C5274 — Low Cost Skin Substitute App
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Low cost skin substitute app (HCPCS C5274) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C5274?code_type=HCPCS
MLA (9th ed.)
“Low cost skin substitute app (HCPCS C5274) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C5274?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Low cost skin substitute app (HCPCS C5274) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C5274?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $719–$2,416 (25th–75th percentile) across 1,134 hospitals · 2,378 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS C5274 — 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 |
|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | 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 | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | BCBSM/BCN | PPO/HMO | $0.03 | — | — | 2025-06-28 | MRF ↗ |
| MEMORIAL HEALTHCARE OutpatientFacility | Bcbs | Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Bcbs | Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE 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 STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Bcbs | Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $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 ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $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 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 ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | Bcbs | Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN 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 PPO - OPEN ACCESS [1035] | $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 ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Healthy Blue | $0.25 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL OutpatientFacility | Tricare/Trillium | Managed Medicaid | $0.25 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL OutpatientFacility | Caroline Complete Health | Managed Medicaid | $0.25 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL OutpatientFacility | AmeriHealth | Managed Medicaid | $0.25 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL OutpatientFacility | WellCare | Managed Medicaid | $0.25 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $0.25 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL OutpatientFacility | Alliance Health | Managed Medicaid | $0.25 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Ambetter | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Tricare/Humana Military | Commercial | — | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Veterans Affairs Community Care Network (VACCN) | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Value | $0.51 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Commercial | $0.79 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Caroline Complete Health | Managed Medicaid | $0.80 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Alliance Health | Managed Medicaid | $0.80 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | AmeriHealth | Managed Medicaid | $0.80 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Healthy Blue | $0.80 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | WellCare | Managed Medicaid | $0.80 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Tricare/Trillium | Managed Medicaid | $0.80 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $0.80 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Medcost | Commercial | $0.82 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | WellPath | Commercial | $0.87 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | Cigna | Commercial | $0.87 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL OutpatientFacility | Aetna | Commercial | $0.87 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Commercial | $0.87 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| ONSLOW MEMORIAL HOSPITAL InpatientFacility | MPI/Multiplan | Commercial | $0.90 | $1.00 | $1.00 | 2026-04-28 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | America's PPO | HealthEz - America's PPO | — | $1,701.00 | $1,139.67 | 2024-12-10 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | Cigna APWU | — | $1,701.00 | $1,139.67 | 2024-12-10 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial | — | $1,701.00 | $1,139.67 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners Community Health Plan | — | $1,701.00 | $1,139.67 | 2024-12-10 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica Commercial | — | $1,701.00 | $1,139.67 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners Commercial | — | $1,701.00 | $1,139.67 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Sanford | Sanford Health Plan | — | $1,701.00 | $1,139.67 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica IFB | — | $1,701.00 | $1,139.67 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica Community Health Plan | — | $1,701.00 | $1,139.67 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners MSHO HMO | — | $1,701.00 | $1,139.67 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Optum | UBH Optum | — | $1,701.00 | $1,139.67 | 2024-12-10 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | VA CCN Optum | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana Military | Tricare West | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Healthy Blue | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Amerihealth | Caritas | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | BCBS of Louisiana | Blue Advantage HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | HMOPPOPOS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Gilsbar | 360 Alliance PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | POS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Gold Medicare | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | Dual Managed MedicareMedicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Louisiana Health Care Connections | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| ST BERNARD PARISH HOSPITAL Outpatient | None | — | — | — | — | 2026-04-01 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Commercial | $1.59 | — | — | 2026-03-18 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $3.50 | — | — | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MYBLUE HEALTH | $3.50 | — | — | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $3.99 | — | — | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $4.15 | — | — | 2026-04-15 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BAV | $4.41 | — | — | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BAV | $4.41 | — | — | 2026-04-14 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $4.44 | — | — | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | $4.62 | — | — | 2026-04-15 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL INDEMNITY HOUSTON | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| SUGAR LAND SURGICAL HOSPITAL LLP OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL INDEMNITY HOUSTON | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PPO | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $6.93 | — | — | 2026-04-14 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CSMC HORIZON NJ HEALTH | $10.67 | $512.00 | $512.00 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Both | HORIZON NJ HEALTH [5021] | CSMC HORIZON NJ HEALTH | $10.67 | $512.00 | $512.00 | 2026-04-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $10.86 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $10.86 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $10.86 | — | — | 2026-03-18 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.91 | $6,061.00 | — | 2024-12-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA OutpatientFacility | Superior Health Plan | Medicaid | $11.99 | $66.62 | $39.97 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE OutpatientFacility | Superior Health Plan | Medicaid | $11.99 | $66.62 | $39.97 | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $12.00 | $99.98 | $59.99 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $12.35 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Phcs | Phcs | — | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Aetna | Aetna Ri Preferred (New Business) | — | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Aetna | Aetna | — | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Cigna | Cigna | — | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Managed Medicaid | Managed Medicaid (30% Poc) | — | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Usa | Usa | — | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Three Rivers | Three Rivers | — | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Nhp | Nhp Medicaid | — | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Tufts | Tufts Carelink | — | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Harvard Pilgrim | Harvard Pilgrim | — | $43.00 | $25.80 | 2026-05-14 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | TriWest | Community Care Network | $13.00 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $13.00 | $102.00 | $51.00 | 2025-02-03 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $13.29 | $66.62 | $39.97 | 2026-02-24 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Superior Health Plan | Medicaid | $13.32 | $66.62 | $39.97 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK OutpatientFacility | Superior Health Plan | Medicaid | $13.32 | $66.62 | $39.97 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Prime Health Services | Worker's Compensation | $13.62 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | CORVEL | Worker's Compensation | $13.62 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | American Health Plan | Medicare Advantage | $13.65 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | ProCare Advantage | Medicare Advantage | $13.65 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $13.65 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | HealthSpring | Medicare Advantage | $13.65 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Superior Health Plan | Medicare HMO/Medicare PPO | $13.65 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | TriWest | Community Care Network | $13.99 | $66.62 | $39.97 | 2026-02-24 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $14.00 | $102.00 | $51.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $14.00 | $102.00 | $51.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $14.00 | $102.00 | $51.00 | 2025-02-03 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $14.39 | $1,629.00 | $275.30 | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $14.39 | $1,691.00 | $360.69 | 2026-03-04 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | CORVEL | Worker's Compensation | $14.66 | $66.62 | $39.97 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Prime Health Services | Worker's Compensation | $14.66 | $66.62 | $39.97 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | HealthSpring | Medicare Advantage | $14.69 | $66.62 | $39.97 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $14.69 | $66.62 | $39.97 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | Superior Health Plan | Medicare HMO/Medicare PPO | $14.69 | $66.62 | $39.97 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | ProCare Advantage | Medicare Advantage | $14.69 | $66.62 | $39.97 | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER -TAYLOR OutpatientFacility | American Health Plan | Medicare Advantage | $14.69 | $66.62 | $39.97 | 2026-02-24 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $15.00 | $102.00 | $51.00 | 2025-02-03 | MRF ↗ |
| Baylor Scott & White McLane Children's Medical Center - Temple OutpatientFacility | Superior Health Plan | Medicaid | $15.00 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE OutpatientFacility | Superior Health Plan | Medicaid | $15.00 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $15.06 | $1,629.00 | $266.99 | 2026-03-05 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health_674 | All Commercial Products | $15.20 | $7,072.00 | $707.20 | 2026-02-02 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Small Group | $15.60 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $15.63 | $1,629.00 | $324.00 | 2026-03-04 | MRF ↗ |
| COOPERMAN BARNABAS MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $15.82 | $1,691.00 | $358.32 | 2026-03-04 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $16.00 | $102.00 | $51.00 | 2025-02-03 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | CareWorks fka Rockport | Worker's Compensation | $16.15 | $99.98 | $59.99 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Injury Management Organization | Med Select Network | $16.15 | $99.98 | $59.99 | 2026-02-21 | 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.