Q4108 — Integra Matrix
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Integra matrix (HCPCS Q4108) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4108?code_type=HCPCS
MLA (9th ed.)
“Integra matrix (HCPCS Q4108) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4108?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Integra matrix (HCPCS Q4108) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4108?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $96–$2,925 (25th–75th percentile) across 1,624 hospitals · 2,834 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q4108 — 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
$96
$201 typical
$2,925
The middle 50% of negotiated facility rates for this procedure, measured across 1,624 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $201 |
| Likely subtotal | $201 |
Facility charge (no separate professional fee)
$201
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 $96–$2,925.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $30,537.00 | $15,268.50 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $30,537.00 | $15,268.50 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $19,799.10 | $12,869.41 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $19,799.10 | $12,869.41 | 2025-11-26 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Humana | Medicare Advantage | — | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $112.36 | $56.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Aetna | HMO_PPO | — | $112.36 | $56.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Oscar | HMO | — | $112.36 | $56.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Aetna | Exchange | — | $112.36 | $56.18 | 2024-12-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-18 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL Inpatient | — | — | — | $85.00 | $55.25 | 2025-01-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Simply_Health | Healthy_Kids_Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Humana | PPO | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Humana | HMO_Medicare | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Simply_Health | Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Humana | HMO | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | — | $164.39 | $65.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Molina | Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Simply_Health | Clear_Health_Alliance_Medicaid | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Molina | Medicaid | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Simply_Health | Healthy_Kids_Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | — | $164.39 | $65.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | Cigna | HMO | — | $293.31 | $146.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Better_Health_Medicaid | Negotiated_Dollar | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Simply_Health | Clear_Health_Alliance_Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Simply_Health | Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Aetna | Better_Health_Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Aetna_ | Better_Health_Healthy_Kids | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Aetna_ | Better_Health_Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | United_HealthCare | Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Simply_Health | Medicaid | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Simply_Health | Clear_Health_Alliance_Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | United_HealthCare | Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare | Medicaid | — | $200.33 | $100.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | — | $123.81 | $49.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $200.33 | $100.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | — | $123.81 | $49.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Simply_Health | Healthy_Kids_Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | — | $123.81 | $49.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | — | $123.81 | $49.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Aetna_ | Better_Health_Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Cigna_HealthCare | HMO_PPO | — | $293.31 | $146.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Aetna_ | Better_Health_Healthy_Kids | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Aetna_ | Better_Health_Healthy_Kids | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | — | $164.39 | $65.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Aetna | Better_Health_Medicaid | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | United_HealthCare | Medicaid | — | $293.31 | $146.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Florida_Community_Care | Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $160.97 | $64.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Aetna | Better_Health_Medicaid | — | $293.31 | $146.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | HMO | — | $644.51 | $322.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Simply_Health | Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $123.81 | $49.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | — | $123.81 | $49.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Simply_Health | Healthy_Kids_Medicaid | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Simply_Health | Medicaid | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Simply_Health | Clear_Health_Alliance_Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Florida_Community_Care | Medicaid | — | $160.97 | $64.39 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Florida_Community_Care | Medicaid | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Aetna_ | Better_Health_Healthy_Kids | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | United_HealthCare | Medicaid | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Florida_Community_Care | Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Aetna_ | Better_Health_Healthy_Kids | — | $160.97 | $64.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | — | $164.39 | $65.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Simply_Health | Medicaid | — | $160.97 | $64.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | — | $164.39 | $65.75 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Molina | Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Outpatient | Humana | HMO_PPO | — | $293.31 | $146.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Molina | Medicaid | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | United_HealthCare | Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Simply_Health | Healthy_Kids_Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Aetna | Better_Health_Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Simply_Health | Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Florida_Community_Care | Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Molina | Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Aetna_ | Better_Health_Healthy_Kids | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Florida_Community_Care | Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Aetna_ | Better_Health_Medicaid | — | $160.97 | $64.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Simply_Health | Healthy_Kids_Medicaid | — | $160.97 | $64.39 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Simply_Health | Clear_Health_Alliance_Medicaid | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $126.79 | $50.72 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Humana | HMO_Medicare | — | $160.97 | $64.39 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Aetna_ | Better_Health_Healthy_Kids | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Humana | HMO_Medicaid | — | $160.97 | $64.39 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Simply_Health | Clear_Health_Alliance_Medicaid | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Simply_Health | Medicaid | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Humana | HMO | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Humana | HMO_Medicare | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Aetna | Better_Health_Medicaid | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Sunflower_State_Health_Plan | Medicaid | — | $293.31 | $146.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Simply_Health | Clear_Health_Alliance_Medicaid | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | United_HealthCare | Medicaid | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Aetna_ | Better_Health_Healthy_Kids | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Florida_Community_Care | Medicaid | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Simply_Health | Healthy_Kids_Medicaid | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Florida_Community_Care | Medicaid | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Molina | Medicaid | — | $160.97 | $64.39 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | United_HealthCare | Medicaid | — | $160.97 | $64.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $160.97 | $64.39 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Molina | Medicaid | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Simply_Health | Clear_Health_Alliance_Medicaid | — | $160.97 | $64.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | Simply_Health | Healthy_Kids_Medicaid | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Humana | PPO | — | $191.29 | $76.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NORTH PINELLAS Outpatient | United_HealthCare | Medicaid | — | $160.95 | $64.38 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | — | $96.00 | $38.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Aetna | Better_Health_Medicaid | — | $200.33 | $100.16 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $644.51 | $322.25 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_HealthCare | Medicaid | — | $644.51 | $322.25 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | Better_Health_Medicaid | — | $644.51 | $322.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HEART OF FLORIDA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | — | $164.39 | $65.75 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | PPO | — | $644.51 | $322.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Molina | Medicaid | — | $110.25 | $44.10 | 2024-12-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-17 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $83.00 | $46.48 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicaid Select Health Of Sc | Medicaid Select Health Of Sc | — | $25.19 | $15.11 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicare Aetna | Medicare Aetna | — | $25.19 | $15.11 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicaid Humana Healthy Horizons | Medicaid Humana Healthy Horizons | — | $25.19 | $15.11 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicaid Molina Healthcare Of Sc | Medicaid Molina Healthcare Of Sc | — | $25.19 | $15.11 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Medicare Devoted Health | Medicare Devoted Health | — | $25.19 | $15.11 | 2026-07-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Inpatient | Bcbs Of South Carolina | Bcbs Ppc/Ppo Preferred Blue | — | $25.19 | $15.11 | 2026-07-18 | 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.