D7410 — Rad Exc Lesion Up To 1.25 Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Rad exc lesion up to 1.25 cm (HCPCS D7410) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/D7410?code_type=HCPCS
MLA (9th ed.)
“Rad exc lesion up to 1.25 cm (HCPCS D7410) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/D7410?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Rad exc lesion up to 1.25 cm (HCPCS D7410) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/D7410?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,310–$2,426 (25th–75th percentile) across 965 hospitals · 1,057 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS D7410 — 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 |
|---|---|---|---|---|---|---|---|
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $0.15 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $0.15 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $0.15 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $0.15 | — | — | 2025-04-16 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.60 | $2,001.00 | — | 2024-12-31 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Government (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Commercial (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $29.50 | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Humana National | Transplant (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Blue Cross Blue Shield Association BDCT | Transplant (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Commercial (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Anthem Centers for Medical Excellence | Transplant (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Medicaid (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Kaiser National | Transplant (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Life Trac National | Transplant (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $30.60 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $31.50 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $32.40 | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $39.60 | — | — | 2026-03-04 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $43.37 | $608.00 | — | 2026-02-19 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | MotivHealth/Denver Public Schools | Commercial (PPO) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | ValueOptions Colorado | Medicaid (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Integrated Health Plan | Commercial (PPO) | $44.25 | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access | CHP+ | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna Lifesource | Transplant (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Rocky Mountain Health Plan | Medicaid Prime | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access Behavioral Health | Medicaid (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Medicaid | FFS (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Select Health | Commercial (EPO/HMO/POS/PPO) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Department of Corrections | Commercial (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna | Commercial (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Behavioral Health/Optum | Commercial (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Denver Health Medical Plan | Medicaid Choice | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Aetna Institute of Excellence | Transplant (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (Select CO) | — | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $50.59 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $50.59 | — | — | 2026-03-01 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | AETNA [2022] | BMC HB AETNA STUDENT HEALTH | $54.77 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZAETNA [1001] | BMC HB AETNA STUDENT HEALTH | $54.77 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | MERITAIN HEALTH [1023] | BMC HB AETNA | $54.77 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | AETNA [2022] | BMC HB AETNA | $54.77 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZAETNA [1001] | BMC HB AETNA | $54.77 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $58.59 | — | — | 2026-03-04 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | MASS GENERAL BRIGHAM HEALTH PLAN COMMERCIAL [8009] | BMC HB MASS GENERAL BRIGHAM HEALTH HMO/PPO/UNSUBSIDIZED QHP | $60.41 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| Pam Rehabilitation Hospital Of Fargo OutpatientFacility | PrimeWest Minnesota | Managed Medicaid | $61.71 | — | — | 2025-09-11 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Managed Health Service | Managed Medicaid | $61.71 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | South County | Managed Medicaid | $61.71 | — | — | 2025-06-27 | MRF ↗ |
| Pam Rehabilitation Hospital Of Fargo OutpatientFacility | UCare of Minnesota | Medicaid Minnesota Care | $61.71 | — | — | 2025-09-11 | MRF ↗ |
| ST ELIZABETH MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $61.71 | — | — | 2025-06-27 | MRF ↗ |
| ST ELIZABETH MEDICAL CENTER OutpatientFacility | South County | Managed Medicaid | $61.71 | — | — | 2025-06-27 | MRF ↗ |
| ST ELIZABETH MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $61.71 | — | — | 2025-06-27 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $61.71 | — | — | 2026-07-15 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Anthem | Medicaid | $61.71 | — | — | 2025-06-27 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | Ucare | Medicare Advantage | $64.80 | — | — | 2025-06-24 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | Ucare | Medicare Advantage | $64.80 | — | — | 2025-06-24 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Aetna Better Health Ky | Managed Care Medicaid Plan | $65.33 | $623.07 | $317.77 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Ky | Managed Care Medicaid Plan | $68.60 | $623.07 | $317.77 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Wellcare Ky | Managed Care Medicaid Plan | $68.60 | $623.07 | $317.77 | 2026-07-18 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $68.68 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $68.68 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $68.68 | — | — | 2026-05-13 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Pediatric | $68.68 | $439.00 | $237.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $68.68 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $68.68 | — | — | 2026-05-13 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $68.68 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $68.68 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Pcp | $68.68 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Special | $68.68 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Tenncare | Select | $68.68 | — | — | 2026-05-24 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $68.68 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $68.68 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Bluecare | Commercial (Tenncare) | $68.68 | — | — | 2026-05-24 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Adult | $68.68 | $439.00 | $237.06 | 2025-10-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Ky | Managed Care Medicaid Plan | $68.92 | $623.07 | $317.77 | 2026-07-18 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | HENNEPIN HEALTH | MinnesotaCare | $69.12 | — | — | 2025-12-17 | MRF ↗ |
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $70.89 | $574.00 | $574.00 | 2026-07-17 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | Ucare | INDIVIDUAL & FAMILY PLANS | $72.24 | — | — | 2025-06-24 | MRF ↗ |
| WESTERN WISCONSIN HEALTH OutpatientFacility | Ucare | INDIVIDUAL & FAMILY PLANS | $72.24 | — | — | 2025-06-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $74.42 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids Pcp | $74.42 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Blue Cross | Coverkids | $74.42 | — | — | 2026-05-13 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicaid | $75.00 | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | CURATIVE - ALL PLANS | CURATIVE - ALL PLANS | $75.00 | $2,106.00 | — | 2026-07-06 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | CURATIVE - ALL PLANS | CURATIVE - ALL PLANS | $75.00 | $2,106.00 | — | 2026-03-26 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicaid | $75.00 | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicaid Replacement | — | $77.49 | $574.00 | $264.04 | 2026-07-31 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | AVMED SELECT/FIRST NTWRK | AVMED SELECT/FIRST NTWRK | $80.00 | $2,106.00 | — | 2026-03-26 | MRF ↗ |
| SWEDISH HOSPITAL | Medicare/Medicare Advantage | — | $81.16 | $574.00 | $574.00 | 2026-07-17 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $81.86 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $81.86 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $81.86 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $81.86 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $81.86 | — | — | 2026-04-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $83.79 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Adult | $83.79 | $439.00 | $237.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $83.79 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $83.79 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | WELLPOINT [2034] | BMC HB WELLPOINT | $84.00 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | UNICARE [8004] | BMC HB WELLPOINT | $84.00 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicare Advantage | — | $84.38 | $574.00 | $264.04 | 2026-07-31 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $86.00 | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | The Healthplan | Wv Medicaid | $86.00 | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $86.00 | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Unicare | Wv Medicaid | $86.00 | — | — | 2026-05-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | AVMED COMM - ALL OTHER PLANS | AVMED COMM - ALL OTHER PLANS | $87.00 | $2,106.00 | — | 2026-03-26 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Aetna Better Health Ky | Managed Care Medicaid Plan | $87.10 | $623.07 | $317.77 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $87.16 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $87.16 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $87.16 | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $87.16 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $87.16 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $87.16 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $87.16 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | CIGNA [2023] | BMC HB TUFTS PPO | $87.32 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZCIGNA [1002] | BMC HB TUFTS PPO | $87.32 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS [8002] | BMC HB TUFTS PPO | $87.32 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS [8002] | BMC HB TUFTS POS/HMO | $87.32 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $88.72 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $88.72 | — | — | 2026-04-01 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS [8002] | BMC HB TUFTS SELECT | $89.60 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Ambetter | Commercial | $90.12 | $574.00 | $264.04 | 2026-07-31 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | KAISER - ALL PLANS | KAISER - ALL PLANS | $90.50 | $181.00 | $30.77 | 2026-01-24 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Passport Ky | Managed Care Medicaid Plan | $90.58 | $623.07 | $317.77 | 2026-07-18 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $91.36 | — | — | 2026-03-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Ky | Managed Care Medicaid Plan | $91.46 | $623.07 | $317.77 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Wellcare Ky | Managed Care Medicaid Plan | $91.46 | $623.07 | $317.77 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Ky | Managed Care Medicaid Plan | $91.89 | $623.07 | $317.77 | 2026-07-18 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $92.86 | $325.77 | $211.75 | 2024-12-30 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | UHC SELECT | UHC SELECT | $93.00 | $181.00 | $30.77 | 2026-01-24 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL Inpatient | — | — | — | $574.00 | $373.10 | 2025-01-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicaid Replacement | — | $93.56 | $574.00 | $264.04 | 2026-07-31 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $94.25 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | BCBSMN | MHCP | $94.25 | — | — | 2025-06-27 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | CIGNA [2023] | BMC HB CIGNA | $95.20 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZCIGNA [1002] | BMC HB CIGNA | $95.20 | $112.00 | $50.40 | 2026-03-13 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $95.31 | $350.00 | $175.00 | 2026-04-15 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $96.15 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $96.15 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Adult | $96.15 | $439.00 | $237.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $96.15 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $96.15 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $96.15 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Pediatric | $96.15 | $439.00 | $237.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $96.15 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | BCBS TN Medicaid | MANAGED MEDICAID | $97.99 | — | — | 2025-07-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicare Advantage | — | $98.73 | $574.00 | $264.04 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $98.96 | $574.00 | $574.00 | 2026-07-17 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $100.27 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $100.27 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Pediatric | $100.27 | $439.00 | $237.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $100.27 | $439.00 | $127.31 | 2025-10-01 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Kaiser | CHP+ | $100.30 | $295.00 | $191.75 | 2026-04-17 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | UHC JLL BP | UHC JLL BP | $100.40 | $181.00 | $30.77 | 2026-01-24 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Slw | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Msq | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Bi | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Tmsh | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Brook | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Slw | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Msq | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Tmsh | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Brook | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Family - Bi | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Medicaid Family - Tmsh | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Brook | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Bi | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Family - Slw | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Snch | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Msq | $101.00 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $103.55 | — | — | 2026-07-18 | 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.