Q4132 — Grafix Core, Grafixpl Core
Cite this view
HANK Price Transparency. (n.d.). GRAFIX CORE, GRAFIXPL CORE (HCPCS Q4132) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4132?code_type=HCPCS
“GRAFIX CORE, GRAFIXPL CORE (HCPCS Q4132) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4132?code_type=HCPCS. Accessed .
“GRAFIX CORE, GRAFIXPL CORE (HCPCS Q4132) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4132?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $190–$1,142 (25th–75th percentile) across 1,789 hospitals · 3,478 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q4132 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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).
The middle 50% of negotiated facility rates for this procedure, measured across 1,789 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $413 |
| Likely subtotal | $413 |
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 $190–$1,142.
- 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 | — | — | — | $3,299.40 | $1,649.70 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $261.45 | $222.23 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $3,299.40 | $1,649.70 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $261.45 | $222.23 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $261.45 | $222.23 | 2025-01-01 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | United Healthcare | Star Kids KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Amerigroup | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Aetna | All Plans | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | HMO | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Superior | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Triwest | VA MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Superior | Star Kids KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Aetna | All Plans | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | Traditional | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Naphcare Inc. | RRMB | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Christus Health | Med Adv MM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Molina | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Molina | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | Blue Advantage HMO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Molina | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Molina | Chip KM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Humana | Choicecare | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Triwest | VA MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Triwest | VA MM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Superior | Star Kids KM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Naphcare Inc. | RRMB | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Christus Health | HIX | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | HealthSmart | Preferred | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Texas Childrens Health Plan | Star Plus KM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | HEB | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | HMO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Christus Health | Med Adv MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Christus Health | HIX | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Healthcare Highways | PPO | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Superior | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | United Healthcare | Star Kids KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | HealthSmart | Preferred | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Imperial Health Plan | MM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | United Healthcare | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Amerigroup | Star KM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Humana | Choicecare | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Triwest | VA CCN MM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | HMO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Texas Childrens Health Plan | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | PPO | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Amerigroup | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Imperial Health Plan | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Healthcare Highways | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | Traditional | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | HealthSmart | Preferred | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Imperial Health Plan | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Molina | Healthspring Star Plus KM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Superior | Star KM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | United Healthcare | Star KM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Christus Health | Med Adv MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Triwest | VA CCN MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Naphcare Inc. | RRMB | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Triwest | VA CCN MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Superior | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Superior | Chip KM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Superior | Star Kids KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Superior | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | United Healthcare | Star Kids KM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Molina | Healthspring Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Aetna | All Plans | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Texas Childrens Health Plan | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Amerigroup | MM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Phcs | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Humana | Choicecare | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Molina | Healthspring Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | HEB | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Christus Health | HIX | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Phcs | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Phcs | PPO | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Amerigroup | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Molina | Star Plus KM | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Molina | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | HEB | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Amerigroup | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | Traditional | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | United Healthcare | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | Blue Advantage HMO | — | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Texas | Blue Advantage HMO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Healthcare Highways | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | PPO | — | — | — | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | IFP | — | — | — | 2026-03-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | HMO | — | — | — | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | TriAtlantic | TRICR | $31.88 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | TriAtlantic | TRICR | $31.88 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | TriAtlantic | TRICR | $31.88 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | TriAtlantic | TRICR | $31.88 | — | — | 2026-03-07 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Cigna | PPO | — | — | — | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Cigna | IFP | — | — | — | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Cigna | HMO | — | — | — | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | TriAtlantic | TRICR | $31.88 | — | — | 2026-03-01 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $31.96 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care BothFacility | VARIPRO | HAP AHLIC | $32.28 | $49.68 | $32.29 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care BothFacility | HAP | HAP AHLIC | $32.28 | $49.68 | $32.29 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $32.29 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-08-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | Medicare - Kaiser Foundation Health Plan, Inc. Price | — | $32.40 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicare | $32.45 | $423.00 | $296.10 | 2026-07-15 | MRF ↗ |
| Saint Mary's Health Care BothFacility | HAP | HAP HMO | $32.46 | $49.68 | $32.29 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care BothFacility | CARESOURCE | HAP HMO | $32.46 | $49.68 | $32.29 | 2026-03-31 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | Truli for Health | BSL | $32.52 | $373.79 | $373.79 | 2026-03-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | THREE RIVERS PROVIDER NETWORK | THREE RIVERS PPO | $32.53 | $36.14 | $23.49 | 2026-03-31 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | BSL | $32.56 | $296.00 | $296.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MBN | $32.56 | $296.00 | $296.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | SBN | $32.56 | $296.00 | $296.00 | 2026-03-01 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | 1199 NATIONAL BENEFIT FUND | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | COVENTRY | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | LUCENT HEALTH | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | AETNA EAP | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | ALLIED BENEFIT SYSTEMS | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | AETNA DOMESTIC | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | AETNA | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | ASR HEALTH BENEFITS | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | MERITAIN | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | MEDICAL MUTUAL | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | WEBTPA | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | LUMINARE HEALTH | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | CHRISTIAN BROTHER SERVICES | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | FIRST HEALTH | AETNA | $32.60 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $32.61 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $32.94 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $33.00 | $37.50 | $21.75 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $33.00 | $37.50 | $21.75 | 2026-02-28 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | BCBS | SBN | $33.27 | $373.79 | $373.79 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | BCBS | BSL | $33.27 | $373.79 | $373.79 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | BCBS | MBN | $33.27 | $373.79 | $373.79 | 2026-03-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN FRANCISCO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-MORENO VALLEY | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-08-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA ROSA | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN LEANDRO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-08-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - DOWNEY | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY | Medicaid - Kaiser Foundation Health Plan, Inc. Price | — | $33.30 | $180.00 | $63.00 | 2026-07-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | AMBETTER | AMBETTER MARKETPLACE | $33.38 | $49.68 | $32.29 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $33.53 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $33.54 | $408.57 | $245.15 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | United Healthcare | Managed Medicaid | $33.54 | $408.57 | $245.15 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $33.54 | $408.57 | $245.15 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Cook Childrens | Managed Medicaid | $33.54 | $408.57 | $245.15 | 2026-04-21 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $33.55 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | BCBS | SBN | $33.64 | $373.79 | $373.79 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | AvMed | HIX | $33.64 | $373.79 | $373.79 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | AvMed | HIX | $33.64 | $373.79 | $373.79 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | BCBS | BSL | $33.64 | $373.79 | $373.79 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | BCBS | MBN | $33.64 | $373.79 | $373.79 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Health Net | TRICR | $33.75 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Health Net | TRICR | $33.75 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Health Net | TRICR | $33.75 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Health Net | TRICR | $33.75 | — | — | 2026-03-07 | MRF ↗ |
| MERCYONE OELWEIN MEDICAL CENTER BothFacility | AMISH HOSPITAL AID | AMISH HOSPITAL AID | $33.86 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $33.95 | $49.68 | $32.29 | 2026-03-31 | MRF ↗ |
| MERCYONE ELKADER MEDICAL CENTER BothFacility | UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $34.23 | $62.10 | $40.36 | 2026-03-31 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | BCBS BLUE ADVAN HMO | BCBS BLUE ADVAN HMO | $34.30 | $98.00 | $12.74 | 2026-02-03 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE | $34.38 | $49.68 | $32.29 | 2026-03-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER BothFacility | GEHA | UNITED HEALTHCARE | $34.38 | $49.68 | $32.29 | 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.