Q4106 — Tissue Dermagraft 2x3in 37.5sqcm-q4106-cost Per Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TISSUE DERMAGRAFT 2X3IN 37.5SQCM-Q4106-COST PER SQ CM (HCPCS Q4106) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4106?code_type=HCPCS
MLA (9th ed.)
“TISSUE DERMAGRAFT 2X3IN 37.5SQCM-Q4106-COST PER SQ CM (HCPCS Q4106) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4106?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TISSUE DERMAGRAFT 2X3IN 37.5SQCM-Q4106-COST PER SQ CM (HCPCS Q4106) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4106?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $56–$283 (25th–75th percentile) across 1,740 hospitals · 3,206 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q4106 — 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 this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$56
$91 typical
$283
The middle 50% of negotiated facility rates for this procedure, measured across 1,740 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $91 |
| Likely subtotal | $91 |
Facility charge (no separate professional fee)
$91
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $56–$283.
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $77.30 | $65.71 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $77.30 | $65.71 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $77.30 | $65.71 | 2025-01-01 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.09 | $52.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.09 | $52.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.13 | $73.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.13 | $73.00 | — | 2024-12-31 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $177.00 | $132.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $177.00 | $132.75 | 2026-09-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.39 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.39 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.39 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.41 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.42 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.43 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.52 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.52 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.58 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $177.00 | $132.75 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | — | — | 2026-07-01 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Prime Health | Prime Health | — | $3.00 | $0.87 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Prime Health | Prime Health Indigent | — | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Prime Health | Prime Health Indigent | — | $3.00 | $0.87 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Aetna | Aetna Ppo | — | $3.00 | $0.87 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Uhc | Uhc All Payer | $0.90 | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Phcs | Phcs | — | $3.00 | $0.87 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Cigna | Cigna Ppo | — | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Cigna | Cigna Hmo | — | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Prime Health | Prime Health | — | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Phcs | Phcs | — | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Cigna | Cigna Hmo | — | $3.00 | $0.87 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Aetna | Aetna Hmo | — | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Bcbs Of Tn | Bcbs Of Tn | — | $3.00 | $0.87 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Aetna | Aetna Hmo | — | $3.00 | $0.87 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Uhc | Uhc All Payer | — | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Uhc | Uhc All Payer | — | $3.00 | $0.87 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Cigna | Cigna Ppo | — | $3.00 | $0.87 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Bcbs Of Tn | Bcbs Of Tn | — | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Aetna | Aetna Ppo | — | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.92 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.92 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $0.92 | — | — | 2026-03-18 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $0.95 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $0.95 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $0.95 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $0.95 | — | — | 2025-04-16 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | $177.00 | $132.75 | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | $177.00 | $132.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | $177.00 | $132.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | HNJH | $1.00 | $2,401.00 | $828.35 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON | HNJH_YOUTH-YOUNG ADULT | $1.00 | $2,401.00 | $828.35 | 2025-12-29 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $1.05 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $1.05 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $1.05 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $1.14 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Prime Health | Prime Health Indigent | $1.50 | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Aetna | Aetna Ppo | $1.56 | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Aetna | Aetna Hmo | $1.56 | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Cigna | Cigna Hmo | $1.57 | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Cigna | Cigna Ppo | $1.70 | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Bcbs Of Tn | Bcbs Of Tn | $2.22 | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Prime Health | Prime Health | $2.55 | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Phcs | Phcs | $2.70 | $3.00 | $0.88 | 2026-07-15 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARPLUS | $3.30 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHIP | $3.30 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STAR | $3.30 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARKids | $3.30 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHPFC | $3.30 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | MCR | $3.65 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Outpatient | Medicaid Managed UHC | All Plans | $4.22 | $131.56 | $67.10 | 2025-01-10 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $4.40 | $182.70 | — | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $4.83 | $37.00 | $8.51 | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $4.83 | $37.00 | $8.51 | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $4.83 | $37.00 | $8.51 | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $4.83 | $37.00 | $8.51 | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $4.83 | $37.00 | $8.51 | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $4.83 | $37.00 | $8.51 | 2026-10-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $4.84 | $182.70 | — | 2026-08-17 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $4.88 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $4.88 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $4.88 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $4.88 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $4.88 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $4.88 | — | — | 2026-05-20 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $4.90 | $37.00 | $7.77 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $4.90 | $37.00 | $7.77 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $4.90 | $37.00 | $7.77 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $4.90 | $37.00 | $7.77 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $4.90 | $37.00 | $7.77 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $4.90 | $37.00 | $7.77 | 2026-07-15 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $5.08 | $131.56 | $47.36 | 2026-09-19 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $5.63 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $5.63 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $5.63 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $5.63 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $5.63 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $5.63 | — | — | 2026-09-02 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $5.68 | $133.00 | $133.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $5.68 | $133.00 | $133.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $5.79 | $133.00 | $133.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $5.79 | $133.00 | $133.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $5.84 | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $5.98 | $131.56 | $47.36 | 2026-09-19 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $6.20 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $6.20 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $6.20 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $6.20 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $6.20 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $6.20 | — | — | 2026-09-02 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $6.23 | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $6.31 | $146.00 | $146.00 | 2026-06-24 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $6.37 | $224.40 | — | 2026-08-17 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $6.58 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $6.58 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $6.58 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $6.58 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $6.58 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $6.58 | — | — | 2026-05-20 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | BCBS | MCRPPO | $6.68 | $117.22 | $117.22 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | BCBS | MCRHMO | $6.70 | $117.22 | $117.22 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MCRPPO | $6.97 | $101.00 | $101.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | MCR | $6.97 | $101.00 | $101.00 | 2026-03-01 | 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.