Q4101 — Apligraf
Cite this view
HANK Price Transparency. (n.d.). Apligraf (OTHER Q4101) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4101?code_type=OTHER
“Apligraf (OTHER Q4101) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4101?code_type=OTHER. Accessed .
“Apligraf (OTHER Q4101) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4101?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $35–$140 (25th–75th percentile) across 191 hospitals · 475 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Q4101 — 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 MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $13,572.38 | $1,357.24 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $13,572.38 | $1,357.24 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $13,572.38 | $1,357.24 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $13,572.38 | $1,357.24 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $13,572.38 | $1,357.24 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $13,572.38 | $1,357.24 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $13,572.38 | $1,357.24 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $13,572.38 | $1,357.24 | 2026-05-09 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $3.78 | $117.72 | $60.04 | 2025-01-10 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $4.55 | $117.72 | $42.38 | 2026-01-01 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $5.35 | $117.72 | $42.38 | 2026-01-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv Aetna | All Plans | $11.36 | $117.72 | $60.04 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | TRPN | All Plans | $11.77 | $117.72 | $60.04 | 2025-01-10 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Uhc | Uhc | — | $131.00 | $52.40 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Bcbs Of Va | Anthem Hix | — | $131.00 | $52.40 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Aetna | Aetna | — | $131.00 | $52.40 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Gateway | Gateway | — | $131.00 | $52.40 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Cigna | Cigna | — | $131.00 | $52.40 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Bcbs Of Va | Anthem Blue Cross Hmo | — | $131.00 | $52.40 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Medcost | Medcost | — | $131.00 | $52.40 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Optima Health Plan | Sentara (Optima) | — | $131.00 | $52.40 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Optima Health Plan | Optima | — | $131.00 | $52.40 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Bcbs Of Va | Anthem Blue Cross Ppo | — | $131.00 | $52.40 | 2026-05-23 | MRF ↗ |
| TWIN COUNTY REGIONAL HOSPITAL Outpatient | Vaughan-Bassett Furniture Co. | Vaughan-Bassett | — | $131.00 | $52.40 | 2026-05-23 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv Aetna | All Plans | $12.59 | $117.72 | $69.45 | 2025-01-10 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Anthem | All Plans | $14.39 | $117.72 | $42.38 | 2026-01-01 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - WellCare | All Plans | $15.41 | $117.72 | $42.38 | 2026-01-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv Anthem | All Plans | $15.64 | $117.72 | $60.04 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv UHC | All Plans | $15.77 | $117.72 | $60.04 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv CtCare | All Plans | $17.02 | $117.72 | $60.04 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicare Adv Wellcare | All Plans | $17.03 | $117.72 | $60.04 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv UHC | All Plans | $17.57 | $117.72 | $69.45 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv Anthem | All Plans | $17.65 | $117.72 | $69.45 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | First Health | All Plans | $17.66 | $117.72 | $60.04 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv Wellcare | All Plans | $17.83 | $117.72 | $69.45 | 2025-01-10 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $18.14 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $18.14 | — | — | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-06 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-09 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-06 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-09 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $111.00 | $62.16 | 2026-05-06 | MRF ↗ |
| MASON DISTRICT HOSPITAL Outpatient | Bcbs | Medicare | $18.60 | $93.00 | $74.40 | 2026-05-22 | MRF ↗ |
| MASON DISTRICT HOSPITAL Outpatient | Uhc | Medicare | $18.60 | $93.00 | $74.40 | 2026-05-22 | MRF ↗ |
| MASON DISTRICT HOSPITAL Outpatient | Humana | Medicare | $18.60 | $93.00 | $74.40 | 2026-05-22 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - CtCare | All Plans | $18.64 | $117.72 | $42.38 | 2026-01-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Medicare Adv CTCare | All Plans | $19.07 | $117.72 | $69.45 | 2025-01-10 | MRF ↗ |
| MASON DISTRICT HOSPITAL Outpatient | Cigna | Medicare | $19.53 | $93.00 | $74.40 | 2026-05-22 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-13 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-14 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-08 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-13 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $111.00 | $62.16 | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | United Mco | All Plans | $20.33 | $107.00 | $69.55 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Aetna Better Health Mco | All Plans | $20.33 | $107.00 | $69.55 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Wellcare Mco | All Plans | $20.33 | $107.00 | $69.55 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Passport Molina Mco | All Plans | $20.33 | $107.00 | $69.55 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $25.68 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $25.68 | — | — | 2026-05-23 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Usable | Medicare Managed 100% | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Allwell | Medicare Managed 100% | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Bcbs | Medicare Managed 100% | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Wellmark | Medicare Managed 100% | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Medipak | Medicare Managed 100% | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare Managed 100% | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna / Coventry | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Ambetter | Ambetter | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Humana | Humana Gold (Mcr) | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Managed 100% | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Union Pacific Railroad | Union Pacific Railroad | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Coresource | Coresource / Trustmark | — | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| MASON DISTRICT HOSPITAL Outpatient | Meridian | Medicaid | $26.04 | $93.00 | $74.40 | 2026-05-22 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Encore | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Wellcare Mco | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | United Mco | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Multiplan-Phcs | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Coventry 1St Health | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Humana Mco | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Comm Care | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Passport Molina Mco | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Centercare Cigna | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Centercare Aetna | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Centercare | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Aetna Better Health Mco | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Oh Network | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Uhc Plan 2 | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Ccn 1Source | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Uhc Plan 1 | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Plan Vista | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Uhc Options Ppo | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Sagamore | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Great West | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH REGIONAL HOSPITAL Both | Beech Street | All Plans | — | $127.76 | $83.04 | 2026-05-08 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna / Coventry | — | $107.66 | $27.99 | 2026-05-09 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Humana | Humana | — | $107.66 | $27.99 | 2026-05-09 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Occunet | Occunet | — | $107.66 | $27.99 | 2026-05-09 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna | — | $107.66 | $27.99 | 2026-05-09 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Union Pacific Railroad | Union Pacific Railroad | — | $107.66 | $27.99 | 2026-05-09 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Health Link | Health Link | — | $107.66 | $27.99 | 2026-05-09 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Coresource | Coresource / Trustmark | — | $107.66 | $27.99 | 2026-05-09 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Outpatient | Champus | All Plans | $27.03 | $117.72 | $69.45 | 2025-01-10 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $27.27 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $27.27 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $27.27 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $27.27 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $28.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $28.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $28.48 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $28.48 | — | — | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $28.52 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $28.52 | — | — | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Bcbs | Bcbs Of Ar | $28.59 | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| DARDANELLE REGIONAL MEDICAL CENTER Outpatient | Bcbs | Bcbs - Exchange | $28.59 | $92.61 | $36.12 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | United Healthcare | Default | — | $303.00 | $157.56 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Umr United Medical Resources | Default | — | $303.00 | $157.56 | 2026-05-09 | MRF ↗ |
| OZARK HEALTH Both | Blue Cross Blue Shield Of Ar | Default | $28.59 | $303.00 | $157.56 | 2026-05-09 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $28.64 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $28.64 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $28.64 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $28.64 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $28.64 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $28.64 | — | — | 2026-05-08 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Cigna | Managed Care | $28.65 | $9,231.00 | $6,923.25 | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Cigna | Ifp | $28.65 | $9,231.00 | $6,923.25 | 2026-05-07 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Traditional | $28.70 | — | — | 2026-05-23 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Pathway Ppo/Hmo | $28.70 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $28.79 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Freedom Blue Mcr Adv | $28.79 | — | — | 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.