Q4114 — Integra Flowable Wound Matri
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Integra flowable wound matri (HCPCS Q4114) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4114?code_type=HCPCS
MLA (9th ed.)
“Integra flowable wound matri (HCPCS Q4114) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4114?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Integra flowable wound matri (HCPCS Q4114) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4114?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,753–$5,987 (25th–75th percentile) across 1,523 hospitals · 2,550 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q4114 — 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
$1,753
$3,127 typical
$5,987
The middle 50% of negotiated facility rates for this procedure, measured across 1,523 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,127 |
| Likely subtotal | $3,127 |
Facility charge (no separate professional fee)
$3,127
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 $1,753–$5,987.
- 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 | — | — | — | $9,946.01 | $4,973.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $9,946.01 | $4,973.00 | 2024-12-15 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $0.03 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $0.03 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $0.03 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $0.03 | — | — | 2025-04-16 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Unicare_Medicaid_100105403 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Superior_Behavioral_Health_Medicaid_170004602 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_100100305 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Cmmty_Hlth_100106701 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_Kids_100100310 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Unicare_Medicaid_100105403 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Medicaid_100105515 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_100100307 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Medicaid_100105515 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Healthspring_Medicaid_100102702 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_100100305 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Chip_Perinate_100100308 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Cmmty_Hlth_100106701 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Chip_Perinate_100100308 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Star_100100307 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Superior_Behavioral_Health_Medicaid_170004602 | — | $0.19 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Star_Kids_100100310 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Healthspring_Medicaid_100102702 | — | $0.19 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Star_100106706 | — | $0.21 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Starplus_100106705 | — | $0.21 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_Perinatal_100106707 | — | $0.21 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Starplus_100106705 | — | $0.21 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_Perinatal_100106707 | — | $0.21 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Star_100106706 | — | $0.21 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Molina_Chip_100106708 | — | $0.21 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Molina_Chip_100106708 | — | $0.21 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Childrens_Mchp_Medicaid_170002101 | — | $0.26 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Childrens_Mchp_Medicaid_170002101 | — | $0.26 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Devoted Health, Inc. | Medicare Advantage | — | $611.70 | $519.95 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-18 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-18 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $39,939.29 | $3,993.93 | 2026-07-18 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.48 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.48 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $39,939.29 | $3,993.93 | 2026-07-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.51 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Bcbs_Blue_Advantage_Hmo100100709 | — | $0.52 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Bcbs_Blue_Advantage_Hmo100100709 | — | $0.52 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $39,939.29 | $3,993.93 | 2026-07-18 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-18 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-18 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $39,939.29 | $3,993.93 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.58 | $39,939.29 | $3,993.93 | 2026-07-15 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Great_West_Multiplan_100106901 | — | $0.59 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Great_West_Multiplan_100106901 | — | $0.59 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_In_Network_100101204 | — | $0.59 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_In_Network_100101204 | — | $0.59 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Bcbs_Ppoposepo_100100703 | — | $0.60 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Medicare_Optum_Behavioral_Health_100105516 | — | $0.60 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Commercial_Optum_Behavioral_Health_100105511 | — | $0.60 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Bcbs_Hmo_100100702 | — | $0.60 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Medicare_Optum_Behavioral_Health_100105516 | — | $0.60 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Bcbs_Hmo_100100702 | — | $0.60 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Bcbs_Ppoposepo_100100703 | — | $0.60 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Commercial_Optum_Behavioral_Health_100105511 | — | $0.60 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $3,223.71 | — | 2026-07-01 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Select_100105505 | — | $0.65 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Select_100105505 | — | $0.65 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Options_100105504 | — | $0.65 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Shared_Services_100105514 | — | $0.65 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Select_Plus_100105506 | — | $0.65 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Indemnity_100105503 | — | $0.65 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Indemnity_100105503 | — | $0.65 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Select_Plus_100105506 | — | $0.65 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Choice_100105502 | — | $0.65 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Choice_100105502 | — | $0.65 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_100105501 | — | $0.65 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_100105501 | — | $0.65 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Uhc_Shared_Services_100105514 | — | $0.65 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Uhc_Options_100105504 | — | $0.65 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Cigna_Behavioral_Health_Ppo_100101206 | — | $0.70 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Cigna_Behavioral_Health_Ppo_100101206 | — | $0.70 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Ppoposepo_100100302 | — | $0.80 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Hmo_100100301 | — | $0.80 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Aetna_Ppoposepo_100100302 | — | $0.80 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Aetna_Hmo_100100301 | — | $0.80 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Harrington_Multiplan_100102601 | — | $0.82 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Geha_100102201 | — | $0.82 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Gpa_Multiplan_100102401 | — | $0.82 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Mail_Handlers_Multiplan_100103401 | — | $0.82 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Mail_Handlers_Multiplan_100103401 | — | $0.82 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Gpa_Multiplan_100102401 | — | $0.82 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Harrington_Multiplan_100102601 | — | $0.82 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Empl_Bnft_Mgmt_Multiplan_100101801 | — | $0.82 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Empl_Bnft_Mgmt_Multiplan_100101801 | — | $0.82 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Assurant_Hlth_Multiplan_100100601 | — | $0.82 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Starmark_Multiplan_100104701 | — | $0.82 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Unicare_Multiplan_100105401 | — | $0.82 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Geha_100102201 | — | $0.82 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Mut_Assrnce_Multiplan_100103802 | — | $0.82 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Principal_Multiplan_100104101 | — | $0.82 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Principal_Multiplan_100104101 | — | $0.82 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Starmark_Multiplan_100104701 | — | $0.82 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Ft Worth Neuropsychiatric Hosp | Unicare_Multiplan_100105401 | — | $0.82 | $1.00 | $0.60 | 2026-07-31 | MRF ↗ |
| JPS HEALTH NETWORK | Mut_Assrnce_Multiplan_100103802 | — | $0.82 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| JPS HEALTH NETWORK | Assurant_Hlth_Multiplan_100100601 | — | $0.82 | $1.00 | $0.60 | 2026-07-30 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $8,891.00 | $6,668.25 | 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 BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| OCHSNER AMERICAN LEGION HOSPITAL Outpatient | Aetna Health Inc. Ppo/Pos | All Plans | $1.40 | $2.00 | $0.68 | 2026-07-15 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Unitedhealthcare Insurance Company (Contracting On Behalf Of Itself, Unitedhealthcare Of Alabama, Inc. And United'S Affiliates) | Commercial All Payer | — | $611.70 | $519.95 | 2026-07-15 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $4.88 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $4.88 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $4.88 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $4.88 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $4.88 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $4.88 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $4.88 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $4.88 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $4.88 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $4.88 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.58 | $3,101.59 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.58 | $3,101.59 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.58 | $3,101.59 | — | 2025-12-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $5.63 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $5.63 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $5.63 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $5.63 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $5.63 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $5.63 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $5.63 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $5.63 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $5.63 | $13,331.00 | $9,998.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $5.63 | $8,891.00 | $6,668.25 | 2026-09-02 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $5.68 | $133.00 | $133.00 | 2026-04-30 | 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.