C5273 — Low Cost Skin Substitute App
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Low cost skin substitute app (CPT C5273) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C5273?code_type=CPT
MLA (9th ed.)
“Low cost skin substitute app (CPT C5273) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C5273?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Low cost skin substitute app (CPT C5273) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C5273?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,755–$3,954 (25th–75th percentile) across 1,442 hospitals · 3,175 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS C5273 — 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 |
|---|---|---|---|---|---|---|---|
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | $6,695.00 | $1,981.72 | 2026-02-28 | MRF ↗ |
| HILO BENIOFF MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Medicaid | $1.00 | — | — | 2026-06-15 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CARE NETWORK | 1143_SJPK BLUE CROSS BLUE SHIELD BCN 20220401 | $3.08 | $7,749.00 | $4,339.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS TRADITIONAL | 1147_SJPK BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $3.08 | $7,749.00 | $4,339.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS PPO | 1145_SJPK BLUE CROSS BLUE SHIELD PPO 20220401 | $3.08 | $7,749.00 | $4,339.44 | 2026-01-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.91 | $6,061.00 | $1,894.86 | 2024-12-31 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS TRADITIONAL | 1135_SJPR BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $12.02 | $7,749.00 | $4,339.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BLUE CROSS PPO | 1137_SJPR BLUE CROSS BLUE SHIELD PPO 20220401 | $12.02 | $7,749.00 | $4,339.44 | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | BCN LOCAL NETWORK SOUTHEAST | 1131_SJPR BLUE CROSS BLUE SHIELD BCN LOCAL NETWORK SE 20220401 | $12.02 | $7,749.00 | $4,339.44 | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | 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 ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $35.59 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $35.81 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $35.81 | — | — | 2026-03-18 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $3,863.00 | $2,897.25 | 2026-02-25 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $40.78 | — | — | 2026-03-18 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | United Healthcare | Medicaid | $40.87 | $516.00 | $206.40 | 2026-05-08 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $41.04 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $41.04 | — | — | 2026-03-18 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Cigna | Medicaid | $42.11 | $516.00 | $206.40 | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Driscoll | Medicaid | $42.11 | $516.00 | $206.40 | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Molina | Medicaid | $42.93 | $516.00 | $206.40 | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Superior | Medicaid | $42.93 | $516.00 | $206.40 | 2026-05-08 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $44.41 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $44.69 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $44.69 | — | — | 2026-03-18 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $46.00 | $453.00 | $226.00 | 2025-02-03 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Both | HORIZON NJ HEALTH [5021] | CSMC HORIZON NJ HEALTH | $49.15 | $3,390.00 | $3,390.00 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CSMC HORIZON NJ HEALTH | $49.15 | $3,390.00 | $3,390.00 | 2026-01-01 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CHDP | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Tulare | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Merced | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Kings | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Genetically Handicapped Person | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic CCS Other Counties | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Kings | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CHDP | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Kings | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Gold Coast Medi-cal | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Merced | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Cencal Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Tulare | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Tulare | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Kern | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Molina | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Shield | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Fresno | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CHDP | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Blue Shield | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Kern | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal California Health & Wellness Plan | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Contra Costa Health Plan | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Stanislaus | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Merced | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Merced | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Health Plan of San Mateo | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Fresno | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal LA Care Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Kern | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Tulare | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Kings | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Kern Family Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | CCS Mariposa | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | CCS Madera/Sacramento | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Sante - Blue Cross | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | San Francisco Health Plan Medi-Cal | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Generic Care Out of County | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Premier Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Santa Clara Family Health Plan - Valley Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Blue Shield Promise Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Medi-Cal Alameda Alliance for Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Community Health Group | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Inland Empire Health | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Medi-Cal Partnership Health Plan of CA | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Fresno County Funded Specialty Care | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | CCS Fresno | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | CCS Fresno | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Cal Caloptima | Managed Medi-Cal | $50.00 | $6,726.00 | $5,380.80 | 2025-03-13 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $50.02 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $50.02 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $50.02 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTHCARE Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $50.50 | $611.30 | $489.04 | 2026-05-04 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $51.00 | $453.00 | $226.00 | 2025-02-03 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Centerlight | PACE | $60.00 | $120.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Centerlight | PACE | $60.00 | $120.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Centerlight | PACE | $60.00 | $120.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Centerlight | PACE | $60.00 | $120.00 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Centerlight | PACE | $60.00 | $120.00 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Centerlight | PACE | $60.00 | $120.00 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Centerlight | PACE | $60.00 | $120.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Centerlight | PACE | $60.00 | $120.00 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Centerlight | PACE | $60.00 | $120.00 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Centerlight | PACE | $60.00 | $120.00 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Centerlight | PACE | $60.00 | $120.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Centerlight | PACE | $60.00 | $120.00 | — | 2025-09-05 | 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.