C5276 — Low Cost Skin Substitute App
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LOW COST SKIN SUBSTITUTE APP (OTHER C5276) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C5276?code_type=OTHER
MLA (9th ed.)
“LOW COST SKIN SUBSTITUTE APP (OTHER C5276) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C5276?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“LOW COST SKIN SUBSTITUTE APP (OTHER C5276) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C5276?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $560–$2,286 (25th–75th percentile) across 101 hospitals · 265 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER C5276 — 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 |
|---|---|---|---|---|---|---|---|
| MYMICHIGAN MEDICAL CENTER ALMA Both | Blue Care Network Bcn Blue Cross Blue Shield Ppo Bcbs | Ppo | $0.04 | $919.00 | $551.40 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs [100001] | Bcbs Michigan Traditional [10000102] | $0.04 | — | — | 2026-05-09 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Blue Cross Blue Shield Bcbs Blue Cross Blue Shield Fep Bcbs Blue Cross Blue Shield Generic Bcbs Blue Cross Blue Shield Highmark Bcbs | Ppo | $0.04 | $919.00 | $551.40 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Blue Care Network Of Michigan | Hmo | $0.04 | — | — | 2026-05-09 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | $1.88 | $678.00 | $155.94 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana Community Blue 2 | All Payor | $1.88 | $678.00 | $155.94 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana Community Blue 1 | All Payor | $1.98 | $678.00 | $155.94 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 1 | All Payor | $1.98 | $678.00 | $155.94 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | All Payor | $1.98 | $678.00 | $155.94 | 2026-05-27 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $5.41 | $1,710.00 | $1,710.00 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $5.41 | $1,710.00 | $1,710.00 | 2026-05-08 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $23.59 | $728.00 | $72.80 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $23.59 | $728.00 | $72.80 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $23.59 | $728.00 | $72.80 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $23.59 | $728.00 | $72.80 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $23.59 | $728.00 | $72.80 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Medicare Advantage | $26.17 | — | — | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Blue Shield | Medicare Advantage | $26.17 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Shield | Senior Blue Medicare Advantage | $26.17 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Medicare Advantage | $26.17 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Commercial | $29.90 | — | — | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Shield | Commercial | $29.90 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Shield | Indemnity Commercial | $29.90 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | Blue Shield | Commercial | $29.90 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Commercial | $29.90 | — | — | 2026-05-14 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Hmo | — | $85.00 | $63.75 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Ppo Hmo | — | $85.00 | $63.75 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Ppo Hmo | — | $85.00 | $63.75 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Ppo | — | $85.00 | $63.75 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Multiplan | Ppo Hmo | — | $85.00 | $63.75 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Ppo Hmo | — | $85.00 | $63.75 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Hmo | — | $85.00 | $63.75 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Ppo Hmo | — | $85.00 | $63.75 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Kansas City | Ppo Hmo | — | $85.00 | $63.75 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Kansas City | Ppo Hmo | — | $85.00 | $63.75 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Multiplan | Ppo Hmo | — | $85.00 | $63.75 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Ppo Hmo | — | $85.00 | $63.75 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Ppo Hmo | — | $85.00 | $63.75 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Ppo | — | $85.00 | $63.75 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Ppo Hmo | — | $85.00 | $63.75 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Ppo Hmo | — | $85.00 | $63.75 | 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 | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Cross | Medicare Replacement | $56.35 | $2,286.00 | — | 2026-05-14 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Humana Choice Care | Medicare Ppo Hmo Pos Pffs | $56.35 | $2,286.00 | — | 2026-05-14 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Cross | Medicare Replacement | $56.35 | $2,286.00 | — | 2026-05-23 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Humana Choice Care | Medicare Ppo Hmo Pos Pffs | $56.35 | $2,286.00 | — | 2026-05-23 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $59.64 | $753.00 | $564.75 | 2026-05-13 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-17 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Superior | Medicaid | $62.05 | $753.00 | $564.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $68.30 | $753.00 | $564.75 | 2026-05-13 | 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 ↗ |
| FAUQUIER HOSPITAL Outpatient | Bcbs Of Va | Anthem Blue Cross Ppo | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Cigna | Cigna Ppo | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Aetna | Aetna | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | One Health Plan | One Health Plan | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Cigna | Cigna Employee | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Southern Health Services | Southern Health Services | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Bcbs Wound Care | Anthem Bcbs Wound Care - Hmo | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Carefirst | Blue Cross Carefirst | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | First Health | First Health | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Bcbs Wound Care | Anthem Bcbs Wound Care - Hix | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Cigna | Cigna Hmo | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Bcbs Of Va | Anthem Blue Cross Hmo | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Bcbs Wound Care | Anthem Bcbs Wound Care - Hpn | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Optima Health Plan | Optima | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Aetna | Aetna Ppo | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Medcost | Medcost | — | $541.00 | $216.40 | 2026-05-09 | MRF ↗ |
| FAUQUIER HOSPITAL Outpatient | Bcbs Wound Care | Anthem Bcbs Wound Care - Ppo | — | $541.00 | $216.40 | 2026-05-09 | 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 ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| DELTA HEALTH SYSTEM - THE MEDICAL CENTER Outpatient | Aetna | Aetna | — | $214.00 | $107.00 | 2026-05-22 | MRF ↗ |
| DELTA HEALTH SYSTEM - THE MEDICAL CENTER Outpatient | Magnolia Ambetter Health Plan | Ambetter Magnolia | — | $214.00 | $107.00 | 2026-05-22 | MRF ↗ |
| DELTA HEALTH SYSTEM - THE MEDICAL CENTER Outpatient | Cigna | Cigna | — | $214.00 | $107.00 | 2026-05-22 | MRF ↗ |
| DELTA HEALTH SYSTEM - THE MEDICAL CENTER Outpatient | Cigna | Cigna | — | $214.00 | $107.00 | 2026-05-13 | MRF ↗ |
| DELTA HEALTH SYSTEM - THE MEDICAL CENTER Outpatient | Aetna | Aetna | — | $214.00 | $107.00 | 2026-05-13 | MRF ↗ |
| DELTA HEALTH SYSTEM - THE MEDICAL CENTER Outpatient | Magnolia Ambetter Health Plan | Ambetter Magnolia | — | $214.00 | $107.00 | 2026-05-13 | 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|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 ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-14 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | United Healthcare | Medicaid | $96.01 | $753.00 | $564.75 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Amerigroup | Medicaid | $96.01 | $753.00 | $564.75 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $102.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $102.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $102.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $102.00 | — | — | 2026-05-13 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $102.45 | $678.00 | $155.94 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $102.45 | $678.00 | $155.94 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $104.49 | $678.00 | $155.94 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $104.49 | $678.00 | $155.94 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $105.52 | $678.00 | $155.94 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $105.52 | $678.00 | $155.94 | 2026-05-27 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $108.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $108.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $115.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $115.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $123.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $125.00 | — | — | 2026-05-13 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network S | $125.00 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $125.00 | — | — | 2026-05-24 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Healthy Blue | — | $129.00 | $1,500.00 | $300.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd | — | $129.00 | $1,500.00 | $300.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Cigna | Hmo & Ppo | — | $1,500.00 | $300.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Amerihealth Caritas | — | $129.00 | $1,500.00 | $300.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ppc | — | — | $1,500.00 | $300.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | — | — | $1,500.00 | $300.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Wellcare- Centene | — | $129.00 | $1,500.00 | $300.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | Ultra | — | $1,500.00 | $300.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Cchn-Centene | — | $131.58 | $1,500.00 | $300.00 | 2026-05-06 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Uhc | Ppo | $132.00 | — | — | 2026-05-17 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Cigna | Cigna | — | $490.00 | $490.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross | — | $490.00 | $490.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross | — | $490.00 | $490.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Hmo Tiered | — | $490.00 | $490.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Cigna | Cigna | — | $490.00 | $490.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Hmo Tiered | — | $490.00 | $490.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $136.00 | — | — | 2026-05-09 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Commercial Network P | $137.00 | — | — | 2026-05-08 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Primecare | Managed Care | $140.53 | $927.00 | $371.00 | 2026-05-13 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Medicare A Nc Jm | Default | $147.96 | $503.26 | $251.63 | 2026-05-06 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Nc | Medicare Advantage | $147.96 | $503.26 | $251.63 | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Both | Cigna | Managed Care | $151.00 | $748.00 | $299.20 | 2026-05-13 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Both | Cigna | Managed Care | $151.10 | $748.00 | $299.20 | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Cigna | Managed Care | $152.89 | $822.00 | $616.50 | 2026-05-07 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Medicaid North Carolina | Default | $158.98 | $503.26 | $251.63 | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Both | Humana | Managed Care | $164.56 | $748.00 | $299.20 | 2026-05-06 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Both | Humana | Managed Care | $165.00 | $748.00 | $299.20 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Localplus | $171.40 | $414.00 | $100.02 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Localplus | $171.40 | $414.00 | $100.02 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna (Individual/Employer Provided) | $171.40 | $414.00 | $100.02 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Global Health Benefits Plans | $171.40 | $414.00 | $100.02 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Commercial | $171.40 | $414.00 | $100.02 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Ppo/Epo | $171.40 | $414.00 | $100.02 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Network (Open Access, Open Access Plus, Pos Open Access, Pos) | $171.40 | $414.00 | $100.02 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Choice Fund Plans | $171.40 | $414.00 | $100.02 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Choice Fund Plans | $171.40 | $414.00 | $100.02 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Ppo/Epo | $171.40 | $414.00 | $100.02 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Network (Open Access, Open Access Plus, Pos Open Access, Pos) | $171.40 | $414.00 | $100.02 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Global Health Benefits Plans | $171.40 | $414.00 | $100.02 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Commercial | $171.40 | $414.00 | $100.02 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna (Individual/Employer Provided) | $171.40 | $414.00 | $100.02 | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | United Mco | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Passport Molina Mco | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Humana Mco | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Aetna Better Health Mco | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Uhc Plan 2 | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Uhc Plan 1 | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Plan Vista | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Multiplan-Phcs | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Coventry 1St Health | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Comm Care | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Centercare Aetna | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Centercare | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Ccn 1Source | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Uhc Options Ppo | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Sagamore | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Encore | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Beech Street | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Great West | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Anthem | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Centercare Cigna | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Anthem Pathways Hpn | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Anthem Pathways Hmo | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Wellcare Mco | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Oh Network | All Plans | — | $856.35 | $556.63 | 2026-05-08 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Blue Cross | Network S | $192.00 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Blue Cross | Network P | $192.00 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Blue Cross | Network S | $192.00 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Blue Cross | Network P | $192.00 | — | — | 2026-05-24 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $506.00 | $404.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Phcs | Phcs | — | $506.00 | $404.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Keystone First | Keystone First | — | $506.00 | $404.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Upmc | Upmc | — | $506.00 | $404.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $506.00 | $404.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Geisinger Health | Geisinger | — | $506.00 | $404.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Cross | — | $506.00 | $404.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Aarp | Uhc | — | $506.00 | $404.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | United Healthcare | Uhc | — | $506.00 | $404.80 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $506.00 | $404.80 | 2026-05-08 | MRF ↗ |
| SAN JUAN REGIONAL MEDICAL CENTER INC Both | Standard_Charge|Rocky_Mountain_Health_Plans_Medicaid|Negotiated_Charge | — | $206.25 | $275.00 | $137.50 | 2026-05-22 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Bcbs | — | $206.70 | $1,500.00 | $300.00 | 2026-05-06 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Aetna | Managed Care | $210.84 | $753.00 | $564.75 | 2026-05-13 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Uhc | — | $211.50 | $1,500.00 | $300.00 | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Both | Prominence | Hmo | $214.74 | $1,508.00 | $603.20 | 2026-05-06 | MRF ↗ |
| SAN JUAN REGIONAL MEDICAL CENTER INC Both | Standard_Charge|Humana_Choicecare_Commercial|Negotiated_Charge | — | $220.00 | $275.00 | $137.50 | 2026-05-22 | MRF ↗ |
| SAN JUAN REGIONAL MEDICAL CENTER INC Both | Standard_Charge|Cigna|Negotiated_Charge | — | $231.28 | $275.00 | $137.50 | 2026-05-22 | MRF ↗ |
| SAN JUAN REGIONAL MEDICAL CENTER INC Both | Standard_Charge|Uhc_Commercial|Negotiated_Charge | — | $233.75 | $275.00 | $137.50 | 2026-05-22 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Hmo | $238.00 | $822.00 | $616.50 | 2026-05-07 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Sentara | Comm. | $240.00 | $277.00 | $138.50 | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Sentara | Comm. | $240.00 | $277.00 | $138.50 | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Both | Prominence | Ppo | $245.50 | $1,508.00 | $603.20 | 2026-05-06 | 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.