Q4124 — Oasis Tri-layer Wound Matrix
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Oasis tri-layer wound matrix (HCPCS Q4124) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4124?code_type=HCPCS
MLA (9th ed.)
“Oasis tri-layer wound matrix (HCPCS Q4124) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4124?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Oasis tri-layer wound matrix (HCPCS Q4124) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4124?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $60–$929 (25th–75th percentile) across 1,505 hospitals · 2,573 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q4124 — 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
$60
$191 typical
$929
The middle 50% of negotiated facility rates for this procedure, measured across 1,505 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $191 |
| Likely subtotal | $191 |
Facility charge (no separate professional fee)
$191
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 $60–$929.
- 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 | — | — | — | $1,072.52 | $536.26 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $1,072.52 | $536.26 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Inpatient | Humana | HMO_PPO | — | $16.50 | $8.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Inpatient | United_HealthCare | HMO_PPO | — | $16.50 | $8.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Inpatient | Cigna | HMO | — | $16.50 | $8.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION Inpatient | Aetna | HMO | — | $16.50 | $8.25 | 2024-12-15 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Corvel | Workers Comp | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Tricare | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Ambetter Exchange | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Vantage | Medicare | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Humana | Medicare | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Arkansas Superior Select Tribute | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Care Improvement Plus | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | UMR | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Wellcare | Medicare | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Municipal Health Benefit Fund | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Aetna | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-04-08 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Health Partners | Commercial PPO | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | United Healthcare | Exchange | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Aetna | MCR ADV HMO | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | AblePay Health | All Plans | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Christian Health Aid | All Plans | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | WPPA | ProviDrs Care Network | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | Commercial | — | $28.00 | — | 2026-02-27 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Healthfirst | Commercial | — | $28.00 | — | 2026-02-27 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM MO MEDICAID | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HOME STATE MEDICAID CONTRACTED [320189] | HB FTSM MANAGED MO MCD | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM MO MEDICAID | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HOME STATE MEDICAID CONTRACTED [320189] | HB FTSM MANAGED MO MCD | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | $359.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | $359.07 | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | $359.07 | 2026-03-31 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | $359.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | $359.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | $359.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | $359.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | $359.07 | 2026-03-31 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | $359.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | $359.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | $359.07 | 2026-03-31 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | $359.07 | 2026-03-31 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | — | $17.00 | $11.05 | 2026-03-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | — | — | — | 2026-07-18 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | HealthSpring (Cigna) | Medicare Advantage | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Texas Independence Health Plan | Medicare Advantage | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | WellCare Complete | Medicare Advantage/Dual Health | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Driscoll Health Plan | HMO/Medicare STAR/STARKids/CHIP | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Cigna | All Commercial Plans | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | HealthSpring (Cigna) | Medicare Advantage | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Prime Health Services | Medicare Advantage | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | United Healthcare | Medicare Select/Medicare Care Improvement Plus Dual | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Oscar | All Plans | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Sana Benefits | Commercial | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Prime Health Services | Medicare Advantage | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Superior Health | Managed Medicaid/CHIP | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Wellpoint (Amerigroup) | Managed Medicaid/CHIP | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Cigna | All Commercial Plans | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | United Healthcare | Medicare Select/Medicare Care Improvement Plus Dual | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Cigna | Individual Family Plan | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Blue Cross Blue Shield of Texas | PPO/Essentials/Traditional/MyBlue Health/Blue Advantage | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Blue Cross Blue Shield of Texas | Medicare Advantage | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Wellpoint (Amerigroup) | MMD Plan | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Oscar | All Plans | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Christus Spohn Health Network | Federal Exchange | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Wellpoint (Amerigroup) | Managed Medicaid/CHIP | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Sana Benefits | Commercial | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Wellpoint (Amerigroup) | MMD Plan | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Superior Health | Managed Medicaid/CHIP | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Driscoll Health Plan | HMO/Medicare STAR/STARKids/CHIP | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | WellCare Complete | Medicare Advantage/Dual Health | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Cigna | Individual Family Plan | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Blue Cross Blue Shield of Texas | Medicare Advantage | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Blue Cross Blue Shield of Texas | PPO/Essentials/Traditional/MyBlue Health/Blue Advantage | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Texas Independence Health Plan | Medicare Advantage | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Pam Rehabilitation Hospital Of Corpus Christi OutpatientFacility | Christus Spohn Health Network | Federal Exchange | — | $30.75 | $30.75 | 2025-09-11 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Humana | Medicare Advantage | — | $36.86 | $36.86 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $36.86 | $36.86 | 2026-03-24 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | HMO | — | — | — | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | IFP | — | — | — | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | PPO | — | $94.00 | $94.00 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | IFP | — | $94.00 | $94.00 | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | PPO | — | — | — | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | HMO | — | $94.00 | $94.00 | 2026-03-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Tricare | — | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Humana | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Aetna | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Cigna | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | United Healthcare | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Devoted Health | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Champva | — | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Wellcare | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Fidelis | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Coventry | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Bcbs | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Cigna | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Devoted Health | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Longevity | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Humana | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Healthteam | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Champva | — | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Coventry | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | United Healthcare | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Bcbs | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Virginia Premier | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Provider Partners Health Plans | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Piedmont Health | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Pyramid Todays Options | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Healthteam | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Pace Of The Triad | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Unicare Security Choice | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Wellcare | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Both | Longevity | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Virginia Premier | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Pyramid Todays Options | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Fidelis | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Unicare Security Choice | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Wellcare | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Aetna | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Pace Of The Triad | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Healthteam | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Piedmont Health | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Fidelis | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Both | Tricare | — | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Aetna | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Provider Partners Health Plans | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Coventry | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | United Healthcare | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | United Healthcare | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Cigna | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | United Healthcare | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Devoted Health | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Cigna | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Cigna | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Coventry | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Humana | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Wellcare | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Fidelis | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Tricare | — | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Fidelis | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Aetna | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Virginia Premier | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Champva | — | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Bcbs | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Wellcare | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Both | Longevity | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Both | Champva | — | — | $30.50 | $11.59 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Both | Devoted Health | Medicare Advantage | — | $30.50 | $11.59 | 2026-07-15 | 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.