C5275 — Low Cost Skin Substitute App
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Low cost skin substitute app (OTHER C5275) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C5275?code_type=OTHER
MLA (9th ed.)
“Low cost skin substitute app (OTHER C5275) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C5275?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Low cost skin substitute app (OTHER C5275) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C5275?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $603–$2,146 (25th–75th percentile) across 151 hospitals · 503 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER C5275 — 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 |
|---|---|---|---|---|---|---|---|
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $10.37 | $2,909.00 | $290.90 | 2026-05-27 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $10.37 | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $10.37 | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $10.37 | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $10.37 | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $21.68 | $3,420.00 | $3,420.00 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $21.68 | $3,420.00 | $3,420.00 | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $27.58 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $27.58 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $35.18 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $35.18 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $35.18 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $35.18 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage - Dhp | $35.18 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $35.18 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $35.18 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $35.18 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 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 | 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 | — | 2026-05-14 | 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 ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Hmo|Medicare_Advantage|Negotiated_Percentage | — | $90.00 | $2,286.00 | $2,286.00 | 2026-05-17 | 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 ↗ |
| GLENS FALLS HOSPITAL Both | Blue Shield | Senior Blue Medicare Advantage | $99.92 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Medicare Advantage | $99.92 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Medicare Advantage | $99.92 | — | — | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Blue Shield | Medicare Advantage | $99.92 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Shield | Commercial | $116.27 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | Blue Shield | Commercial | $116.27 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Commercial | $116.27 | — | — | 2026-05-23 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Shield | Indemnity Commercial | $116.27 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Commercial | $116.27 | — | — | 2026-05-14 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Uhc | Ppo | $132.00 | — | — | 2026-05-17 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv Aetna | All Plans | $160.61 | $1,664.36 | $848.82 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | TRPN | All Plans | $166.44 | $1,664.36 | $848.82 | 2025-01-10 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $173.53 | $2,191.00 | $1,643.25 | 2026-05-13 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Ppo Hmo | — | $295.00 | $221.25 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Ppo Hmo | — | $295.00 | $221.25 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Multiplan | Ppo Hmo | — | $295.00 | $221.25 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Ppo | — | $295.00 | $221.25 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Hmo | — | $295.00 | $221.25 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Kansas City | Ppo Hmo | — | $295.00 | $221.25 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Hmo | — | $295.00 | $221.25 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Ppo Hmo | — | $295.00 | $221.25 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Ppo Hmo | — | $295.00 | $221.25 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Ppo Hmo | — | $295.00 | $221.25 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Kansas City | Ppo Hmo | — | $295.00 | $221.25 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Ppo Hmo | — | $295.00 | $221.25 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Ppo Hmo | — | $295.00 | $221.25 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Ppo | — | $295.00 | $221.25 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Multiplan | Ppo Hmo | — | $295.00 | $221.25 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Ppo Hmo | — | $295.00 | $221.25 | 2026-05-21 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv Aetna | All Plans | $178.05 | $1,664.36 | $981.97 | 2025-01-10 | 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 | Superior | Medicaid | $180.54 | $2,191.00 | $1,643.25 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $198.72 | $2,191.00 | $1,643.25 | 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 | $210.12 | $1,360.00 | $544.00 | 2026-05-14 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Driscoll | Medicaid | $210.12 | $1,360.00 | $544.00 | 2026-05-23 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | United Healthcare | Medicaid | $214.20 | $1,360.00 | $544.00 | 2026-05-14 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Molina | Medicaid | $214.20 | $1,360.00 | $544.00 | 2026-05-14 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | United Healthcare | Medicaid | $214.20 | $1,360.00 | $544.00 | 2026-05-23 | MRF ↗ |
| FORT DUNCAN MEDICAL CENTER Both | Molina | Medicaid | $214.20 | $1,360.00 | $544.00 | 2026-05-23 | 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 | $2,709.00 | $623.07 | 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 ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Hmo | $238.00 | $2,869.00 | $2,151.75 | 2026-05-07 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Sentara | Comm. | $240.00 | $1,616.00 | $808.00 | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Sentara | Comm. | $240.00 | $1,616.00 | $808.00 | 2026-05-06 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv CtCare | All Plans | $240.56 | $1,664.36 | $848.82 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv Wellcare | All Plans | $240.71 | $1,664.36 | $848.82 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv UHC | All Plans | $248.47 | $1,664.36 | $981.97 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv Anthem | All Plans | $249.47 | $1,664.36 | $981.97 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | First Health | All Plans | $249.65 | $1,664.36 | $848.82 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv Wellcare | All Plans | $252.02 | $1,664.36 | $981.97 | 2025-01-10 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | Ultra | — | $3,000.00 | $600.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | — | — | $3,000.00 | $600.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ppc | — | — | $3,000.00 | $600.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Amerihealth Caritas | — | $258.00 | $3,000.00 | $600.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd | — | $258.00 | $3,000.00 | $600.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Wellcare- Centene | — | $258.00 | $3,000.00 | $600.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Healthy Blue | — | $258.00 | $3,000.00 | $600.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Cigna | Hmo & Ppo | — | $3,000.00 | $600.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Cchn-Centene | — | $263.16 | $3,000.00 | $600.00 | 2026-05-06 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - CtCare | All Plans | $263.47 | $1,664.36 | $599.17 | 2026-01-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Tn Individual Exchange Benefit | $267.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Tn Individual Exchange Benefit | $267.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Tn Individual Exchange Benefit | $267.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Core | $268.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Core | $268.00 | — | — | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Nwb | $269.00 | $2,869.00 | $2,151.75 | 2026-05-07 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv CTCare | All Plans | $269.65 | $1,664.36 | $981.97 | 2025-01-10 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Mbn | $277.00 | $2,869.00 | $2,151.75 | 2026-05-07 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Amerigroup | Medicaid | $279.35 | $2,191.00 | $1,643.25 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | United Healthcare | Medicaid | $279.35 | $2,191.00 | $1,643.25 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Commercial | $280.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Nexus Aco Oap | $280.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Commercial | $280.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Nexus Aco Oap | $280.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Core | $280.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Nexus Aco Oap | $280.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Commercial | $280.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $295.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $295.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $295.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $295.00 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $298.31 | — | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $298.31 | — | — | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $298.31 | — | — | 2026-05-13 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Local 1199 | Medicare | $299.20 | — | — | 2026-05-06 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $300.00 | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $300.00 | — | — | 2026-05-13 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross | — | $4,770.00 | $4,770.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Hmo Tiered | — | $4,770.00 | $4,770.00 | 2026-05-09 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $300.00 | — | — | 2026-05-06 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Traditional | $300.00 | $4,770.00 | $4,770.00 | 2026-05-09 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Traditional | $300.00 | $4,770.00 | $4,770.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross | — | $4,770.00 | $4,770.00 | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $300.00 | — | — | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Hmo Tiered | — | $4,770.00 | $4,770.00 | 2026-05-23 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $304.00 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $304.00 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $312.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $312.00 | — | — | 2026-05-09 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Medcost | Medcost | $318.00 | $1,616.00 | $808.00 | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Medcost | Medcost | $318.00 | $1,616.00 | $808.00 | 2026-05-06 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna / Coventry | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Managed 100% | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Humana | Humana Gold (Mcr) | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Allwell | Medicare Managed 100% | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Wellmark | Medicare Managed 100% | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare Managed 100% | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Medipak | Medicare Managed 100% | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Ambetter | Ambetter | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Bcbs | Bcbs Of Ar | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Bcbs | Medicare Managed 100% | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Usable | Medicare Managed 100% | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Coresource | Coresource / Trustmark | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Union Pacific Railroad | Union Pacific Railroad | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Bcbs | Bcbs - Exchange | — | $1,897.50 | $740.02 | 2026-05-09 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Phcs | Phcs | $325.00 | $1,616.00 | $808.00 | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Aetna | Wc | $325.00 | $1,616.00 | $808.00 | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Aetna | Wc | $325.00 | $1,616.00 | $808.00 | 2026-05-08 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Phcs | Phcs | $325.00 | $1,616.00 | $808.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $329.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $329.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Heritage Select | $330.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Heritage Select | $330.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Heritage Select | $330.00 | — | — | 2026-05-13 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Multiplan | Multiplan Group And Pension | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Multiplan | Unified Life | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | United Healthcare | Freedom Life | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Multiplan | Fringe Benefit Group | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Multiplan | Community Care | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | United Healthcare | Tml Multistate Iebp | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Multiplan | Multiplan Group Resources | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Multiplan | First Care Managed Care | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Multiplan | Geha | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Multiplan | Pan American | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | United Healthcare | United Healthcare | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Cigna | Cigna Federated Insurance | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Healthsmart | Healthsmart Federated Insurance | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Healthsmart | Group Resources | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Cigna | Cigna | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Healthsmart | Healthsmart Benefit Solutions | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Healthsmart | Healthsmart Choice Benefits | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Cigna | Cigna Insurance Management Services | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Multiplan | American National Managed Care | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Multiplan | Multiplan Federated Insurance | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Healthsmart | Boon Chapman | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Multiplan | Medishare | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Cigna | Starbridge | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Cigna | Caprock | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Kaiser Permanete | Kaiser Permanente | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Aetna | Ameriben | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Aetna | Marpai Topcare | — | $663.10 | $629.94 | 2026-05-08 | MRF ↗ |
| UNITED REGIONAL HEALTH CARE SYSTEM Outpatient | Multiplan | Mailhandlers | — | $663.10 | $629.94 | 2026-05-08 | 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.