Q4101 — Graft Apligraf 3in 44sqcm-q4101-cost Per Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GRAFT APLIGRAF 3IN 44SQCM-Q4101-COST PER SQ CM (CPT Q4101) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4101?code_type=CPT
MLA (9th ed.)
“GRAFT APLIGRAF 3IN 44SQCM-Q4101-COST PER SQ CM (CPT Q4101) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4101?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“GRAFT APLIGRAF 3IN 44SQCM-Q4101-COST PER SQ CM (CPT Q4101) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4101?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $54–$337 (25th–75th percentile) across 2,071 hospitals · 6,076 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4101 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$54
$98 typical
$337
The middle 50% of negotiated facility rates for this procedure, measured across 2,071 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $98 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $127 × 1.22 commercial. | $155 |
| Likely subtotal | $253 |
Surgical episode (typical)
~$253
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,038
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $72.45 | $61.58 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $214.60 | $107.30 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $72.45 | $61.58 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $72.45 | $61.58 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $182.57 | $127.80 | 2025-01-01 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHLINK [225] | BJC HB HEALTHLINK SOI BJH | — | $0.01 | $0.01 | 2025-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $214.60 | $107.30 | 2024-12-15 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.12 | $65.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.13 | $71.87 | — | 2024-12-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.43 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.43 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.43 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.45 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.46 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.55 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.55 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.56 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.56 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.56 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.56 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.62 | $115.00 | $109.25 | 2026-02-20 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.81 | $451.71 | — | 2025-12-31 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.81 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.81 | — | — | 2026-03-18 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.81 | $451.71 | — | 2024-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.81 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $0.93 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $0.93 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $0.93 | — | — | 2026-03-18 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.01 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.01 | — | — | 2026-03-18 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $2.00 | $5,660.00 | $3,679.00 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $2.00 | $5,660.00 | $3,679.00 | 2026-03-30 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $116.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $116.00 | — | 2025-06-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $2.22 | $52.00 | $52.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $2.22 | $52.00 | $52.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $2.26 | $52.00 | $52.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $2.26 | $52.00 | $52.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $2.28 | $57.00 | $57.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $2.43 | $57.00 | $57.00 | 2026-05-15 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL Outpatient | Humana | Medicaid | $2.46 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL Outpatient | Anthem | Medicaid | $2.46 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $2.46 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $2.46 | $57.00 | $57.00 | 2026-05-15 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $2.46 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| PAINTSVILLE ARH HOSPITAL Outpatient | United Healthcare | Medicaid | $2.46 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicaid | $2.58 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $2.58 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $2.58 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicaid | $2.58 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicaid | $2.58 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicaid | $2.58 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $2.61 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $2.61 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $2.61 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $2.61 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $2.61 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicare | $2.61 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $2.61 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $2.61 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Humana | Medicare | $2.61 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $2.61 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-Indemnity | Aetna | — | $358.00 | $196.90 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-Indemnity | Aetna | — | $358.00 | $196.90 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | — | $358.00 | $196.90 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-POS | Aetna | — | $358.00 | $196.90 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-HMO | Aetna | — | $358.00 | $196.90 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-HMO | Aetna | — | $358.00 | $196.90 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | — | $358.00 | $196.90 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $2.61 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-POS | Aetna | — | $358.00 | $196.90 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $2.61 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Passport Molina | Medicaid | $2.64 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | $2.64 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $2.64 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Anthem | Medicaid | $2.64 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | $2.64 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $2.64 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $2.64 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Passport Molina | Medicaid | $2.64 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | Anthem | Medicaid | $2.64 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $2.64 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.74 | $52.00 | $52.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.74 | $52.00 | $52.00 | 2026-04-30 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Humana | Medicaid | $2.76 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Anthem | Medicaid | $2.76 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $2.76 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| HARLAN ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $2.81 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.83 | $52.00 | $52.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.83 | $52.00 | $52.00 | 2026-04-30 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARPLUS | $2.88 | $48.00 | $48.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARKids | $2.88 | $48.00 | $48.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STAR | $2.88 | $48.00 | $48.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHIP | $2.88 | $48.00 | $48.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHPFC | $2.88 | $48.00 | $48.00 | 2026-03-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicare | $2.93 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicaid | $2.93 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $2.93 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Humana | Medicaid | $2.93 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $2.93 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $2.93 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Humana | Medicaid | $2.93 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $2.93 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $2.93 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Anthem | Medicaid | $2.93 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Aetna Better Health | Medicaid | $2.93 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $2.96 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $2.96 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $2.96 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $2.96 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $2.96 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Anthem | Medicare Advantage | $2.96 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Humana | Medicare | $2.96 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $2.99 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Passport Molina | Medicaid | $2.99 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $3.08 | $57.00 | $57.00 | 2026-05-15 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $3.08 | $44.00 | $44.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $3.08 | $44.00 | $44.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $3.08 | $44.00 | $44.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $3.08 | $44.00 | $44.00 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $3.08 | $44.00 | $44.00 | 2026-03-01 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL Outpatient | Anthem | Medicaid | $3.16 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL Outpatient | Humana | Choice Care | $3.16 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $3.16 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $3.16 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | MCR | $3.18 | $48.00 | $48.00 | 2026-03-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare | Medicare | $3.27 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | United Healthcare | Medicare | $3.27 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $3.28 | $45.85 | $22.92 | 2026-03-21 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $3.45 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Anthem | Medicare Advantage | $3.45 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | WellCare of Kentucky | Medicare | $3.45 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Aetna Better Health | Medicaid | $3.45 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Humana | Medicare | $3.45 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Humana | Medicaid | $3.45 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Anthem | Medicaid | $3.45 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $3.45 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | The Health Plan | Medicare | $3.45 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Humana | Medicare | $3.48 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $3.48 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | The Health Plan | Medicaid | $3.48 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | WellCare of Kentucky | Medicaid | $3.48 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $3.48 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $3.48 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicare | $3.48 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Passport Molina | Medicaid | $3.51 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna | Medicare | $3.62 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MARY BRECKINRIDGE ARH HOSPITAL Outpatient | Aetna | Medicare | $3.62 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Humana | Medicaid | $3.62 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Aetna Better Health | Medicaid | $3.62 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Anthem | Medicaid | $3.62 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Optum CCN Region 2 | Veterans Affairs Plan | $3.65 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $3.65 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Anthem | Medicare Advantage | $3.65 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Inpatient | WellCare of Kentucky | Medicare | $3.65 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Optum CCN Region 1 | Veterans Affairs Plan | $3.65 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Humana | Medicare | $3.65 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Passport Molina | Medicaid | $3.69 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $3.76 | $45.85 | $22.92 | 2026-03-20 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.77 | $58.00 | $37.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3.77 | $58.00 | $37.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3.77 | $58.00 | $37.70 | 2026-03-12 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | Aetna | Medicare | $3.79 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| SUMMERS COUNTY ARH HOSPITAL Outpatient | Aetna | Medicare | $3.79 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER Outpatient | Passport Molina | Medicaid | $3.87 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | Medicaid | $3.87 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER Outpatient | Anthem | Medicaid | $3.87 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid | $3.87 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | WellCare of Kentucky | Medicaid | $3.96 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER Outpatient | WellCare of Kentucky | Medicaid | $3.96 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| SAINT PETER'S UNIVERSITY HOSPITAL Both | Managed Care Medicaid | OTHER MANAGED MEDICAID | $4.00 | $40.00 | $36.00 | 2025-11-19 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $4.08 | $45.85 | $22.92 | 2026-03-21 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER Outpatient | WellCare of Kentucky | Medicaid | $4.14 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| KNOX COUNTY HOSPITAL Outpatient | Aetna | Medicare | $4.14 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.23 | $65.00 | $42.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.23 | $65.00 | $42.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4.23 | $65.00 | $42.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.23 | $65.00 | $42.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.23 | $65.00 | $42.25 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4.23 | $65.00 | $42.25 | 2026-03-12 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $4.28 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $4.28 | — | — | 2024-10-01 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL Outpatient | WellCare of Kentucky | Medicaid | $4.31 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.36 | $67.00 | $43.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.36 | $67.00 | $43.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4.36 | $67.00 | $43.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4.36 | $67.00 | $43.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.36 | $67.00 | $43.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4.36 | $67.00 | $43.55 | 2026-03-12 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $4.39 | $45.85 | $22.92 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $4.39 | $45.85 | $22.92 | 2026-03-21 | MRF ↗ |
| MORGAN COUNTY ARH HOSPITAL Outpatient | United Healthcare | Medicare | $4.48 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| MCDOWELL ARH HOSPITAL Outpatient | Aetna | Medicare | $4.48 | $17.23 | $10.34 | 2026-01-01 | MRF ↗ |
| ARH OUR LADY OF THE WAY Outpatient | Aetna | Medicare | $4.48 | $17.23 | $10.34 | 2026-01-01 | 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.