Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Q4132 — Grafix Core, Grafixpl Core

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $413

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).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$190 $413 typical $1,142

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
Facility charge (no separate professional fee) $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.

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.