D7411 — Excision Benign Lesion>1.25c
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Excision benign lesion>1.25c (HCPCS D7411) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/D7411?code_type=HCPCS
MLA (9th ed.)
“Excision benign lesion>1.25c (HCPCS D7411) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/D7411?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Excision benign lesion>1.25c (HCPCS D7411) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/D7411?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,278–$2,363 (25th–75th percentile) across 972 hospitals · 1,099 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS D7411 — 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 |
|---|---|---|---|---|---|---|---|
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $0.56 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $0.56 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $0.56 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $0.56 | — | — | 2025-04-16 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE - MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.60 | $2,001.00 | — | 2024-12-31 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $27.50 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $42.84 | — | — | 2026-03-04 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $44.10 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $45.36 | — | — | 2026-03-04 | 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 | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Sunflower Health | Medicare | — | — | — | 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 | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicaid | $50.00 | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Humana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Healthy Blue | Kansas Medicaid | $50.00 | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | Aetna | Coventry Commercial | — | — | — | 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 | Sunflower Health | Commercial Exchange | — | — | — | 2026-01-08 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL OutpatientFacility | United Healthcare | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | HMO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Health Partners | All Plans | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | UHC | VA CCN | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Ambetter | PPO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Humana | ChoiceCare | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | CommercialExchange | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Aetna | PPO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Wellcare | by Allwell Medicare Advantage (Sunflower) | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Sunflower State | Medicaid Advantage | $55.00 | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | WPPA | All Plans | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Triwest | All Plans | — | — | — | 2026-07-29 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | Healthy Blue | Medicaid Advantage | $55.00 | — | — | 2026-07-29 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $55.44 | — | — | 2026-03-04 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MIDLANDS CHOICE PREMIER-ALL OTHER PLANS | MIDLANDS CHOICE PREMIER-ALL OTHER PLANS | $56.10 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA ELEVATE | MEDICA ELEVATE | $58.08 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Kaiser National | Transplant (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Commercial (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Commercial (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Anthem Centers for Medical Excellence | Transplant (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Interlink National | Transplant Medicaid (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Optum Health | Transplant Government (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Blue Cross Blue Shield Association BDCT | Transplant (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Humana National | Transplant (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Life Trac National | Transplant (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | $62.90 | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | Compass | $63.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | Compass | $63.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | Compass | $63.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | $63.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | United Healthcare | Compass | $63.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | $63.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Aetna Better Health Ky | Managed Care Medicaid Plan | $65.33 | $958.27 | $488.72 | 2026-07-18 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA COMM - ALL OTHER PLANS | MEDICA COMM - ALL OTHER PLANS | $66.00 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Wellcare Ky | Managed Care Medicaid Plan | $68.60 | $958.27 | $488.72 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Ky | Managed Care Medicaid Plan | $68.60 | $958.27 | $488.72 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Ky | Managed Care Medicaid Plan | $68.92 | $958.27 | $488.72 | 2026-07-18 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Outpatient | CURATIVE - ALL PLANS | CURATIVE - ALL PLANS | $75.00 | $2,106.00 | $2,106.00 | 2026-10-13 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | CURATIVE - ALL PLANS | CURATIVE - ALL PLANS | $75.00 | $2,106.00 | $2,106.00 | 2026-09-23 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MIDLANDS CHOICE STANDARD | MIDLANDS CHOICE STANDARD | $77.00 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | United Healthcare | Charter | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | Core | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | Charter | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | Metro | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER OutpatientFacility | United Healthcare | Core | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER OutpatientFacility | United Healthcare | Charter | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | Metro | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | Charter | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | Metro | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | United Healthcare | Metro | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | Core | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | Core | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | Charter | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER OutpatientFacility | United Healthcare | Metro | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | United Healthcare | Core | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | Metro | $78.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $78.47 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $78.47 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $78.47 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $78.47 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $78.47 | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $1,210.00 | $786.50 | 2026-08-10 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | AVMED SELECT/FIRST NTWRK | AVMED SELECT/FIRST NTWRK | $80.00 | $2,106.00 | $2,106.00 | 2026-09-23 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | Nexus ACO | $81.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER OutpatientFacility | United Healthcare | Nexus ACO | $81.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | Nexus ACO | $81.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | United Healthcare | Nexus ACO | $81.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | Nexus ACO | $81.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | Nexus ACO | $81.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $81.69 | $1,027.00 | $513.50 | 2026-10-19 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $83.91 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $83.91 | — | — | 2026-03-01 | MRF ↗ |
| JUPITER MEDICAL CENTER Outpatient | AVMED COMM - ALL OTHER PLANS | AVMED COMM - ALL OTHER PLANS | $87.00 | $2,106.00 | $2,106.00 | 2026-09-23 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Aetna Better Health Ky | Managed Care Medicaid Plan | $87.10 | $958.27 | $488.72 | 2026-07-18 | MRF ↗ |
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $88.06 | $713.00 | $713.00 | 2026-07-17 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | UMR | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | UMR | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | SUREST | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | SUREST | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | UMR | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | SUREST | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | UMR | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | SUREST | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | SUREST | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | UMR | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER OutpatientFacility | SUREST | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER OutpatientFacility | UMR | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | United Healthcare | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER OutpatientFacility | United Healthcare | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | All Payer Appendix | $90.00 | $300.00 | — | 2026-02-19 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Passport Ky | Managed Care Medicaid Plan | $90.58 | $958.27 | $488.72 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Wellcare Ky | Managed Care Medicaid Plan | $91.46 | $958.27 | $488.72 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Ky | Managed Care Medicaid Plan | $91.46 | $958.27 | $488.72 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Ky | Managed Care Medicaid Plan | $91.89 | $958.27 | $488.72 | 2026-07-18 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $91.90 | — | — | 2026-04-01 | 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] | $91.90 | — | — | 2026-04-01 | 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 ↗ |
| CHILDREN'S HOSPITAL COLORADO OutpatientFacility | Integrated Health Plan | Commercial (PPO) | $94.35 | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Medicaid | FFS (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Aetna Institute of Excellence | Transplant (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Behavioral Health/Optum | Commercial (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access Behavioral Health | Medicaid (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | ValueOptions Colorado | Medicaid (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | MotivHealth/Denver Public Schools | Commercial (PPO) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | CCHA Behavioral Health | Medicaid (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Rocky Mountain Health Plan | Medicaid Prime | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna Lifesource | Transplant (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Denver Health Medical Plan | Medicaid Choice | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Cigna | Commercial (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Colorado Access | CHP+ | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | United Healthcare | Commercial (Select CO) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Department of Corrections | Commercial (All Contracted Plans) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| CHILDREN'S HOSPITAL COLORADO InpatientFacility | Select Health | Commercial (EPO/HMO/POS/PPO) | — | $629.00 | $408.85 | 2026-04-17 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicaid Replacement | — | $96.26 | $713.00 | $327.98 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL | Medicare/Medicare Advantage | — | $100.82 | $713.00 | $713.00 | 2026-07-17 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $104.00 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $104.00 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $104.00 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $104.00 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | UnitedHealthcare | Quest | $104.00 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | UnitedHealthcare | Quest | $104.00 | — | — | 2026-02-12 | MRF ↗ |
| KAHUKU MEDICAL CENTER Outpatient | UHC | Mcd HMO | $104.00 | — | — | 2024-06-28 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicare Advantage | — | $104.81 | $713.00 | $327.98 | 2026-07-31 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $110.00 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $110.00 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $110.00 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $110.00 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $110.00 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Ambetter | Commercial | $111.94 | $713.00 | $327.98 | 2026-07-31 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | HEALTH PARTNERS MCR ADV | HEALTH PARTNERS MCR ADV | $113.30 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicaid Replacement | — | $116.22 | $713.00 | $327.98 | 2026-07-31 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL Inpatient | — | — | — | $713.00 | $463.45 | 2025-01-01 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $117.70 | $110.00 | $71.50 | 2026-08-10 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Correctional Facility | Medicaid | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Excellus BCBS | Medicaid | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | UHC | HARD CHIP | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Excellus BCBS | Medicaid | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | MMC HARP CHP EPP 3_4 MLTC | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | UHC | HARD CHIP | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | UHC | HARD CHIP | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Molina | Medicaid | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | UHC | HARD CHIP | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | Fidelis | MMC HARP CHP EPP 3_4 MLTC | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Correctional Facility | Medicaid | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | MMC HARP CHP EPP 3_4 MLTC | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | Fidelis | MMC HARP CHP EPP 3_4 MLTC | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | Albany Correctional Facility | Medicaid | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Molina | Medicaid | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | CDPHP | HARP | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | CDPHP | HARP | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Excellus Healthy | Medicaid | $121.75 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | Albany Correctional Facility | Medicaid | $121.75 | — | — | 2025-01-01 | 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.