANA HMO [164013] UC MANAGED CARE $24.02 $200.19 $110.10 2026-04-01 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
Prisma Health North Greenville Ltach Both MEDICAID ABSOLUTE TOTAL CARE [410] PHU HB ABSOLUTE TOTAL CARE MEDICAID - NGLTAC $30.30 $101.00 $65.65 2026-03-01 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 2024-12-08 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both PADRES [2014] GLOBAL SPORTS SERVICES PROVIDER ALLIANCE (PADRES) $32.23 $200.19 $110.10 2026-04-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both PADRES WORKERS COMPENSATION [2013] GLOBAL SPORTS SERVICES PROVIDER ALLIANCE (PADRES) $32.23 $200.19 $110.10 2026-04-01 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $35.35 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $35.35 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $35.35 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $35.35 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $35.35 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $35.35 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $35.35 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $35.35 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $35.35 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $35.35 $101.00 $31.31 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $35.35 $101.00 $65.65 2026-03-01 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $35.35 $101.00 $65.65 2026-03-01 MRF ↗
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both COMMUNITY HEALTH GROUP [1022] COMMUNITY HEALTH GROUP (MEDI-CAL) $40.04 $200.19 $110.10 2026-04-01 MRF ↗

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