Q4133 — Hc Shell Q4133, Grafix Stravix Prime Pl Sqcm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC Shell Q4133, Grafix Stravix Prime Pl Sqcm (HCPCS Q4133) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4133?code_type=HCPCS
MLA (9th ed.)
“HC Shell Q4133, Grafix Stravix Prime Pl Sqcm (HCPCS Q4133) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4133?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“HC Shell Q4133, Grafix Stravix Prime Pl Sqcm (HCPCS Q4133) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4133?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $246–$1,028 (25th–75th percentile) across 1,945 hospitals · 4,865 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q4133 — 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
$246
$424 typical
$1,028
The middle 50% of negotiated facility rates for this procedure, measured across 1,945 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $424 |
| Likely subtotal | $424 |
Facility charge (no separate professional fee)
$424
- 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 |
|---|---|---|---|---|---|---|---|
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $840.90 | $588.63 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $243.15 | $206.68 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,563.70 | $781.85 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,563.70 | $781.85 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $243.15 | $206.68 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $243.15 | $206.68 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $840.90 | $588.63 | 2025-01-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna | MCR | $0.15 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $642.00 | $526.44 | 2025-11-26 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna | MCR | $0.15 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $0.18 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $0.18 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | ALLCARE MEDICARE | ALLCARE MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AMBETTER | AMBETTER | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | MANAGED MEDICAIRE | MANAGED MEDICAIRE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | ALLCARE MEDICARE | ALLCARE MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | HUMANA | HUMANA MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | MANAGED MEDICAIRE | MANAGED MEDICAIRE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | HUMANA | HUMANA MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AETNA | AETNA HEALTHCARE MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AETNA | AETNA HEALTHCARE MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AMBETTER | AMBETTER | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $0.22 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $0.23 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | NHC ADVANTAGE | NHC ADVANTAGE | $0.23 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $0.23 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $0.23 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | BLUE CROSS | BLUE CROSS MEDICARE | $0.23 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA MEDICARE | $0.23 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | NHC ADVANTAGE | NHC ADVANTAGE | $0.23 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $0.23 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA MEDICARE | $0.23 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | BLUE CROSS | BLUE CROSS MEDICARE | $0.23 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $0.23 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $0.23 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LONESOME PINE HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.25 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $0.26 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $0.26 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.26 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| HAWKINS COUNTY MEMORIAL HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.26 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| GREENEVILLE COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.26 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $0.26 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $0.26 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.26 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.28 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.28 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.28 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.28 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | FI | $0.29 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | ALLCARE MEDICARE | ALLCARE MEDICARE | $0.29 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| FRANKLIN WOODS COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.29 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $0.29 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | HUMANA | HUMANA MEDICARE | $0.29 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $0.29 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | WELLCARE | WELLCARE MEDICARE | $0.29 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $0.29 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $0.29 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | AETNA | AETNA HEALTHCARE MEDICARE | $0.29 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | MANAGED MEDICAIRE | MANAGED MEDICAIRE | $0.29 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | FI | $0.29 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA MEDICARE | $0.29 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | HUMANA | HUMANA MEDICARE | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | MANAGED MEDICAIRE | MANAGED MEDICAIRE | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | NHC ADVANTAGE | NHC ADVANTAGE | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA MEDICARE | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | ALLCARE MEDICARE | ALLCARE MEDICARE | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA MEDICARE | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | AETNA | AETNA HEALTHCARE MEDICARE | $0.30 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $0.31 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $0.31 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $0.32 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | NHC ADVANTAGE | NHC ADVANTAGE | $0.32 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | AMBETTER | AMBETTER | $0.32 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA MEDICARE | $0.32 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.34 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.34 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.34 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $642.00 | $526.44 | 2025-11-26 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.36 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.36 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.37 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| DICKENSON COMMUNITY HOSPITAL Both | AMBETTER | AMBETTER | $0.37 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | NEWULTRA | $0.38 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | NEWULTRA | $0.38 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | OptionsPPO | $0.40 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | OptionsPPO | $0.40 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.41 | $230.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.41 | $230.00 | — | 2025-12-31 | MRF ↗ |
| LONESOME PINE HOSPITAL Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| HAWKINS COUNTY MEMORIAL HOSPITAL Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| HAWKINS COUNTY MEMORIAL HOSPITAL Both | CIGNA HEALTHCARE | CIGNA PPO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| LONESOME PINE HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HMO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| LONESOME PINE HOSPITAL Both | CIGNA HEALTHCARE | CIGNA PPO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA HMO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA PPO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA HMO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA PPO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA HMO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA PPO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA PPO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA HMO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| HAWKINS COUNTY MEMORIAL HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HMO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | AETNA | AETNA | $0.43 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | AETNA | AETNA | $0.43 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| GREENEVILLE COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.43 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| GREENEVILLE COMMUNITY HOSPITAL Both | AETNA | AETNA | $0.43 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | AETNA | AETNA | $0.43 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| HAWKINS COUNTY MEMORIAL HOSPITAL Both | AETNA | AETNA | $0.43 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| GREENEVILLE COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HMO | $0.43 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| LONESOME PINE HOSPITAL Both | AETNA | AETNA | $0.43 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | AETNA | AETNA | $0.43 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| SURGEONS CHOICE MEDICAL CENTER Outpatient | Humana | Default | $0.44 | $1.00 | $1.00 | 2024-08-06 | MRF ↗ |
| SURGEONS CHOICE MEDICAL CENTER Outpatient | Humana | Default | $0.44 | $1.00 | $1.00 | 2024-08-06 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.44 | $244.53 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.44 | $244.53 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.44 | $242.05 | — | 2024-12-31 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Employers Health Network | COMM | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $0.45 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.45 | $250.18 | — | 2024-12-31 | MRF ↗ |
| GREENEVILLE COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA PPO | $0.45 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| GREENEVILLE COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HEALTHCARE | $0.45 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | GlobalBenefit | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $0.45 | $1.00 | $1.00 | 2026-03-25 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | GlobalBenefit | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Employers Health Network | COMM | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | SI | $0.47 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | SI | $0.47 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HAWKINS COUNTY MEMORIAL HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.48 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MEDCOST | MEDCOST VHN | $0.48 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.48 | $267.84 | — | 2025-12-31 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | MEDCOST | MEDCOST VHN | $0.48 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| GREENEVILLE COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.48 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | MEDCOST | MEDCOST VHN | $0.48 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MEDCOST | MEDCOST VHN | $0.48 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| LONESOME PINE HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.48 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $642.00 | $526.44 | 2025-11-26 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $0.53 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Both | SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $0.53 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | NEWPAYER | $0.54 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | NEWPAYER | $0.54 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Vocational Rehab | MCR | $0.54 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Vocational Rehab | MCR | $0.54 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | STANDARD | $0.56 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | STANDARD | $0.56 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| FRANKLIN WOODS COMMUNITY HOSPITAL Both | AETNA | AETNA | $0.64 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | AETNA | AETNA | $0.64 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | AETNA | AETNA | $0.64 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | AETNA | AETNA | $0.64 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | AETNA | AETNA | $0.64 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSON COUNTY COMMUNITY HOSPITAL Both | AETNA | AETNA | $0.64 | $1.00 | $0.23 | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Both | AETNA | AETNA | $0.64 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | AETNA | AETNA | $0.64 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Humana BH | COMM | $0.65 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Humana BH | COMM | $0.65 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.66 | $368.28 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.66 | $368.28 | — | 2024-12-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $642.00 | $526.44 | 2025-11-26 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.68 | $376.00 | — | 2024-12-31 | 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.