C5271 — Low Cost Skin Substitute App
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Low cost skin substitute app (OTHER C5271) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C5271?code_type=OTHER
MLA (9th ed.)
“Low cost skin substitute app (OTHER C5271) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C5271?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Low cost skin substitute app (OTHER C5271) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C5271?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $614–$2,146 (25th–75th percentile) across 152 hospitals · 533 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER C5271 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $18.72 | $3,338.00 | $3,338.00 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $18.72 | $3,338.00 | $3,338.00 | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $29.50 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $29.50 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $37.43 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $37.43 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $37.43 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage - Dhp | $37.43 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $37.43 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $37.43 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $37.43 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $37.43 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $53.44 | $1,664.36 | $848.82 | 2025-01-10 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $64.29 | $1,664.36 | $599.17 | 2026-01-01 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Humana Choice Care | Medicare Ppo Hmo Pos Pffs | $74.75 | $2,286.00 | — | 2026-05-14 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Cross | Medicare Replacement | $74.75 | $2,286.00 | — | 2026-05-23 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Humana Choice Care | Medicare Ppo Hmo Pos Pffs | $74.75 | $2,286.00 | — | 2026-05-23 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Cross | Medicare Replacement | $74.75 | $2,286.00 | — | 2026-05-14 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $75.62 | $1,664.36 | $599.17 | 2026-01-01 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Standard_Charge |Blue_Shield|65_Plus_Medicare_Advantage|Negotiated_Percentage | — | $77.80 | $2,286.00 | $2,286.00 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Medicare Advantage | $85.38 | — | — | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Shield | Senior Blue Medicare Advantage | $85.38 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Medicare Advantage | $85.38 | — | — | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Blue Shield | Medicare Advantage | $85.38 | — | — | 2026-05-09 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $2,286.00 | $2,286.00 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Ppo|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $2,286.00 | $2,286.00 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Hmo|Medicare_Advantage|Negotiated_Percentage | — | $90.00 | $2,286.00 | $2,286.00 | 2026-05-17 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Commercial | $99.10 | — | — | 2026-05-23 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Shield | Indemnity Commercial | $99.10 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | Blue Shield | Commercial | $99.10 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Shield | Commercial | $99.10 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Commercial | $99.10 | — | — | 2026-05-14 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Uhc | Ppo | $132.00 | — | — | 2026-05-17 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | First Health Ccn | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Health Alliance Plan Medicare | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Platform Health Insurance | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Multiplan | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Mclaren Health Healthy Michigan Planmclaren Health Medicaid Hmomclaren Health Mi Child | Hmo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Cigna | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Connectcare Nw | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Priority Health Ppo | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Php Ip | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Priority Health Hmo | Hmo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Humana Choice Ppo Medicare Advantagehumana Medicare Advantage | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | United | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Automated Benefits | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Aetna Dow | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Connectcare Mmh | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Php Op | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Mclaren Health Hmo Op | Hmo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Aetna Medicare Advantage Blue Care Network Medicare Advantage Blue Shield Medicare Advantage Champ Va Highmark Advantage Mclaren Medicare Advantage Meridian Medicare Advantage Pace Plus Blue Medicare Advantage Priority Health Medicare Advantage Priority Health Medicare Advantage Hmo United Health Medicare Advantage Va Choice Triwest Veterans Choice | Hmo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Mclaren Health Hmo Ip | Hmo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Asr Hap Ppo | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Cofinity Ppom | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Aetna All Other | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Employee Benefit Logistics | Ppo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Blue Cross Blue Shield Completecaresource Michigan Medicaidmeridian Health Healthy Michigan Planmeridian Health Medicaid Hmomeridian Health Mi Childmeridian Health Plan | Hmo | — | $1,949.00 | $1,169.40 | 2026-05-06 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Ppo Hmo | — | $260.00 | $195.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Ppo Hmo | — | $260.00 | $195.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Ppo Hmo | — | $260.00 | $195.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Multiplan | Ppo Hmo | — | $260.00 | $195.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Kansas City | Ppo Hmo | — | $260.00 | $195.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Ppo Hmo | — | $260.00 | $195.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Ppo | — | $260.00 | $195.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Hmo | — | $260.00 | $195.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Ppo Hmo | — | $260.00 | $195.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Ppo Hmo | — | $260.00 | $195.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Hmo | — | $260.00 | $195.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Kansas City | Ppo Hmo | — | $260.00 | $195.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Ppo Hmo | — | $260.00 | $195.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Ppo Hmo | — | $260.00 | $195.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Multiplan | Ppo Hmo | — | $260.00 | $195.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Ppo | — | $260.00 | $195.00 | 2026-05-21 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv Aetna | All Plans | $160.61 | $1,664.36 | $848.82 | 2025-01-10 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $161.65 | $2,041.00 | $1,530.75 | 2026-05-13 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | TRPN | All Plans | $166.44 | $1,664.36 | $848.82 | 2025-01-10 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Superior | Medicaid | $168.18 | $2,041.00 | $1,530.75 | 2026-05-13 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv Aetna | All Plans | $178.05 | $1,664.36 | $981.97 | 2025-01-10 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | United Mco | All Plans | $178.14 | $937.59 | $609.43 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Wellcare Mco | All Plans | $178.14 | $937.59 | $609.43 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Passport Molina Mco | All Plans | $178.14 | $937.59 | $609.43 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Aetna Better Health Mco | All Plans | $178.14 | $937.59 | $609.43 | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $179.45 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $179.45 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $179.89 | — | — | 2026-05-09 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $185.12 | $2,041.00 | $1,530.75 | 2026-05-13 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Anthem | All Plans | $203.41 | $1,664.36 | $599.17 | 2026-01-01 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Driscoll | Medicaid | $209.19 | $1,354.00 | $541.60 | 2026-05-23 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Driscoll | Medicaid | $209.19 | $1,354.00 | $541.60 | 2026-05-14 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | United Healthcare | Medicaid | $213.25 | $1,354.00 | $541.60 | 2026-05-23 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Molina | Medicaid | $213.25 | $1,354.00 | $541.60 | 2026-05-23 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Molina | Medicaid | $213.25 | $1,354.00 | $541.60 | 2026-05-14 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | United Healthcare | Medicaid | $213.25 | $1,354.00 | $541.60 | 2026-05-14 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - WellCare | All Plans | $217.92 | $1,664.36 | $599.17 | 2026-01-01 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Medcost | Managed Care | $220.23 | $670.00 | $268.00 | 2026-05-06 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Triwest Military � Tricare - Behavioral Health | All Payor | $220.37 | $2,258.00 | $519.34 | 2026-05-27 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv Anthem | All Plans | $221.11 | $1,664.36 | $848.82 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv UHC | All Plans | $222.90 | $1,664.36 | $848.82 | 2025-01-10 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Qualcare | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Workers Comp | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Pnoa | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Galaxy | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Chn | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Three Rivers | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Phcs | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Pnoa | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Multiplan | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $227.39 | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Brighton | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Amerihealth | Local Value | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Contigo Health | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Amerihealth | Casualty | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | First Health | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Brighton | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | First Mco | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Wellpoint | Medicaid | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Fidelis | Medicaid | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | United Community | Medicaid | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Community | Medicaid | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Geisinger | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Chn | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Amerihealth | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | United Community | Medicaid | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Better Health | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Prime Health | Ppo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Amerihealth | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Fidelis | Medicaid | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Amerihealth | Local Value | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Geisinger | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Multiplan | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Three Rivers | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Amerihealth | Casualty | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Phcs | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Phcs | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $227.39 | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $227.39 | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Local Value | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Multiplan | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Casualty | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Prime Health | Ppo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Whole Health | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | First Health | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Three Rivers | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Workers Comp | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Better Health | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Contigo Health | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Brighton | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Geisinger | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Wellpoint | Medicaid | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Pnoa | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Fidelis | Medicaid | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Qualcare | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Prime Health | Ppo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Aetna | First Health | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Chn | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Aetna | Better Health | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Whole Health | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | United Community | Medicaid | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Fidelis | Medicaid | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Galaxy | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $2,909.00 | $290.90 | 2026-05-09 | 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.