C5277 — Low Cost Skin Substitute App
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Low cost skin substitute app (OTHER C5277) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C5277?code_type=OTHER
MLA (9th ed.)
“Low cost skin substitute app (OTHER C5277) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C5277?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Low cost skin substitute app (OTHER C5277) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C5277?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $605–$1,967 (25th–75th percentile) across 131 hospitals · 351 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER C5277 — 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 |
|---|---|---|---|---|---|---|---|
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $5.89 | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $5.89 | $2,909.00 | $290.90 | 2026-05-27 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $5.89 | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $5.89 | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $5.89 | $2,909.00 | $290.90 | 2026-05-09 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $47.80 | $3,420.00 | $3,420.00 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $47.80 | $3,420.00 | $3,420.00 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - 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 | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Uhc | Ppo | $132.00 | — | — | 2026-05-17 | 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 | $179.45 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $179.89 | — | — | 2026-05-09 | 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 ↗ |
| SARATOGA HOSPITAL Both | Blue Shield | Medicare Advantage | $226.51 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Shield | Senior Blue Medicare Advantage | $226.51 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Medicare Advantage | $226.51 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Medicare Advantage | $226.51 | — | — | 2026-05-14 | 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 ↗ |
| TEXOMA MEDICAL CENTER Both | Molina | Medicaid | $246.07 | $3,107.00 | $2,330.25 | 2026-05-13 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Shield | Commercial | $249.93 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Commercial | $249.93 | — | — | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | Blue Shield | Commercial | $249.93 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Shield | Commercial | $249.93 | — | — | 2026-05-23 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Shield | Indemnity Commercial | $249.93 | — | — | 2026-05-08 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Superior | Medicaid | $256.02 | $3,107.00 | $2,330.25 | 2026-05-13 | 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 | Mcd Amerihealth Caritas | — | $258.00 | $3,000.00 | $600.00 | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | Ultra | — | $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 | Cigna | Hmo & Ppo | — | $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 | Medcost | — | — | $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 ↗ |
| 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 ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Mbn | $277.00 | $2,869.00 | $2,151.75 | 2026-05-07 | 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 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Commercial | $280.00 | — | — | 2026-05-24 | 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 | Nexus Aco Oap | $280.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Commercial | $280.00 | — | — | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Tchp | Medicaid | $281.80 | $3,107.00 | $2,330.25 | 2026-05-13 | 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 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $295.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $295.00 | — | — | 2026-05-13 | 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 | — | — | 2026-05-22 | 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 | $3,198.85 | $415.85 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Choice Care | Medicare | — | $3,198.85 | $415.85 | 2026-05-06 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross | — | $1,735.00 | $1,735.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Hmo Tiered | — | $1,735.00 | $1,735.00 | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Other Blue Cross | — | $1,735.00 | $1,735.00 | 2026-05-09 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Traditional | $300.00 | $1,735.00 | $1,735.00 | 2026-05-09 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $300.00 | — | — | 2026-05-13 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Hmo Tiered | — | $1,735.00 | $1,735.00 | 2026-05-09 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $300.00 | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $300.00 | — | — | 2026-05-23 | MRF ↗ |
| DOYLESTOWN HOSPITAL Outpatient | Blue Cross | Independence Blue Cross Traditional | $300.00 | $1,735.00 | $1,735.00 | 2026-05-23 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $304.00 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $304.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $312.00 | — | — | 2026-05-09 | 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 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 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Heritage Select | $330.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Heritage Select | $330.00 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Emblem Ghi | Commercial | $333.19 | — | — | 2026-05-08 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Commercial | $338.02 | — | — | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $338.02 | — | — | 2026-05-09 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $343.71 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $343.71 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $343.71 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $343.71 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $343.71 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $343.71 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $343.71 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $343.71 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $343.71 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $351.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $360.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $360.00 | — | — | 2026-05-13 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Preferred | $362.00 | $2,869.00 | $2,151.75 | 2026-05-07 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Multiplan | Phcs - Beech Street | $388.96 | $3,198.85 | $415.85 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Magellan | Medicare | $388.96 | $3,198.85 | $415.85 | 2026-05-06 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $391.00 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Cigna | Commercial | $396.00 | — | — | 2026-05-09 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | Amerigroup | Medicaid | $396.14 | $3,107.00 | $2,330.25 | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Both | United Healthcare | Medicaid | $396.14 | $3,107.00 | $2,330.25 | 2026-05-13 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Both | Mdipa | Managed Care | $398.00 | $2,236.00 | $894.40 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Uhc | Commercial | $399.00 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Uhc | Commercial | $399.00 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - South Hospital Outpatient | Uhc | Commercial | $399.00 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | $399.00 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | $399.00 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Uhc | Commercial | $399.00 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Uhc | Commercial | $399.00 | — | — | 2026-05-23 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Uhc | Commercial | $399.00 | — | — | 2026-05-23 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | $399.00 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Uhc | Commercial | $399.00 | — | — | 2026-05-14 | MRF ↗ |
| UofL Health - Medical Center Southwest Outpatient | Uhc | Commercial | $399.00 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Uhc | Commercial | $399.00 | — | — | 2026-05-14 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Oscar Health Exchange | Medicare | $406.91 | $3,198.85 | $415.85 | 2026-05-06 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $409.33 | $2,709.00 | $623.07 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $409.33 | $2,709.00 | $623.07 | 2026-05-27 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Bcbs | — | $413.40 | $3,000.00 | $600.00 | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Ppo | $414.00 | $2,869.00 | $2,151.75 | 2026-05-07 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $417.52 | $2,709.00 | $623.07 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $417.52 | $2,709.00 | $623.07 | 2026-05-27 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Ppo | — | $700.00 | $525.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Hmo | — | $700.00 | $525.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Kansas City | Ppo Hmo | — | $700.00 | $525.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Ppo Hmo | — | $700.00 | $525.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Ppo | — | $700.00 | $525.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Healthlink | Hmo | — | $700.00 | $525.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Kansas City | Ppo Hmo | — | $700.00 | $525.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Ppo Hmo | — | $700.00 | $525.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Ppo Hmo | — | $700.00 | $525.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Multiplan | Ppo Hmo | — | $700.00 | $525.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Ppo Hmo | — | $700.00 | $525.00 | 2026-05-21 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Ppo Hmo | — | $700.00 | $525.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Ppo Hmo | — | $700.00 | $525.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Multiplan | Ppo Hmo | — | $700.00 | $525.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Ppo Hmo | — | $700.00 | $525.00 | 2026-05-08 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Ppo Hmo | — | $700.00 | $525.00 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Ambetter | Ambetter | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Humana | Humana | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage 100% | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | United Healthcare | Uhc | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Phcs | Phcs | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Tricare | Medicare Advantage 100% | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Mvp | Medicare Advantage 100% | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage 100% | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Aarp | Uhc | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Bcbs | Medicare Advantage 100% | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Cross | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Geisinger Health | Geisinger | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Wellpath | Wellpath (Federal Prison) | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Wellpath | Wellpath (State Prison) | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Upmc | Upmc Medicare | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Upmc | Upmc | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Keystone First | Keystone First | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| WAYNE MEMORIAL HOSPITAL Outpatient | Pa Health & Wellness | Pa Health & Wellness | — | $1,053.00 | $842.40 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $421.61 | $2,709.00 | $623.07 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $421.61 | $2,709.00 | $623.07 | 2026-05-27 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Wellpoint | Wellpoint Tenncare | $421.67 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Wellpoint | Tncare | $421.67 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Wellpoint | Wellpoint Tenncare | $421.67 | — | — | 2026-05-24 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Uhc | — | $423.00 | $3,000.00 | $600.00 | 2026-05-06 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $424.96 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $424.96 | — | — | 2026-05-23 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Nc | Medicare Advantage | $433.92 | $1,475.93 | $737.97 | 2026-05-06 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Medicare A Nc Jm | Default | $433.92 | $1,475.93 | $737.97 | 2026-05-06 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Both | United Healthcare | Managed Care | $442.00 | $2,236.00 | $894.40 | 2026-05-23 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Both | Coventry | Medicare | $442.82 | $3,198.85 | $415.85 | 2026-05-06 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Heritage Select | $445.10 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Nexus | $445.10 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Core | $445.10 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Nexus | $445.10 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Heritage Select | $445.10 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Core | $445.10 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Individual Exchange | $454.99 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Individual Exchange | $454.99 | — | — | 2026-05-14 | MRF ↗ |
| NORTHERN NEVADA MEDICAL CENTER Both | Prominence | Managed Care | $456.35 | $2,237.00 | $894.80 | 2026-05-06 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $457.26 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $457.26 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $464.45 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $464.45 | — | — | 2026-05-24 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Medicaid North Carolina | Default | $466.25 | $1,475.93 | $737.97 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $466.74 | — | — | 2026-05-27 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Commercial | $470.22 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Commercial | $470.22 | — | — | 2026-05-23 | MRF ↗ |
| NORTHERN NEVADA MEDICAL CENTER Both | Sierra Health Options | Managed Care | $474.24 | $2,237.00 | $894.80 | 2026-05-06 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $475.10 | — | — | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | United Healthcare | United Healthcare | — | $899.00 | $539.40 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | United Healthcare | 100% Managed Medicare | — | $899.00 | $539.40 | 2026-05-09 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | United Healthcare | United Healthcare Umr - Wausau | — | $899.00 | $539.40 | 2026-05-09 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.