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 $87–$1,669 (25th–75th percentile) across 1,379 hospitals · 2,954 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/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
$87
$169 typical
$1,669
The middle 50% of negotiated facility rates for this procedure, measured across 1,379 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $169 |
| Likely subtotal | $169 |
Facility charge (no separate professional fee)
$169
- 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 HOSPITAL MANSFIELD Inpatient | None | — | — | $30,537.00 | $15,268.50 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $30,537.00 | $15,268.50 | 2024-12-15 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.09 | $48.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.10 | $58.18 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.13 | $72.81 | — | 2024-12-31 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $0.20 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Aetna Coventry | FamilyHealthPlanMCD | $0.22 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Coventry | MedicareAdvantage | $0.22 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | FreedomNetworkSelect | $0.22 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | United | OptionsPPO | $0.25 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | FreedomNetwork | $0.29 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | PC | $0.29 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | Preferred-CareBlue(PPO) | $0.30 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | BlueAccess | $0.30 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | Blue-Care(HMO) | $0.30 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.36 | $202.42 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.38 | $212.49 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.38 | $213.00 | — | 2024-12-31 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | UHC | ALL PRODUCTS | $0.38 | $17,340.00 | — | 2025-06-28 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.38 | $213.00 | — | 2025-12-31 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Coventry | WCOMP | $0.40 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Coventry KC MO | WCOMP | $0.41 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.44 | $245.52 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.44 | $245.52 | — | 2025-12-31 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | Participating | $0.46 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | Traditional | $0.46 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | OHA Network | MissouriWCOMP | $0.50 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $0.58 | — | — | 2026-03-18 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | CorVel Corporation | MOWC | $0.65 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Multiplan | ComplimentaryNetwork | $0.74 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.76 | $422.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.76 | $422.00 | — | 2025-12-31 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Multiplan | WCOMPMissouri | $0.80 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Global Sports Services | WCOMP | $0.80 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.80 | $442.93 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.80 | $442.93 | — | 2024-12-31 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | CCO, Inc. | COMM | $0.85 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | CCO, Inc. | WORKERSCOMPPPO | $0.85 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $0.90 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NAVIGATE | $1.00 | $28,938.00 | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NON OPTIONS | $1.00 | $28,938.00 | — | 2026-01-01 | 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 ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NON OPTIONS | $1.00 | $28,938.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NAVIGATE | $1.00 | $28,938.00 | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $19,799.10 | $12,869.41 | 2025-11-26 | 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 ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $1.27 | $6,106.50 | $2,259.40 | 2026-03-31 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $17,340.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $17,340.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $17,340.00 | — | 2025-06-28 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | HealthSmart | All Products | $3.20 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | Health Design Plus | All Products | $3.70 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | HUMANA | ALL PRODUCTS | $3.90 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | Clarity Health | All Products | $4.00 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | HealthSpan | All Products | $4.00 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | HealthSmart Preferred | All Products | $4.50 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Ohio Health Choice Plus | All Products | $4.84 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Kaiser Public Option | Commercial | $5.12 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Braven Health | Medicare Advantage | $5.36 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Humana | Medicare Advantage | — | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | SUMMACARE | ALL PRODUCTS | $5.40 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Optum | All Products | $5.40 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Aetna | All Products | $5.41 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Cigna | All Products | $5.47 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $5.61 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Anthem Pathway Essentials | Commercial | $5.77 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Kaiser | Managed Care | $5.84 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Kaiser PPO | Commercial | $5.87 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | HealthSmart | All Products | $6.08 | $19.00 | $14.25 | 2025-07-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Anthem Pathway Essentials Standard | Commercial | $6.34 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Braven Health | Medicare Advantage | $6.70 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | First Health | All Products | $6.90 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Coventry | All Products | $6.90 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Anthem Pathway Standard | Commercial | $6.91 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $6.96 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.96 | $48.00 | — | 2024-12-31 | MRF ↗ |
| SAINT PETER'S UNIVERSITY HOSPITAL Both | Managed Care Medicaid | OTHER MANAGED MEDICAID | $7.00 | $60.00 | $53.00 | 2025-11-19 | MRF ↗ |
| SAINT PETER'S UNIVERSITY HOSPITAL Both | Medicaid | MEDICAID | $7.00 | $60.00 | $53.00 | 2025-11-19 | MRF ↗ |
| SAINT PETER'S UNIVERSITY HOSPITAL Both | Managed Care Medicaid | UHC COMMUNITY - MEDICAID | $7.00 | $60.00 | $53.00 | 2025-11-19 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | Health Design Plus | All Products | $7.03 | $19.00 | $14.25 | 2025-07-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Anthem Pathway | Commercial | $7.20 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $7.26 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $7.26 | — | — | 2024-10-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | HUMANA | ALL PRODUCTS | $7.41 | $19.00 | $14.25 | 2025-07-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $7.44 | $48.00 | — | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $7.44 | $48.00 | — | 2024-12-31 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | Clarity Health | All Products | $7.60 | $19.00 | $14.25 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | HealthSpan | All Products | $7.60 | $19.00 | $14.25 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Ohio Health Choice | All Products | $7.73 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $7.73 | $48.00 | — | 2024-12-31 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Aetna Exchange Colorado | PPO | $7.84 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Private Healthare Systems | All Products | $8.00 | $10.00 | $7.50 | 2025-07-01 | MRF ↗ |
| SAINT PETER'S UNIVERSITY HOSPITAL Both | Managed Care Medicaid | AETNA BETTER HEALTH | $8.00 | $60.00 | $52.00 | 2025-11-19 | MRF ↗ |
| SAINT PETER'S UNIVERSITY HOSPITAL Both | Managed Care Medicaid | WELLCARE/FIDELIS MGD MEDICAID | $8.00 | $60.00 | $52.00 | 2025-11-19 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Wellpoint Full Dual Advantage | 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 ↗ |
| Salem Medical Center OutpatientFacility | Aetna Medicare | Medicare Advantage | $8.08 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Aetna Medicare | Medicare Advantage | $8.08 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna Medicare | Medicare Advantage | $8.08 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Aetna | Commercial | $8.08 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| GREENEVILLE COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $8.13 | $141.00 | $21.15 | 2026-03-23 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $8.25 | $48.00 | — | 2024-12-31 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | River Valley Plan | TennCare | $8.41 | $38,444.10 | $26,910.87 | 2026-02-06 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Braven Health | Medicare Advantage | $8.41 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL OutpatientFacility | River Valley Plan | TennCare | $8.41 | $38,444.10 | $26,910.87 | 2026-02-05 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $8.44 | $58.18 | — | 2024-12-31 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | HealthSmart Preferred | All Products | $8.55 | $19.00 | $14.25 | 2025-07-01 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $8.64 | $48.00 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $8.64 | $48.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $8.64 | $48.00 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $8.64 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $8.64 | $48.00 | — | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $8.64 | $48.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $8.64 | $48.00 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $8.64 | $48.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $8.64 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $8.64 | $48.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $8.69 | $48.00 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $8.69 | $48.00 | — | 2024-12-31 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $8.80 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Select Health Colorado Public Option | Commercial | $8.88 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Select Health Medicare Networks | Medicare Advantage | $8.88 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Select Health Value Network | Commercial | $8.88 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Anthem CU Exclusive Employer Group | Commercial | $8.98 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Anthem PPO/HMO | Managed Care | $8.98 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Anthem Blue Priority | Commercial | $8.98 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $9.02 | $58.18 | — | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $9.02 | $58.18 | — | 2024-12-31 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Ohio Health Choice Plus | All Products | $9.20 | $19.00 | $14.25 | 2025-07-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Devoted Health | Medicare Advantage | $9.35 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $9.37 | $58.18 | — | 2024-12-31 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $9.40 | $43.11 | $28.02 | 2025-06-28 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Independence BC (IBC) ACA Tiered | HMO/PPO | $9.62 | $54.00 | $48.60 | 2024-12-31 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Cigna Individual | Commercial | $9.67 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $9.79 | $48.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $9.79 | $48.00 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $9.79 | $48.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $9.89 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $9.89 | $48.00 | — | 2024-12-31 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $9.93 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Wellpoint | Managed Medicaid | $9.93 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Independence BC (IBC) | Indemnity/Traditional | $9.96 | $54.00 | $48.60 | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $10.00 | $58.18 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $10.03 | $48.00 | — | 2025-12-31 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Cigna | Commercial | $10.04 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Cigna | Commercial | $10.05 | $23.37 | $11.69 | 2025-12-23 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $10.08 | $48.00 | — | 2025-12-31 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $10.15 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $10.15 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $10.18 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $10.18 | $48.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | SUMMACARE | ALL PRODUCTS | $10.26 | $19.00 | $14.25 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Optum | All Products | $10.26 | $19.00 | $14.25 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Aetna | All Products | $10.28 | $19.00 | $14.25 | 2025-07-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - OMH | $10.32 | $86.00 | $55.90 | 2026-03-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Cigna | All Products | $10.39 | $19.00 | $14.25 | 2025-07-01 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $10.43 | — | — | 2026-01-29 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Blue Cross Out of Area Plans | HMO/PPO | $10.45 | $54.00 | $48.60 | 2024-12-31 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Independence BC (IBC) | HMO/PPO | $10.45 | $54.00 | $48.60 | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $10.46 | $48.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicare Advantage | $10.46 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.47 | $58.18 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.47 | $58.18 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $10.47 | $58.18 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.47 | $58.18 | — | 2024-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $10.47 | $58.18 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $10.47 | $58.18 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $10.47 | $58.18 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $10.47 | $58.18 | — | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $10.47 | $58.18 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.47 | $58.18 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $10.53 | $58.18 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $10.53 | $58.18 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.56 | $72.81 | — | 2024-12-31 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | HealthSmart | All Products | $10.56 | $33.00 | $24.75 | 2025-07-01 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | OPTUM HEALTH | MANAGED MEDICAID | $10.56 | $48.00 | — | 2025-12-31 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $10.73 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Cigna | HMO/PPO | $10.80 | $54.00 | $48.60 | 2024-12-31 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL OutpatientFacility | River Valley Plan | TennCare | $10.94 | $38,444.10 | $26,910.87 | 2026-02-05 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL OutpatientFacility | River Valley Plan | TennCare | $10.94 | $38,444.10 | $26,910.87 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | River Valley Plan | TennCare | $10.94 | $38,444.10 | $26,910.87 | 2026-02-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | River Valley Plan | TennCare | $10.94 | $38,444.10 | $26,910.87 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | River Valley Plan | TennCare | $10.94 | $38,444.10 | $26,910.87 | 2026-02-06 | MRF ↗ |
| SAINT PETER'S UNIVERSITY HOSPITAL Both | Aetna | AETNA POS | $11.00 | $60.00 | $49.00 | 2025-11-19 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | UHC | UHC KS Medicaid | $11.09 | — | — | 2025-12-09 | MRF ↗ |
| ST MARY'S MEDICAL CENTER Outpatient | UHC | UHC KS Medicaid | $11.09 | — | — | 2025-12-09 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $11.14 | $48.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $11.14 | $48.00 | — | 2025-12-31 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna Better Health | Managed Medicaid | $11.28 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Aetna Better Health | Managed Medicaid | $11.28 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Fidelis Care of NJ | Managed Medicaid | $11.28 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Fidelis Care of NJ | Managed Medicaid | $11.28 | $58.96 | $58.96 | 2026-03-24 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $11.29 | $72.81 | — | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $11.29 | $72.81 | — | 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.