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 $58–$213 (25th–75th percentile) across 1,444 hospitals · 3,164 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/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
$58
$90 typical
$213
The middle 50% of negotiated facility rates for this procedure, measured across 1,444 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $90 |
| Likely subtotal | $90 |
Facility charge (no separate professional fee)
$90
- 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 |
|---|---|---|---|---|---|---|---|
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $77.30 | $65.71 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL 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 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] | CIGNA HEALTHCARE HMO [1034] | $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 ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $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 ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $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 ↗ |
| 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] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $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 CHOWAN 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 PPO - OPEN ACCESS [1035] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN 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 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 ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.03 | $0.03 | $0.02 | 2026-03-24 | 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 | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $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 ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $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 CHOWAN 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 CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC 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 STARBRIDGE [1285] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| THE OUTER BANKS HOSPITAL, INC Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $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 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.03 | $0.03 | $0.02 | 2026-04-01 | 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 | MULTIPLAN [1031] | MULTIPLAN [1147] | $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 | 2026-03-24 | MRF ↗ |
| VIDANT DUPLIN HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-04-01 | MRF ↗ |
| VIDANT CHOWAN HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE 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 - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| VIDANT EDGECOMBE HOSPITAL Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.03 | $0.03 | $0.02 | 2026-03-24 | MRF ↗ |
| ECU HEALTH BERTIE HOSPITAL Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $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 ↗ |
| 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 | 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 | 2026-03-24 | MRF ↗ |
| OCEAN 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 ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.39 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.39 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.42 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.43 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.51 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.51 | $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 - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.52 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.52 | $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 | Point Comfort Underwriters | Organizational | $0.58 | $106.68 | $101.35 | 2026-02-20 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Phcs | Phcs | — | $3.00 | $0.88 | 2026-05-08 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Aetna | Aetna Ppo | — | $3.00 | $0.88 | 2026-05-08 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Prime Health | Prime Health | — | $3.00 | $0.88 | 2026-05-08 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Uhc | Uhc All Payer | — | $3.00 | $0.88 | 2026-05-08 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Aetna | Aetna Hmo | — | $3.00 | $0.88 | 2026-05-08 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Prime Health | Prime Health Indigent | — | $3.00 | $0.88 | 2026-05-08 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Bcbs Of Tn | Bcbs Of Tn | — | $3.00 | $0.88 | 2026-05-08 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Cigna | Cigna Hmo | — | $3.00 | $0.88 | 2026-05-08 | MRF ↗ |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI Outpatient | Cigna | Cigna Ppo | — | $3.00 | $0.88 | 2026-05-08 | 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 | MedicarePlusCentralHMO | $0.95 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $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 ↗ |
| 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 ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | HNJH | $1.00 | $2,401.00 | $828.35 | 2025-12-29 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON | HNJH_YOUTH-YOUNG ADULT | $1.00 | $2,401.00 | $828.35 | 2025-12-29 | 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 ↗ |
| 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 | STAR | $3.30 | $55.00 | $55.00 | 2026-03-01 | 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 | CHPFC | $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 | Aetna | MCR | $3.65 | $55.00 | $55.00 | 2026-03-01 | 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 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $6.23 | $146.00 | $146.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $6.31 | $146.00 | $146.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $7.00 | $133.00 | $133.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $7.00 | $133.00 | $133.00 | 2026-04-30 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | STAR | $7.15 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | CHIP | $7.15 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | CHIPPerinatal | $7.15 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | STAR+PLUS | $7.15 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $7.24 | $133.00 | $133.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $7.24 | $133.00 | $133.00 | 2026-04-30 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $7.54 | $52.00 | — | 2024-12-31 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Amerigroup | MGMCD | $7.70 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Amerigroup | MCDCHIPBH | $7.70 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $7.88 | $146.00 | $146.00 | 2026-05-15 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $8.06 | $52.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $8.37 | $52.00 | — | 2024-12-31 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | LA CARE HEALTH PLAN [2025] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | HEMET COMMUNITY MED GRP - PROMISECARE [1040] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | STATE OF CALIFORNIA [1082] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MOLINA [1055] | MOLINA MEDI-CAL [10550002] | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | FEDERAL PRISON [1031] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BRAND NEW DAY [1089] | MEDI-CAL | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BRAND NEW DAY [1089] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | CALIFORNIA DEPARTMENT OF PUBLIC HEALTH [1237] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALTERNATE MEDI-CAL [2001] | MEDI-CAL | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | XIMED [2016] | MEDI-CAL | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MOLINA [1055] | MOLINA MEDI-CAL | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | VANTAGE [1092] | PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | FEDERAL PRISON [1031] | FEDERAL PRISON [10310001] | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | KERN HEALTH SYSTEMS [2033] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | SAN DIEGO COUNTY [1071] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL [12400001] | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | HEALTH PLAN OF SAN JOAQUIN [2032] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UNLISTED MCAL HMO NON-CONTRACT [1049] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | COMMUNITY ELDERCARE [1027] | MEDI-CAL | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BLUE CROSS [1013] | MEDI-CAL | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | IMPERIAL HEALTH HOLDINGS [1132] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MEDI-CAL [1048] | MEDI-CAL | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MOLINA [1055] | MOLINA MEDI-CAL COMMUNITY CARE [10550015] | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BLUE CROSS [1013] | BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | CAREMORE [2028] | MEDI-CAL | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | SD PHYSICIANS MED GRP [1076] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | GOLD COAST HEALTH PLAN [2031] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | REGAL MG 'HERITAGE PROVIDER NETWORK' [2019] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | CAL OPTIMA [1016] | CalOptima Medi-Cal | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | BLUE CROSS [1013] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | OPTUM CARE NETWORK - PRIMECARE MED GRP [1065] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALIGNMENT HEALTH PLAN [2020] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | ALAMEDA ALLIANCE FOR HEALTH [2027] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MEDICAID - OUT OF STATE [1047] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $8.80 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $8.91 | $42.85 | $27.85 | 2025-06-28 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $8.94 | $52.00 | — | 2024-12-31 | MRF ↗ |
| ST VINCENT'S ST CLAIR OutpatientFacility | Aetna | Medicare Advantage | $9.30 | $78.00 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S ST CLAIR OutpatientFacility | Aetna | Medicare Advantage | $9.30 | $78.00 | — | 2026-04-20 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $9.34 | $42.85 | $27.85 | 2025-06-28 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $9.36 | $52.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $9.36 | $52.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $9.36 | $52.00 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $9.36 | $52.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $9.41 | $52.00 | — | 2024-12-31 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $9.61 | — | — | 2026-01-29 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | United | OptionsPPO | $9.68 | $55.00 | $55.00 | 2026-03-01 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Security Health Plan | All Products | $9.82 | $50.00 | $29.05 | 2025-06-27 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $9.94 | $71.00 | $29.82 | 2026-02-28 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | MMO | ALL PRODUCTS | $10.28 | $42.85 | $27.85 | 2025-06-28 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Independence BC (IBC) ACA Tiered | HMO/PPO | $10.33 | $58.00 | $52.20 | 2024-12-31 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $10.45 | $95.00 | $26.03 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL OF FOLSOM Inpatient | WCMG | Commercial|All Plans | $10.45 | $95.00 | $36.96 | 2026-02-28 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | WCMG | Commercial|All Plans | $10.45 | $95.00 | $26.03 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $10.45 | $95.00 | $26.03 | 2026-02-28 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC ALLIANCE HMO [164020] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC CIGNA HMO [164003] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC AETNA GENERIC PAYOR [164008] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HEALTHNET GENERIC PAYOR [164010] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HNET BLUE&GOLD ACO [164017] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF ANTHEM/SDSM HMO [164024] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF HUMANA/SDSM [164025] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC HARMONY HMO [164026] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HUMANA GENERIC PAYOR [164014] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BRAND NEW DAY HMO [164030] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC CIGNA GENERIC PAYOR [164007] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HEALTHNET HMO [164004] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF MC HUMANA GENERIC PAYOR [164027] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC VEBA HMO [164033] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BRAND NEW DAY GENERIC PAYOR [164031] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BLUE SHIELD GENERIC PAYOR [164016] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UNITED HEALTHCARE GENERIC PAYOR [164011] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UNITED HEALTHCARE HMO [164005] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC SCAN GENERIC PAYOR [164034] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF ANTHEM/XIMED HMO [164022] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC BLUE SHIELD HMO [164015] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC HUMANA HMO [164013] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC ANTHEM BLUE CROSS GENERIC PAYOR [164009] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC UHC VEBA GENERIC HMO [164032] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC ANTHEM BLUE CROSS HMO [164002] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | UC AFF BLUE SHIELD SR/SDSM [164037] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC AETNA HMO [164001] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Both | MC SCAN HMO [164035] | UC MANAGED CARE | $10.56 | $88.00 | $48.40 | 2026-04-01 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.59 | $73.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $10.61 | $52.00 | — | 2024-12-31 | 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.