Q4130 — Shell Q4130, Strattice Per Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Shell Q4130, Strattice per Sq Cm (HCPCS Q4130) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4130?code_type=HCPCS
MLA (9th ed.)
“Shell Q4130, Strattice per Sq Cm (HCPCS Q4130) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4130?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Shell Q4130, Strattice per Sq Cm (HCPCS Q4130) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4130?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $54–$10,785 (25th–75th percentile) across 1,085 hospitals · 3,447 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4130 — 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 the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$54
$814 typical
$10,785
The middle 50% of negotiated facility rates for this procedure, measured across 1,085 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $814 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $127 × 1.22 commercial. | $155 |
| Likely subtotal | $969 |
Surgical episode (typical)
~$969
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,754
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $0.10 | $0.09 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $0.28 | $0.20 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $207.44 | $103.72 | 2024-12-15 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $0.10 | $0.09 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $0.10 | $0.09 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $0.28 | $0.20 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $0.28 | $0.20 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $207.44 | $103.72 | 2024-12-15 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC GENEX CARE FOR OHIO | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC SENTRY | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC SEDGWICK | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Blue Care Network | Medicare Advantage | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | MERITAIN | AETNA | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC GALLAGHER BASSETT | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MEDICAL MUTUAL | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AUXIANT | MIDLANDS CHOICE PPO | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC ZURICH | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $0.03 | $0.05 | $0.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CIGNA EAP | CIGNA | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC ESIS | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC BERKLEY ADMIN | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC FEDERATED | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC HARTFORD | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC PMA | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC WALMART | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Blue Cross | Medicare Advantage | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | PREFERRED ONE | PREFERRED ONE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | Healthgram | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Cofinity | All Products | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL BothFacility | Aetna | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | Priority Health | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | HEALTHSCOPE | All Products | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | COVENTRY | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MHNET | MENTAL HEALTH ASSOCIATES | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | ASR HEALTH BENEFITS | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CIGNA | CIGNA | $0.03 | $0.05 | $0.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICA | MIDLANDS CHOICE PPO | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $0.03 | $0.05 | $0.05 | 2026-03-31 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S OutpatientFacility | Priority Health | HMO | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | Aetna | AFA | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC AIG | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC ASU RISK MGT | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC CCMSI | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC FCCI | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC MICHIGAN | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC GUARD INSURANCE COMPANY | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC MICHIGAN | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC MITCHELL FRANKENMUTH | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | HEALTH PARTNERS | HEALTH PARTNERS | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC TRISTAR | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | BCBS FL | PPO | $0.03 | $0.10 | — | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Humana | Humana HMO/PPO and MA | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Aetna | Medicare Advantage | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | AETNA | AETNA | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL OutpatientFacility | POINT COMFORT UNDERWRITERS | All Products | $0.03 | $0.12 | $0.08 | 2025-01-01 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Medicare Advantage | $0.03 | $0.16 | $0.10 | 2025-01-01 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL OutpatientFacility | Priority Health | HMO/PPO | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL BothFacility | Web TPA | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL OutpatientFacility | Priority Health | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | Aetna | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| CHELSEA HOSPITAL BothFacility | Healthgram | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | HEALTHSCOPE | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | COVENTRY | All Products | $0.03 | $0.16 | $0.10 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Healthgram | All Products | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | 1199 NATIONAL BENEFIT FUND | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | WEBTPA | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | AETNA DOMESTIC | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | Aetna | APCN/AFA | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CIGNA | CIGNA | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $0.03 | $0.05 | $0.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH PARTNERS | HEALTH PARTNERS | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH PARTNERS | HEALTH PARTNERS | $0.03 | $0.05 | $0.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICA | MIDLANDS CHOICE PPO | $0.03 | $0.05 | $0.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MIDLANDS | MIDLANDS CHOICE PPO | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S OutpatientFacility | Priority Health | PPO | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | Cofinity | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | Aetna | APCN | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC FEDERATED | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC ADVANTAGE | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC ALLIED | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC AMTRUST | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC BROADSPIRE | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC BUNCH & ASSOCIATES | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC EMC INSURANCE COMPANY | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC GENEX CARE FOR OHIO | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC LIBERTY MUTUAL | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC HARTFORD | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC MEIJERS | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC SEDGWICK | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC LIBERTY MUTUAL | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC MEIJERS | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC PMA | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC MITCHELL FRANKENMUTH | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC TRISTAR | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC SENTRY | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC TRAVELERS | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC TRAVELERS | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC WALMART | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| HOLY CROSS GERMANTOWN HOSPITAL OutpatientFacility | BCBS FL | PHS | $0.03 | $0.10 | — | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Molina | Medicare Advantage | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Priority Health | Medicare Advantage | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | CIGNA | MIDLANDS CHOICE PPO | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | AUXIANT | MIDLANDS CHOICE PPO | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | HAP | Medicare Advantage | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH LAKESHORE CAMPUS OutpatientFacility | Align Senior | Medicare Advantage | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | COVENTRY | AETNA | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MIDLANDS | MIDLANDS CHOICE PPO | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | CIGNA EAP | MIDLANDS CHOICE PPO | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| ST PETER'S HOSPITAL BothFacility | Aetna Health | Medicare Advantage | $0.03 | $0.10 | $0.09 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.03 | $0.22 | $0.14 | 2025-01-01 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | AMISH HOSPITAL AID | AMISH HOSPITAL AID | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | THE ALLIANCE | THE ALLIANCE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER BothFacility | UHC Charter | All Products | $0.03 | $0.10 | $0.08 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL OutpatientFacility | Priority Health | Narrow Network | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL BothFacility | Cofinity | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL BothFacility | Healthgram | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL BothFacility | HEALTHSCOPE | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | Cofinity | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH LIVINGSTON HOSPITAL BothFacility | Web TPA | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| CHELSEA HOSPITAL BothFacility | Aetna | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| CHELSEA HOSPITAL OutpatientFacility | Aetna | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL OutpatientFacility | Priority Health | PPO | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK BothFacility | Aetna Health | Medicare Advantage | $0.03 | $0.10 | $0.09 | 2025-01-01 | MRF ↗ |
| CHELSEA HOSPITAL BothFacility | HEALTHSCOPE | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Web TPA | All Products | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | Aetna | Medicare Advantage | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | Aetna | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH BothFacility | UHC Charter | All Products | $0.03 | $0.10 | $0.08 | 2025-01-01 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | AETNA | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL OutpatientFacility | Priority Health | HMO | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | MERITAIN | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | Cofinity | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | Web TPA | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | PREFERRED ONE | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL InpatientFacility | VARIPRO | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL OutpatientFacility | VARIPRO | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | AETNA EAP | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL OutpatientFacility | HAP | HAP Preferred | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL InpatientFacility | HAP | HAP Preferred | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL InpatientFacility | POINT COMFORT UNDERWRITERS | All Products | $0.03 | $0.08 | $0.05 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC ZURICH | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $0.03 | $0.05 | $0.03 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC ESIS | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC GALLAGHER BASSETT | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC BROADSPIRE | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AUXIANT | MIDLANDS CHOICE PPO | $0.03 | $0.05 | $0.05 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | HEALTHSCOPE | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC ACCIDENT FUND | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC AIG | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| CHELSEA HOSPITAL OutpatientFacility | Priority Health | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| CHELSEA HOSPITAL InpatientFacility | Priority Health | CIGNA THIRD PARTY PLAN | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC ADVANTAGE | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC ALLIED | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | CIGNA EAP | CIGNA | $0.03 | $0.05 | $0.05 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC AMERISURE | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MIDLANDS | MIDLANDS CHOICE PPO | $0.03 | $0.05 | $0.05 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC AMTRUST | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC BERKLEY ADMIN | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | Web TPA | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC ASU RISK MGT | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC BUNCH & ASSOCIATES | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| CHELSEA HOSPITAL BothFacility | Web TPA | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MEDICA | MIDLANDS CHOICE PPO | $0.03 | $0.04 | $0.03 | 2026-03-31 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC ACCIDENT FUND | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC CCMSI | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC FCCI | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCY HEALTH SAINT MARY'S BothFacility | WC AMERISURE | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC EMC INSURANCE COMPANY | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH MUSKEGON HOSPITAL BothFacility | WC GUARD INSURANCE COMPANY | All Products | $0.03 | $0.06 | $0.04 | 2025-01-01 | MRF ↗ |
| MERCYONE DUBUQUE MEDICAL CENTER BothFacility | TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $0.03 | $0.04 | $0.03 | 2026-03-31 | 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.