Q4125 — Graft Skin Decell Arthroflex 40x70x3mm 28sqcm-q4125-cost Per Sq
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GRAFT SKIN DECELL ARTHROFLEX 40X70X3MM 28SQCM-Q4125-COST PER SQ (HCPCS Q4125) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4125?code_type=HCPCS
MLA (9th ed.)
“GRAFT SKIN DECELL ARTHROFLEX 40X70X3MM 28SQCM-Q4125-COST PER SQ (HCPCS Q4125) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4125?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“GRAFT SKIN DECELL ARTHROFLEX 40X70X3MM 28SQCM-Q4125-COST PER SQ (HCPCS Q4125) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4125?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $207–$3,768 (25th–75th percentile) across 1,188 hospitals · 4,076 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4125 — 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
$207
$486 typical
$3,768
The middle 50% of negotiated facility rates for this procedure, measured across 1,188 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $486 |
| Likely subtotal | $486 |
Facility charge (no separate professional fee)
$486
- 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 |
|---|---|---|---|---|---|---|---|
| TRI-CITY MEDICAL CENTER Outpatient | Central Health Planmolina | Sr Advantage | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Outpatient | Aetna | Sr Advantage | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Inpatient | Phn / Oscar | Hmo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Inpatient | Networks By Design | Ppo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | None | — | — | $11,296.79 | $1,129.68 | 2026-04-01 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Outpatient | Kaiser Commercial | Hmo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $708.75 | $496.13 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $233.08 | $198.12 | 2025-01-01 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Inpatient | Cigna | Ppo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Outpatient | Coventry First Health | Ppo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Outpatient | Blue Shield Covered Ca | Hmo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Outpatient | Kaiser | Medicare | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Outpatient | Phn / Oscar | Hmo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Inpatient | Healthnet | Hmo/Ppo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Inpatient | Uhc | Hmo/Ppo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $233.08 | $198.12 | 2025-01-01 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Inpatient | Cigna | Hmo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Inpatient | Multiplan Commercial | Ppo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $11,296.79 | $1,129.68 | 2026-06-01 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Inpatient | Uhc Select | Hmo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Outpatient | Hn Bronze And Communitycare | Hmo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $11,296.79 | $1,129.68 | 2026-04-01 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Inpatient | Sharp Health Plan | Hmo,Ppo,Covered California | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Inpatient | Coventry First Health | Ppo | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $233.08 | $198.12 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,467.18 | $733.59 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,467.18 | $733.59 | 2024-12-15 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $708.75 | $496.13 | 2025-01-01 | MRF ↗ |
| TRI-CITY MEDICAL CENTER Outpatient | Molina | Commercial Exchange | — | $0.01 | $0.01 | 2026-05-09 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.10 | $54.56 | — | 2024-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | United Healthcare | Medicare | — | $9,399.50 | $7,519.60 | 2026-03-26 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.32 | $176.92 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.34 | $188.21 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.35 | $194.18 | — | 2025-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | UHC | ALL PRODUCTS | $0.38 | $6,264.00 | — | 2025-06-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.61 | $340.53 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.61 | $340.53 | — | 2025-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $0.72 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Arizona Physicians IPA | Medicaid | $0.72 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicaid | $0.72 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Arizona Physicians IPA | Medicaid | $0.72 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.74 | $409.25 | — | 2024-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | EPO | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.89 | $491.86 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.95 | $529.41 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.98 | $544.24 | — | 2025-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $497.95 | $323.66 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Aetna | Medicare Advantage | $1.00 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $1.00 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Aetna | Medicare Advantage | $1.00 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $497.95 | $323.66 | 2025-11-26 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $1.00 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Aetna | Qualified Health Plan | $1.12 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Aetna | Qualified Health Plan | $1.20 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $1.27 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $1.27 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BAXTER HEALTH Outpatient | Va | Va (Mcr) | — | $4.33 | $2.60 | 2026-05-14 | MRF ↗ |
| BAXTER HEALTH Outpatient | Bcbs | Bcbs True Blue/First Source | — | $4.33 | $2.60 | 2026-05-14 | MRF ↗ |
| BAXTER HEALTH Outpatient | Bcbs | Bcbs True Blue Exchange | — | $4.33 | $2.60 | 2026-05-14 | MRF ↗ |
| BAXTER HEALTH Outpatient | Bcbs | Bcbs True Blue/First Source | — | $4.33 | $2.60 | 2026-05-23 | MRF ↗ |
| BAXTER HEALTH Outpatient | Aetna | Aetna | — | $4.33 | $2.60 | 2026-05-14 | MRF ↗ |
| BAXTER HEALTH Outpatient | Web Tpa | Web Tpa | — | $4.33 | $2.60 | 2026-05-23 | MRF ↗ |
| BAXTER HEALTH Outpatient | Cigna | Cigna | — | $4.33 | $2.60 | 2026-05-14 | MRF ↗ |
| BAXTER HEALTH Outpatient | Bcbs | Bcbs True Blue Exchange | — | $4.33 | $2.60 | 2026-05-23 | MRF ↗ |
| BAXTER HEALTH Outpatient | Healthlink | Healthlink | — | $4.33 | $2.60 | 2026-05-14 | MRF ↗ |
| BAXTER HEALTH Outpatient | Web Tpa | Web Tpa | — | $4.33 | $2.60 | 2026-05-14 | MRF ↗ |
| BAXTER HEALTH Outpatient | Va | Va (Mcr) | — | $4.33 | $2.60 | 2026-05-18 | MRF ↗ |
| BAXTER HEALTH Outpatient | Healthlink | Healthlink | — | $4.33 | $2.60 | 2026-05-23 | MRF ↗ |
| BAXTER HEALTH Outpatient | Cigna | Cigna | — | $4.33 | $2.60 | 2026-05-23 | MRF ↗ |
| BAXTER HEALTH Outpatient | Va | Va (Mcr) | — | $4.33 | $2.60 | 2026-05-23 | MRF ↗ |
| BAXTER HEALTH Outpatient | Cigna | Cigna | — | $4.33 | $2.60 | 2026-05-18 | MRF ↗ |
| BAXTER HEALTH Outpatient | United Healthcare | Uhc | — | $4.33 | $2.60 | 2026-05-23 | MRF ↗ |
| BAXTER HEALTH Outpatient | Aetna | Aetna | — | $4.33 | $2.60 | 2026-05-23 | MRF ↗ |
| BAXTER HEALTH Outpatient | Aetna | Aetna | — | $4.33 | $3.03 | 2026-05-09 | MRF ↗ |
| BAXTER HEALTH Outpatient | Bcbs | Bcbs True Blue Exchange | — | $4.33 | $3.03 | 2026-05-09 | MRF ↗ |
| BAXTER HEALTH Outpatient | United Healthcare | Uhc | — | $4.33 | $2.60 | 2026-05-14 | MRF ↗ |
| BAXTER HEALTH Outpatient | Cigna | Cigna | — | $4.33 | $3.03 | 2026-05-09 | MRF ↗ |
| BAXTER HEALTH Outpatient | United Healthcare | Uhc | — | $4.33 | $3.03 | 2026-05-09 | MRF ↗ |
| BAXTER HEALTH Outpatient | Bcbs | Bcbs True Blue/First Source | — | $4.33 | $2.60 | 2026-05-18 | MRF ↗ |
| BAXTER HEALTH Outpatient | United Healthcare | Uhc | — | $4.33 | $2.60 | 2026-05-18 | MRF ↗ |
| BAXTER HEALTH Outpatient | Bcbs | Bcbs True Blue Exchange | — | $4.33 | $2.60 | 2026-05-18 | MRF ↗ |
| BAXTER HEALTH Outpatient | Healthlink | Healthlink | — | $4.33 | $3.03 | 2026-05-09 | MRF ↗ |
| BAXTER HEALTH Outpatient | Web Tpa | Web Tpa | — | $4.33 | $2.60 | 2026-05-18 | MRF ↗ |
| BAXTER HEALTH Outpatient | Healthlink | Healthlink | — | $4.33 | $2.60 | 2026-05-18 | MRF ↗ |
| BAXTER HEALTH Outpatient | Bcbs | Bcbs True Blue/First Source | — | $4.33 | $3.03 | 2026-05-09 | MRF ↗ |
| BAXTER HEALTH Outpatient | Aetna | Aetna | — | $4.33 | $2.60 | 2026-05-18 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $1.50 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $1.50 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $1.50 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $1.50 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $1.50 | $834.94 | — | 2025-12-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.59 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.59 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.59 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Aetna | Banner Employee Plans | $1.62 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.64 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $1.68 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $1.68 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.68 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Aetna | Banner Employee Plans | $1.68 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.72 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $1.75 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $1.75 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | University of Arizona (Kasser Medical Treatment Center) | Commerical | $1.75 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Aetna | Joint Venture | $1.76 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $9,776.00 | $8,016.32 | 2025-11-26 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Aetna | Designated Group | $1.99 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Amerigroup | MCD | $1.99 | $14.00 | $14.00 | 2026-03-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Both | MANAGED CARE [2000] | ADVANTUS-CIR | $2.00 | $5.00 | $1.16 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Both | COMMERCIAL [2001] | ADVANTUS-CIR | $2.00 | $5.00 | $1.16 | 2026-01-01 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $2.00 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Arizona Priority Care | Medicare Advantage | $2.00 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Both | AETNA [1005] | AETNA OAP/POS STATE OF ILLINOIS [317013] | $2.05 | $5.00 | $1.16 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Both | AETNA [1005] | AETNA CHOICE PPO [100503] | $2.05 | $5.00 | $1.16 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Both | AETNA [1005] | AETNA [100507] | $2.05 | $5.00 | $1.16 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Both | AETNA [1005] | AETNA QCHP STATE OF ILLINOIS [317014] | $2.05 | $5.00 | $1.16 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Both | MANAGED CARE [2000] | AETNA-NID-DYER-MUNSTER-CRN POINT | $2.05 | $5.00 | $1.16 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Both | AETNA [1005] | AETNA-NID-DYER-MUNSTER-CRN POINT | $2.05 | $5.00 | $1.16 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Both | AETNA [1005] | AETNA HMO/POS [300598] | $2.05 | $5.00 | $1.16 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Both | MANAGED CARE [2000] | MERITAIN HEALTH [312084] | $2.05 | $5.00 | $1.16 | 2026-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.07 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.07 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $11,381.00 | — | 2025-06-28 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | MCR | $2.10 | $14.00 | $14.00 | 2026-03-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $6,264.00 | — | 2025-06-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.11 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.11 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.11 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $2.11 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.15 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | OptionsPPO | $2.18 | $14.00 | $14.00 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.20 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Aetna | Broad Network | $2.21 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.24 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $2.25 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $2.25 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $2.25 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility | Plotkin Health | Plotkin Health | $2.25 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $2.25 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility | Plotkin Health | Plotkin Health | $2.25 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Joint Venture | $2.28 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Joint Venture | $2.28 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Aetna | Joint Venture | $2.28 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS Both | MANAGED CARE [2000] | FRANCISCAN HEALTH PLAN CAP-CIR | $2.33 | $5.00 | $1.16 | 2026-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.33 | $430.57 | $409.04 | 2026-02-20 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | United Healthcare | UHC Doctor's Plan | $2.42 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Designated Group | $2.42 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Designated Group | $2.42 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | United Healthcare | UHC Doctor's Plan | $2.42 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | United Healthcare | UHC Doctor's Plan | $2.42 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Aetna | Designated Group | $2.42 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | United Healthcare | Commercial | $2.46 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility | Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $2.48 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | ACA Health Plan | $2.50 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Oscar Health Plan | Commercial | $2.50 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Health Net | Medicare | $2.50 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | ACA Health Plan | $2.50 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Health Net | Medicare | $2.50 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Health Choice Arizona, Inc. | ACA Health Plan | $2.50 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Health Net | Medicare | $2.50 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Oscar Health Plan | Commercial | $2.50 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Health Choice Arizona, Inc. | ACA Health Plan | $2.50 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Health Net | Medicare | $2.50 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Oscar Health Plan | Commercial | $2.50 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Oscar Health Plan | Commercial | $2.50 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | United Healthcare | UHC Core | $2.54 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | United Healthcare | UHC Core | $2.54 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | United Healthcare | UHC Core | $2.54 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER InpatientFacility | Aetna | Medical Rental | $2.63 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER InpatientFacility | Aetna | Medical Rental | $2.63 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility | Aetna | Medical Rental | $2.63 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility | Aetna | Medical Rental | $2.63 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $2.67 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $2.67 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | United Healthcare | Commercial | $2.67 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Health Net | Commerical Exchange Product | $2.70 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER InpatientFacility | Quiktrip Corporation | Commercial | $2.70 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Health Net | Commerical Exchange Product | $2.70 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility | Quiktrip Corporation | Commercial | $2.70 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER InpatientFacility | Quiktrip Corporation | Commercial | $2.70 | $5.00 | $1.41 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS OutpatientFacility | Health Net | Commerical Exchange Product | $2.70 | $5.00 | $1.47 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX OutpatientFacility | Health Net | Commerical Exchange Product | $2.70 | $5.00 | $1.43 | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility | Quiktrip Corporation | Commercial | $2.70 | $5.00 | $1.47 | 2026-03-02 | 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.